Legislature(2019 - 2020)BUTROVICH 205

03/23/2020 11:15 AM RULES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Uniform Rule 23(a) & 24(b) Waived
*+ SCR 14 AUTHORIZING RECESS LONGER THAN 3 DAYS TELECONFERENCED
Moved CSSCR 14(RLS) Out of Committee
*+ SB 241 EXTENDING COVID 19 DISASTER EMERGENCY TELECONFERENCED
Moved CSSB 241(RLS) Out of Committee
                    ALASKA STATE LEGISLATURE                                                                                  
                SENATE RULES STANDING COMMITTEE                                                                               
                         March 23, 2020                                                                                         
                           11:13 a.m.                                                                                           
                                                                                                                                
                                                                                                                                
 MEMBERS PRESENT                                                                                                              
                                                                                                                                
 Senator John Coghill, Chair                                                                                                    
 Senator Cathy Giessel, Vice Chair                                                                                              
 Senator Natasha von Imhof                                                                                                      
 Senator Tom Begich                                                                                                             
 Senator Lyman Hoffman                                                                                                          
                                                                                                                                
 MEMBERS ABSENT                                                                                                               
                                                                                                                                
 All members present                                                                                                            
                                                                                                                                
 OTHER LEGISLATORS PRESENT                                                                                                    
                                                                                                                                
 Senator Gary Stevens                                                                                                           
 Senator Bert Stedman                                                                                                           
 Senator Shelley Hughes                                                                                                         
 Senator Josh Revak                                                                                                             
 Senator Click Bishop                                                                                                           
                                                                                                                                
 COMMITTEE CALENDAR                                                                                                           
                                                                                                                                
 SENATE CONCURRENT RESOLUTION NO. 14                                                                                            
 Authorizing  the House  of  Representatives  and  the  Senate  to                                                              
 recess for a period of more than three days.                                                                                   
                                                                                                                                
      - MOVED CSSCR 14(RLS) OUT OF COMMITTE                                                                                     
                                                                                                                                
 SENATE BILL NO. 241                                                                                                            
 "An Act extending the  March 11, 2020, governor's declaration  of                                                              
 a public health  disaster emergency in  response to the  COVID-19                                                              
 pandemic; relating to  the powers of  the director of  insurance;                                                              
 relating to standing orders issued by the chief  medical officer;                                                              
 relating to professional licensing; relating to  telemedicine and                                                              
 telehealth;   relating   to   board   of   nursing    fingerprint                                                              
 requirements;  relating   to  the   2020  primary   and   general                                                              
 elections; relating  to  permanent  fund  dividend  applications;                                                              
 relating  to  automatic  voter  registration;  relating  to  tax;                                                              
 relating to shareholder meetings; and providing for  an effective                                                              
 date."                                                                                                                         
                                                                                                                                
      - MOVED CSSB 241(RLS) OUT OF COMMITTEE                                                                                    
                                                                                                                                
                                                                                                                                
 PREVIOUS COMMITTEE ACTION                                                                                                    
                                                                                                                                
 BILL: SCR 14                                                                                                                 
 SHORT TITLE: AUTHORIZING RECESS LONGER THAN 3 DAYS                                                                             
 SPONSOR(s): RULES                                                                                                              
                                                                                                                                
 03/21/20       (S)       READ THE FIRST TIME - HELD ON SECY'S                                                                  
                          DESK                                                                                                  
 03/23/20       (S)       RLS AT 11:15 AM BUTROVICH 205                                                                         
                                                                                                                                
 BILL: SB 241                                                                                                                 
 SHORT TITLE: EXTENDING COVID 19 DISASTER EMERGENCY                                                                             
 SPONSOR(s): RULES BY REQUEST OF THE GOVERNOR                                                                                   
                                                                                                                                
 03/22/20       (S)       READ THE FIRST TIME - REFERRALS                                                                       
 03/22/20       (S)       RLS                                                                                                   
 03/23/20       (S)       RLS AT 11:15 AM BUTROVICH 205                                                                         
                                                                                                                                
 WITNESS REGISTER                                                                                                             
                                                                                                                                
 RENA MILLER, Staff                                                                                                             
 Senator Cathy Giessel                                                                                                          
 Alaska State Legislature                                                                                                       
 Juneau, Alaska                                                                                                                 
 POSITION STATEMENT: Reviewed the changes between version A and                                                               
 version M of SCR 14 and version A and version U of SB 241.                                                                     
                                                                                                                                
 HEATHER CARPENTER, Health Care Policy Advisor                                                                                  
 Department of Health and Social Services (DHSS)                                                                                
 Juneau, Alaska                                                                                                                 
 POSITION STATEMENT: Stated support for SB 241, but concern that                                                              
 it only extends the emergency declaration for the COVID-19                                                                     
 pandemic for six months.                                                                                                       
                                                                                                                                
 JEANNIE MONK, Senior Vice President                                                                                            
 Alaska State Hospital & Nursing Home Association                                                                               
 Anchorage, Alaska                                                                                                              
 POSITION STATEMENT: Requested the committee amend Section 7 of                                                               
 SB 241, version U.                                                                                                             
                                                                                                                                
                                                                                                                                
 ACTION NARRATIVE                                                                                                             
                                                                                                                                
 11:13:42 AM                                                                                                                  
 CHAIR JOHN  COGHILL called  the Senate  Rules Standing  Committee                                                            
 meeting to  order at 11:13  a.m. Present  at call  to order  were                                                              
 Senators Begich, Giessel, von  Imhof, and Chair Coghill.  Senator                                                              
 Hoffman  arrived  soon  thereafter.  Senators  Stedman,   Hughes,                                                              
 Stevens, Revak and Bishop were also in the audience.                                                                           
                                                                                                                                
          SCR 14-AUTHORIZING RECESS LONGER THAN 3 DAYS                                                                      
                                                                                                                                
 11:14:11 AM                                                                                                                  
 CHAIR COGHILL  announced the consideration  of SENATE  CONCURRENT                                                              
 RESOLUTION NO. 14, Authorizing  the House of Representatives  and                                                              
 the Senate to recess for a period of more than three days.                                                                     
                                                                                                                                
 11:14:30 AM                                                                                                                  
 SENATOR  GIESSEL  moved  to  adopt  the  Senate  Rules  committee                                                              
 substitute (CS)  for  SCR  14,  work order  31-LS1740\M,  as  the                                                              
 working document.                                                                                                              
                                                                                                                                
 CHAIR COGHILL objected for an explanation of the changes.                                                                      
                                                                                                                                
 11:14:57 AM                                                                                                                  
 RENA  MILLER,   Staff,  Senator  Cathy   Giessel,  Alaska   State                                                              
 Legislature, Juneau,  Alaska, reviewed the  following summary  of                                                              
 changes between  version A  and version  M of  SCR 14:  [Original                                                              
 punctuation provided.]                                                                                                         
                                                                                                                                
      One change was made to SCR 14 Version A.                                                                                  
                                                                                                                                
     The CS for SCR 14(RLS) version M adds, on page 1, line                                                                     
      15, after 'that', the following:                                                                                          
                                                                                                                                
     'after transmitting a bill to the governor that funds                                                                      
       the operations of state government for fiscal year                                                                       
      2021'                                                                                                                     
                                                                                                                                
     The effect is that the Senate and House may recess for                                                                     
     more than three days during the second session of the                                                                      
        st                                                                                                                      
     31 Legislature, if they have first transmitted to the                                                                      
      governor the FY21 operating budget.                                                                                       
                                                                                                                                
 11:15:40 AM                                                                                                                  
 CHAIR  COGHILL  removed   his  objection;   finding  no   further                                                              
 objection, version M was adopted.                                                                                              
                                                                                                                                
 11:15:55 AM                                                                                                                  
 SENATOR GIESSEL moved to report  the Senate Rules CS for SCR  14,                                                              
 work  order   31-LS1740\M,   from   committee   with   individual                                                              
 recommendations and attached fiscal note(s).                                                                                   
                                                                                                                                
 11:16:07 AM                                                                                                                  
 CHAIR COGHILL found no  objection and CSSCR 14(RLS) was  reported                                                              
 from the Senate Rules Standing Committee.                                                                                      
                                                                                                                                
 11:16:29 AM                                                                                                                  
 CHAIR COGHILL recessed the meeting to a call of the chair.                                                                     
                                                                                                                                
 4:24:12 PM                                                                                                                   
 CHAIR COGHILL  reconvened  the  Senate Rules  Standing  Committee                                                              
 meeting at  4:24 p.m. and  noted that  Senators Begich,  Giessel,                                                              
 von Imhof and Coghill were present.                                                                                            
                                                                                                                                
          SB 241-EXTENDING COVID 19 DISASTER EMERGENCY                                                                      
                                                                                                                                
 4:24:31 PM                                                                                                                   
 CHAIR COGHILL  announced  the consideration  of SENATE  BILL  NO.                                                              
 241,  "An   Act  extending   the  March   11,  2020,   governor's                                                              
 declaration of a public health disaster emergency in  response to                                                              
 the COVID-19 pandemic; relating to the powers of the  director of                                                              
 insurance;  relating to  standing  orders  issued  by  the  chief                                                              
 medical officer; relating to professional licensing;  relating to                                                              
 telemedicine  and  telehealth;  relating  to  board  of   nursing                                                              
 fingerprint  requirements;  relating  to  the  2020  primary  and                                                              
 general  elections;   relating   to   permanent   fund   dividend                                                              
 applications; relating to automatic voter registration;  relating                                                              
 to tax; relating  to shareholder meetings;  and providing for  an                                                              
 effective date."                                                                                                               
                                                                                                                                
 He noted  that  this  was  the  first hearing  and  there  was  a                                                              
 proposed committee substitute (CS).                                                                                            
                                                                                                                                
 4:24:54 PM                                                                                                                   
 SENATOR  GIESSEL  moved  to  adopt  the  Senate  Rules  committee                                                              
 substitute (CS)  for  SB  241,  work order  31-GS2260\U,  as  the                                                              
 working document.                                                                                                              
                                                                                                                                
 CHAIR COGHILL objected for an explanation of the changes.                                                                      
                                                                                                                                
 CHAIR COGHILL recognized that Senators Stedman, Hughes,  Stevens,                                                              
 Revak and  Bishop  were  in  the audience.  He  also  listed  the                                                              
 individuals who were available online to answer questions.                                                                     
                                                                                                                                
                                                                                                                                
 4:25:19 PM                                                                                                                   
 RENA  MILLER,   Staff,  Senator  Cathy   Giessel,  Alaska   State                                                              
 Legislature, Juneau,  Alaska, directed attention  to the  Summary                                                              
 of Changes document for SB  241 between version A and version  U.                                                              
 She noted that Legislative Legal Services made technical  changes                                                              
 throughout  version   U  to  conform   to  legislative   drafting                                                              
 conventions. [Original punctuation provided.]                                                                                  
                                                                                                                                
      Throughout:                                                                                                               
                                                                                                                                
           -    Adds 'novel coronavirus disease' before 'COVID-                                                                 
                19' in first reference in each section                                                                          
           -    Adds 'in the Department of Health and Social                                                                    
            Services' after 'chief medical officer'                                                                             
                           st                                                                                                   
           -    Removes '31Alaska State' before references to                                                                   
                'legislature'                                                                                                   
           -    Adds 'calendar year' before '2020'                                                                              
           -    Adds 'of Health and Social Services' after                                                                      
                'department'                                                                                                    
           -    Technical restructuring of some sentences to                                                                    
                conform to Legislative Legal drafting standards                                                                 
                                                                                                                                
      Page 1, lines 1-8   Conforms title; removes reference                                                                     
                          to Division of Insurance and to                                                                       
                          general    election    and     adds                                                                   
                          reference to financing plan.                                                                          
                                                                                                                                
       Page 2, lines 1-2   Adds 'severe acute respiratory                                                                       
                          syndrome coronavirus 2' before                                                                        
                          'SARS- CoV-2)                                                                                         
                                                                                                                                
      Page 2, line 3      Changes 'causing' to 'leading to'                                                                     
                                                                                                                                
      Page 2, line 6      Removes reference to sec. 319 in                                                                      
                          relation to the Public Health                                                                         
                          Service Act                                                                                           
                                                                                                                                
      Page 3, lines 2-3  Removes    'the        department's'                                                                   
                          before   'personnel'    and    adds                                                                   
                          'of  the  Department of Health  and                                                                   
                          Social Services'  to  qualify  both                                                                   
                          personnel and resources                                                                               
                                                                                                                                
      Page 3, line 8      Changes the date  'March 12,  2021'                                                                   
                          to 'September 1,  2020' as the  end                                                                   
                          date of  the  disaster  declaration                                                                   
                          extension                                                                                             
                                                                                                                                
      Page 3, line 9      Removes former  section  2  related                                                                   
                          to the Division of Insurance                                                                          
                                                                                                                                
      Page 3, line 13     Changes the date  'March 12,  2021'                                                                   
                          to 'September 1,  2020' as the  end                                                                   
                          date of  the  disaster  declaration                                                                   
                          extension                                                                                             
                                                                                                                                
      Page 3, line 14     Adds  'The  extension  under   this                                                                   
                          subsection'  in   legal   drafters'                                                                   
                          restructuring of provision order                                                                      
                                                                                                                                
      Page 3, line 19     Removes reference  to 'based  on  a                                                                   
                          reliable source'                                                                                      
                                                                                                                                
      Page 3, lines 23-25  Adds 'determined by the  governor'                                                                   
                          and   adds   provision   that   the                                                                   
                          certification  must  be  based   on                                                                   
                          specific information received  from                                                                   
                          a  state  or   federal  agency   or                                                                   
                          another source  determined  by  the                                                                   
                          commissioner to be reliable                                                                           
                                                                                                                                
      Page 3, line 29     Adds a  new  section related  to  a                                                                   
      financing plan                                                                                                            
                                                                                                                                
      Page 5, lines 1-2   Adds  that  if  the  chief  medical                                                                   
                          officer   is   incapacitated,   the                                                                   
                          chief  medical  officer's  designee                                                                   
                          may issue standing orders                                                                             
                                                                                                                                
      Page 5, lines 10-18 Restructures subsection  per  legal                                                                   
      drafters                                                                                                                  
                                                                                                                                
 4:30:49 PM                                                                                                                   
 SENATOR BEGICH asked for confirmation that the restructured                                                                    
 subsection does not change the intent.                                                                                         
                                                                                                                                
 MS. MILLER replied that is correct. It clarifies that the chief                                                                
 medical doctor, not the standing order, needs to provide the                                                                   
 education and training.                                                                                                        
                                                                                                                                
      Page 5, line 18     Adds 'of implementing the  standing                                                                   
                          order' after 'means'  Page 5,  line                                                                   
                          28   Removes    end    date     for                                                                   
                          reporting of 'until March 2021'                                                                       
                                                                                                                                
      Page 5, lines 30-31 Adds  that   the   reporting   must                                                                   
                          include  the  expenditures  related                                                                   
                          to the emergency                                                                                      
                                                                                                                                
      Page 6, line 4      Adds 'made' before 'without'                                                                          
                                                                                                                                
      Page 6, lines 5-6   Changes   'because   of'   to   'to                                                                   
                          contain the spread of'                                                                                
      Page 6, lines 6-9   Requires a final report on Nov.  1,                                                                   
                          2020,  or   60   days   after   the                                                                   
                          emergency ends  if it  ends  before                                                                   
                          Sept.   1,   2020.   Requires   the                                                                   
                          monthly    reports    to    include                                                                   
                          cumulative information                                                                                
                                                                                                                                
      Page 6, line 12     Adds  'and  occupational'  to   the                                                                   
                          section heading                                                                                       
      Page 6, line 18     Adds    n   good  standing'   after                                                                   
                          'certificate'                                                                                         
                                                                                                                                
      Page 6, lines 19-23 Adds new  provision  that  licenses                                                                   
                          expedited   under   this    section                                                                   
                          expire Sept. 1,  2020, or when  the                                                                   
                          emergency is over, whichever  comes                                                                   
                          first                                                                                                 
                                                                                                                                
      Page 7, lines 6-10  Adds new  provision that  expedited                                                                   
                          licensees traveling to Alaska  must                                                                   
                          comply with CDC travel guidelines                                                                     
                                                                                                                                
      Page 7, lines 11-13 Adds definition  of  'director'  as                                                                   
                          the  DCCED  division  director  for                                                                   
                          professional licensing                                                                                
                                                                                                                                
 4:33:27 PM                                                                                                                   
      Page 8, lines 10-11 Adds   that   fees   charged    for                                                                   
                          telemedicine  and  telehealth   may                                                                   
                          not  be  more  than  5%  above  the                                                                   
                          typical fees charged                                                                                  
                                                                                                                                
     Page 8, line 17     Removed provision allowing waiver                                                                      
                          of   privacy    requirements    [in                                                                   
                          conjunction with telehealth]                                                                          
                                                                                                                                
      Page 8, lines 22-27 Expands expedited fingerprinting                                                                      
                          requirement  to   multiple   public                                                                   
                          health    professions     requiring                                                                   
                          fingerprinting in conjunction  with                                                                   
                          licensure                                                                                             
                                                                                                                                
    Page 9, line 1      Removes   reference   to    general                                                                     
                          election; adds a statewide  special                                                                   
                          election                                                                                              
                                                                                                                                
     Page 9, line 9      Changes date of June [30], 2020 to                                                                     
                          April   30,   2020   as    extended                                                                   
                          deadline  to  apply   for  a   2020                                                                   
                          permanent   fund   dividend   [This                                                                   
                          section also corrects an  erroneous                                                                   
                          reference  to  a  2019  to  a  2020                                                                   
                          dividend  received  this   calendar                                                                   
                          year]                                                                                                 
                                                                                                                                
      Page 10, lines 4-8 Adds provision repealing sections                                                                      
                          1-4 and 6-12 on  Sept. 1, 2020,  or                                                                   
                          when the emergency ends,  whichever                                                                   
                          comes first                                                                                           
                                                                                                                                
       Page 10, line 9     Adds that section 5, reporting                                                                       
                          requirement, is  repealed  Nov.  2,                                                                   
                          2020                                                                                                  
                                                                                                                                
4:35:26 PM                                                                                                                    
SENATOR BEGICH  observed that  all the  repealer clauses  but                                                                   
the last  one end  with the  phrase "no  longer exists."  The                                                                   
last is a straight repeal on November 2, 2020. He  asked what                                                                   
happens if the disaster has been extended beyond that date.                                                                     
                                                                                                                                
MS. MILLER replied  a decision to extend the disaster  beyond                                                                   
November 1,  2020 presumably would  require another piece  of                                                                   
legislation.  Any   other  provisions,  including   reporting                                                                   
requirements, could be extended at the same time.                                                                               
                                                                                                                                
4:36:18 PM                                                                                                                    
CHAIR  COGHILL  removed his  objection;  finding  no  further                                                                   
objection, version U was adopted.                                                                                               
                                                                                                                                
4:36:43 PM                                                                                                                    
SENATOR BEGICH moved Amendment 1.                                                                                               
                                                                                                                                
                                                 31-GS2260\U.1                                                                  
                                                  Wallace/Marx                                                                  
                                                       3/23/20                                                                  
                                                                                                                                
                                                                                                                                
                          AMENDMENT 1                                                                                       
                                                                                                                                
                                                                                                                                
    OFFERED IN THE SENATE                 BY SENATOR BEGICH                                                                     
          TO:  CSSB 241(RLS), Draft Version "U"                                                                                 
                                                                                                                                
                                                                                                                                
      Page 8, line 31, through page 9, line 2:                                                                                  
           Delete "the lieutenant governor may, after                                                                           
      consultation  with  the  commissioner  of  health   and                                                                   
      social services,  direct that  a primary  or  statewide                                                                   
      special election to  be held in  the state in  calendar                                                                   
      year 2020 be held"                                                                                                        
           Insert "for the duration of the public health                                                                        
     disaster emergency declaration issued by the governor                                                                      
       on March 11, 2020, the director of the division of                                                                       
      elections shall conduct all elections"                                                                                    
                                                                                                                                
CHAIR COGHILL objected for discussion purposes.                                                                                 
                                                                                                                                
SENATOR  BEGICH  explained  that  Amendment  1   signals  the                                                                   
lieutenant  governor  that if  the  legislature  extends  the                                                                   
declaration,  a  vote  by  mail  provision  for  the  general                                                                   
election  should  not  be  precluded.  He  said   his  caucus                                                                   
suggested the  proposed language to  give clear direction  to                                                                   
the lieutenant governor.                                                                                                        
                                                                                                                                
4:39:03 PM                                                                                                                    
CHAIR COGHILL  said he would  maintain his objection  because                                                                   
he did not want to experiment with the general election.                                                                        
                                                                                                                                
SENATOR  GIESSEL said  she  understands  the intent  but  the                                                                   
legislature  will have  to readdress  the declaration  should                                                                   
the emergency continue past September 1. That would  give the                                                                   
Division of Elections some days more than two months to                                                                         
transition [the general election] to vote by mail.                                                                              
Therefore, she would not support Amendment 1.                                                                                   
                                                                                                                                
SENATOR BEGICH responded that his caucus wanted him to call                                                                     
this to the committee's attention, but it is the will of the                                                                    
committee.                                                                                                                      
                                                                                                                                
CHAIR COGHILL remarked that there is agreement that things                                                                      
will get tough and everyone is looking for good solutions.                                                                      
                                                                                                                                
 4:41:04 PM                                                                                                                   
 A roll call  vote was taken. Senator  Begich voted in  favor                                                                   
 of Amendment 1 and Senators von Imhof, Giessel,  and Coghill                                                                   
 voted against  it. Therefore, Amendment  1 failed  by a  1:3                                                                   
 vote.                                                                                                                          
                                                                                                                                
 4:41:11 PM                                                                                                                   
 SENATOR BEGICH moved Amendment 2.                                                                                              
                                                                                                                                
                                                 31-GS2260\U.3                                                                  
                                                  Wallace/Marx                                                                  
                                                       3/23/20                                                                  
                                                                                                                                
                                                                                                                                
                          AMENDMENT 2                                                                                       
                                                                                                                                
                                                                                                                                
    OFFERED IN THE SENATE                 BY SENATOR BEGICH                                                                     
          TO:  CSSB 241(RLS), Draft Version "U"                                                                                 
                                                                                                                                
                                                                                                                                
      Page 9, lines 9-11:                                                                                                       
           Delete "An application received after March 31,                                                                      
           2020, is exempt from automatic voter registration                                                                    
           under AS 15.07.070(i)-(m)."                                                                                          
                                                                                                                                
 CHAIR COGHILL objected for discussion purposes.                                                                                
                                                                                                                                
 SENATOR BEGICH  said the  automatic  voter registration  law                                                                   
 was passed by initiative and  he would argue that since  the                                                                   
 application period for the  2020 dividend is being moved  to                                                                   
 April 30, the automatic  voter registration on the  dividend                                                                   
 application, that  voters passed  by a  substantial  margin,                                                                   
 should not be arbitrarily abrogated.                                                                                           
                                                                                                                                
 4:42:43 PM                                                                                                                   
 CHAIR COGHILL restated his objection.                                                                                          
                                                                                                                                
 4:42:55 PM                                                                                                                   
 SENATOR HOFFMAN joined the committee.                                                                                          
                                                                                                                                
 CHAIR COGHILL  summarized Amendment  2 for  Senator  Hoffman                                                                   
 and said  his objection is  that there  would be  a cost,  a                                                                   
 timing issue, and  a logistical  challenge if elections  are                                                                   
 transitioned to vote by mail.                                                                                                  
                                                                                                                                
 CHAIR COGHILL maintained his objection.                                                                                        
                                                                                                                                
 4:43:38 PM                                                                                                                   
 SENATOR  BEGICH   restated  that  this   would  extend   the                                                                   
 requirement for automatic voter registration that passed  by                                                                   
 a substantial margin.  He said  he understands the  opposing                                                                   
 argument, but he supports sticking with the system.                                                                            
                                                                                                                                
 4:44:37 PM                                                                                                                   
 A roll call  vote was taken. Senator  Begich voted in  favor                                                                   
 of Amendment  2 and  Senators Hoffman,  von Imhof,  Giessel,                                                                   
 and Coghill voted against it. Therefore, Amendment  2 failed                                                                   
 by a 1:4 vote.                                                                                                                 
                                                                                                                                
 4:45:13 PM                                                                                                                   
 SENATOR BEGICH stated that minority staff have  been working                                                                   
 to  identify  areas  in  statute  that  hopefully   will  be                                                                   
 addressed  in this  or  other  legislation.  He  listed  the                                                                   
 following technical  amendments that  are being  considered:                                                                   
 temporary  relief   for  the   cost  of   living   allowance                                                                   
 requirements if it is not  possible to timely return to  the                                                                   
 state  safely;   temporary  assistance   program;   physical                                                                   
 presence of witnessing requirements; intent language to  ask                                                                   
 the University of  Alaska to engage students  as a means  of                                                                   
 getting younger  poll  workers;  and provisions  related  to                                                                   
 sanitizing stores,  price  gouging,  vehicle  repossessions,                                                                   
 student  loan   forbearance,   deliberate   infecting,   and                                                                   
 telemedicine providers. He relayed  his intent to share  the                                                                   
 amendments  liberally with  members  of  the  body  and  not                                                                   
 submit any that  are not relevant. In  this crisis we  don't                                                                   
 want to miss  the opportunity  to ensure against  unintended                                                                   
 mistakes  when  protecting  finances,  economics,  and   the                                                                   
 health and safety of  Alaskans, he said. He reiterated  that                                                                   
 the amendments are temporary and only intended to  cover the                                                                   
 crisis.                                                                                                                        
                                                                                                                                
 4:48:41 PM                                                                                                                   
 SENATOR GIESSEL asked him  to elaborate on the  telemedicine                                                                   
 comment because it  may be  based on the  letters from  [The                                                                   
 Alaska Hospitalist Group, LLC and the Alaska  State Hospital                                                                   
 &  Nursing  Home  Association   ASHNHA)]  which  appear   to                                                                   
 misinterpret the provision.                                                                                                    
                                                                                                                                
 SENATOR BEGICH confirmed that in response to those  letters,                                                                   
 his staff was looking into  an amendment to AS 44.33.381  to                                                                   
 temporarily  waive  limitations  on  telemedicine  providers                                                                   
 relating  to  the  insurance  coverage  requirement   in  AS                                                                   
 21.42.422.                                                                                                                     
                                                                                                                                
 SENATOR GIESSEL  said  she didn't  believe that  either  the                                                                   
 hospitalist group  or  ASHNHA  clearly  understood  what  is                                                                   
 written in the bill relating to telemedicine  providers. She                                                                   
 asked her staff to comment.                                                                                                    
                                                                                                                                
 4:49:58 PM                                                                                                                   
 MS. MILLER said the  provisions Senator Begich mentioned  in                                                                   
 [AS  21.42]  relating  to   insurance  may  not  have   been                                                                   
 addressed in  those  letters.  The provisions  in  the  bill                                                                   
 don't  go  into  AS  21  in  relation  to  telemedicine  and                                                                   
 telehealth but  she believes in  the bill  apply equally  to                                                                   
 in- or out-of-state doctors  and nurses who are licensed  to                                                                   
 practice.                                                                                                                      
                                                                                                                                
 SENATOR BEGICH  responded that  his  staff would  coordinate                                                                   
 with  Senator  Giessel's  staff  to  ensure  there   are  no                                                                   
 duplication.                                                                                                                   
                                                                                                                                
 CHAIR  COGHILL suggested  they  also  talk  to  the  finance                                                                   
 people.                                                                                                                        
                                                                                                                                
 SENATOR BEGICH responded that  the minority staff have  been                                                                   
 engaging with  majority staff  to every  extent possible  so                                                                   
 this is a coordinated rather than arbitrary process.                                                                           
                                                                                                                                
 4:51:35 PM                                                                                                                   
 SENATOR GIESSEL suggested it  was worth the time to  address                                                                   
 the concerns articulated in the letters from ASHNHA  and the                                                                   
 hospitalist group. She said ASHNA wishes to  have controlled                                                                   
 substances included  in the  telemedicine component  whereas                                                                   
 she  supports   the   governor's  approach   that   excludes                                                                   
 controlled substances. She noted that ASHNHA also  expressed                                                                   
 concern with paragraph (3) in Section 7 that reads:                                                                            
                                                                                                                                
      (3) unless the health  care provider has a  preexisting                                                                   
      provider-patient relationship  with a  patient that  is                                                                   
      unrelated to novel coronavirus disease (COVID-19),  the                                                                   
      health care services provided  are limited to  services                                                                   
      related  to  screening  for,  diagnosing,  or  treating                                                                   
      COVID-19;                                                                                                                 
                                                                                                                                
 She said  this loophole  for telemedicine  is  intentionally                                                                   
 wide open to allow treatment  of COVID-19, but not to  treat                                                                   
 a new  patient with something  like diabetes.  She said  she                                                                   
 supports what the governor put  in the original bill and  it                                                                   
 is sustained in this committee substitute.                                                                                     
                                                                                                                                
 SENATOR BEGICH indicated there was no need for  an amendment                                                                   
 on that provision.                                                                                                             
                                                                                                                                
 CHAIR COGHILL asked Ms. Carpenter to provide her testimony.                                                                    
                                                                                                                                
 4:53:57 PM                                                                                                                   
 HEATHER CARPENTER,  Health Care  Policy Advisor,  Department                                                                   
 of  Health  and  Social  Services  (DHSS),  Juneau,  Alaska,                                                                   
 stated that  DHSS is concerned  that the  extension is  just                                                                   
 six  months  because  the  World  Health  Organization,  the                                                                   
 Centers for  Disease  Control  (CDC),  and  other  countries                                                                   
 anticipate that  the  COVID-19  pandemic to  continue,  with                                                                   
 waves  and peaks,  for  one  or  two  years.  She  expressed                                                                   
 appreciation  for  the  work  the  committee  had  done  and                                                                   
 committed to continue to work with the committee  if another                                                                   
 extension became necessary.                                                                                                    
                                                                                                                                
 CHAIR COGHILL thanked  Ms. Carpenter and  asked Ms. Monk  to                                                                   
 provide her testimony.                                                                                                         
                                                                                                                                
 4:55:06 PM                                                                                                                   
 JEANNIE MONK, Senior Vice  President, Alaska State  Hospital                                                                   
 &  Nursing  Home   Association,  Juneau,  Alaska,   provided                                                                   
 context to  her comments with  the explanation  that she  is                                                                   
 leading a statewide telehealth  strategy work group for  the                                                                   
 DHSS emergency  operations command, looking  at better  ways                                                                   
 to  use telehealth  to  take  care  of  people  during  this                                                                   
 crisis. She said she is bringing the group's  perspective on                                                                   
 what is needed in Alaska to respond to this crisis.                                                                            
                                                                                                                                
 She said  the ASHNHA  letter raised  concerns  with the  two                                                                   
 provisions that Senator Giessel  highlighted, but she  would                                                                   
 primarily speak to the provision in Section 7  that requires                                                                   
 a preexisting provider-patient  relationship. She said  this                                                                   
 is important because a  major disruption to Alaska's  health                                                                   
 care  system can  be  expected.  She  pointed  out  that  an                                                                   
 existing medical provider might be  out sick or have had  to                                                                   
 relocate to see  patients in an  alternative care site.  For                                                                   
 this reason, ASHNHA and the work group feel that  the health                                                                   
 care system needs flexibility to care for as many  people as                                                                   
 possible using  telehealth. This  keeps both  providers  and                                                                   
 patients safe.                                                                                                                 
                                                                                                                                
 MS.  MONK  said  it's   already  the  situation  that   some                                                                   
 physicians are in self-quarantine  and have been  redirected                                                                   
 to provide care by telemedicine. It is also possible  that a                                                                   
 patient who  needs  care  can't  be seen  by  their  regular                                                                   
 provider  or   one   with  whom   they  have   an   existing                                                                   
 relationship. For example,  it is  critical that a  diabetic                                                                   
 receives the care they need  and this may be more  important                                                                   
 in this crisis  than that  they see the  provider with  whom                                                                   
 they have  a  relationship.  She  said the  point  of  using                                                                   
 telehealth is to increase  and maintain capacity  throughout                                                                   
 the system  so it is  important that  it is  not limited  to                                                                   
 just COVID-19.                                                                                                                 
                                                                                                                                
 MS.  MONK  said  ASHNHA  is  also  asking  for   a  specific                                                                   
 exemption for  controlled substances  where the  patient  is                                                                   
 already in  a  hospital, long-term  acute care  hospital,  a                                                                   
 long-term  care   facility,  a  regular   hospital,  or   an                                                                   
 alternative delivery site that  is established to take  care                                                                   
 of COVID-19 patients.  She said there may  come a time  when                                                                   
 doctors  should  not  be  expected  to  physically  enter  a                                                                   
 facility  to  see  patients  unless  absolutely   necessary.                                                                   
 ASHNHA  does not  support  taking  the  tool  of  controlled                                                                   
 substances  away  from  providers   during  a  crisis.   She                                                                   
 emphasized that the exemption  is specifically for  patients                                                                   
 in a  facility. She  noted that  the  hospitalist group  has                                                                   
 also mentioned this concern.                                                                                                   
                                                                                                                                
 4:59:45 PM                                                                                                                   
 SENATOR GIESSEL responded  that the  governor had those  two                                                                   
 elements in  the original  bill and  they  are sustained  at                                                                   
 this  time.  This  emergency  declaration  will   expire  on                                                                   
 September 1,  2020  and  the  legislature will  be  able  to                                                                   
 review  it again  and  make  an  adjustment  if  it  becomes                                                                   
 necessary, she said.                                                                                                           
                                                                                                                                
 5:00:30 PM                                                                                                                   
 SENATOR GIESSEL moved to report the Senate Rules CS for SB
 241, work order 31-GS2260\U, from committee with individual                                                                    
 recommendations and attached fiscal note(s).                                                                                   
                                                                                                                                
 5:00:59 PM                                                                                                                   
 CHAIR COGHILL found no objection and CSSB 241(RLS) was                                                                         
 reported from the Senate Rules Standing Committee.                                                                             
                                                                                                                                
 5:01:12 PM                                                                                                                   
 There being no further business to come before the                                                                             
 committee, Chair Coghill adjourned the Senate Rules                                                                            
 Standing Committee meeting at 5:01 p.m.                                                                                        
                                                                                                                                
                                                                                                                                

Document Name Date/Time Subjects
SB 241 - Summary of Changes in Version U 3.23.2020.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Version U 3.23.2020.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Version U Sectional Analysis 3.23.2020.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #2-03.22.20-GOV- Elections.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #1-2-032220-GOV-Executive Operations.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #3-2-032220-DHS- Emergency Programs.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #4-03.22.20-DHS-Medicaid Services.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #5-03.22.20-MVA-Office of Commissioner.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #6-03.22.20-DPS-Criminal Jusitce Information Systems Program.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241- Fiscal Note #7-03.22.20-REV-PFD Div.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #8-03.22.20-CED-Corporations, Busines and Prefessional Licensing.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Fiscal Note #9-03.22.20-CED- Insurance Operations.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Section Leads.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Sectional Analysis.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Version A.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Rules Committee Amendment #1.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Rules Committee Amendment #2 3.23.2020.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Letter of Support ASHNHA 3.23.2020.pdf SRLS 3/23/2020 11:15:00 AM
SB 241
SB 241 - Letter of Support The Alaska Hospitalist Group 3.23.2020.pdf SRLS 3/23/2020 11:15:00 AM
SB 241