SB 72-DESIGNATED CAREGIVERS FOR PATIENTS  1:32:32 PM CHAIR COSTELLO announced the consideration of SB 72. She noted that public testimony was closed on 2/23/16, and asked for a motion to adopt the work draft committee substitute (CS). 1:32:53 PM SENATOR GIESSEL moved to adopt the work draft CS for SB 72, labeled 29-LS0047\L, as the working document. 1:33:07 PM CHAIR COSTELLO objected for an explanation. 1:33:24 PM JANE CONWAY, Staff, Senator Cathy Giessel, said these changes were made working in conjunction with the Alaska Nurses Association and the Alaska State Hospital and Nursing Home Association (ASHNHA). She read from the following prepared explanations of changes: [Original punctuation provided.] 1. Deletes the word "lay" in these places:  Page 1, line 8, 11, 14   Page 2, line 1, 3, 7, 18  Explanation: Eliminates use of term "lay caregiver" as a defined term (which we've deleting from the definitions) and uses the term we're using which is "designated caregiver." 2. On page 1, line 9:   Delete "in the patient's home"   Insert "in a private residence"  Explanation: Patients may not always receive aftercare in their home, but perhaps in a sibling's or child's home. 3. On page 2, lines 8-9:   After "patient", delete ".",   insert "," and the following new language: "including professional follow-up as specified   in the discharge plan."  Explanation: The purpose of the addition is to explicitly acknowledge that often follow up will be required by the patient's primary care provider or a specialized care provider. 4. Page 2, line 29 deletes "an instruction contractor" and adds " a person who contracts with the hospital to provide instruction to a designated caregiver" 5. Page 3, line 7 deletes "individual" and inserts   "patient"  6. On page 3, line 16 deletes the word "lay" and adds  "in a private residence" after the word "patient"  Explanation: This clarifies that the caregiving will not be occurring in a healthcare facility.   7. Page 3, line 22-24 Adds the definition of "private   residence":    "private residence does not include a rehabilitative  facility, a hospital, a nursing home, an assisted  living facility, a group home or another licensed  health care facility."  8. On page 3, lines 20-21 of version F   Delete the definition of "lay caregiver"  Explanation: Keeping this in as a definition is confusing and redundant with definition of "designated lay caregiver" in this same section. There's no need to define the term. 1:37:32 PM SENATOR STEVENS asked if the bill defines the training the hospital will provide to caregivers. MS. CONWAY replied there was a specific list initially, but this version directs hospitals to write their own policies using best practice methods. This gives hospitals more latitude to write their policies and provide training that is pertinent to a patient's particular needs. SENATOR STEVENS said he'd like more specific direction regarding what the hospital is being asked to do. SENATOR GIESSEL said the Centers for Medicaid and Medicare Services already have checklists that hospitals use for discharge planning so the very specific list in the initial bill raised concern. Most hospitals already provide discharge training and this bill is intended to ensure that all hospitals do that. 1:40:01 PM CHAIR COSTELLO removed her objection and version L was before the committee. Finding no further questions, she solicited a motion. 1:40:12 PM SENATOR GIESSEL moved to report the CS for SB 72, labeled 29- LS0047\L, from committee with individual recommendations and attached fiscal note(s). 1:40:25 PM CHAIR COSTELLO announced that without objection, CSSB 72(L&C) is reported from the Senate Labor and Commerce Standing Committee.