ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                         April 7, 2021                                                                                          
                           1:29 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Mia Costello, Chair                                                                                                     
Senator Roger Holland, Vice Chair                                                                                               
Senator Joshua Revak                                                                                                            
Senator Elvi Gray-Jackson                                                                                                       
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Gary Stevens                                                                                                            
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION HEARING(S)                                                                                                         
                                                                                                                                
Board of Certified Direct Entry Midwives                                                                                      
Tanya Kirk - Anchorage                                                                                                          
Hannah St. George - Fairbanks                                                                                                   
                                                                                                                                
     - CONFIRMATIONS ADVANCED                                                                                                   
                                                                                                                                
Board of Veterinary Examiners                                                                                                 
Rachel Berngartt - Juneau                                                                                                       
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
Board of Pharmacy                                                                                                             
Tammy Lindemuth - Anchorage                                                                                                     
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
Occupational Safety & Health Review Board                                                                                     
Vincent Perez - Wasilla                                                                                                         
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
SENATE BILL NO. 41                                                                                                              
"An   Act  relating   to  health   care  insurers;   relating  to                                                               
availability  of payment  information; relating  to an  incentive                                                               
program for  electing to  receive health  care services  for less                                                               
than the  average price  paid; relating  to filing  and reporting                                                               
requirements; relating  to municipal regulation of  disclosure of                                                               
health care services and price  information; and providing for an                                                               
effective date."                                                                                                                
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 6                                                                                                               
"An  Act relating  to retirement  incentives for  members of  the                                                               
defined  benefit  retirement  plan of  the  teachers'  retirement                                                               
system  and the  defined benefit  retirement plan  of the  Public                                                               
Employees'  Retirement System  of  Alaska; and  providing for  an                                                               
effective date."                                                                                                                
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
SENATE BILL NO. 26                                                                                                              
"An  Act repealing  the certificate  of need  program for  health                                                               
care facilities; making conforming  amendments; and providing for                                                               
an effective date."                                                                                                             
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
SENATE BILL NO. 93                                                                                                              
"An  Act repealing  the certificate  of need  program for  health                                                               
care facilities; making conforming  amendments; and providing for                                                               
an effective date."                                                                                                             
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
SENATE BILL NO. 38                                                                                                              
"An  Act repealing  the certificate  of need  program for  health                                                               
care facilities; making conforming  amendments; and providing for                                                               
an effective date."                                                                                                             
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
REVIOUS COMMITTEE ACTION                                                                                                      
                                                                                                                                
BILL: SB  41                                                                                                                  
SHORT TITLE: HEALTH INSURANCE INFO.; INCENTIVE PROGRAM                                                                          
SPONSOR(s): SENATOR(s) HUGHES                                                                                                   
                                                                                                                                
01/25/21       (S)       PREFILE RELEASED 1/15/21                                                                               
01/25/21       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/25/21       (S)       L&C, FIN                                                                                               
04/07/21       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB   6                                                                                                                  
SHORT TITLE: RIP FOR PUBLIC EMPLOYEES/TEACHERS                                                                                  
SPONSOR(s): SENATOR(s) KAWASAKI                                                                                                 
                                                                                                                                
01/22/21       (S)       PREFILE RELEASED 1/8/21                                                                                
01/22/21       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/22/21       (S)       EDC, L&C, FIN                                                                                          
03/15/21       (S)       EDC AT 9:00 AM BUTROVICH 205                                                                           
03/15/21       (S)       Heard & HELD                                                                                           
03/15/21       (S)       MINUTE(EDC)                                                                                            
03/22/21       (S)       EDC AT 9:00 AM BUTROVICH 205                                                                           
03/22/21       (S)       Moved CSSB 6(EDC) Out of Committee                                                                     
03/22/21       (S)       MINUTE(EDC)                                                                                            
03/24/21       (S)       EDC RPT CS  1DP 2NR SAME TITLE                                                                         
03/24/21       (S)       NR: HOLLAND, HUGHES                                                                                    
03/24/21       (S)       DP: BEGICH                                                                                             
03/24/21       (S)       EDC AT 9:00 AM BUTROVICH 205                                                                           
03/24/21       (S)       <Bill Hearing Canceled>                                                                                
04/07/21       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
TAMMY LINDEMUTH, Appointee                                                                                                      
Board of Pharmacy                                                                                                               
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified for reappointment to the Board of                                                               
Pharmacy.                                                                                                                       
                                                                                                                                
TANYA KIRK, Appointee                                                                                                           
Board of Certified Direct-Entry Midwives                                                                                        
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified for reappointment to the Board of                                                               
Certified Direct-Entry Midwives.                                                                                                
                                                                                                                                
RACHEL BERNGARTT, PhD; Appointee                                                                                                
Board of Veterinary Examiners                                                                                                   
Department of Commerce, Community and Economic Development                                                                      
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified for reappointment to the Board of                                                               
Veterinary Examiners.                                                                                                           
                                                                                                                                
HANNAH ST. GEORGE, Appointee                                                                                                    
Board of Certified Direct-Entry Midwives                                                                                        
Department of Commerce, Community and Economic Development                                                                      
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified for reappointment to the Board of                                                               
Certified Direct-Entry Midwives.                                                                                                
                                                                                                                                
VINCENT PEREZ, Appointee                                                                                                        
Occupational Safety and Health Review Board                                                                                     
Department of Labor and Workforce Development (DOLWD)                                                                           
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT: Testified for reappointment to the                                                                        
Occupational Safety and Health Review Board.                                                                                    
                                                                                                                                
SENATOR SHELLEY HUGHES                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of SB 41.                                                                                         
                                                                                                                                
LISA HART, Staff                                                                                                                
Senator Shelley Hughes                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented a PowerPoint on SB 41.                                                                          
                                                                                                                                
LORI WING-HEIER, Director                                                                                                       
Division of Insurance                                                                                                           
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Provided information related to SB 41.                                                                    
                                                                                                                                
EMILY RICCI, Chief Healthcare Administrator                                                                                     
Division of Retirement and Benefits                                                                                             
Department of Administration                                                                                                    
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified that, should it pass, the division                                                              
could absorb SB 41 into their standard health plan programming.                                                                 
                                                                                                                                
SENATOR SCOTT KAWASAKI                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of SB 6.                                                                                          
                                                                                                                                
DOUG WOOLIVER, Deputy Administrative Director                                                                                   
Alaska Court System                                                                                                             
Alaska, Alaska                                                                                                                  
POSITION STATEMENT: During the hearing on SB 6, described the                                                                 
Court System's 2016 retirement incentive program.                                                                               
                                                                                                                                
RICHARD SEWELL, representing self                                                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Raised questions about SB 6.                                                                              
                                                                                                                                
JIM PUCKETT, Deputy Director                                                                                                    
Division of Retirement and Benefits                                                                                             
Department of Administration                                                                                                    
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions during the  hearing on SB                                                             
6.                                                                                                                              
                                                                                                                                
EMILY RICCI, Chief Health Administrator                                                                                         
Division of Retirement and Benefits                                                                                             
Department of Administration                                                                                                    
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions during the  hearing on SB                                                             
6.                                                                                                                              
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
                                                                                                                                
1:29:45 PM                                                                                                                    
CHAIR MIA COSTELLO called the  Senate Labor and Commerce Standing                                                             
Committee meeting to order at 1:29  p.m. Present at call to order                                                               
were Senators Gray-Jackson, Holland, Revak, and Chair Costello.                                                                 
                                                                                                                                
She reviewed the agenda.                                                                                                        
                                                                                                                                
^CONFIRMATION HEARING(S)                                                                                                        
                    CONFIRMATION HEARING(S)                                                                                 
            Board of Certified Direct Entry Midwives                                                                        
                 Board of Veterinary Examiners                                                                              
                       Board of Pharmacy                                                                                    
           Occupational Safety & Health Review Board                                                                        
                                                                                                                                
1:30:54 PM                                                                                                                    
CHAIR   COSTELLO   announced   the  consideration   of   Governor                                                               
Appointees   to  Boards   and  Commissions.   She  reviewed   the                                                               
procedure.                                                                                                                      
                                                                                                                                
She asked Tammy  Lindemuth to introduce herself,  provide a brief                                                               
background,  and tell  the  committee why  she  is interested  in                                                               
serving on the Board of Pharmacy.                                                                                               
                                                                                                                                
1:31:52 PM                                                                                                                    
TAMMY  LINDEMUTH, Appointee,  Board  of  Pharmacy, Department  of                                                               
Commerce, Community and  Economic Development, Anchorage, Alaska,                                                               
stated that  she is  seeking reappointment to  one of  the public                                                               
seats on the  Board of Pharmacy to continue  this important work.                                                               
She highlighted  that she  has enjoyed being  an active  voice on                                                               
the Controlled  Substance Advisory Committee and  recently became                                                               
chair.                                                                                                                          
                                                                                                                                
CHAIR COSTELLO asked what feedback  the board has received on the                                                               
Prescription Drug Monitoring Program (PDMP).                                                                                    
                                                                                                                                
MS.  LINDEMUTH answered  that the  feedback from  pharmacists has                                                               
been  positive.  The  PDMP  is effective  in  helping  the  board                                                               
monitor  [controlled substance]  prescriptions in  the state  and                                                               
protecting both the community and pharmacists.                                                                                  
                                                                                                                                
1:34:04 PM                                                                                                                    
CHAIR  COSTELLO  opened public  testimony  on  the nomination  of                                                               
Tammy  Lindemuth to  the  Board of  Pharmacy;  finding none,  she                                                               
closed public testimony.                                                                                                        
                                                                                                                                
CHAIR COSTELLO asked  Tanya Kirk to introduce  herself, provide a                                                               
brief background,  and tell the  committee why she  is interested                                                               
serving on to the Board of Certified Direct-Entry Midwives.                                                                     
                                                                                                                                
1:34:39 PM                                                                                                                    
TANYA KIRK, Appointee, Board  of Certified Direct-Entry Midwives,                                                               
Department  of  Commerce,  Community  and  Economic  Development,                                                               
Anchorage, Alaska,  stated that  she has lived  in Alaska  for 30                                                               
years and  she received her  RN degree  and master's degree  as a                                                               
family nurse practitioner at the  University of Alaska Anchorage.                                                               
Later  she received  a post-masters  certificate  as a  certified                                                               
nurse midwife. She has been  working at Providence Medical Center                                                               
in Anchorage  and recently  became interested  in serving  on the                                                               
Board  of   Certified  Direct-Entry  Midwives  to   help  improve                                                               
collaboration with all care providers.                                                                                          
                                                                                                                                
CHAIR COSTELLO found no questions or comments.                                                                                  
                                                                                                                                
1:36:47 PM                                                                                                                    
CHAIR  COSTELLO  opened public  testimony  on  the nomination  of                                                               
Tanya  Kirk  to the  Board  of  Certified Direct-Entry  Midwives;                                                               
finding none, she closed public testimony.                                                                                      
                                                                                                                                
CHAIR  COSTELLO  asked  Rachel Berngartt  to  introduce  herself,                                                               
provide a  brief background,  and tell the  committee why  she is                                                               
interested  in continuing  to serve  on the  Board of  Veterinary                                                               
Examiners.                                                                                                                      
                                                                                                                                
1:37:23 PM                                                                                                                    
RACHEL BERNGARTT, Phd; Appointee,  Board of Veterinary Examiners,                                                               
Department  of  Commerce,  Community  and  Economic  Development,                                                               
Juneau, Alaska,  stated that  she has served  on the  board since                                                               
2016 and  is seeking reappointment.  She has lived and  worked in                                                               
Alaska in  various locations  since 2002. She  said the  need for                                                               
veterinary  access  is  paramount,  from  zoonotic  disease  risk                                                               
management  in COVID-19  to increased  pet  adoptions during  the                                                               
pandemic. She said her work with  the board last year was focused                                                               
on meeting the needs of the  public for safe access to veterinary                                                               
care by  providing best practices  and guidance to  licensees and                                                               
monitoring COVID-19  related emergency regulations  and mandates.                                                               
She  reported  her  participation in  legislative  testimony  and                                                               
outreach on bills related to  the practice of veterinary medicine                                                               
and collaboration with other professionals  and boards related to                                                               
the COVID-19  and prescription drug  topics. She  represented the                                                               
board  at  local and  statewide  veterinary  meetings to  provide                                                               
updates to licensees. She said she  would like to continue on the                                                               
board to help keep the  momentum on regulations review and making                                                               
necessary updates.                                                                                                              
                                                                                                                                
MS. BERNGARTT  advised that  her resume did  not reflect  that in                                                               
2020 she received  a degree of Juris Doctor magna  cum laude from                                                               
Seattle University School of Law.                                                                                               
                                                                                                                                
CHAIR  COSTELLO asked  if she  had heard  the complaint  that the                                                               
Prescription   Drug  Management   Program  (PDMP)   had  burdened                                                               
veterinary examiners  because the animal owner's  medical records                                                               
link through the PDMP.                                                                                                          
                                                                                                                                
MS. BERNGARTT replied, the board  has spent significant time over                                                               
the last three  years on issues related to PDMP  and they support                                                               
legislation  to exempt  veterinarians from  participating in  the                                                               
program. It  is a burden  on the  board and costly  to licensees.                                                               
Veterinarians  would  still  be  required  to  register  and  are                                                               
monitored by  the Drug Enforcement Association  (DEA), veterinary                                                               
suppliers,  and  pharmacies  they prescribe  out  through.  There                                                               
would be no loss of data  if veterinarians were exempted from the                                                               
PDMP. Confidentiality  of pet owner's prescription  medication is                                                               
also a big concern.                                                                                                             
                                                                                                                                
1:44:31 PM                                                                                                                    
CHAIR COSTELLO  thanked her for  the response. She  opened public                                                               
testimony on the  nomination of Rachel Berngartt to  the Board of                                                               
Veterinary Examiners; finding none, she closed public testimony.                                                                
                                                                                                                                
CHAIR  COSTELLO asked  Hannah St.  George  to introduce  herself,                                                               
provide a  brief background,  and tell the  committee why  she is                                                               
interested  in serving  on the  Board  of Certified  Direct-Entry                                                               
Midwives.                                                                                                                       
                                                                                                                                
1:45:07 PM                                                                                                                    
HANNAH  ST. GEORGE,  Appointee  Board  of Certified  Direct-Entry                                                               
Midwives,   Department  of   Commerce,  Community   and  Economic                                                               
Development, Fairbanks, Alaska, stated that  she is the mother of                                                               
10 children  and has attended  more than  30 births as  a support                                                               
figure. She  said she is  working on her doula  certification and                                                               
she provides  postpartum support to  new mothers. She  is seeking                                                               
reappointment to  the board  and looks  forward to  learning more                                                               
about the  laws and regulations  governing midwifery.  This great                                                               
team  works to  ensure safe  births for  mothers and  babies, she                                                               
said.                                                                                                                           
                                                                                                                                
CHAIR COSTELLO  asked if  the number  of mothers  with postpartum                                                               
depression increased during the COVID-19 pandemic.                                                                              
                                                                                                                                
MS. ST.  GEORGE answered that  COVID-19 had a profound  effect on                                                               
mothers  before  during and  after  birth.  She related  her  own                                                               
experience with  postpartum depression  during the  pandemic. She                                                               
was one of the new mothers  who slipped through the crack and did                                                               
not make it to the very  important six-week checkup. She hopes to                                                               
see some changes made.                                                                                                          
                                                                                                                                
CHAIR COSTELLO said it sounds as  though you will be able to draw                                                               
on  your own  difficult experience  to help  other Alaskans.  "My                                                               
heart goes out  to moms who are bringing children  into the world                                                               
at this time."                                                                                                                  
                                                                                                                                
1:49:11 PM                                                                                                                    
CHAIR  COSTELLO  opened public  testimony  on  the nomination  of                                                               
Hannah  St.  George  to  the   Board  of  Certified  Direct-Entry                                                               
Midwives; finding none, she closed public testimony.                                                                            
                                                                                                                                
CHAIR COSTELLO asked Vincent Perez  to introduce himself, provide                                                               
a brief background,  and tell the committee why  he is interested                                                               
in serving on the Occupational Safety and Health Review Board.                                                                  
                                                                                                                                
1:49:45 PM                                                                                                                    
VINCENT PEREZ,  Appointee, Occupational Safety and  Health Review                                                               
Board,  Department of  Labor and  Workforce Development  (DOLWD),                                                               
Wasilla,  Alaska,  stated  that  he is  the  safety  manager  for                                                               
Chugach Electric and  was the safety manager  for Municipal Light                                                               
and  Power  for ten  years  before  it  was acquired  by  Chugach                                                               
Electric. He  has been in the  safety field since he  left the US                                                               
Army in  1991. He  is seeking  reappointment to  the Occupational                                                               
Safety and Health  Review Board because it makes  a difference in                                                               
people's lives by keeping them safe on a daily basis.                                                                           
                                                                                                                                
CHAIR COSTELLO asked him to share  what he learned at the US Army                                                               
Chemical School and how he put it into practice.                                                                                
                                                                                                                                
MR.  PEREZ replied  the Army  combines chemical  and occupational                                                               
safety.  He started  out working  as a  chemist in  the field  of                                                               
environmental  health and  safety  shifted to  focus strictly  on                                                               
safety in the late 1990s.                                                                                                       
                                                                                                                                
SENATOR GRAY-JACKSON asked how merging  Municipal Light and Power                                                               
with Chugach Electric is going from a safety perspective.                                                                       
                                                                                                                                
MR.  PEREZ answered  that  it  was a  challenge  getting to  this                                                               
point, but  things have been  going well  since the first  of the                                                               
year.                                                                                                                           
                                                                                                                                
SENATOR GRAY-JACKSON asked if he  is member of any organizations,                                                               
councils, or steering  committees that relate to  the position on                                                               
this board.                                                                                                                     
                                                                                                                                
MR. PEREZ answered  that he is an active  member and participates                                                               
in  the  local  activities  of the  American  Society  of  Safety                                                               
Professionals (ASSP).                                                                                                           
                                                                                                                                
1:54:32 PM                                                                                                                    
CHAIR  COSTELLO  opened public  testimony  on  the nomination  of                                                               
Vincent  Perez  to  the Occupational  Safety  and  Health  Review                                                               
Board; finding none, she closed public testimony.                                                                               
                                                                                                                                
CHAIR COSTELLO thanked  him for being willing to  serve the state                                                               
on this important board.                                                                                                        
                                                                                                                                
1:54:50 PM                                                                                                                    
SENATOR HOLLAND stated that in  accordance with AS 39.05.080, the                                                               
Senate  Labor  and  Commerce   Standing  Committee  reviewed  the                                                               
following  and  recommends the  appointments  be  forwarded to  a                                                               
joint session for consideration:                                                                                                
                                                                                                                                
Board of Certified Direct-Entry Midwives                                                                                      
Tanya Kirk - Anchorage                                                                                                          
Hannah St. George - Fairbanks                                                                                                   
                                                                                                                                
Board of Veterinary Examiners                                                                                                 
Rachel Berngartt - Juneau                                                                                                       
                                                                                                                                
Board of Pharmacy                                                                                                             
Tammy Lindemuth - Anchorage                                                                                                     
                                                                                                                                
Occupational Safety & Health Review Board                                                                                     
Vincent Perez - Wasilla                                                                                                         
                                                                                                                                
Signing  the   reports  regarding  appointments  to   boards  and                                                               
commissions in  no way reflects  individual members'  approval or                                                               
disapproval  of  the  appointees;   the  nominations  are  merely                                                               
forwarded to the full legislature for confirmation or rejection.                                                                
                                                                                                                                
CHAIR COSTELLO thanked the appointees.                                                                                          
                                                                                                                                
        SB 41-HEALTH INSURANCE INFO.; INCENTIVE PROGRAM                                                                     
                                                                                                                                
1:55:44 PM                                                                                                                    
CHAIR COSTELLO announced the consideration  of SENATE BILL NO. 41                                                               
"An   Act  relating   to  health   care  insurers;   relating  to                                                               
availability  of payment  information; relating  to an  incentive                                                               
program for  electing to  receive health  care services  for less                                                               
than the  average price  paid; relating  to filing  and reporting                                                               
requirements; relating  to municipal regulation of  disclosure of                                                               
health care services and price  information; and providing for an                                                               
effective date."                                                                                                                
                                                                                                                                
1:56:13 PM                                                                                                                    
SENATOR  SHELLEY   HUGHES,  Alaska  State   Legislature,  Juneau,                                                               
Alaska, sponsor of SB 41,  introduced the legislation speaking to                                                               
the sponsor statement:                                                                                                          
                                                                                                                                
     Alaska's  health care  costs are  among the  highest in                                                                    
     the nation  and continue  to rise. Through  free market                                                                    
     principles, SB  41 will bend  the cost curve  down over                                                                    
     time  to help  relieve the  disproportionate burden  of                                                                    
     health care  costs on family budgets,  seniors on fixed                                                                    
     incomes and  employers providing insurance  coverage to                                                                    
     their employees.                                                                                                           
                                                                                                                                
     Senate  Bill   41  will   provide  Alaskans   with  the                                                                    
     information  they need  to plan  financially for  their                                                                    
     health care  decisions. The  bill requires  health care                                                                    
     provider  and   facilities  to  list   meaningful  cost                                                                    
     information online  and onsite. The bill  also requires                                                                    
     a health  care provider and insurance  company disclose                                                                    
     full cost information within five  days of request by a                                                                    
     patient  specific  to  their condition,  including  any                                                                    
     expected out of pocket costs.                                                                                              
                                                                                                                                
     The bill  also adds a mechanism  so insurance companies                                                                    
     will provide an  incentive a shared savings  check   to                                                                    
     policyholders  who choose  an  in-network provider  who                                                                    
     charges  below the  average in-network  cost. Employers                                                                    
     providing  insurance coverage  for employees  will also                                                                    
     be  eligible  for  some of  the  shared  savings.  This                                                                    
     approach  will  help  bring  down   the  high  cost  of                                                                    
     healthcare in  Alaska by encouraging consumers  to shop                                                                    
     and  providers  to   compete  for  Alaska's  healthcare                                                                    
     dollars.                                                                                                                   
                                                                                                                                
     Several  states have  either  passed  or are  currently                                                                    
     working  on healthcare  cost transparency  legislation.                                                                    
     SB  41 is  among the  most innovative  approaches as  a                                                                    
     result of  the incentive  provision and is  expected to                                                                    
     bend  the  cost  curve   more  effectively  than  other                                                                    
     efforts because of this.                                                                                                   
                                                                                                                                
     The  Alaska Health  Care Consumer's  Right to  Shop Act                                                                    
     will  empower Alaskans  with the  tools needed  to make                                                                    
     healthcare choices  that fit  their needs and  work for                                                                    
     their budgets  while introducing  a bit  of competition                                                                    
     into  the healthcare  market in  Alaska  to help  nudge                                                                    
     down the costs over time.                                                                                                  
                                                                                                                                
SENATOR  HUGHES explained  that somebody  who selects  a provider                                                               
who charges  less than the  average cost for that  procedure will                                                               
be able  to share  in the  savings. For  example, if  the average                                                               
cost  of a  procedure is  $14,000  and the  insured selected  the                                                               
provider who charged  $12,000 for the procedure  they would share                                                               
in  the $2,000  savings with  the employer  and the  insurer. The                                                               
bill allows the insured to receive  a minimum of one third of the                                                               
savings. Somebody  who does  not have  an employer  would receive                                                               
half of  the savings.  The idea  is to  provide an  incentive for                                                               
Alaskans  to think  about the  providers they  select. The  price                                                               
comparison tool will be an asset.                                                                                               
                                                                                                                                
2:03:27 PM                                                                                                                    
SENATOR GRAY-JACKSON  referred to  the example  and asked  if the                                                               
insured would pay $12,000.                                                                                                      
                                                                                                                                
SENATOR  HUGHES  answered   yes  if  the  insured   had  met  the                                                               
deductible.                                                                                                                     
                                                                                                                                
SENATOR HOLLAND expressed appreciation for the bill; it seems                                                                   
complicated but in essence is fairly simple.                                                                                    
                                                                                                                                
SENATOR HUGHES expressed appreciation  for Lori Wing-Heier's help                                                               
with the  bill. She  said there  is no silver  bullet, but  SB 41                                                               
will help loosen  free market principles and offer  help to nudge                                                               
prices down in the healthcare industry.                                                                                         
                                                                                                                                
2:05:49 PM                                                                                                                    
LISA HART, Staff, Senator Shelley Hughes, Alaska State                                                                          
Legislature, Juneau, Alaska, read the following text from the                                                                   
PowerPoint describing SB 41 into the record:                                                                                    
                                                                                                                                
     Alaska has the highest health  care costs per capita in                                                                    
     the entire United States.                                                                                                  
     The cost of  healthcare is eroding the  bottom line for                                                                    
     business owners    small, medium and  large. More money                                                                    
     that employers put into healthcare  means less money to                                                                    
     create more jobs.                                                                                                          
                                                                                                                                
     Observers   have  offered   several  explanations   for                                                                    
     Alaska's extra-high health care costs:                                                                                     
        • Limited competition among providers, especially                                                                       
          specialty physicians                                                                                                  
        • Particularly high compensation for providers,                                                                         
          specialty physicians who perform procedures (such                                                                     
          as   orthopedic   surgeons,   cardiologists,   and                                                                    
          neurosurgeons)                                                                                                        
        • Hospital profit margins in urban Alaska that are                                                                      
          higher than national averages                                                                                         
        • Regulation by the State of Alaska, particularly                                                                       
          the "80th percentile rule"                                                                                            
        • Absence  in   Anchoragethe     state's   largest                                                                      
          communityof public and/or teaching hospitals                                                                          
          that are open to all patients                                                                                         
                                                                                                                                
     Right to Shop empowers  patients by rewarding them when                                                                    
     they seek out high-value care.                                                                                             
                                                                                                                                
     It  is  pro-patient  as  it  lowers  healthcare  costs,                                                                    
     improves  patient  care, contains  out-of-pocket  costs                                                                    
     and increases patient access.                                                                                              
                                                                                                                                
     Prices  vary widely  in health  care. For  example, the                                                                    
     same x-ray  on the  same kind  of machine  in different                                                                    
     locations  can  vary in  price  from  a couple  hundred                                                                    
     dollars to  thousands. Surgery by  the same  doctor but                                                                    
     in different  facilities can range from  a few thousand                                                                    
     dollars to tens of thousands.                                                                                              
                                                                                                                                
2:08:01 PM                                                                                                                    
     How does Right to Shop work?                                                                                               
        1. A doctor recommends a medical service                                                                                
        2. Patients connect with their insurer by phone or                                                                      
          go on-line to find their best options                                                                                 
        3. Patients choose the best location at the best                                                                        
          value                                                                                                                 
        4. Patients have their procedure at the location of                                                                     
          their choice                                                                                                          
        5. Patients, employers and insurance companies share                                                                    
          in the savings                                                                                                        
                                                                                                                                
     The Transparency  in Coverage rule was  released by the                                                                    
     Trump administration in Oct 2020.                                                                                          
                                                                                                                                
     The rule  requires most group health  plans, and health                                                                    
     insurance  issuers in  both  the  group and  individual                                                                    
     market to  disclose price and  cost-sharing information                                                                    
     to participants, beneficiaries, and enrollees.                                                                             
                                                                                                                                
     Right now the requirements  are being finalized to give                                                                    
     consumers  real-time,  personalized   access  to  cost-                                                                    
     sharing  information, including  an  estimate of  their                                                                    
     cost-sharing  liability,  through   an  internet  based                                                                    
     self-service   tool,   essentially  an   online   price                                                                    
     comparison tool.  These tools  are being  developed now                                                                    
     with an expected launch date of January 2022.                                                                              
                                                                                                                                
     Some states  have initiated Right to  Shop programs for                                                                    
     state employee  health plans while others  have enacted                                                                    
     legislation  encouraging  private insurers  to  develop                                                                    
     shared savings incentive programs.                                                                                         
                                                                                                                                
     Florida, Maine, Nebraska,  Tennessee, Utah and Virginia                                                                    
     enacted  legislation requiring  or encouraging  private                                                                    
     health  plans to  initiate Right  to Shop  programs for                                                                    
     enrollees.                                                                                                                 
                                                                                                                                
     SB  41 is  among the  most innovative  approaches as  a                                                                    
     result of  the incentive  provision and is  expected to                                                                    
     more effectively bend the cost curve.                                                                                      
                                                                                                                                
       Right To Shop empowers patients with the knowledge                                                                       
      they need to make smart choices about how and where                                                                       
     they consume health care.                                                                                                  
                                                                                                                                
      They're given tools to find the best value providers                                                                      
     and, when they choose those options, they get a share                                                                      
     of the savings.                                                                                                            
                                                                                                                                
SENATOR HOLLAND  asked her  to repeat  which states  have enacted                                                               
similar legislation.                                                                                                            
                                                                                                                                
MS.  HART listed  Florida, Maine,  Nebraska, Tennessee,  Utah and                                                               
Virginia and clarified  they are in the  private insurance group,                                                               
not public employee.                                                                                                            
                                                                                                                                
SENATOR HOLLAND  asked if any  states have adopted  the incentive                                                               
provision.                                                                                                                      
                                                                                                                                
MS.  HARD replied  Maine  has enacted  this  legislation and  New                                                               
Hampshire  did  something  similar  for  public  employee  health                                                               
insurance programs.                                                                                                             
                                                                                                                                
CHAIR  COSTELLO   related  her  experience  that   it  is  almost                                                               
impossible  to  determine  the  cost of  a  procedure  until  the                                                               
billing  stage.  She  asked  if consumers  in  states  that  have                                                               
similar legislation have actually been able to shop.                                                                            
                                                                                                                                
SENATOR  HUGHES acknowledged  that  the final  cost might  differ                                                               
from the quote because there  could be complications. There would                                                               
be an  allowance for  that. She understood  that the  states that                                                               
have this legislation have a  provision for that and Alaska would                                                               
want that too. She acknowledged  that this makes it difficult for                                                               
insurers to develop the cost comparison tool.                                                                                   
                                                                                                                                
SENATOR HUGHES said  it is a little unique to  offer the employer                                                               
a share in  the savings, but the belief is  that it will motivate                                                               
employers to encourage their employees to shop.                                                                                 
                                                                                                                                
CHAIR COSTELLO invited Lori Wing-Heier to comment on the bill.                                                                  
                                                                                                                                
2:14:13 PM                                                                                                                    
LORI WING-HEIER,  Director, Division of Insurance,  Department of                                                               
Commerce, Community and  Economic Development (DCCED), Anchorage,                                                               
Alaska,  advised  that  she  and   the  sponsor  have  held  many                                                               
Microsoft Teams meetings  to give insurers access  to the sponsor                                                               
and the division  to address any concerns with the  bill. To that                                                               
end, Senator Hughes  has said she will look at  an effective date                                                               
so the tools the insurers need to  do for the federal bill can be                                                               
finished  and in  operation  when  SB 41  goes  into effect.  The                                                               
federal  tools  are   to  be  available  January   1,  2022,  but                                                               
colleagues in  Washington, DC have  indicated there is  a concern                                                               
about being  ready by that  date. She  described it as  a chicken                                                               
and  egg situation  because the  federal government  has to  tell                                                               
states  what  those tools  should  look  like  and that  has  not                                                               
happened. She said to have the  tools designed and working on all                                                               
Blue Cross systems, Moda, Aetna,  and UnitedHealthcare is a large                                                               
undertaking,  and it  is not  clear that  the federal  government                                                               
will make the January 1 date.                                                                                                   
                                                                                                                                
CHAIR  COSTELLO asked  if SB  41  is dependent  on the  all-payer                                                               
database (APCD) passing.                                                                                                        
                                                                                                                                
MS. WING-HEIER answered  no; they would piggyback  nicely but one                                                               
could pass without the other.                                                                                                   
                                                                                                                                
CHAIR COSTELLO  offered her understanding  that depending  on the                                                               
insurance coverage,  the price  of a  procedure differs  from one                                                               
consumer to the  next. Based on that assumption, she  asked if an                                                               
average cost is calculated by geographic region or statewide.                                                                   
                                                                                                                                
MS. WING-HEIER answered it is  both. When the division interacted                                                               
with the Centers  for Medicare and Medicaid on  the federal bill,                                                               
they submitted information by geographic  region because the cost                                                               
of  a procedure  differs  based  on where  it  is performed.  She                                                               
predicted  that  the ACPD  would  implement  a one-stop-shop  for                                                               
consumers to  look at  costs of  procedures, whereas  the federal                                                               
bill  would necessitate  looking to  each insurance  company. She                                                               
acknowledged that it  would be cumbersome for  families that have                                                               
coverage from more than one insurance company.                                                                                  
                                                                                                                                
CHAIR COSTELLO asked  if this would increase  costs for providers                                                               
for administration or data entry.                                                                                               
                                                                                                                                
MS. WING-HEIER answered no because  the insurers will provide the                                                               
database.                                                                                                                       
                                                                                                                                
CHAIR  COSTELLO asked  Emily Ricci  if the  administration had  a                                                               
position on SB 41.                                                                                                              
                                                                                                                                
2:18:18 PM                                                                                                                    
EMILY   RICCI,  Chief   Healthcare  Administrator,   Division  of                                                               
Retirement  and Benefits,  Department of  Administration, Juneau,                                                               
Alaska,  summarized  her understanding  of  SB  41 and  said  the                                                               
division  could  absorb  the  provisions  of  SB  41  into  their                                                               
standard  health  plan  programming  and  strategic  development,                                                               
should the bill pass.                                                                                                           
                                                                                                                                
2:19:21 PM                                                                                                                    
CHAIR  COSTELLO  stated   she  would  hold  SB   41  for  further                                                               
consideration.                                                                                                                  
                                                                                                                                
2:19:33 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
             SB 6-RIP FOR PUBLIC EMPLOYEES/TEACHERS                                                                         
                                                                                                                                
2:20:32 PM                                                                                                                    
CHAIR  COSTELLO   reconvened  the   meeting  and   announced  the                                                               
consideration  of  SENATE   BILL  NO.  6  "An   Act  relating  to                                                               
retirement  incentives   for  members  of  the   defined  benefit                                                               
retirement  plan  of  the teachers'  retirement  system  and  the                                                               
defined  benefit   retirement  plan  of  the   Public  Employees'                                                               
Retirement  System  of Alaska;  and  providing  for an  effective                                                               
date."                                                                                                                          
                                                                                                                                
[CSSB 6(EDC) was before the committee.]                                                                                         
                                                                                                                                
2:20:46 PM                                                                                                                    
SENATOR  SCOTT   KAWASAKI,  Alaska  State   Legislature,  Juneau,                                                               
Alaska, sponsor of SB 6,  introduced the legislation paraphrasing                                                               
the following sponsor statement:                                                                                                
                                                                                                                                
     Senate Bill  6 would  implement a  temporary, voluntary                                                                    
     Retirement Incentive Program  to increase state savings                                                                    
     by  allowing public  employees to  retire  up to  three                                                                    
     years early.  Long serving  public employees  are among                                                                    
     the highest paid in the  state. In many cases, pensions                                                                    
     paid to  retiring employees would  cost the  state less                                                                    
     money  than  their  current salaries.  Providing  high-                                                                    
     salaried  employees the  option to  retire early  would                                                                    
     save Alaska money through lower personnel costs.                                                                           
                                                                                                                                
     SB  6  could  also   help  prevent  layoffs.  The  bill                                                                    
     presents   a  method   of   cost-cutting  and   payroll                                                                    
     reduction without  forcing anyone out of  the workforce                                                                    
     before they are  ready to retire. This  gives the State                                                                    
     of Alaska the opportunity  to reduce operating costs by                                                                    
     opening  vacancies that  enable the  placement of  more                                                                    
     junior  employees.  Retirement incentive  programs  are                                                                    
     regularly  used in  the private  sector to  efficiently                                                                    
     control  personnel  costs   through  market  incentives                                                                    
     rather than heavy-handed layoffs.                                                                                          
                                                                                                                                
     Retirement  Incentive  Programs  have been  used  on  a                                                                    
     temporary  basis three  times in  Alaska's history  and                                                                    
     was last proposed in 2004.  In 1986, Senator Jim Duncan                                                                    
     estimated  savings  at  approximately  $25  million.  A                                                                    
     Legislative  Audit  of  the 1989  Retirement  Incentive                                                                    
     Program demonstrated  a savings  of $22.9  million with                                                                    
     nearly  1,764 individual  participants.  In 1996,  Rep.                                                                    
     McGuire  calculated the  state  gained  $41 million  in                                                                    
     savings through identical legislation.                                                                                     
                                                                                                                                
     Senate Bill 6 is an  innovative policy option for state                                                                    
     agencies,  municipalities   and  school   districts  to                                                                    
     consider  as a  means to  reduce payroll  costs without                                                                    
     layoffs.                                                                                                                   
                                                                                                                                
CHAIR COSTELLO moved to invited testimony.                                                                                      
                                                                                                                                
2:24:46 PM                                                                                                                    
DOUG  WOOLIVER,  Deputy  Administrative  Director,  Alaska  Court                                                               
system, Anchorage, Alaska, stated that  the Court System does not                                                               
have a  position on SB  6, but the  sponsor asked him  to testify                                                               
about   the  retirement   incentive  program   (RIP)  the   court                                                               
implemented  in  2016.  The  idea was  to  reduce  the  workforce                                                               
without having  to lay  off any employees.  The court  offered an                                                               
incentive  of  three  month's  salary to  anybody  who  had  been                                                               
eligible to retire for at least  three years and employees of the                                                               
Court System for at least 10  years. Of the 28 employees who were                                                               
eligible, 18 took advantage of the  RIP, which has resulted in an                                                               
annual savings  of $680,000.  The upfront  cost of  three month's                                                               
salary was about $400,000. He  acknowledged that this was a small                                                               
number compared  to PERS and  TRS, but  it accounted for  much of                                                               
the savings the court was looking for in FY16 and FY17                                                                          
                                                                                                                                
MR. WOOLIVER  said the  Court System RIP  was a  little different                                                               
than SB 6. The  court did not have the ability  to change who was                                                               
eligible to retire but they did  have the authority to provide an                                                               
incentive  to those  already eligible  to retire.  It was  a good                                                               
program for  the court at  the time; it made  a lot of  sense, he                                                               
said.                                                                                                                           
                                                                                                                                
CHAIR COSTELLO asked  if the court found it  difficult to replace                                                               
the  older,  seasoned  employees  and  provide  training  to  the                                                               
replacements.                                                                                                                   
                                                                                                                                
MR.  WOOLIVER   replied,  the  court   did  lose   expertise  and                                                               
experience but within  a few years, everybody  had the experience                                                               
so that was not problem with the court's RIP.                                                                                   
                                                                                                                                
2:29:39 PM                                                                                                                    
CHAIR COSTELLO noted that the  state was recovering from COVID-19                                                               
and asked the sponsor it he  had contemplated offering the RIP to                                                               
people  with  preexisting health  conditions.  She  asked if  the                                                               
legislation  intended  to address  the  budget  situation or  the                                                               
COVIC-19 situation.                                                                                                             
                                                                                                                                
SENATOR  KAWASAKI  replied he  introduced  the  legislation in  a                                                               
previous legislature with the intention  of avoiding layoffs, but                                                               
he would acknowledge  that COVID-19 has fast-tracked  a new group                                                               
of  people  into  the  retirement  community.  He  recounted  the                                                               
requirements  to  qualify  for  this  RIP  and  pointed  out  the                                                               
employers  have the  ability to  limit the  program to  prevent a                                                               
brain  drain.  He said  the  applicable  conditions would  be  in                                                               
regulation.                                                                                                                     
                                                                                                                                
CHAIR  COSTELLO asked  if this  applies to  both Public  Employee                                                               
Retirement  System (PERS)  and  Teacher  Retirement System  (TRS)                                                               
employees.                                                                                                                      
                                                                                                                                
SENATOR KAWASAKI answered yes.                                                                                                  
                                                                                                                                
CHAIR COSTELLO asked for the number of PERS and TRS employees.                                                                  
                                                                                                                                
SENATOR KAWASAKI offered to run  a report to find the information                                                               
but about  2,000 employees qualified  in each of the  1986, 1989,                                                               
and 1996 RIPs.                                                                                                                  
                                                                                                                                
2:32:40 PM                                                                                                                    
SENATOR GRAY-JACKSON  stated support for  the bill and  asked for                                                               
the age limitations.                                                                                                            
                                                                                                                                
SENATOR KAWASAKI  answered that  participants must have  at least                                                               
17 years of state service and be at least 50 years of age.                                                                      
                                                                                                                                
CHAIR  COSTELLO asked  him to  clarify whether  that was  for the                                                               
bill  or  normal  retirement.  She noted  that  Mr.  Puckett  was                                                               
available to answer questions.                                                                                                  
                                                                                                                                
SENATOR GRAY-JACKSON advised that  a firefighter reached out when                                                               
the bill  was introduced  in the  last legislature  to ask  if he                                                               
might qualify. She suggested that  she follow up with the sponsor                                                               
offline to discuss the situation.                                                                                               
                                                                                                                                
2:34:09 PM                                                                                                                    
SENATOR  HOLLAND  asked   if  the  big  savings   come  from  the                                                               
difference between  the old and  new salary and that  the retiree                                                               
is paid through PERS or TRS and not the department.                                                                             
                                                                                                                                
SENATOR KAWASAKI replied that is correct.                                                                                       
                                                                                                                                
2:35:37 PM                                                                                                                    
CHAIR COSTELLO opened public testimony on SB 6.                                                                                 
                                                                                                                                
2:35:52 PM                                                                                                                    
RICHARD  SEWELL,  representing  self, Anchorage,  Alaska,  stated                                                               
that  as a  Tier I  PERS  employee of  a  certain age,  he has  a                                                               
personal  interest in  SB 6,  particularly the  last sentence  in                                                               
Section  1  that seems  to  require  the elimination  of  certain                                                               
position control numbers (PCN) if the employee opts for the RIP.                                                                
                                                                                                                                
He  said  that language  is  troubling  because members  who  are                                                               
eligible for  a RIP typically  are senior employees who  would be                                                               
the last to be laid off  because the union layoff rules are based                                                               
on seniority.  Furthermore, these senior employees  typically are                                                               
in key  positions that commissioners  need to run  the department                                                               
so they  would be unlikely  approve those RIPS. He  suggested the                                                               
solution could be  to allow the department to have  a net loss of                                                               
one position  for every employee  that took  a RIP as  opposed to                                                               
losing the particular position. He  said he had other comments on                                                               
the bill, but the foregoing was the most important.                                                                             
                                                                                                                                
CHAIR COSTELLO  said Section 1 is  uncodified law but even  if it                                                               
were law,  her reading is that  this is an option  for employers,                                                               
not a  requirement. She asked the  sponsor if he agrees  with her                                                               
reading and Mr. Sewell's comment about losing the PCNs.                                                                         
                                                                                                                                
2:39:55 PM                                                                                                                    
SENATOR KAWASAKI agreed  that the Purposes and  Intent in Section                                                               
is uncodified law so there  is no requirement. The position could                                                               
be held, vacant, or eliminated.                                                                                                 
                                                                                                                                
CHAIR  COSTELLO  asked if  he  agrees  that  the entire  bill  is                                                               
uncodified law.                                                                                                                 
                                                                                                                                
SENATOR KAWASAKI answered  no; just Section 1  is uncodified. The                                                               
bill itself is in Sections 2-10.                                                                                                
                                                                                                                                
CHAIR  COSTELLO said  she would  follow  up and  talk about  that                                                               
offline.                                                                                                                        
                                                                                                                                
2:41:05 PM                                                                                                                    
CHAIR COSTELLO closed  public testimony on SB 6.  She thanked Mr.                                                               
Sewell  for  his  testimony.  She  welcomed  him  to  submit  his                                                               
comments in writing.                                                                                                            
                                                                                                                                
2:41:36 PM                                                                                                                    
MR. SEWELL  said he had one  more comment relating to  Section 2,                                                               
page 3,  lines 28-31  to page 4,  lines 1-2.  Paragraph (f)(3)(B)                                                               
talks about 20 years [of credited  service] as an employee and he                                                               
wondered   if   that   was  total   time   accrued   in   various                                                               
jurisdictions. He  said he  started as a  PERS employee  with the                                                               
Municipality  of  Anchorage  and  now  works  for  Department  of                                                               
Transportation and Public  Facilities (DOTPF) but he  does not 20                                                               
years of service. He asked how his employment is counted.                                                                       
                                                                                                                                
2:42:20 PM                                                                                                                    
CHAIR COSTELLO  said she reads  the bill  to mean 20  years total                                                               
with the state and it could  be in one or more jurisdictions. She                                                               
asked Senator Kawasaki if he agreed.                                                                                            
                                                                                                                                
SENATOR KAWASAKI answered  yes; the employment could  be with the                                                               
state and a municipality.                                                                                                       
                                                                                                                                
CHAIR  COSTELLO  asked  if  PERS  and  TRS  employment  could  be                                                               
combined to reach 20 years.                                                                                                     
                                                                                                                                
SENATOR  KAWASAKI suggested  that Mr.  Puckett might  be able  to                                                               
answer the question.                                                                                                            
                                                                                                                                
CHAIR COSTELLO asked Mr. Puckett to respond to the questions.                                                                   
                                                                                                                                
2:43:25 PM                                                                                                                    
JIM  PUCKETT,   Deputy  Director,  Division  of   Retirement  and                                                               
Benefits, Department of  Administration, Juneau, Alaska, answered                                                               
that a combination of PERS and TRS  can be used in some cases. He                                                               
offered to provide more information in writing.                                                                                 
                                                                                                                                
CHAIR COSTELLO  asked him to  send the information to  her office                                                               
and she would distribute it to the members.                                                                                     
                                                                                                                                
SENATOR GRAY-JACKSON pointed  out that the savings  when there is                                                               
a  RIP is  not only  the salaries  but also  the benefits,  leave                                                               
accruals, and PERS contributions.                                                                                               
                                                                                                                                
CHAIR  COSTELLO asked  Ms.  Ricci  if she  wanted  to respond  to                                                               
Senator  Gray-Jackson's  comment  about savings  in  addition  to                                                               
salaries.                                                                                                                       
                                                                                                                                
2:45:55 PM                                                                                                                    
EMILY RICCI,  Chief Health Administrator, Division  of Retirement                                                               
and Benefits, Department of  Administration, Juneau, Alaska, said                                                               
the division  will have  a better  idea of  the savings  once the                                                               
bill reaches the  Finance Committee and the  division analyzes it                                                               
with help from their actuaries.                                                                                                 
                                                                                                                                
CHAIR  COSTELLO noted  that the  Finance Committee  was the  next                                                               
committee of referral.                                                                                                          
                                                                                                                                
CHAIR COSTELLO asked the sponsor's  staff to visit the members in                                                               
their  offices  to  answer any  questions  and  address  concerns                                                               
before the next meeting. The  sectional analysis could wait until                                                               
then.                                                                                                                           
                                                                                                                                
CHAIR COSTELLO held SB 6 in committee.                                                                                          
                                                                                                                                
2:47:08 PM                                                                                                                    
There being  no further  business to  come before  the committee,                                                               
Chair Costello  adjourned the Senate Labor  and Commerce Standing                                                               
Committee meeting at 2:47 p.m.