HB 89-OPIOID PRESCRIPTION INFORMATION  3:05:15 PM CO-CHAIR ZULKOSKY announced the first order of business would be HOUSE BILL NO. 89, "An Act relating to the prescription of opioids; relating to the practice of dentistry; relating to the practice of medicine; relating to the practice of podiatry; relating to the practice of osteopathy; relating to the practice of nursing; relating to the practice of optometry; and relating to the practice of pharmacy." 3:05:31 PM CO-CHAIR SPOHNHOLZ moved to adopt the committee substitute (CS) for HB 89, labeled 31-LS0421\S, Fisher, 4/18/19, as the working document [Version S]. CO-CHAIR ZULKOSKY objected for discussion purposes. 3:06:08 PM MIRANDA DORDAN, Intern, Representative Ivy Spohnholz, Alaska State Legislature, introduced the committee substitute for HB 89, Version S. She advised of a typographical error on the document [included in the committee packet] entitled, "Explanation of Changes" as follows: Section 7. AS 47.47.040(24) should read Section 7. AS 47.37.040(24). Ms. Dordan then paraphrased from the document, which read [original punctuation provided]: Section 7. AS 47.47.040 (24) On page 8, line 30: The phrase "?and maintain current information?" was added. From page 8, line 30 to page 9, line 1: The phrase "?for purposes of patient education, a onepage, printable handout in 12-point font?" was added. On page 9, line 3-4: The phrase "?the information must be written in plain language that can be easily translated into other languages commonly spoken in the state?" was added. These changes make stipulations for the Department of Health and Social Services to keep the opioid handout regularly updated. The requirement of the minimum 12-point font was added to ensure that the opioid handout can be easily read. The provision of plain language that can be easily translated into other languages commonly spoken in Alaska was added in order to ensure that the information will be accessible to all patients, not just those who speak and read English. MS. DORDAN, in response to Co-Chair Zulkosky, restated the correct section is: Section 7. AS 47.37.040 (24). REPRESENTATIVE DRUMMOND pointed out on the Explanation of Changes document, "From page 8, line 30 to page 9," should read: "From page 8, line 31 to page 9." She suggested the ["printable handout" on page 8, line 31 of the CS] could depict symbols and graphics the Department of Health and Social Services (DHSS) may find in the "international language of medicine." 3:10:12 PM CO-CHAIR SPOHNHOLZ directed attention to an "info graphic document" [slide 11, entitled, "Section 7: Visual Aid," of a PowerPoint presentation entitled, "House Bill 89: Opioid Addiction Risk Disclosure" provided to the committee on 4/4/19] that was included in the committee packet and that was prepared by DHSS in request to a bill introduced in the Thirtieth Alaska State Legislature. She said the document uses [graphics] and language to ensure it is easy to understand and translate; in fact, she has been informed by practitioners who serve immigrant populations, and parts of rural Alaska where English is not always a patient's first language, the document must be easy to translate and accessible to all. REPRESENTATIVE TARR questioned whether there is a fiscal note attached to HB 89. CO-CHAIR SPOHNHOLZ acknowledged there is a forthcoming fiscal note that will be attached to the bill in the amount of $14,200 to pay for the cost of regulations. 3:11:41 PM CO-CHAIR ZULKOSKY removed her objection. There being no further objection, Version S was before the committee. CO-CHAIR ZULKOSKY announced HB 89 was held over.