HB 392-EXPAND ADV. PRAC. REG. NURSE AUTHORITY                                                                      
                                                                                                                                
4:01:00 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  ZULKOSKY announced  that  the final  order of  business                                                               
would  be  HOUSE BILL  NO.  392,  "An  Act relating  to  advanced                                                               
practice   registered  nurses   and  physician   assistants;  and                                                               
relating to  death certificates,  do not resuscitate  orders, and                                                               
life sustaining treatment."                                                                                                     
                                                                                                                                
4:01:23 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SNYDER moved  to  adopt Amendment  1  to HB  392,                                                               
labeled 32-LS1561\A.1, Ambrose, 3/30/22, which read as follows:                                                                 
                                                                                                                                
     Page 1, line 1, following "nurses":                                                                                      
          Insert "and physician assistants"                                                                                   
                                                                                                                                
     Page 1, lines 7 - 8:                                                                                                       
          Delete "or an attending advanced practice                                                                         
     registered nurse"                                                                                                      
          Insert   ",   an   attending   advanced   practice                                                                
     registered nurse, or an attending physician assistant"                                                                 
                                                                                                                                
     Page 1, line 13:                                                                                                           
          Delete  "or   the  advanced   practice  registered                                                                
     nurse"                                                                                                                 
          Insert ", the  advanced practice registered nurse,                                                                
     or the physician assistant"                                                                                            
                                                                                                                                
     Page 2, lines 2 - 3:                                                                                                       
          Delete  "or   the  advanced   practice  registered                                                                
     nurse"                                                                                                                 
          Insert ", the  advanced practice registered nurse,                                                                
     or the physician assistant"                                                                                            
                                                                                                                                
     Page 2, lines 8 - 9:                                                                                                       
          Delete  "or   the  advanced   practice  registered                                                                
     nurse"                                                                                                                 
          Insert ", the  advanced practice registered nurse,                                                                
     or the physician assistant"                                                                                            
                                                                                                                                
     Page 2, line 16, following "physician":                                                                                    
          Insert "or physician assistant"                                                                                   
                                                                                                                                
     Page 2, lines 21 - 22:                                                                                                     
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 2, lines 24 - 25:                                                                                                     
         Delete "or advanced practice registered nurse"                                                                     
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 2, line 26:                                                                                                           
         Delete "or advanced practice registered nurse"                                                                     
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 3, line 1:                                                                                                            
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 3, lines 2 - 3:                                                                                                       
          Delete  "or   the  advanced   practice  registered                                                                
     nurse"                                                                                                                 
          Insert ", the  advanced practice registered nurse,                                                                
     or the physician assistant"                                                                                            
                                                                                                                                
     Page 3, line 3:                                                                                                            
          Delete  "or   the  advanced   practice  registered                                                                
     nurse"                                                                                                                 
          Insert ", the  advanced practice registered nurse,                                                                
     or the physician assistant"                                                                                            
                                                                                                                                
     Page 3, lines 8 - 9:                                                                                                       
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 3, lines 11 - 12:                                                                                                     
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 3, line 15:                                                                                                           
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 3, line 20:                                                                                                           
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 3, line 24:                                                                                                           
         Delete "or advanced practice registered nurse"                                                                     
          Insert ",  advanced practice registered  nurse, or                                                                
     physician assistant"                                                                                                   
                                                                                                                                
     Page 3, line 27:                                                                                                           
          Delete  "or   the  advanced   practice  registered                                                                
     nurse"                                                                                                                 
          Insert ", the  advanced practice registered nurse,                                                                
     or the physician assistant"                                                                                            
                                                                                                                                
     Page 4, lines 13 - 14:                                                                                                     
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 4, line 28:                                                                                                           
          Delete "or an advanced practice registered nurse"                                                                 
          Insert ",  an advanced practice  registered nurse,                                                                
     or a physician assistant"                                                                                              
                                                                                                                                
     Page 5, line 1:                                                                                                            
         Delete "or advanced practice registered nurse"                                                                     
          Insert ", advanced practice registered nurse, or                                                                  
     physician assistant"                                                                                                   
                                                                                                                                
     Page 10, line 20, following "nurses,":                                                                                 
          Insert ", physician assistants,"                                                                                  
                                                                                                                                
     Page 10, line 23:                                                                                                          
         Delete "or advanced practice registered nurse"                                                                     
          Insert ", advanced practice registered nurse, or                                                                  
     physician assistant"                                                                                                   
                                                                                                                                
     Page 18, line 24:                                                                                                          
         Delete "or advanced practice registered nurse"                                                                     
          Insert ", advanced practice registered nurse, or                                                                  
     physician assistant"                                                                                                   
                                                                                                                                
     Page 18, lines 28 - 29:                                                                                                    
         Delete "or advanced practice registered nurse"                                                                     
          Insert ", advanced practice registered nurse, or                                                                  
     physician assistant"                                                                                                   
                                                                                                                                
     Page 19, line 6:                                                                                                           
          Delete "a new paragraph"                                                                                              
          Insert "new paragraphs"                                                                                               
                                                                                                                                
     Page 19, line 8, following "AS 08.68.850":                                                                                 
          Insert ";                                                                                                             
               (39)  "physician assistant" means an                                                                             
     individual licensed under AS 08.64.107"                                                                                    
                                                                                                                                
     Page 19, line 11:                                                                                                          
          Delete "or the advanced practice registered                                                                       
     nurse"                                                                                                                 
      Insert ", the advanced practice registered nurse, or                                                                  
     the physician assistant"                                                                                               
                                                                                                                                
CO-CHAIR ZULKOSKY objected for the purpose of discussion.                                                                       
                                                                                                                                
CO-CHAIR SNYDER explained that Amendment 1 would add physician                                                                  
assistants to the legislation.                                                                                                  
                                                                                                                                
4:02:16 PM                                                                                                                    
                                                                                                                                
CO-CHAIR ZULKOSKY removed her objection to the motion to adopt                                                                  
Amendment 1.  There being no further objection, Amendment 1 was                                                                 
adopted.                                                                                                                        
                                                                                                                                
4:02:25 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SNYDER moved to report  HB 392, as amended, out of                                                               
committee  with individual  recommendations and  the accompanying                                                               
fiscal  notes.   There being  no  objection, CSHB  392 (HSS)  was                                                               
reported out  of the  House Health  and Social  Services Standing                                                               
Committee.