ALASKA STATE LEGISLATURE  HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE  April 14, 2022 3:58 p.m. MEMBERS PRESENT Representative Liz Snyder, Co-Chair Representative Tiffany Zulkosky, Co-Chair Representative Ivy Spohnholz Representative Zack Fields MEMBERS ABSENT  Representative Ken McCarty Representative Mike Prax Representative Christopher Kurka COMMITTEE CALENDAR  HOUSE BILL NO. 292 "An Act relating to home and community-based services; and providing for an effective date." - MOVED CSHB 292(HSS) OUT OF COMMITTEE HOUSE BILL NO. 392 "An Act relating to advanced practice registered nurses; and relating to death certificates, do not resuscitate orders, and life sustaining treatment." - MOVED CSHB 392(HSS) OUT OF COMMITTEE SENATE BILL NO. 132 "An Act exempting veterinarians from the requirements of the controlled substance prescription database." - SCHEDULED BUT NOT HEARD PREVIOUS COMMITTEE ACTION  BILL: HB 292 SHORT TITLE: HOME AND COMMUNITY-BASED WAIVER SERVICES SPONSOR(s): REPRESENTATIVE(s) SNYDER 01/27/22 (H) READ THE FIRST TIME - REFERRALS 01/27/22 (H) HSS, FIN 02/24/22 (H) HSS AT 3:00 PM DAVIS 106 02/24/22 (H) 03/03/22 (H) HSS AT 3:00 PM DAVIS 106 03/03/22 (H) Heard & Held 03/03/22 (H) MINUTE(HSS) 03/10/22 (H) HSS AT 3:00 PM DAVIS 106 03/10/22 (H) Heard & Held 03/10/22 (H) MINUTE(HSS) 03/17/22 (H) HSS AT 3:00 PM DAVIS 106 03/17/22 (H) 03/22/22 (H) HSS AT 3:00 PM DAVIS 106 03/22/22 (H) Scheduled but Not Heard 03/29/22 (H) HSS AT 3:00 PM DAVIS 106 03/29/22 (H) Heard & Held 03/29/22 (H) MINUTE(HSS) 04/14/22 (H) HSS AT 3:00 PM DAVIS 106 BILL: HB 392 SHORT TITLE: EXPAND ADV. PRAC. REG. NURSE AUTHORITY SPONSOR(s): REPRESENTATIVE(s) SNYDER 02/22/22 (H) READ THE FIRST TIME - REFERRALS 02/22/22 (H) HSS, L&C 03/24/22 (H) HSS AT 3:00 PM DAVIS 106 03/24/22 (H) -- MEETING CANCELED -- 03/29/22 (H) HSS AT 3:00 PM DAVIS 106 03/29/22 (H) Heard & Held 03/29/22 (H) MINUTE(HSS) 03/31/22 (H) HSS AT 3:00 PM DAVIS 106 03/31/22 (H) -- MEETING CANCELED -- 04/14/22 (H) HSS AT 3:00 PM DAVIS 106 WITNESS REGISTER No witnesses to record ACTION NARRATIVE 3:58:12 PM CO-CHAIR TIFFANY ZULKOSKY called the House Health and Social Services Standing Committee meeting to order at 3:58 p.m. Representatives Spohnholz, Fields, Zulkosky, and Snyder were present at the call to order. HB 292-HOME AND COMMUNITY-BASED WAIVER SERVICES  3:58:59 PM CO-CHAIR ZULKOSKY announced that the first order of business would be House Bill No. 292, "An Act relating to home and community-based services; and providing for an effective date." 3:59:15 PM REPRESENTATIVE SNYDER moved to report HB 292, as amended, out of committee with individual recommendations [and the accompanying fiscal notes]. There being no objection, CSHB 292(HSS) was reported out of the House Health and Social Services Standing Committee. 3:59:31 PM The committee took an at-ease from 3:59 p.m. to 4:01 p.m. 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. 4:03:12 PM ADJOURNMENT  There being no further business before the committee, the House Health and Social Services Standing Committee meeting was adjourned at 4:03 p.m.