ALASKA STATE LEGISLATURE                                                                                  
    SENATE COMMUNITY AND REGIONAL AFFAIRS STANDING COMMITTEE                                                                  
                         March 12, 2024                                                                                         
                           1:32 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Forrest Dunbar, Chair                                                                                                   
Senator Elvi Gray-Jackson                                                                                                       
Senator Jesse Bjorkman                                                                                                          
Senator Cathy Giessel                                                                                                           
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Donald Olson, Vice Chair                                                                                                
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 184                                                                                                             
"An Act exempting the state from daylight saving time; and                                                                      
providing for an effective date."                                                                                               
                                                                                                                                
     - MOVED CSSB 184(CRA) OUT OF COMMITTEE                                                                                     
                                                                                                                                
SENATE BILL NO. 256                                                                                                             
"An Act establishing May as Amyotrophic Lateral Sclerosis                                                                       
Awareness Month; and providing for an effective date."                                                                          
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 242                                                                                                             
"An Act relating to assessment of property, boards of                                                                           
equalization, and certification of assessors; and providing for                                                                 
an effective date."                                                                                                             
                                                                                                                                
     - REMOVED FROM AGENDA                                                                                                      
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 184                                                                                                                  
SHORT TITLE: ELIMINATE DAYLIGHT SAVING TIME                                                                                     
SPONSOR(s): STATE AFFAIRS BY REQUEST                                                                                            
                                                                                                                                
01/16/24       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/16/24       (S)       CRA                                                                                                    
03/05/24       (S)       CRA AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/05/24       (S)       Heard & Held                                                                                           
03/05/24       (S)       MINUTE(CRA)                                                                                            
03/12/24       (S)       CRA AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 256                                                                                                                  
SHORT TITLE: ESTABLISH ALS AWARENESS MONTH                                                                                      
SPONSOR(s): STATE AFFAIRS BY REQUEST                                                                                            
                                                                                                                                
02/28/24       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/28/24       (S)       CRA                                                                                                    
03/12/24       (S)       CRA AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
GRIFFEN SUKKAEW, Staff                                                                                                          
Senator Scott Kawasaki                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented the explanation of changes from                                                                 
version A to B on SB 184.                                                                                                       
                                                                                                                                
SENATOR SCOTT KAWASAKI, District P                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Offered closing remarks on SB 184.                                                                        
                                                                                                                                
SENATOR SCOTT KAWASAKI, District P                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Introduced SB 256 on behalf of the Senate                                                                 
State Affairs Standing Committee, sponsor by request.                                                                           
                                                                                                                                
JOE HAYES, Staff                                                                                                                
Senator Scott Kawasaki                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented the sponsor statement and                                                                       
sectional analysis on SB 256.                                                                                                   
                                                                                                                                
BROOKE Lavender, President                                                                                                      
Amyotrophic Lateral Sclerosis Awareness (ALS) Association                                                                       
Girdwood, Alaska                                                                                                                
POSITION STATEMENT: Gave invited testimony in support of SB 256.                                                              
                                                                                                                                
MICHELE FOLEY, representing self                                                                                                
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Gave invited testimony in support of SB 256.                                                              
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:32:34 PM                                                                                                                    
CHAIR  FORREST DUNBAR  called the  Senate  Community and  Regional                                                            
Affairs Standing  Committee meeting to order at  1:32 p.m. Present                                                              
at  the  call  to  order  were   Senators  Giessel,  Gray-Jackson,                                                              
Bjorkman, and Chair Dunbar.                                                                                                     
                                                                                                                                
             SB 184-ELIMINATE DAYLIGHT SAVING TIME                                                                          
                                                                                                                                
1:33:29 PM                                                                                                                    
CHAIR DUNBAR  announced the consideration  of SENATE BILL  NO. 184                                                              
"An  Act  exempting  the  state from  daylight  saving  time;  and                                                              
providing for an effective date."                                                                                               
                                                                                                                                
The  intention  is  to  adopt  a  Senate  Community  and  Regional                                                              
Affairs committee  substitute (CS), take questions  from committee                                                              
members, and look to the will of the committee.                                                                                 
                                                                                                                                
CHAIR DUNBAR solicited a motion.                                                                                                
                                                                                                                                
1:33:56 PM                                                                                                                    
SENATOR GIESSEL moved  to adopt the committee substitute  (CS) for                                                              
SB 184, work order 33-LS1037\B, as the working document.                                                                        
                                                                                                                                
1:34:08 PM                                                                                                                    
CHAIR DUNBAR  objected for the  purpose of discussion.  He invited                                                              
Senator  Kawasaki  to make  closing  remarks  and Mr.  Sukkaew  to                                                              
present the summary of changes.                                                                                                 
                                                                                                                                
1:34:37 PM                                                                                                                    
GRIFFEN  SUKKAEW,  Staff,  Senator Scott  Kawasaki,  Alaska  State                                                              
Legislature,   Juneau,  Alaska,   presented  the  explanation   of                                                              
changes from version A to B on SB 184.                                                                                          
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
      Section 2: Changes the Effective Date from July 31,                                                                       
        2024 to November 4, 2024 in accordance with the                                                                         
     Uniform Time Act of 1966.                                                                                                  
                                                                                                                                
1:35:11 PM                                                                                                                    
CHAIR   DUNBAR  removed   his   objection.   Finding  no   further                                                              
objection, CSSB 184 was adopted as the working document.                                                                        
                                                                                                                                
1:35:40 PM                                                                                                                    
SENATOR  SCOTT KAWASAKI,  District  P, Alaska  State  Legislature,                                                              
Juneau, Alaska, made  closing remarks on SB 184,  emphasizing that                                                              
the decision  to adopt  Daylight  Savings Time  is complex  due to                                                              
its  varied  impact  on individuals.  He  highlighted  health  and                                                              
economic  concerns tied  to  the change  and  noted that  Alaska's                                                              
vast size  and latitude  cause significant  differences in  sunset                                                              
times,  affecting  businesses.   He  expressed  gratitude  to  the                                                              
committee for considering SB 184.                                                                                               
                                                                                                                                
1:36:52 PM                                                                                                                    
SENATOR  BJORKMAN  stated that  the  Alaska State  Association  of                                                              
Bankers opposes SB  184 due to concerns about its  impact on their                                                              
ability  to conduct  business. He  explained  that the  opposition                                                              
stems  from the  need to  operate during  critical business  hours                                                              
aligned with the East Coast.                                                                                                    
                                                                                                                                
1:37:36 PM                                                                                                                    
SENATOR GIESSEL  stated she  has prior  experience with  the issue                                                              
at  hand and  predicts  opposition from  the  chambers. She  noted                                                              
that similar opposition  prevented a prior bill  from passing that                                                              
was introduced  by former Senator  Anna McKinnon. She  opined that                                                              
in  an  electronic  age,  economic   activities,  including  stock                                                              
exchanges  and   international  transactions,  can   be  conducted                                                              
smoothly online.                                                                                                                
                                                                                                                                
1:38:22 PM                                                                                                                    
SENATOR  GRAY-JACKSON recalled  agreeing with  an audience  member                                                              
during  the  last  hearing  about   favoring  Standard  Time  over                                                              
Daylight Savings  Time. However,  she stated  she is now  happy to                                                              
see Daylight Savings Time move forward.                                                                                         
                                                                                                                                
1:38:51 PM                                                                                                                    
CHAIR  DUNBAR stated  that since  a debate  on the  floor may  not                                                              
occur, he  supports the points raised  by Senator Bjorkman  in the                                                              
last  hearing  about  the  impact of  moving  away  from  Daylight                                                              
Savings Time  on after-work recreation.  He noted he  would likely                                                              
have  supported a  bill for  permanent Daylight  Savings Time.  He                                                              
said  it  is   the  biannual  time  change  that   he  finds  most                                                              
disruptive to health  and constituents. He clarified  that staying                                                              
on  permanent  Daylight  Savings  Time is  not  legally  possible,                                                              
making this  the only  option to  end the  time changes.  He urged                                                              
moving SB 184 forward.                                                                                                          
                                                                                                                                
CHAIR DUNBAR solicited the will of the committee.                                                                               
                                                                                                                                
1:39:49 PM                                                                                                                    
SENATOR  GIESSEL  moved  to  report   CSSB  184,  work  order  33-                                                              
LS1037\B,  from  committee  with  individual  recommendations  and                                                              
attached zero fiscal note(s).                                                                                                   
                                                                                                                                
1:40:05 PM                                                                                                                    
CHAIR DUNBAR  found no  objection and  CSSB 184(CRA) was  reported                                                              
from   the  Senate   Community  and   Regional  Affairs   Standing                                                              
Committee.                                                                                                                      
                                                                                                                                
1:40:09 PM                                                                                                                    
At ease.                                                                                                                        
                                                                                                                                
              SB 256-ESTABLISH ALS AWARENESS MONTH                                                                          
                                                                                                                                
1:41:51 PM                                                                                                                    
CHAIR   DUNBAR   reconvened   the  meeting   and   announced   the                                                              
consideration of SENATE  BILL NO. 256 "An Act  establishing May as                                                              
Amyotrophic Lateral  Sclerosis Awareness Month; and  providing for                                                              
an effective date."                                                                                                             
                                                                                                                                
He  said  the  committee  will  hear  an  introduction,  sectional                                                              
analysis, and invited and public testimony on SB 256.                                                                           
                                                                                                                                
1:42:19 PM                                                                                                                    
SENATOR  SCOTT KAWASAKI,  District  P, Alaska  State  Legislature,                                                              
Juneau, Alaska,  introduced SB 256  on behalf of the  Senate State                                                              
Affairs Standing  Committee,  sponsor by  request. He stated  that                                                              
May is nationally  recognized as ALS Awareness  Month (Amyotrophic                                                              
Lateral  Sclerosis  Awareness Month).  He  explained  that SB  256                                                              
aims to  increase awareness  in Alaska by  proclaiming May  as ALS                                                              
Awareness Month in the state.                                                                                                   
                                                                                                                                
1:43:11 PM                                                                                                                    
JOE   HAYES,  Staff,   Senator   Scott  Kawasaki,   Alaska   State                                                              
Legislature,  Juneau, Alaska,  paraphrased  the sponsor  statement                                                              
for Sb 256:                                                                                                                     
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     The  month   of  May  is  recognized  as   National  ALS                                                                   
     Awareness  Month.  ALS  is  also  known  as  Amyotrophic                                                                   
     Lateral  Sclerosis  or  Lou Gehrig's  disease.  ALS  was                                                                   
     first  identified  in  1869.  In the  155  years  since,                                                                   
     there is still no effective treatment and no cure.                                                                         
                                                                                                                                
     ALS  is a  neurodegenerative  disease  that affects  the                                                                   
     nerve cells  in the brain  and spinal cord  that control                                                                   
     voluntary muscle  movement and breathing. ALS  is a 100%                                                                   
     fatal disease. There is no cure for ALS.                                                                                   
                                                                                                                                
     ALS  is a  rare disease,  affecting  approximately 5  in                                                                   
     100,000  people.  Approximately  30,000  people  in  the                                                                   
     United  States   are  currently  living  with   ALS  and                                                                   
     approximately 60  people in Alaska are  currently living                                                                   
     with  ALS. 90  percent of  patients  diagnosed with  ALS                                                                   
     have no  family history or  disease. Only 10  percent of                                                                   
     patients have familial/hereditary ALS.                                                                                     
                                                                                                                                
     ALS  may strike  at any age,  but most  people who  have                                                                   
     ALS  are between  40 - 70.  There are  currently only  3                                                                   
     medications  that slow the  progression of ALS,  and one                                                                   
     medication  that  targets   familial  ALS  specifically.                                                                   
     These medications  only extend life expectancy  by a few                                                                   
     months.                                                                                                                    
                                                                                                                                
     ALS  causes the  motor neurons  in  the central  nervous                                                                   
     system to degenerate  over time and die. This  affects a                                                                   
     person's  ability to  talk,  walk, and  breathe.  People                                                                   
     with ALS  will eventually lose  their ability  to speak,                                                                   
     become  paralyzed, and  lose the ability  to breathe  on                                                                   
     their own. ALS patients die from respiratory failure.                                                                      
                                                                                                                                
     The  mean survival  for someone  diagnosed  with ALS  is                                                                   
     two  to  five   years.  Every  90  minutes   someone  is                                                                   
     diagnosed with  ALS, and every  90 minutes someone  dies                                                                   
     from it. Veterans  are 1 1/2 to 2 time more  likely than                                                                   
     non-service members  to be diagnosed with ALS.  There is                                                                   
     no single  test to  diagnose ALS,  it is diagnosed  only                                                                   
     after numerous  other conditions have been ruled  out (a                                                                   
     delayed  diagnosis  results in  delayed  treatment/start                                                                   
     on medications).  It can take  a patient over a  year to                                                                   
     get an ALS diagnosis.                                                                                                      
                                                                                                                                
     ALS symptoms  vary. In limb  onset ALS, it  may manifest                                                                   
     as weakness  in a  patient's hand or  foot, arm  or leg.                                                                   
     In  bulbar  onset  ALS,  it   may  manifest  as  trouble                                                                   
     speaking  or swallowing.  There  currently  is no  known                                                                   
     cause of  ALS. 100 percent  of ALS patients  are unaware                                                                   
     of the cause of their disease.                                                                                             
                                                                                                                                
1:46:21 PM                                                                                                                    
MR. HAYES presented the sectional analysis for SB 256:                                                                          
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     Section  1. Amends  AS 44.12  to  add a  new section  to                                                                   
     Article 2  to read:  Sec. 44.12.190 Amyotrophic  Lateral                                                                   
     Awareness Month.                                                                                                           
                                                                                                                                
     Section  2. Creates  an immediate  effective date  under                                                                   
     AS 01.10.070(c).                                                                                                           
                                                                                                                                
1:46:59 PM                                                                                                                    
CHAIR DUNBAR announced invited testimony on SB 256.                                                                             
                                                                                                                                
1:47:15 PM                                                                                                                    
BROOKE   LAVENDER,   President,  Amyotrophic   Lateral   Sclerosis                                                              
Awareness  (ALS)  Association,   Girdwood,  Alaska,  gave  invited                                                              
testimony  in support  of SB  256. She  described ALS  as a  fatal                                                              
disease that  progressively weakens  muscles, leads  to paralysis,                                                              
and ultimately  causes respiratory  failure.  She stated  there is                                                              
no current  cure and total disease  duration costs are  about $1.4                                                              
million.  She shared  a  personal  connection, noting  her  cousin                                                              
Nick Sloan,  a US Marine  sergeant, passed  away from ALS  and had                                                              
founded  a  nonprofit  called  Attack Life  Sloan  in  Texas.  She                                                              
emphasized  that veterans  are  twice as  likely  to be  diagnosed                                                              
with ALS  and described  her dedication  to raising awareness  and                                                              
supporting  those  affected  in  Alaska,  where  approximately  60                                                              
people  currently live  with ALS.  She highlighted  the lack  of a                                                              
multidisciplinary  ALS  clinic  in  Alaska,  forcing  patients  to                                                              
travel  or  relocate   for  essential  care,   adding  significant                                                              
emotional and  financial strain.  She stressed  that SB  256 would                                                              
help  raise awareness  and  advocate  for comprehensive  ALS  care                                                              
services in  the state.  She urged support  for the  bill, stating                                                              
it  honors those  lost  to ALS,  offers  hope  to those  currently                                                              
battling the disease, and advocates for better access to care.                                                                  
                                                                                                                                
1:50:35 PM                                                                                                                    
MICHELE  FOLEY,  representing self,  Fairbanks,  Alaska,  provided                                                              
the following testimony in support of SB 256:                                                                                   
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     Thank  you for allowing  me the  opportunity to  testify                                                                   
     today.                                                                                                                     
                                                                                                                                
     My name is  Michele Foley, and I would like  to share my                                                                   
     support   for  Senate   Bill  256.   I  was   officially                                                                   
     diagnosed  with  ALS in  April  2023.  My journey  to  a                                                                   
     diagnosis took  almost a year. When I went  to my doctor                                                                   
     with  my  first symptoms,  she  initially  diagnosed  me                                                                   
     with a  vitamin deficiency,  then as my symptoms  became                                                                   
     more   pronounced,  she   thought  I   perhaps  have   a                                                                   
     compressed nerve in my neck.                                                                                               
                                                                                                                                
1:51:14 PM                                                                                                                    
MS. FOLEY continued:                                                                                                            
                                                                                                                                
     Eight  months  after  first   showing  symptoms,  I  was                                                                   
     referred to  a neurologist  in Anchorage, who  thought I                                                                   
     might have  ALS. It took another  two months and  a trip                                                                   
     out  of state  to  receive  an official  diagnosis,  and                                                                   
     another two  months after that  to jump through  all the                                                                   
     hoops to  get insurance approval  to begin on  the first                                                                   
     of  only three  medications  available  to ALS  patients                                                                   
     that has  been shown to  slightly slow ALS  progression.                                                                   
     Prior to  my diagnosis,  I had no  idea what ALS  was. I                                                                   
     was completely blindsided by my diagnosis.                                                                                 
                                                                                                                                
     When you are  given an ALS diagnosis, you  are told that                                                                   
     the life expectancy  is two-five years. But  living with                                                                   
     ALS, I have  realized that you don't just  die. In those                                                                   
     two  to five  years,  ALS will  take  away everything  I                                                                   
     value and  hold dear.  These two to  five years  will be                                                                   
     filled with  the gradual  loss of the  use of my  hands,                                                                   
     arms,  feet,  legs-  the  ability   to  talk,  walk  and                                                                   
     breathe.  One slowly  (or for some,  quickly) loses  the                                                                   
     ability to do  everyday tasks. Grasping door  handles to                                                                   
     open  doors becomes  impossible.  One  doesn't have  the                                                                   
     strength  to  zip  up  a zipper,  or  the  dexterity  to                                                                   
     button   a   shirt.   Doing  basic   tasks   leaves   me                                                                   
     breathless.  I   will  eventually  completely   lose  my                                                                   
     ability to  talk, instead relying  on a digitized  voice                                                                   
     to communicate  for me. Anyone  who knows me  knows that                                                                   
     I love  to talk! I  will lose the  ability to walk,  and                                                                   
     eventually, move  at all. At  some point in  the disease                                                                   
     progression,  ALS patients require  full time care,  for                                                                   
     everything  from  bathing,  toileting, turning  over  in                                                                   
     bed,  to someone  to clean  out their  feeding tube  and                                                                   
     trach tube,  and getting into  and out of a  wheelchair.                                                                   
     It is an ugly, cruel disease.                                                                                              
                                                                                                                                
     As  someone   who  knew  nothing  about  ALS,   and  was                                                                   
     diagnosed  with  it, it  is  important  to me  to  raise                                                                   
     awareness   about   this    fatal   disease.   Increased                                                                   
     awareness  would  help  patients  and  doctors  be  more                                                                   
     aware  of the  symptoms of  ALS, leading  to an  earlier                                                                   
     diagnosis.  It  can  take anywhere  from  one  to  three                                                                   
     years  to  receive  a diagnosis.  Raising  awareness  is                                                                   
     also important  to bring understanding  to the  need for                                                                   
     additional   research  and   funding  for  research   to                                                                   
     develop  meaningful  treatment   for  ALS,  and  perhaps                                                                   
     soon,  a  cure.  There  are  currently  only  three  FDA                                                                   
     approved medications  that slow the progression  of ALS,                                                                   
     and these  only extend life  expectancy, at most,  a few                                                                   
     months.  Finally,  increasing people's  knowledge  about                                                                   
     ALS, what  the disease is and  how it affects  a person,                                                                   
     may bring awareness  to the challenges and  battles that                                                                   
     an   ALS   patient   faces,    and   create   a   better                                                                   
     understanding for those fighting this brutal disease.                                                                      
                                                                                                                                
     On a  personal note, this  summer our family  decided to                                                                   
     visit  family in  the UK while  I could  still walk  and                                                                   
     talk (though  much more slowly). We rented  a canal boat                                                                   
     in Wales.  My 17-year-old grandson  was the  captain for                                                                   
     the four  days and  got us through  the canal locks  and                                                                   
     drawbridges  expertly. We  moored the  boat one day  and                                                                   
     my  daughter  and I  went  down  the  hill to  a  quaint                                                                   
     little store.  On the way back  up the hill I  asked for                                                                   
     her arm  to help me up the  hill. I said, "ALS  has made                                                                   
     me old  before my  time." We  both started crying.  Back                                                                   
     at  the boat  the captain  asked  what was  wrong and  I                                                                   
     told  him that  I was  sad  because of  ALS. He  started                                                                   
     crying. As  we were holding  onto each other,  my middle                                                                   
     granddaughter  saw us and asked  why we were  crying. We                                                                   
     told  her  why, and  she  hugged  us  and said  she  was                                                                   
     sorry.  The  youngest  grandchild, 13,  asked  what  was                                                                   
     going  on  and  I  told her  I  hated  having  ALS.  She                                                                   
     responded, looking  at her non-existent watch  "Okay but                                                                   
     don't  we need  to  get going?"  And  that's what  we're                                                                   
     doing.  We go forward  in hope,  and love and  sometimes                                                                   
     tears, but always in hope.                                                                                                 
                                                                                                                                
     I  appreciate you  allowing me  the chance  to voice  my                                                                   
     support for Senate Bill 256.                                                                                               
                                                                                                                                
1:55:47 PM                                                                                                                    
CHAIR DUNBAR opened public testimony on SB 256; finding none, he                                                                
closed public testimony.                                                                                                        
                                                                                                                                
CHAIR  DUNBAR  shared  a  personal connection  to  ALS  through  a                                                              
soldier he served  with in the Army National Guard  who was also a                                                              
Marine  and  deployed  to  Iraq  and  Afghanistan.  He  noted  the                                                              
soldier was diagnosed  with ALS after being assigned  out of state                                                              
and recalled  visiting him  and his family  during a  training. He                                                              
expressed surprise  that veterans are  1.5 to 2 times  more likely                                                              
to develop  ALS, suggesting  this points  to potential  causes and                                                              
hope for  a cure.  He emphasized  the personal  impact ALS  has on                                                              
friends  and family  and thanked  the bill sponsor  and Ms.  Foley                                                              
for her moving testimony.                                                                                                       
                                                                                                                                
1:57:40 PM                                                                                                                    
CHAIR DUNBAR held SB 256 in committee.                                                                                          
                                                                                                                                
1:58:09 PM                                                                                                                    
There  being no  further business  to come  before the  committee,                                                              
Chair Dunbar adjourned  the Senate Community and  Regional Affairs                                                              
Standing Committee meeting at 1:58 p.m.