ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                        January 22, 2008                                                                                        
                           1:32 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Johnny Ellis, Chair                                                                                                     
Senator Gary Stevens, Vice Chair                                                                                                
Senator Bettye Davis                                                                                                            
Senator Lyman Hoffman                                                                                                           
Senator Con Bunde                                                                                                               
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
OTHER LEGISLATORS PRESENT                                                                                                     
                                                                                                                                
Senator Thomas Wagoner                                                                                                          
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 120                                                                                                             
"An Act relating  to the calculation and  payment of unemployment                                                               
compensation benefits; and providing for an effective date."                                                                    
     SCHEDULED BUT NOT HEARD                                                                                                    
                                                                                                                                
SENATE BILL NO. 28                                                                                                              
"An  Act  relating  to  limitations  on  mandatory  overtime  for                                                               
registered nurses  and licensed  practical nurses in  health care                                                               
facilities; and providing for an effective date."                                                                               
     MOVED CSSB 28(L&C) OUT OF COMMITTEE                                                                                        
                                                                                                                                
SENATE BILL NO. 107                                                                                                             
"An  Act relating  to naturopaths  and to  naturopathic practice;                                                               
establishing  a Naturopathic  Advisory  Committee  and an  Alaska                                                               
Naturopathic Formulary Council; amending  the duties of the State                                                               
Medical Board and the Board  of Pharmacy relating to naturopathic                                                               
practice; and providing for an effective date."                                                                                 
     HEARD AND HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 147                                                                                                             
"An Act clarifying when a  project owner or general contractor is                                                               
considered  an employer  for  purposes  of workers'  compensation                                                               
exclusive liability."                                                                                                           
     HEARD AND HELD                                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB  28                                                                                                                  
SHORT TITLE: LIMIT OVERTIME FOR REGISTERED NURSES                                                                               
SPONSOR(s): SENATOR(s) DAVIS                                                                                                    
                                                                                                                                
01/16/07       (S)       PREFILE RELEASED 1/5/07                                                                                
01/16/07       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/16/07       (S)       HES, L&C, FIN                                                                                          
04/04/07       (S)       HES AT 2:45 PM BUTROVICH 205                                                                           
04/04/07       (S)       Heard & Held                                                                                           
04/04/07       (S)       MINUTE(HES)                                                                                            
04/16/07       (S)       HES AT 1:30 PM BELTZ 211                                                                               
04/16/07       (S)       Moved CSSB 28(HES) Out of Committee                                                                    
04/16/07       (S)       MINUTE(HES)                                                                                            
04/18/07       (S)       HES RPT CS  2DP 1NR 2AM   SAME TITLE                                                                   
04/18/07       (S)       DP: DAVIS, ELTON                                                                                       
04/18/07       (S)       NR: THOMAS                                                                                             
04/18/07       (S)       AM: DYSON, COWDERY                                                                                     
04/24/07       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
04/24/07       (S)       <Bill Hearing Postponed until Thursday>                                                                
04/26/07       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
04/26/07       (S)       Heard & Held                                                                                           
04/26/07       (S)       MINUTE(L&C)                                                                                            
01/15/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
01/15/08       (S)       -- MEETING CANCELED --                                                                                 
01/17/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
01/17/08       (S)       -- MEETING CANCELED --                                                                                 
01/22/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
                                                                                                                                
BILL: SB 107                                                                                                                  
SHORT TITLE: NATUROPATHS                                                                                                        
SPONSOR(s): SENATOR(s) DAVIS BY REQUEST                                                                                         
                                                                                                                                
03/07/07       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/07/07       (S)       L&C, HES, FIN                                                                                          
04/19/07       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
04/19/07       (S)       Heard & Held                                                                                           
04/19/07       (S)       MINUTE(L&C)                                                                                            
01/15/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
01/15/08       (S)       -- MEETING CANCELED --                                                                                 
01/17/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
01/17/08       (S)       -- MEETING CANCELED --                                                                                 
01/22/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
                                                                                                                                
BILL: SB 147                                                                                                                  
SHORT TITLE: WORKERS' COMP EMPLOYER LIABILITY                                                                                   
SPONSOR(s): SENATOR(s) FRENCH                                                                                                   
                                                                                                                                
03/28/07       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/28/07       (S)       L&C, FIN                                                                                               
01/17/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
01/17/08       (S)       -- MEETING CANCELED --                                                                                 
01/22/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                             
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
DANA OWEN                                                                                                                       
Staff to Senator Ellis                                                                                                          
Alaska State Capitol                                                                                                            
Juneau, AK                                                                                                                      
POSITION STATEMENT: Explained the changes in CSSB 28(L&C) [25-                                                                
LS0212\V] and SB 107.                                                                                                           
                                                                                                                                
NANCY DAVIS, Vice President                                                                                                     
Alaska Nurses Association                                                                                                       
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Supported CSSB 28(L&C).                                                                                   
                                                                                                                                
MR. TOM RENKES, Executive Director                                                                                              
Alaska Nurses Association                                                                                                       
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Supported CSSB 28(L&C).                                                                                   
                                                                                                                                
ROD BETIT                                                                                                                       
Alaska State Hospital and Nursing Home Association (ASHNHA)                                                                     
Juneau, AK                                                                                                                      
POSITION STATEMENT: Did not support SB 28 or CSSB 28(L&C).                                                                    
                                                                                                                                
TOM OBERMEYER                                                                                                                   
Staff to Senator Davis                                                                                                          
Alaska State Capitol                                                                                                            
Juneau, AK                                                                                                                      
POSITION STATEMENT: Commented on SB 107 for the sponsor.                                                                      
                                                                                                                                
SENATOR FRENCH                                                                                                                  
Alaska State Capitol                                                                                                            
Juneau, AK                                                                                                                      
POSITION STATEMENT: Sponsor of SB 147.                                                                                        
                                                                                                                                
PAUL LISANKIE, Director                                                                                                         
Division of Workers' Compensation                                                                                               
Department of Labor and Workforce Development (DOLWD)                                                                           
Juneau, AK                                                                                                                      
POSITION STATEMENT: Answered questions on SB 147.                                                                             
                                                                                                                                
SUSAN ORLANSKY                                                                                                                  
Feldman & Orlansky & Sanders                                                                                                    
Juneau, AK                                                                                                                      
POSITION STATEMENT: Supported SB 147.                                                                                         
                                                                                                                                
KIP KNUDSON, Government Relations Manager                                                                                       
Tesoro Alaska                                                                                                                   
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Opposed SB 147.                                                                                           
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
CHAIR JOHNNY ELLIS called the  Senate Labor and Commerce Standing                                                             
Committee  meeting  to order  at  1:32:34  PM. All  members  were                                                             
present at the call to order.                                                                                                   
                                                                                                                                
          SB  28-LIMIT OVERTIME FOR REGISTERED NURSES                                                                       
                                                                                                                                
1:34:18 PM                                                                                                                    
CHAIR ELLIS announced  SB 28 to be up for  consideration and that                                                               
the  committee had  been working  from the  CSSB 28(HES)  version                                                               
[25-LS0212\L].  The committee  now had  a Labor  and Commerce  CS                                                               
before it, which he asked his staff to explain.                                                                                 
                                                                                                                                
DANA OWEN, Staff to Senator  Ellis, explained the changes in CSSB                                                               
28(L&C) [25-LS0212\V]. The  first change was on page  2, line 24,                                                               
that  added to  the exceptions  a  new paragraph  (1) to  include                                                               
nurses at an occasional school  event. It was suggested by nurses                                                               
who pointed out  that they often accompany field  trips that last                                                               
longer than the normal work day.                                                                                                
                                                                                                                                
1:35:32 PM                                                                                                                    
The second change was on page 4,  line 25, where a new section AS                                                               
18.20.440   spells  out   an   enforcement   mechanism  for   the                                                               
prohibition  against retaliation  set out  in AS  18.24.30. Under                                                               
this section the commissioner has  90 days to determine whether a                                                               
facility has violated this statute.  If the determination is yes,                                                               
the commissioner  must request  that the  Office of  the Attorney                                                               
General represent  the department in  the complaint and  seek all                                                               
appropriate  relief.  The  Department   of  Labor  and  Workforce                                                               
Development  (DOLWD) suggested  this  amendment. The  idea is  to                                                               
provide clear authority to the  department to investigate and act                                                               
on allegations of  violations. This provision is  similar to that                                                               
for violations of occupational safety and health.                                                                               
                                                                                                                                
1:36:22 PM                                                                                                                    
The  third change,  he said,  was on  page 5,  line 4,  where new                                                               
language specifies that the report  required by Section 18.20.445                                                               
is to be  submitted to the division  responsible for enforcement.                                                               
Earlier  drafts sent  the  report to  the  research and  analysis                                                               
section of  the department, which also  requested this amendment.                                                               
The  effective  dates  had  all  been moved  a  year  forward  to                                                               
recognize the current year.                                                                                                     
                                                                                                                                
1:36:56 PM                                                                                                                    
CHAIR ELLIS  asked if it  was fair to say  the changes in  the CS                                                               
improve the legislation.                                                                                                        
                                                                                                                                
MR. Owen replied yes.                                                                                                           
                                                                                                                                
CHAIR ELLIS stated he would hold  consideration of the CS to have                                                               
the benefit of public testimony.                                                                                                
                                                                                                                                
NANCY DAVIS, Vice President, Alaska  Nurses Association, said she                                                               
has been a  registered nurse for the past 39  years and supported                                                               
the proposed CS to  SB 28. This bill is a  great step forward for                                                               
a number of  reasons, she said, to protect the  health and safety                                                               
of patients  and nurses alike.  The CS recognizes the  impacts of                                                               
fatigue  on  nurses  who  are  the  mainstay  of  round-the-clock                                                               
patient care.                                                                                                                   
                                                                                                                                
She said,  "It's well  known that excessive  work hours  for some                                                               
occupations become  a critical issue  for safety.  Excessive work                                                               
hours  for  nurses is  a  very  risky  response to  the  staffing                                                               
crisis."  Errors may  be made  due to  fatigue, which  is bad  in                                                               
terms of  patient care, but it  is also a liability  for workers'                                                               
compensation  issues. Nurses  are more  prone to  be injured  and                                                               
this is exacerbated  by the fact that this  professional group is                                                               
already  facing a  shortage, which  could get  worse. Many  other                                                               
opportunities  exist  in  the  workforce for  nurses  and  it  is                                                               
getting more difficult to encourage people into the profession.                                                                 
                                                                                                                                
MS. DAVIS  said that a  number of states have  passed legislation                                                               
similar to CSSB 28(L&C).                                                                                                        
                                                                                                                                
1:43:14 PM                                                                                                                    
SENATOR BUNDE said  he didn't want people to work  overtime if it                                                               
harms patients. However there is  a nursing shortage and he asked                                                               
if this would create more of a nursing shortage.                                                                                
                                                                                                                                
MS. DAVIS replied that there  are different management approaches                                                               
to  the nursing  shortage. It  will  continue, but  it won't  get                                                               
better if people keep leaving the profession.                                                                                   
                                                                                                                                
1:44:55 PM                                                                                                                    
SENATOR  STEVENS followed  up  by asking  for  statistics on  why                                                               
people are leaving the profession.                                                                                              
                                                                                                                                
MS. DAVIS  replied that this  is the  hard part; nurses  say they                                                               
can't  do 12-hour  shifts or  double shifts;  so they  pick other                                                               
employment   like  home   care  and   out-of-institution  places.                                                               
"Clearly the 24/7  patient situations are the  most critical ones                                                               
for which this  makes a difference." She said  this is considered                                                               
a problem nationally, especially as the nursing workforce ages.                                                                 
                                                                                                                                
1:46:23 PM                                                                                                                    
MR. TOM  RENKES, Executive  Director, Alaska  Nurses Association,                                                               
added that the  record on mandatory overtime  is mostly anecdotal                                                               
at this  point. They know  the shortage of nurses  will encompass                                                               
millions of  nurses in the  future. Fourteen states  have already                                                               
passed the mandatory  overtime legislation and it  has been shown                                                               
that the  hospitals that work  toward garnering  better workforce                                                               
working conditions  have a virtually 0  to 3 percent rate  on the                                                               
RN positions. The hospitals that  continue to use the practice of                                                               
mandatory overtime and mandatory call  can have open positions up                                                               
to the 10 - 20 percent around the country.                                                                                      
                                                                                                                                
1:48:03 PM                                                                                                                    
ROD  BETIT, Alaska  State Hospital  and Nursing  Home Association                                                               
(ASHNHA), said  he still could  not support CSSB 28(L&C).  He has                                                               
been monitoring mandatory  overtime use in the  Alaska. Hard data                                                               
from member  facilities indicate  that mandatory overtime  is not                                                               
one of the tools they use  to close the nursing shortage gap, but                                                               
they rather use temporary nursing  staff. In addition, facilities                                                               
have been  working hard to try  to produce an adequate  number of                                                               
nurses for health  care in Alaska by working  with the University                                                               
of Alaska  Anchorage to increase  the nursing  student graduation                                                               
rate from  about 100 students  a year (four  years ago) to  200 a                                                               
year. Data shows  that 93 percent of those nurses  are staying in                                                               
Alaska to practice.                                                                                                             
                                                                                                                                
1:50:11 PM                                                                                                                    
He also  said that going down  this road will not  really improve                                                               
health  care  or help  support  facilities  attempting to  strike                                                               
reasonable  working  conditions  for  nurses,  which  is  locally                                                               
managed now  mostly through collective bargaining.  He didn't see                                                               
any evidence presented  to the committee that  would suggest this                                                               
is an area that requires legislative attention at this time.                                                                    
                                                                                                                                
CHAIR  ELLIS   asked  if   he  wanted  to   comment  on   the  CS                                                               
specifically.                                                                                                                   
                                                                                                                                
MR.  BETIT  replied   no;  most  of  those   changes  impact  the                                                               
department that  is responsible for managing  the reporting. That                                                               
reporting requirement  would be  onerous to facilities  to comply                                                               
with without having any concrete evidence that a problem exists.                                                                
                                                                                                                                
1:52:34 PM                                                                                                                    
SENATOR  BUNDE asked  if  this  bill would  leave  wards or  beds                                                               
uncovered.                                                                                                                      
                                                                                                                                
MR. BETIT replied he thought so.  His members say the shortage is                                                               
improving and not worsening.                                                                                                    
                                                                                                                                
1:54:06 PM                                                                                                                    
SENATOR BUNDE  said one  nursing organization  suggested doubling                                                               
nursing wages,  but he  wondered if that  would just  elevate the                                                               
cost of health care.                                                                                                            
                                                                                                                                
MR. BETIT replied that was an astute observation.                                                                               
                                                                                                                                
1:55:26 PM                                                                                                                    
SENATOR STEVENS  asked if complaint investigations  were still an                                                               
issue for him and what did it mean.                                                                                             
                                                                                                                                
MR. BETIT replied that the  whole complaint investigation area is                                                               
of concern if  it's to be done  any time someone wants  to file a                                                               
complaint. This  particular bill  requires the kind  of reporting                                                               
that  goes down  to the  individual nurse  using overtime  rather                                                               
than the aggregate kind of  facility reporting that is applicable                                                               
in other states that have adopted this kind of approach.                                                                        
                                                                                                                                
1:56:30 PM                                                                                                                    
SENATOR DAVIS moved  to adopt CSSB 28(L&C) version  V. There were                                                               
no objections and it was so ordered.                                                                                            
                                                                                                                                
CHAIR  ELLIS  said  he  is  personally  persuaded  that  this  is                                                               
reasonable  public policy,  because he  has been  concerned about                                                               
the nursing  shortage. He thought  this bill would help  with it.                                                               
Other states  have moved  in this direction  and have  reported a                                                               
positive effect.                                                                                                                
                                                                                                                                
1:57:27 PM                                                                                                                    
SENATOR BUNDE  commented if mandatory  overtime isn't  being used                                                               
in Alaska, this won't help much.  He didn't think the problems in                                                               
the nursing field were over.                                                                                                    
                                                                                                                                
CHAIR ELLIS responded that it may be an incremental change.                                                                     
                                                                                                                                
1:59:08 PM                                                                                                                    
SENATOR  DAVIS moved  to pass  CSSB 28(L&C)  from committee  with                                                               
individual recommendations  and accompanying fiscal  notes. There                                                               
were no objections and it was so ordered.                                                                                       
                                                                                                                                
                       SB 107-NATUROPATHS                                                                                   
                                                                                                                              
CHAIR ELLIS announced SB 107 to  be up for consideration. He said                                                               
the committee had proposed CSSB 107(L&C) 25-LS0702\E before it.                                                                 
                                                                                                                                
2:02:18 PM                                                                                                                    
DANA  OWEN,  staff  to  Senator  Ellis,  explained  that  SB  107                                                               
proposes  to  establish  a  structure   that  would  regulate  an                                                               
expanded  scope  of practice  for  naturopaths  in the  State  of                                                               
Alaska.                                                                                                                         
                                                                                                                                
MR.  OWEN noted  that the  title of  the CS  had been  changed to                                                               
reflect some of  the changes. The first major change  was on page                                                               
3, line 12. He explained that  structure of the previous bill had                                                               
two bodies that  would regulate the practice  of naturopathy; one                                                               
would  be  a  formulary  commission and  the  other  an  advisory                                                               
committee.                                                                                                                      
                                                                                                                                
This CS proposes to combine those  two bodies into one called the                                                               
Alaska  Naturopathic  Council -  a  concern  of the  Division  of                                                               
Occupational  Licensing. The  membership would  consist of  three                                                               
naturopaths - one  from outside the third  judicial district, one                                                               
would be  a pharmacist and one  would be a public  member who may                                                               
be a  physician. This council  retains all the powers  and duties                                                               
ascribed to each of the bodies in the previous bill.                                                                            
                                                                                                                                
He noted  that regarding  the public  member, physicians  did not                                                               
want  to be  forced into  participating  in this  process over  a                                                               
concern for liability.                                                                                                          
                                                                                                                                
CHAIR ELLIS clarified  that it was part of the  CS, but it needed                                                               
to be fully discussed.                                                                                                          
                                                                                                                                
MR. OWEN said  Section 8 of the original bill  was deleted in the                                                               
CS; it amended  the duties of the State Medical  Board to include                                                               
appointing a member  of the Formulary Council,  which was dropped                                                               
in the  CS. Section 10  has transitional provisions  that reflect                                                               
the blending of the two bodies.                                                                                                 
                                                                                                                                
2:04:15 PM                                                                                                                    
SENATOR  BUNDE asked  if the  makeup of  the council  had changed                                                               
other than the medical doctor.                                                                                                  
                                                                                                                                
MR. OWEN  replied the numbers are  the same as had  been proposed                                                               
for  the Formulary  Council before;  the  advisory committee  had                                                               
three members, but that was expanded with the combining.                                                                        
                                                                                                                                
SENATOR BUNDE observed that most  other councils have more public                                                               
participation. In this case there is only one public member.                                                                    
                                                                                                                                
TOM OBERMEYER, Staff to Senator  Davis, sponsor of SB 107 stepped                                                               
in to  explain that the CS  follows the general direction  of the                                                               
original  bill, but  it has  changed substantially.  He said  the                                                               
Alaska State  Medical Association  rejected this bill  because it                                                               
includes  minor  surgery  and  pharmaceutical  use.  The  current                                                               
version  essentially  waters  down  the controls  that  had  been                                                               
implemented in the  initial bill by creating just  one board that                                                               
is   supposed  to   be  supervising   everything  -   discipline,                                                               
continuing education,  pharmacy and  the selection of  all legend                                                               
drugs  by a  pharmacist  that is  presumably  appointed who  also                                                               
responsible for the drugs to be  used along with IVs. The concern                                                               
is  that this  practice is  being changed  into what  the Medical                                                               
Association would  call primary care physicians.  Naturopaths are                                                               
not  allowed  to   use  the  title  "physician,"   but  the  four                                                               
institutions  that   license  them  give  them   certificates  of                                                               
naturopathic physicians.                                                                                                        
                                                                                                                                
Their  main  concern is  that  the  public cannot  be  adequately                                                               
protected -  since physicians don't want  to have any part  of it                                                               
and there will not be enough oversight to control everything.                                                                   
                                                                                                                                
He said the State Medical Association  pointed out in a letter to                                                               
                                     rd                                                                                         
this committee last  year that the 23   legislature had appointed                                                               
a task  force that  did not fulfill  its obligation  of reporting                                                               
the  comparison  of  the  training of  medical  doctors  -  their                                                               
continuing  internships  and  extensive hospital  practice  while                                                               
they are in medical school - to that of naturopaths.                                                                            
                                                                                                                                
CHAIR ELLIS  asked if he  had any comments about  Senator Bunde's                                                               
concern regarding the  amount of public participation  on the new                                                               
board.                                                                                                                          
                                                                                                                                
MR.  OBERMEYER replied  that Massachusetts  had a  task force  in                                                               
2002  that recommended  a nine-member  board. It  was to  include                                                               
only three  or four naturopaths  and the remainder would  be from                                                               
the other medical  professions and maybe a public  member or two.                                                               
So, it was  an expanded board compared to this  one. He said this                                                               
is essentially  a self-regulated board  and it was  determined by                                                               
Massachusetts  that   naturopaths  could   not  and   should  not                                                               
supervise  themselves. He  said  that naturopathy  is growing  in                                                               
this  country  and he  thought  the  state  could work  with  the                                                               
version they have.                                                                                                              
                                                                                                                                
CHAIR ELLIS summarized that the  committee should consider having                                                               
more than one public member.                                                                                                    
                                                                                                                                
MR. OBERMEYER agreed.                                                                                                           
                                                                                                                                
2:12:28 PM                                                                                                                    
CHAIR ELLIS asked for any other requests from the committee.                                                                    
                                                                                                                                
SENATOR  BUNDE  said he  wanted  to  hear  from the  Division  of                                                               
Occupational Licensing  and that  he was disappointed  the report                                                               
on  training  comparison  didn't  get back  to  them  because  he                                                               
thought he  heard some inaccuracies  in the report last  year and                                                               
had asked for them to report back.                                                                                              
                                                                                                                                
2:13:47 PM                                                                                                                    
SENATOR   STEVENS  said   he  didn't   remember  discussions   on                                                               
prescriptions  and  he wanted  to  know  more about  the  ability                                                               
naturopaths were being given for prescribing drugs.                                                                             
                                                                                                                                
CHAIR ELLIS announced  that SB 107 and the CS  would be held over                                                               
for further hearings.                                                                                                           
                                                                                                                                
            SB 147-WORKERS' COMP EMPLOYER LIABILITY                                                                         
                                                                                                                                
2:15:40 PM                                                                                                                    
CHAIR ELLIS announced SB 147 to be up for consideration.                                                                        
                                                                                                                                
SENATOR FRENCH, sponsor of SB 147,  stated this bill makes a tiny                                                               
change  to  the  workers'  compensation statutes  and  said  that                                                               
workers' compensation  is basically  a no-fault  insurance policy                                                               
that says if you're hurt at work, you get payment for your                                                                      
injuries. He read the sponsor statement:                                                                                        
                                                                                                                                
     Workers' compensation  laws represent a  simple bargain                                                                    
     between  employers  and   employees.  By  purchasing  a                                                                    
     worker's comp  policy, an employer gains  immunity from                                                                    
     lawsuits  that arise  out of  workplace injuries.  This                                                                    
     part of  the workers'  comp bargain  is referred  to as                                                                    
     'exclusiveness  of remedy,'  meaning that  the employer                                                                    
     who  buys   the  policy  knows  that   there  won't  be                                                                    
     expensive and  time consuming  court cases  arising out                                                                    
     of  workplace accidents.  Injured workers  get worker's                                                                    
     comp benefits and nothing more.                                                                                            
                                                                                                                                
     By entering into the bargain  the employee gives up the                                                                    
     right to  sue for  damages. In  exchange for  giving up                                                                    
     the possibility  of a large  court award,  the employee                                                                    
     gets  a  relatively  swift and  fair,  though  smaller,                                                                    
     compensation  benefit for  his  or  her injuries.  Both                                                                    
     sides  also agree  to a  'no fault'  provision, meaning                                                                    
     that there is  no inquiry into who was at  fault in the                                                                    
     events giving rise to the accident.                                                                                        
                                                                                                                                
     Revisions to  the workers' comp statutes  in 2004 added                                                                    
     a clause to the workers'  comp laws that undermine this                                                                    
     bargain, and works to the  detriment of workers injured                                                                    
     by  third parties  who do  not  purchase workers'  comp                                                                    
     policies.  Under the  2004 changes,  employers who  are                                                                    
     merely 'potentially liable' for  buying a workers' comp                                                                    
     policy, but who do not  actually purchase a policy, can                                                                    
     still get the benefit  of the 'exclusiveness of remedy'                                                                    
     provisions in workers' comp.                                                                                               
                                                                                                                                
     This   legal    imbalance   is   having    real   world                                                                    
     consequences, most  notably at large worksites  where a                                                                    
     project  owner  is   supervising  many  subcontractors.                                                                    
     Because the  project owner is 'potentially  liable' for                                                                    
     purchasing  workers' comp  policies  to  cover all  the                                                                    
     work that  takes place  at the  work site,  the project                                                                    
     owner enjoys  immunity from  lawsuits that  result from                                                                    
     its own negligence. Severe injuries  take place at some                                                                    
     of  these  large   construction  projects.  When  these                                                                    
     injuries  are caused  by the  negligence of  the owner,                                                                    
     the  injured worker  is left  with  only workers'  comp                                                                    
     benefits, which,  as the attached letter  shows, do not                                                                    
     fully cover the damages inflicted by the injury.                                                                           
                                                                                                                                
     Removing the  phrase 'or  potentially liable'  from the                                                                    
     statute restores the bargain to  its proper form. If an                                                                    
     employer wants immunity,  he or she must  buy a policy.                                                                    
     An employer  who gets immunity without  buying a policy                                                                    
     is  getting  something   for  nothing.  Basic  fairness                                                                    
     should not  allow such a situation  to continue. Please                                                                    
     join me  in supporting a  small change to the  law that                                                                    
     will  result in  big changes  to the  lives of  working                                                                    
     people.                                                                                                                    
                                                                                                                                
2:21:38 PM                                                                                                                    
SENATOR  STEVENS said  he thought  he was  missing something  and                                                               
asked  what the  employee loses  if he  is already  covered under                                                               
workers' compensation.                                                                                                          
                                                                                                                                
SENATOR FRENCH replied that he loses  the ability to sue for more                                                               
damages than  a lawsuit allows  - like  future loss of  income or                                                               
pain  and  suffering  for  instance.  Workers'  compensation  has                                                               
fairly strict remedies that while being certain are smaller.                                                                    
                                                                                                                                
2:22:22 PM                                                                                                                    
SENATOR BUNDE asked if this law  will benefit the people who sell                                                               
workers' compensation more than the injured worker.                                                                             
                                                                                                                                
SENATOR  FRENCH  answered that  is  right.  He added,  "In  those                                                               
instances where the  general does the responsible  thing and pays                                                               
money for a policy, yes, he or she will enjoy that coverage."                                                                   
                                                                                                                                
SENATOR   BUNDE  asked   how  often   a  general   contractor  is                                                               
potentially liable for not purchasing workers' compensation.                                                                    
                                                                                                                                
2:23:55 PM                                                                                                                    
PAUL  LISANKIE,  Director,  Division  of  Workers'  Compensation,                                                               
Department of  Labor and Workforce Development  (DOLWD), answered                                                               
that  he  couldn't  say.  When   the  bill  passed  in  2004,  he                                                               
understood  the  intention  was   that  general  contractors  and                                                               
project  owners would  have some  type of  insurance policy  that                                                               
would  pick up  this  potential contingent  liability. He  didn't                                                               
know if that had started to happen or not.                                                                                      
                                                                                                                                
SENATOR  BUNDE  asked  if  Linda   Hall,  Director,  Division  of                                                               
Insurance,  would  be a  resource  the  committee would  want  to                                                               
contact on who is buying insurance.                                                                                             
                                                                                                                                
CHAIR ELLIS replied they could do that for the next meeting.                                                                    
                                                                                                                                
2:25:37 PM                                                                                                                    
SENATOR HOFFMAN asked why the change was made in 2004.                                                                          
                                                                                                                                
MR. LISANKIE  replied that  his notes  weren't complete  on those                                                               
discussions.                                                                                                                    
                                                                                                                                
2:26:30 PM                                                                                                                    
SUSAN  ORLANSKY, Feldman  &  Orlansky &  Sanders,  said her  firm                                                               
represents  a wide  variety of  clients  in litigation  including                                                               
both  injured   employees  and  companies   that  are   sued  for                                                               
negligence  at  a  job site.  She  underscored  Senator  French's                                                               
perspective that SB 147 is a  simple fix for a couple of problems                                                               
that were created  by the 2004 language that added  the words "or                                                               
potentially  liable"  to  AS  23.30.055.  There  are  three  good                                                               
reasons for this fix; first  undoing those words will promote job                                                               
safety.  She explained  that right  now  general contractors  and                                                               
project owners who  are the entities with  the greatest oversight                                                               
over the project have no  incentive to be concerned about safety.                                                               
They  are   technically  liable  to  pay   workers'  compensation                                                               
benefits  to  any  worker  on   the  job  site;  so  the  general                                                               
contractor  and project  owner are  now totally  exempt from  any                                                               
risk of tort  liability no matter how unsafe  their own practices                                                               
may be. "In  reality, what is unfair about it  is they don't ever                                                               
have to  pay workers' compensation  benefits to the  employees of                                                               
the subcontractors," she  said. The law already  requires and has                                                               
required  for  decades  that each  subcontractor  carry  its  own                                                               
workers' compensation  insurance for  its own  employees. General                                                               
contractors and owners can enforce  this through they have master                                                               
subcontracts which require  subs to show a  certificate of having                                                               
purchased  workers' compensation  insurance  for their  employees                                                               
before they  ever begin any work  on the project. This  means the                                                               
general  contractor and  project owner  have assumed  a potential                                                               
liability, but it's never a realistic one.                                                                                      
                                                                                                                                
This leads to the second reason for  SB 147. The 2004 law added a                                                               
protection from  tort liability for employers  who actually don't                                                               
secure  worker's compensation  insurance and  don't pay  workers'                                                               
compensation benefits  by designing a system  where employers and                                                               
employees each made  a tradeoff. It introduced a  new benefit for                                                               
large employers  and project  owners and  a new  disadvantage for                                                               
employees of  subcontractors with  no corresponding  tradeoff. SB                                                               
147 would  restore the basic  workers' compensation  principal so                                                               
that  those who  pay  workers' compensation  benefits are  exempt                                                               
from tort suit and those that don't pay are not.                                                                                
                                                                                                                                
2:30:01 PM                                                                                                                    
Third, she said the 2004  changes resulted in some very illogical                                                               
and unfair situations where two  employees injured in exactly the                                                               
same  way get  very different  kinds of  compensation and  it has                                                               
nothing to  do with who  actually pays the  workers' compensation                                                               
benefit. Right now little subcontracting  companies may be liable                                                               
in tort  to employees  of larger  general subcontractors  but not                                                               
vice versa. "It's not fair and it's not logical."                                                                               
                                                                                                                                
She said  SB 147 would  remedy the  unfairness. She has  a client                                                               
who is employed  by Tesoro; he was injured at  a Tesoro refinery.                                                               
His own employer paid him  workers' compensation benefits. Tesoro                                                               
didn't do anything for him, but  under the 2004 law, it is exempt                                                               
from having to pay tort damages.                                                                                                
                                                                                                                                
SENATOR  BUNDE asked  how two  employees could  receive different                                                               
amounts of money.  In the Tesoro case the  injured employee would                                                               
be   compensated   by   workers'  compensation,   but   if   both                                                               
subcontractor   and  Tesoro   have  workers'   compensation,  the                                                               
employee is not going to get any additional money.                                                                              
                                                                                                                                
2:31:54 PM                                                                                                                    
MS. ORLANSKY  answered if you  have two  different subcontractors                                                               
and  one mid-level  subcontractor and  it's the  employee of  the                                                               
mid-level contractor  who acts negligently,  the employee  of the                                                               
subcontractor directly  under that  person is  only going  to get                                                               
workers' compensation  benefits under  the law  the way  it's set                                                               
up, but  the employee  of the  other subcontractor  who is  not a                                                               
subcontractor under a  contractor is entitled to  sue and recover                                                               
in  court. Those  damages could  be many,  many times  different.                                                               
Court damages  can be 10  times as high as  workers' compensation                                                               
benefits,  which  are designed  to  be  sort  of minimal  -  some                                                               
guaranteed recovery  paid relatively quickly. It's  a good system                                                               
when  nothing else  is available,  but  the common  law has  also                                                               
developed a tort  system which is more  complicated for employees                                                               
to choose  go that  route, but  it can  also end  up compensating                                                               
them much more generously.                                                                                                      
                                                                                                                                
2:33:06 PM                                                                                                                    
KIP KNUDSON,  Government Relations  Manager, Tesoro  Alaska, said                                                               
the current law  is good for labor and commerce  and the proposed                                                               
changes are  probably a step  backwards for both. He  said Tesoro                                                               
has a core value  of safety for its workers; but he  said it is a                                                               
constant  battle  to  keep employees  safe.  He  remarked,  "Some                                                               
people have said that employers  have no motivation to keep their                                                               
employees  safe; I  gotta tell  you, these  guys aren't  grown on                                                               
trees; we  want to  keep them  as safe as  possible. And  we want                                                               
them to come and go every day in the same condition."                                                                           
                                                                                                                                
He said that workers' safety  is a duty that requires significant                                                               
resource and effort on everyone's  part. He said that all Alaskan                                                               
workers should be  covered by a workers'  compensation policy and                                                               
that  all  businesses benefit  from  safe  employees and  reduced                                                               
legal expenses.                                                                                                                 
                                                                                                                                
MR. KNUDSON said  the 2004 change freed up  resources and efforts                                                               
on  projects  to allow  better  coordination  of safety  programs                                                               
between employers  and contractors with the  resulting benefit of                                                               
safer  workers.  He  opined that  exclusive  liability  motivates                                                               
project owners to  make sure that everybody that is  on a project                                                               
site has a workers' compensation policy in place.                                                                               
                                                                                                                                
2:38:14 PM                                                                                                                    
He illustrated his point with  a picture of five different people                                                               
that might be  on a worksite - the project  owner, an employee, a                                                               
project  contractor employee,  a project  subcontractor employee,                                                               
someone  that is  a contract  employee,  but not  working on  the                                                               
project and  a visitor who just  happens to be there  - all being                                                               
injured simultaneous  in the  same event.  In the  first scenario                                                               
the project  owner is at  fault. Pre-2004 the picture  showed the                                                               
remedy for  the employee of  the project owner would  be workers'                                                               
compensation and  everyone else  had both  (workers' compensation                                                               
and  tort claim)  available. If  the same  thing happened  today,                                                               
workers' compensation was  available to all of  them. However, if                                                               
the project  subcontractor for some  reason allows a sub  on site                                                               
without a  workers' compensation  policy in place,  that employee                                                               
is still allowed to sue the  project owner. (If the policy is not                                                               
in place one does not get the benefit of the exclusive remedy.)                                                                 
                                                                                                                                
He also did  scenario 3 that showed the  situation Senator French                                                               
was  discussing.  If the  project  contractor  is in  place,  his                                                               
employees  can  only  make  use   of  workers'  compensation  and                                                               
everyone  else  can  sue  the   project  contractor.  Today,  the                                                               
imbalance is  where the project  contractor and all his  subs can                                                               
avail themselves of workers' compensation,  but the project owner                                                               
employee could potentially  sue down. His only  response was that                                                               
it  is  the project  owner's  responsibility  to make  sure  that                                                               
everyone  has workers'  compensation on  the project  site -  the                                                               
reason the remedy flows back to him.                                                                                            
                                                                                                                                
SENATOR BUNDE  said he appreciated  fairness and asked  if before                                                               
the 2004 change one could  have a workers' compensation claim and                                                               
a tort claim in three of  his situations where people are working                                                               
on site.                                                                                                                        
                                                                                                                                
MR. KNUTSON  replied that Senator  French talked about  a bargain                                                               
between an employer  and an employee, but whenever he  took a job                                                               
he didn't understand it that way.  This is public policy that has                                                               
been set.  The goal  of the 2004  law change (on  slide 2)  is to                                                               
have all contractors working on  a project treated equally during                                                               
an injury. There is a no fault provision.                                                                                       
                                                                                                                                
SENATOR BUNDE said he would like  to invite Linda Hall to explain                                                               
if there  is double coverage if  the contractor and the  sub both                                                               
have workers'  compensation coverage. It doesn't  necessarily get                                                               
the worker any more money.                                                                                                      
                                                                                                                                
2:43:14 PM                                                                                                                    
SENATOR FRENCH wrapped  up that the basic unfairness  on slide 2,                                                               
situation  2, is  that the  project owner  is getting  a workers'                                                               
compensation remedy without actually  having bought a policy. So,                                                               
essentially he has less desire to have a safe workplace.                                                                        
                                                                                                                                
2:44:17 PM                                                                                                                    
SENATOR  STEVENS  asked what  he  thought  about Senator  Bunde's                                                               
question about multiple carriers.                                                                                               
                                                                                                                                
SENATOR FRENCH replied  that Linda Hall would be  the best person                                                               
to answer  that; he guessed that  a project owner would  pay less                                                               
for   a  workers'   compensation   policy   where  every   single                                                               
subcontractor was also carrying a  policy because he is then only                                                               
covering those instances  where he is at fault -  the time when a                                                               
drunken truck  driver employed by  a Collins  Construction worker                                                               
drives  over an  Alasco  employee. That  contractor is  protected                                                               
from  tort liability  because of  a workers'  compensation policy                                                               
that the subcontractor has paid for. He said:                                                                                   
                                                                                                                                
     That's the  imbalance. If the situation  were reversed,                                                                    
     if  the  drunken  subcontractor  runs  over  a  project                                                                    
     employee,  the project  employee  is going  to sue  the                                                                    
     pants   off   of   those    folks,   because   of   the                                                                    
     outrageousness  of the  conduct and  the fact  that the                                                                    
     liability only and the protection only runs downhill.                                                                      
                                                                                                                                
CHAIR  ELLIS thanked  him  and  said SB  147  would  be held  for                                                               
further work. There being no  further business to come before the                                                               
committee, he adjourned the meeting at 2:47:36 PM.