ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                        February 9, 2010                                                                                        
                           2:03 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Joe Paskvan, Chair                                                                                                      
Senator Joe Thomas, Vice Chair                                                                                                  
Senator Bettye Davis                                                                                                            
Senator Kevin Meyer                                                                                                             
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Con Bunde                                                                                                               
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 247                                                                                                             
"An Act extending the termination date of the Board of Pharmacy;                                                                
and providing for an effective date."                                                                                           
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
SENATE BILL NO. 248                                                                                                             
"An Act extending the termination date of the Board of Marital                                                                  
and Family Therapy; and providing for an effective date."                                                                       
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
SENATE BILL NO. 117                                                                                                             
"An Act  requiring the Department  of Revenue to set  the minimum                                                               
price for cigarettes  for sale by wholesalers  and retailers; and                                                               
prohibiting a  wholesaler or retailer  from selling  at wholesale                                                               
or retail cigarettes  at a lower price than the  price set by the                                                               
Department of Revenue."                                                                                                         
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 247                                                                                                                  
SHORT TITLE: EXTENDING BOARD OF PHARMACY                                                                                        
SPONSOR(s): SENATOR(s) OLSON                                                                                                    
                                                                                                                                
01/29/10       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/29/10       (S)       L&C, FIN                                                                                               
02/09/10       (S)       L&C AT 2:00 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 248                                                                                                                  
SHORT TITLE: EXTEND BD OF MARITAL & FAMILY THERAPY                                                                              
SPONSOR(s): SENATOR(s) OLSON                                                                                                    
                                                                                                                                
01/29/10       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/29/10       (S)       L&C, FIN                                                                                               
02/09/10       (S)       L&C AT 2:00 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 117                                                                                                                  
SHORT TITLE: PRICE OF CIGARETTES                                                                                                
SPONSOR(s): SENATOR(s) MCGUIRE                                                                                                  
                                                                                                                                
02/20/09       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/20/09       (S)       L&C, FIN                                                                                               
02/09/10       (S)       L&C AT 2:00 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
JIM COLVER                                                                                                                      
Staff to Senator Olson                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Commented on SB 247 for the sponsor.                                                                      
                                                                                                                                
PAT DAVIDSON, Auditor                                                                                                           
Division of Legislative Audit                                                                                                   
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Answered questions about SB 247 and SB 248.                                                               
                                                                                                                                
JENNIFER STRICKLER, Operations Manager                                                                                          
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
(DCCED)                                                                                                                         
POSITION STATEMENT: Answered questions about SB 247 and SB 248.                                                               
                                                                                                                                
TIM BENINTENDI                                                                                                                  
Staff to Senator Olson                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Commented on SB 248 for the sponsor.                                                                      
                                                                                                                                
PATRICIA WHITE, Chair                                                                                                           
Board of Marriage and Family Therapists                                                                                         
POSITION STATEMENT: Answered questions about SB 248.                                                                          
                                                                                                                                
ESTHER CHA                                                                                                                      
Aide to Senator McGuire                                                                                                         
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Commented on SB 117 for the sponsor.                                                                      
                                                                                                                                
CLIFF CRAEMER, Vice President                                                                                                   
Sales and Marketing                                                                                                             
Northern Sales Company                                                                                                          
POSITION STATEMENT: Strongly supported the CS for SB 117.                                                                     
                                                                                                                                
JOHN MAKAY, Sr. Vice President                                                                                                  
Northwest Region                                                                                                                
Costco Wholesale Corporation                                                                                                    
POSITION STATEMENT: Supported SB 117.                                                                                         
                                                                                                                                
ROGER HAMES, President                                                                                                          
Hames Corporation                                                                                                               
Sitka, AK                                                                                                                       
POSITION STATEMENT: Supported the CS for SB 117.                                                                              
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
2:03:56 PM                                                                                                                    
CHAIR JOE PASKVAN  called the Senate Labor  and Commerce Standing                                                             
Committee meeting  to order at 2:03  p.m. Present at the  call to                                                               
order were Senators Meyer, Davis and Paskvan.                                                                                   
                                                                                                                                
               SB 247-EXTENDING BOARD OF PHARMACY                                                                           
                                                                                                                                
2:05:54 PM                                                                                                                    
CHAIR PASKVAN announced SB 247 to be up for consideration.                                                                      
                                                                                                                                
JIM COLVER, staff to Senator Olson,  sponsor of SB 247, said this                                                               
bill extends the  Board of Pharmacy that will sunset  on June 30,                                                               
2010. The  fiscal note  of $130,300  is to  pay staff,  board per                                                               
diem  and transportation  for three  board meetings  a year.  The                                                               
Legislative  Budget  and  Audit Division  recently  completed  an                                                               
audit of  the board and  concluded that the termination  date for                                                               
the Board of Pharmacy should be  extended until June 30, 2018. He                                                               
noted that  the termination date  in SB  247 says June  30, 2015,                                                               
and he said  the sponsor wanted the committee to  amend that date                                                               
to align it with the audit recommendation of June 30, 2018.                                                                     
                                                                                                                                
2:08:17 PM                                                                                                                    
MR. COLVER  said the audit  also recommended that  the department                                                               
should   improve  administrative   support  (for   various  small                                                               
accounting and staffing issues)  and the department has responded                                                               
that  it   is  dealing  with   those  issues.   Additionally,  it                                                               
recommended  that the  board  and  staff need  to  work with  the                                                               
Office of the Governor to  improve recruitment of qualified board                                                               
applicants to ensure a full board.                                                                                              
                                                                                                                                
He  said   SB  247  is   supported  by  the   Alaska  Pharmacists                                                               
Association.                                                                                                                    
                                                                                                                                
2:08:49 PM                                                                                                                    
SENATOR THOMAS joined the committee.                                                                                            
                                                                                                                                
2:09:37 PM                                                                                                                    
PAT DAVIDSON, Division of  Legislative Audit, Legislative Affairs                                                               
Agency, Alaska State Legislature, said  she conducted an audit of                                                               
the Board  of Pharmacy and  recommended extending it to  June 30,                                                               
2018, an eight-year extension as  provided by law. The audit also                                                               
found  that   administrative  support   by  the   department  was                                                               
insufficient for  the board to get  its work done; so  this needs                                                               
some correction.  She remarked  that her  audits have  found this                                                               
issue as well as others exist with most of the other boards.                                                                    
                                                                                                                                
Another  issue, Ms.  Davidson said,  is  that the  Office of  the                                                               
Governor did  not make timely  appointments to the  boards. These                                                               
boards  are voluntary  and take  peoples'  time, and  if a  board                                                               
doesn't  have a  full  slate  of members,  that  makes the  other                                                               
members work harder, which, in  turn, decreases their willingness                                                               
to be reappointed and makes it harder to get new members.                                                                       
                                                                                                                                
2:11:17 PM                                                                                                                    
The last  was a technical  issue, she said,  that had to  do with                                                               
collaborative  protocols.   She  explained  that   typically  one                                                               
doesn't go  to a pharmacist to  get an injection, but  in certain                                                               
circumstances a  pharmacist in association with  a physician will                                                               
go through  a collaborative protocol  that allows  the pharmacist                                                               
to  dispense  a  flu  shot,  for  instance.  She  explained  that                                                               
regulations  require  that  an   written  agreement  between  the                                                               
physician and  the pharmacist and it  has to be submitted  to the                                                               
board.  She found  that those  protocols were  for one  length of                                                               
time -  one year, but  the board  allowed that protocol  to exist                                                               
for two  years. She  recommended that the  board limit  itself to                                                               
approving those protocols  for a time limited to  what is reached                                                               
between the pharmacist and the physician.                                                                                       
                                                                                                                                
CHAIR PASKVAN said  he understands that the  two requirements are                                                               
that the doctors review the  decisions made by the pharmacists at                                                               
least once every three months and  that the doctors would get the                                                               
patient  records.  He asked  if  those  protocols were  the  ones                                                               
addressed in the audit.                                                                                                         
                                                                                                                                
MS.  DAVIDSON answered  yes. Regulations  identify those  things,                                                               
but the board wasn't necessarily  following all those regulations                                                               
in approving the protocols.                                                                                                     
                                                                                                                                
CHAIR PASKVAN  asked if some  of the agreements were  written for                                                               
periods of  time longer than the  doctor had committed to  and if                                                               
that would result  in the pharmacist dispensing  flu shots beyond                                                               
the period of time the doctor had agreed to.                                                                                    
                                                                                                                                
MS.  DAVIDSON replied  that she  didn't see  any evidence  of the                                                               
protocols actually  being enforced  beyond the  written agreement                                                               
between the  pharmacist and the physician.  However, in reviewing                                                               
those protocols the  board should make sure  that everything that                                                               
is required by regulation be  written into the protocols and that                                                               
the board limits itself to adopting  it for the timeframe that is                                                               
in the written agreement.                                                                                                       
                                                                                                                                
CHAIR PASKVAN  asked her  to more  fully explain  the cooperative                                                               
practice agreements.                                                                                                            
                                                                                                                                
MS.  DAVIDSON responded  that those  agreements were  required so                                                               
that  the  physician  could  review the  decisions  made  by  the                                                               
pharmacist  at  least once  every  three  months and  so  patient                                                               
records could be provided to  the physician. She found those were                                                               
not always specifically spelled out  in the written agreement. In                                                               
regard  to   the  timeframe,  either  the   practitioner  or  the                                                               
pharmacist  could  be confused  as  to  how  long they  would  be                                                               
allowed; so  to avoid those  sorts of confusion, it  is important                                                               
that  the  board go  through  the  written cooperative  agreement                                                               
process.  And then  limit their  approval  of that  for the  time                                                               
frame indicated in the written agreement.                                                                                       
                                                                                                                                
2:15:58 PM                                                                                                                    
CHAIR PASKVAN asked if a  template is followed for the protocols,                                                               
whether  it's for  flu shots  or  something else,  that is  board                                                               
approved and that regulations could be compared to.                                                                             
                                                                                                                                
MS. DAVIDSON replied there is no template established for those.                                                                
                                                                                                                                
CHAIR PASKVAN asked  if there is any reason they  couldn't have a                                                               
template  to  make  it  easier  to  compare  protocols  with  the                                                               
regulations.                                                                                                                    
                                                                                                                                
MS. DAVIDSON  said because the  written agreements could  cover a                                                               
wide  range  of  what  the   practitioners  and  pharmacists  are                                                               
comfortable  in  delegating,  she   didn't  know  if  creating  a                                                               
template  would necessarily  be  beneficial. Practitioners  would                                                               
probably change things to fit their individual circumstances.                                                                   
                                                                                                                                
2:18:13 PM                                                                                                                    
CHAIR PASKVAN found no questions on recommendation 1.                                                                           
                                                                                                                                
SENATOR MEYER commented  that he had already heard SB  247 in the                                                               
Legislative Budget and  Audit Committee and he  was very familiar                                                               
with it.                                                                                                                        
                                                                                                                                
CHAIR PASKVAN  said recommendation 2 identified  deficiencies and                                                               
the first one  was errors in license statistics; he  asked her to                                                               
more fully explain that.                                                                                                        
                                                                                                                                
MS.  DAVIDSON responded  that an  annual report  is prepared  for                                                               
each  of  the boards  to  give  an  idea  of its  activities.  It                                                               
identifies how many  new licenses were issued,  how many renewals                                                               
there were; some  boards that have license  by credentials versus                                                               
examination will break  those out. They will also  talk about non                                                               
licensing statistics  like investigations and actions  taken as a                                                               
result of investigations,  for instance. She said  that she would                                                               
talk  about  this recommendation  a  lot  because she  has  found                                                               
different  types  of  licensing statistics  errors  in  different                                                               
boards.  This  is  one  of  the things  she  saw  when  verifying                                                               
statistics that were included in annual reports.                                                                                
                                                                                                                                
CHAIR  PASKVAN  said  a  paragraph  on page  8  addressed  a  key                                                               
administrative  staff  member  that   was  both  unqualified  and                                                               
untrained. He asked how a key person could get that position.                                                                   
                                                                                                                                
MS. DAVIDSON deferred that answer to the department.                                                                            
                                                                                                                                
CHAIR PASKVAN asked if this board had more turnover than others.                                                                
                                                                                                                                
MS. DAVIDSON replied  that her experience with  boards in general                                                               
is  that  they have  a  higher  turnover  rate because  they  are                                                               
relatively  entry level  positions and  better opportunities  are                                                               
available elsewhere.                                                                                                            
                                                                                                                                
CHAIR PASKVAN  said language on  page 8 says "may  provide policy                                                               
makers with  misleading information" and  he wanted to  know what                                                               
types of information that would be.                                                                                             
                                                                                                                                
MS.  DAVIDSON explained  that goes  back to  the annual  reports;                                                               
various boards have  issues come up that may rise  to a very high                                                               
level or may  be dealt with at  a board level. As  an example, if                                                               
insufficient pharmacists were a  concern, and if their statistics                                                               
were  understated by  100 or  200 percent,  a situation  would be                                                               
created where  someone who is  relying on that  information would                                                               
come to  a bad  conclusion. Or  if someone  was using  the annual                                                               
reports to  monitor numbers of  physician assistants or  EMTs for                                                               
the   Medical  Board,   for  instance,   or   to  correlate   the                                                               
relationship  between  the  number  of  licensees  and  what  the                                                               
university is doing,  when you have bad statistics,  you will get                                                               
bad policy  information. What she  was trying to express  is that                                                               
these data  get published  and people will  use it.  She asserted                                                               
also, "It comes from a state agency; it should be good data."                                                                   
                                                                                                                                
CHAIR  PASKVAN   asked  if  misleading  information   extends  to                                                               
budgeting  issues and  if turnover  of  key administrative  staff                                                               
members was one of her concerns.                                                                                                
                                                                                                                                
2:24:23 PM                                                                                                                    
MS.  DAVIDSON  replied  that  she  didn't  look  at  staffing  in                                                               
particular;   boards  and   commissions   are  financially   self                                                               
supporting.  Their  conclusion  with  regards  to  the  Board  of                                                               
Pharmacy  is  that it  has  no  financial deficits,  because  the                                                               
licensees themselves pay for those things.                                                                                      
                                                                                                                                
2:25:18 PM                                                                                                                    
CHAIR PASKVAN asked if the fee  that is being assessed isn't high                                                               
enough, would  that indirectly affect  being able to  hire enough                                                               
people to do the work.                                                                                                          
                                                                                                                                
MS. DAVIDSON  replied that she  hadn't looked at  staffing enough                                                               
to make  any recommendations  about it  and maybe  the department                                                               
would want to address it.                                                                                                       
                                                                                                                                
2:25:48 PM                                                                                                                    
CHAIR PASKVAN  found no questions  on recommendation 2 on  page 8                                                               
and  went to  the  last recommendation  on page  9  and said  the                                                               
number of  vacancies that are  identified goes to the  core issue                                                               
of consumer protection and asked if she could add anything.                                                                     
                                                                                                                                
MS.  DAVIDSON  replied that  it  goes  back to  maintaining  good                                                               
membership on  the boards so  that work  can get done.  You don't                                                               
want the  occupational boards to  be so  focused on what  is good                                                               
for  the occupation.  If the  state is  going to  be involved  in                                                               
regulating an occupation, there has to  be a good public need for                                                               
it and  that is where  the public members, particularly,  bring a                                                               
valuable perspective. So  when it's a public  member vacancy, not                                                               
only  does  everybody  else  have  a  bigger  work  load,  but  a                                                               
different point of view is missing from deliberations.                                                                          
                                                                                                                                
CHAIR PASKVAN asked  if she has come across  an "unwillingness or                                                               
uneasiness" with either  the public or professional  members of a                                                               
board   about   sitting  on   it   because   of  APOC   reporting                                                               
requirements.                                                                                                                   
                                                                                                                                
MS.  DAVIDSON answered  that the  members of  the board  that she                                                               
talks to  are already  appointed and they  would already  be over                                                               
that hurdle. But  that might come up from people  who decided not                                                               
to apply to serve  on a board. That might be  a good question for                                                               
the Governor's Office in terms of  what sort of barriers they are                                                               
having in getting board members.                                                                                                
                                                                                                                                
CHAIR PASKVAN asked if she  has come across instances where there                                                               
just  wasn't  an  applicant  for  a board  position  or  where  a                                                               
qualified applicant was just not being appointed.                                                                               
                                                                                                                                
MS.  DAVIDSON replied  that the  audit  just looked  at how  many                                                               
vacancies there were.                                                                                                           
                                                                                                                                
2:29:27 PM                                                                                                                    
SENATOR  MEYER remarked  that one  member resigned  because of  a                                                               
direct financial  interest in the  health care industry.  How big                                                               
of  an issue  is that?  He said  you would  want people  who have                                                               
knowledge of  the pharmaceutical industry  on the board.  He then                                                               
asked how  they determine whether  or not a conflict  of interest                                                               
is too great; is it a subjective call?                                                                                          
                                                                                                                                
MS. DAVIDSON answered that the  generic law for public members is                                                               
that they  can't have  a financial  interest in  that occupation.                                                               
However, this  board in particular  has a requirement  in statute                                                               
that the public  member cannot have direct  financial interest in                                                               
the health care industry.                                                                                                       
                                                                                                                                
SENATOR MEYER asked how direct  financial interest is defined. Is                                                               
owning stock in a hospital a health care interest?                                                                              
                                                                                                                                
MS. DAVIDSON answered  that she didn't know  the specific details                                                               
on this one.  However, what happened to this public  member is he                                                               
passed through  when he was  appointed, but then he  changed jobs                                                               
once he was  a board member and that created  a conflict with the                                                               
statute.  She explained  that during  the audit  they ask  public                                                               
members  to certify  that  they meet  the  requirements and  this                                                               
member was unwilling to do that.                                                                                                
                                                                                                                                
2:31:45 PM                                                                                                                    
JENNIFER    STRICKLER,    Operations   Manager,    Division    of                                                               
Corporations, Business and  Professional Licensing, Department of                                                               
Commerce, Community  and Economic Development (DCCED),  said they                                                               
would probably  hear recommendation  2 repeated for  every sunset                                                               
audit report. She said unfortunately  the division went through a                                                               
couple of  "rough years" with  an administrative officer  who was                                                               
not "very accounting savvy" and  he didn't educate himself. Since                                                               
he moved  on, someone  with an  accounting background  was hired.                                                               
Mistakes were corrected to such a  degree that some of the boards                                                               
are now pleased with the budget reports they are getting.                                                                       
                                                                                                                                
MS. STRICKLER explained that the  Board of Pharmacy, for example,                                                               
gets   direct   support  from   the   licensing   unit,  but   an                                                               
administrative unit  handles all of the  budgetary and accounting                                                               
information. The enforcement unit  does enforcement. The problems                                                               
they  ran   into  were   in  the   administrative  unit   in  the                                                               
Professional  Licensing  area.  She recalled  that  Ms.  Davidson                                                               
mentioned the  entry level licensing  examiners are range  13 and                                                               
while they  had tried to  get them reclassed higher,  they hadn't                                                               
been successful. That  is not where the issues  lie, however; she                                                               
said  it  was   with  the  group  that   provides  the  licensing                                                               
statistics  to the  administrative group.  The problem  came with                                                               
the  former administrative  officer  she had  just mentioned  who                                                               
didn't  educate  himself  about   their  accounting  system.  For                                                               
several years, although the writing  on the wall, this person was                                                               
her peer and he was allowed to stay.  She said it is a shame that                                                               
this problem  had to  get such  a level before  he moved  on. The                                                               
report said that "known procedures  were in place" and they were,                                                               
but they  had been  "thrown out" by  this individual,  which made                                                               
the problem worse.   She has taken great strides  to recreate the                                                               
procedures and to correct a lot of the mistakes.                                                                                
                                                                                                                                
CHAIR PASKVAN  asked if some of  the high turnover was  a product                                                               
of the unqualified and untrained person.                                                                                        
                                                                                                                                
MS. STRICKLER answered yes; she  said there was great turnover in                                                               
the  administrative  and licensing  staff;  but  turnover in  the                                                               
licensing areas  of all  of the  programs is  because of  the pay                                                               
level of that job class.                                                                                                        
                                                                                                                                
CHAIR PASKVAN asked  if the fees being  charged the professionals                                                               
are  sufficient  for  members  of  the  board  to  operate  in  a                                                               
responsible manner.                                                                                                             
                                                                                                                                
MS. STRICKLER answered yes; in fact,  the fees will be lowered by                                                               
$100 across all categories that pay more than $200.                                                                             
                                                                                                                                
2:36:45 PM                                                                                                                    
CHAIR PASKVAN asked  how the fee can be lowered  and services can                                                               
still  be   adequately  provided  -  focusing   on  the  consumer                                                               
protection aspect.                                                                                                              
                                                                                                                                
MS. STRICKLER replied that because  of posting errors in the cost                                                               
accounting  system (direct  and indirect  costs of  expenditures)                                                               
caused by the former employee she  went back and compared that to                                                               
what  is  in the  state's  accounting  system.  She found  a  big                                                               
disparity; so everything was corrected  and now matches the state                                                               
accounting   system  to   date.  Fortunately,   this  board   had                                                               
accumulated a surplus which allows the fee to be lowered now.                                                                   
                                                                                                                                
CHAIR PASKVAN found no questions regarding recommendation 2.                                                                    
                                                                                                                                
2:37:54 PM                                                                                                                    
SENATOR THOMAS asked if this area is in good shape now.                                                                         
                                                                                                                                
MS. STRICKLER replied "yes."                                                                                                    
                                                                                                                                
2:38:21 PM                                                                                                                    
CHAIR  PASKVAN  went to  the  issue  of policy  makers  receiving                                                               
misleading information  and he  wanted to know  if he  was asking                                                               
the right question.                                                                                                             
                                                                                                                                
MS. STRICKLER  responded that  any information  he sees  from the                                                               
boards  to  date  will  be   accurate.  The  possible  misleading                                                               
information would  be incorrect  licensing statistics -  not from                                                               
the licensing staff that had  accurate information - but from the                                                               
financial  person  it  was  submitted to  in  the  division  that                                                               
prepares the annual reports.                                                                                                    
                                                                                                                                
2:39:48 PM                                                                                                                    
CHAIR PASKVAN found no further  questions on SB 247 and concluded                                                               
public testimony  for the  day. So  SB 247  was held  for further                                                               
work.                                                                                                                           
                                                                                                                                
          SB 248-EXTEND BD OF MARITAL & FAMILY THERAPY                                                                      
                                                                                                                                
2:41:44 PM                                                                                                                    
CHAIR PASKVAN announced SB 248 to be up for consideration.                                                                      
                                                                                                                                
2:41:49 PM                                                                                                                    
TIM BENINTENDI, staff  to Senator Olson, sponsor of  SB 248, said                                                               
the extension of  the Board of Marriage and  Family Therapy shows                                                               
June 30, 2015  in the bill, but the recommendation  was for 2014.                                                               
He ordered  up copies of the  bill before doing the  homework and                                                               
when he read the audit he  found the recommendation was for 2014.                                                               
The sponsor  supports the audit  and has  asked them to  amend SB                                                               
248 to reflect its recommendation.                                                                                              
                                                                                                                                
He said the board is composed  of three therapists and two public                                                               
members; the cost  of a license is currently at  $775 and in FY09                                                               
had  84 licensees.  According to  the  audit that  figure may  be                                                               
declining. Also according  to the audit, the  board's deficit has                                                               
gone down fairly dramatically from  $75,400 in FY05 to $29,200 in                                                               
FY09. The deficit has existed for over 10 years.                                                                                
                                                                                                                                
MR. BENINTENDI said  the board needs to  make regulatory changes,                                                               
however preparations  and processing for  such are charged  to it                                                               
and members  want to  eliminate its deficit  before they  move to                                                               
make  significant regulatory  changes.  He  said the  legislative                                                               
audit  recognizes  this  and  further  observed  that  the  board                                                               
support from  the department could  be more substantial  and that                                                               
the  governor  could be  making  appointments  in a  more  timely                                                               
fashion.                                                                                                                        
                                                                                                                                
CHAIR PASKVAN  asked about the APOC  issue if there is  a concern                                                               
that either  the applicant  pool is extremely  small or  that the                                                               
appointments   haven't   been   completed  from   the   available                                                               
applicants.                                                                                                                     
                                                                                                                                
MR. BENINTENDI answered  that he didn't have  any thoughts beyond                                                               
what has been  stated in the audit. Frankly,  he said, department                                                               
personnel  may  have  more  current figures,  but  a  decline  in                                                               
numbers seems to have been the  trend for the last several years,                                                               
and it is a small pool of people from which to draw fees.                                                                       
                                                                                                                                
2:44:46 PM                                                                                                                    
CHAIR PASKVAN remarked  that he has a  draft committee substitute                                                               
(CS) that  reflects the recommended-2014  sunset date  that would                                                               
be brought up in the next meeting.                                                                                              
                                                                                                                                
2:45:11 PM                                                                                                                    
PAT  DAVIDSON,  Division  of   Legislative  Audit,  Alaska  State                                                               
Legislature, said  the audit recommended  extending the  Board of                                                               
Marital and Family  Therapy to June 30, 2014.  She explained that                                                               
a four-year extension is half of  what is allowed by statute, and                                                               
the reason for the four-year  recommendation is because she found                                                               
the board  is holding off  on regulation projects because  of the                                                               
estimated associated costs along with  the fact that the board is                                                               
currently trying to work off its deficit.                                                                                       
                                                                                                                                
She said that  a main advantage to having  professional boards is                                                               
they keep  regulations up to  date instead of the  legislature or                                                               
an administrative body having to do  it. However, if the board is                                                               
holding off  on doing the  regulatory changes that  are necessary                                                               
to  keep   that  professional  occupation  to   its  professional                                                               
standards, it isn't really aren't  serving its licensing purpose.                                                               
This is why the audit  recommended a limited extension. They also                                                               
found the same administrative difficulties  with the board - lack                                                               
of timely appointments by the governor for new board members.                                                                   
                                                                                                                                
CHAIR  PASKVAN   said  page  7,  findings   and  recommendations,                                                               
references  that  chairs  of  both the  boards  objected  to  her                                                               
recommendation of combining them into  one single board. What was                                                               
the basis for the objection?                                                                                                    
                                                                                                                                
2:48:06 PM                                                                                                                    
MS.   DAVIDSON  replied   that  the   last  time   mental  health                                                               
professionals  were looked  at -  the Boards  of Social  Workers,                                                               
Marital   and   Family   Therapists,   Professional   Counselors,                                                               
Psychologists, Psychological  Associates, and  one other  group -                                                               
they were all up for sunset in  the same year (by design). One of                                                               
the things  she looked at is  if they should be  combined and her                                                               
recommendation is that they could  be combined. But when it comes                                                               
down to it, the boards are  financially self supporting and so is                                                               
each occupation.  So there was  no overriding budgetary  need for                                                               
the combination; and  probably the best way to  create failure is                                                               
to try  to "stick people together  who do not want  to be there."                                                               
Her office thought a combined board  would be larger than any one                                                               
of the  individual boards,  but in  total would  be a  little bit                                                               
smaller.  Again, they  had  a  real concern  that  if the  boards                                                               
didn't want to join or there  was more than an initial reluctance                                                               
to it,  they would  end up  with a  couple of  very dysfunctional                                                               
boards. About four  or five years ago the  legislature decided to                                                               
individually license the boards.                                                                                                
                                                                                                                                
MS.  DAVIDSON said  the Board  of Marital  and Family  Therapists                                                               
thought  combining  would  be  okay,  but  it  was  in  financial                                                               
difficulty and  continuing to  be challenged;  and it  has pretty                                                               
high fees. The only other board  that has a small group with high                                                               
fees  is the  Board  of  Direct Entry  Midwives.  Their group  is                                                               
relatively small;  the fees go  up and  down and they  never hear                                                               
complaints  from the  practitioners  about getting  rid of  their                                                               
board.                                                                                                                          
                                                                                                                                
CHAIR PASKVAN asked  if given the objection  to joining together,                                                               
would  it be  appropriate  to do  a two-year  sunset  to see  how                                                               
successful  their  financial efforts  are.  Or  are they  forever                                                               
separated and not going to try to achieve those efficiencies?                                                                   
                                                                                                                                
MS.  DAVIDSON  said  the  legislature  could  designate  whatever                                                               
extension  it  would  like.  Since   the  statute  requires  each                                                               
occupation  to be  self sufficient,  combining  the boards  would                                                               
make any  economies of financial  scale. Choosing to make  a two-                                                               
year extension to drive the point home is up to the legislature.                                                                
                                                                                                                                
CHAIR PASKVAN found no further  questions on recommendation 1 and                                                               
went on to  recommendation 2, the issue of  unqualified staff and                                                               
lack of documented procedures.                                                                                                  
                                                                                                                                
SENATOR THOMAS  interrupted to say  he had  trouble understanding                                                               
how delaying regulations has an impact on revenue.                                                                              
                                                                                                                                
MS.  DAVIDSON  answered  that  regulation  projects  involve  the                                                               
Department of Law (DOL) and it  bills the board for its services.                                                               
If they  start to  incur legal  and regulation  specialist costs,                                                               
then the costs would go up and then  the fees have to go up. This                                                               
board is  already seeing a  decline in  the number of  people who                                                               
are seeking licensure. She reminded them  that this is one of the                                                               
boards that has  a title restriction. You cannot  call yourself a                                                               
licensed marital and family therapist  unless you are licensed by                                                               
the  state, but  it  doesn't really  prohibit  one from  offering                                                               
those services in a different  name. So, while practitioners find                                                               
value in  licensing, by  being able  to bill  insurance companies                                                               
for  instance,   it's  a  title   restriction,  not   a  practice                                                               
restriction.  If the  fees get  to be  too much  to bear,  people                                                               
could decide to just not be licensed.                                                                                           
                                                                                                                                
2:55:01 PM                                                                                                                    
CHAIR  PASKVAN asked  if the  state has  a minimum  qualification                                                               
standard for someone calling himself a counselor or a therapist.                                                                
                                                                                                                                
MS.  DAVIDSON  replied  yes; there  are  Boards  of  Professional                                                               
Counselors,   Social  Work   Examiners,   and  Psychologist   and                                                               
Psychological Associates. Each of those  boards are going to have                                                               
educational  requirements  associated  with  them  -  possibly  a                                                               
certain  level of  experience requirements  and  clinical or  non                                                               
clinical settings to meet licensure.                                                                                            
                                                                                                                                
CHAIR PASKVAN  asked if  that included the  Board of  Marital and                                                               
Family Therapy.                                                                                                                 
                                                                                                                                
MS. DAVIDSON replied "yes."                                                                                                     
                                                                                                                                
2:56:18 PM                                                                                                                    
CHAIR  PASKVAN went  on to  recommendation 2  on the  unqualified                                                               
staff and lack of documented procedures.                                                                                        
                                                                                                                                
MS. DAVIDSON said those are the  same issues as with the previous                                                               
bill.                                                                                                                           
                                                                                                                                
CHAIR PASKVAN went to recommendation 3.                                                                                         
                                                                                                                                
MS. DAVIDSON said that is the same as the previous bill.                                                                        
                                                                                                                                
CHAIR  PASKVAN  found   no  further  questions  on   any  of  the                                                               
recommendations.                                                                                                                
                                                                                                                                
2:57:00 PM                                                                                                                    
JENNIFER    STRICKLER,    Operations   Manager,    Division    of                                                               
Corporations, Business and  Professional Licensing, Department of                                                               
Commerce,  Community and  Economic Development  (DCCED), reported                                                               
that the Board  of Marital and Family Therapy is  about $2000 shy                                                               
of making  up its deficit.  The division's fee analysis  is based                                                               
on a two-year  period and as with the other  board, they had gone                                                               
back and corrected its figures.                                                                                                 
                                                                                                                                
CHAIR PASKVAN asked her "gut  feeling" about combining this board                                                               
with other  boards once their  monetary deficiency is  brought up                                                               
to date.                                                                                                                        
                                                                                                                                
MS.  STRICKLER  answered  that  her   gut  feeling  is  that  the                                                               
potential  would be  there  if  they were  all  operating in  the                                                               
positive, but she  didn't necessarily see any  huge benefits. For                                                               
example,  the  Board  of Architects,  Engineers,  Surveyors,  and                                                               
Landscape Architects has 11 or  12 members. Central licensing has                                                               
a  law that  says  for whatever  reason, they  all  pay the  same                                                               
amount of  fees. The  same thing  could happen  here, but  if the                                                               
Board of  Marital and Family  Therapy currently has  84 licensees                                                               
and  if they  are added  to  a larger  group, like  the Board  of                                                               
Psychologists and Psychological Associates,  even if they all pay                                                               
the same  fees, a majority  of the  revenue would be  coming from                                                               
the psychology area. The boards might not consider that "equal."                                                                
                                                                                                                                
2:59:56 PM                                                                                                                    
PATRICIA WHITE,  Chair, Board of Marriage  and Family Therapists,                                                               
introduced herself.                                                                                                             
                                                                                                                                
CHAIR PASKVAN  asked her thoughts regarding  the audit's findings                                                               
and recommendations and sunset extension.                                                                                       
                                                                                                                                
MS. WHITE  said she wrote a  letter in response to  the audit and                                                               
it said  that the responsibility  spread over three  sections was                                                               
fair and not  just all the board's fault. The  deficit has been a                                                               
problem,  but it  happened  earlier on  in  the board's  creation                                                               
around   1992.  The   board   has  made   changes   in  the   way                                                               
investigations  are carried  out before  passing them  on to  the                                                               
DOL, which eliminates  the problem that happened  many years ago.                                                               
The investigation centered  on actions on the part  of a licensed                                                               
marriage  and   family  therapist  who   is  no  longer   in  the                                                               
profession.  It  was  a  good thing,  but  procedures  have  been                                                               
changes so  that these kinds of  costs won't happen to  the board                                                               
again.                                                                                                                          
                                                                                                                                
MS.  WHITE stated  that the  audit  said their  main function  is                                                               
protecting the public  interest and that their  inability to look                                                               
at  changing regulations  was challenging  in  that light.  While                                                               
that  is true  in  theory, after  the audit  came  out the  board                                                               
decided to  review all of  its minutes to  see if it  should have                                                               
gone  ahead  with  regulations   but  were  thwarted  because  of                                                               
associated  costs. She  didn't  think they  would  find that  any                                                               
public interest had been challenged,  but they were going to make                                                               
sure.                                                                                                                           
                                                                                                                                
3:03:18 PM                                                                                                                    
CHAIR PASKVAN asked if she  found the APOC reporting requirements                                                               
of  board members  was  unduly limiting  the  field of  potential                                                               
applicants.                                                                                                                     
                                                                                                                                
MS.  WHITE answered  that she  didn't realize  there was  an APOC                                                               
reporting requirement.                                                                                                          
                                                                                                                                
CHAIR PASKVAN asked if anyone else  wanted to comment on the APOC                                                               
issue.  Finding no  further questions,  he said  SB 248  would be                                                               
held for further work.                                                                                                          
                                                                                                                                
                                                                                                                                
                   SB 117-PRICE OF CIGARETTES                                                                               
                                                                                                                                
3:06:01 PM                                                                                                                    
CHAIR PASKVAN announced SB 117 to be up for consideration.                                                                      
                                                                                                                                
ESTHER CHA, aide to Senator McGuire,  sponsor of SB 117, said the                                                               
intent of  SB 117  is to  close a loophole  in law,  which allows                                                               
large high-volume cigarette sellers  to price their cigarettes at                                                               
less than the minimum  price set by law if it  can be proved that                                                               
their cost of  doing business is lower than  the mandated minimum                                                               
price.                                                                                                                          
                                                                                                                                
She explained that the original purpose  of Article 7 in Title 43                                                               
was  to  prevent wholesalers  and  retails  from using  predatory                                                               
pricing practices  to promote  the sale  of cheap  cigarettes and                                                               
use them as a loss  leader. However, AS 43.50.800(c) specifically                                                               
states that  a wholesaler or  retailer that wishes  to advertise,                                                               
offer to sell,  or sells cigarettes at less  than the presumptive                                                               
actual  cost to  the  wholesaler or  retailer  must first  obtain                                                               
approval  from the  Department of  Revenue (DOR).  The department                                                               
may grant  approval only if  the wholesaler or  retailer provides                                                               
proof  satisfactory to  the department  that the  wholesaler's or                                                               
retailer's actual  cost is lower  than presumed. Because  of this                                                               
one clause, the statute didn't work the way it was supposed to.                                                                 
                                                                                                                                
For example,  she said if  the department determines that  a pack                                                               
of cigarettes' minimum  cost is $7 and someone comes  in and says                                                               
they can show  their cost of doing business allows  them to price                                                               
cigarettes at  $6.50; so  they apply to  the DOR  that determines                                                               
whether that is  true and allows them to sell  cigarettes at that                                                               
price.                                                                                                                          
                                                                                                                                
She said  that SB 117  would repeal  AS 43.50.800 and  replace it                                                               
with  section 6  in the  bill which  establishes AS  43.50.810. A                                                               
committee substitute  (CS), version  E, changes  the multipliers.                                                               
In SB  117 (a)  the current  percentages are  as described  in AS                                                               
43.50.800(a)(b),  but the  change in  percentage points  reflects                                                               
the compromise  among some  of the smaller  retailers as  well as                                                               
the larger  wholesalers. They  have discussed  this with  the DOR                                                               
and found that the difference is the multipliers.                                                                               
                                                                                                                                
MS.  CHA said  that supporting  documents indicate  how increased                                                               
prices work to help deter  people from smoking, especially youth.                                                               
The studies  are accurate,  she said,  however the  price changes                                                               
that may  be in effect with  this bill may not  be as exaggerated                                                               
as needed  to prevent  a very large  decrease in  consumption. By                                                               
getting rid  of the wholesaler's  or retailer's ability  to apply                                                               
for an exemption,  SB 117 would also bring parity  and balance to                                                               
competition. It  would level the  playing field by  insuring that                                                               
all  vendors   regardless  of  size  and   volume  or  accounting                                                               
practices will  have to price at  or above the minimum  price set                                                               
by law.                                                                                                                         
                                                                                                                                
3:10:08 PM                                                                                                                    
SENATOR MEYER asked  how much the price would go  up per pack and                                                               
if it was set per pack or per  carton. He also wanted to know how                                                               
they came up with the multiplier.                                                                                               
                                                                                                                                
MS.  CHA  deferred  those  answers  to  Johanna  Bales  with  the                                                               
department.                                                                                                                     
                                                                                                                                
SENATOR MEYER  assumed this  applied to  just cigarettes  and not                                                               
small cigars. Ms. Cha indicated that was correct.                                                                               
                                                                                                                                
3:11:25 PM                                                                                                                    
CLIFF  CRAEMER, Vice  President,  Sales  and Marketing,  Northern                                                               
Sales Company, said they are  a diverse, full-service distributor                                                               
that does  commodities like bread,  candy, snacks,  beverages and                                                               
tobacco. He  strongly supported  the CS for  SB 117.  He believed                                                               
that  the  proposed changes  will  simplify  current law,  reduce                                                               
administrative burden for both the  state and licensee, and allow                                                               
a  level  playing   field  for  both  the   wholesalers  and  the                                                               
retailers.  They  support  the  recommendation  of  removing  the                                                               
exemption and the  proposed changes in the multiplier.  This is a                                                               
compromise between all the parties involved.                                                                                    
                                                                                                                                
3:13:42 PM                                                                                                                    
JOHN  MAKAY,   Sr.  Vice  President,  Northwest   Region,  Costco                                                               
Wholesale Corporation, said Costco  doesn't view the existing law                                                               
as having  a loophole. They  always sell products above  cost. He                                                               
explained that  the provision was  inserted in the past  to allow                                                               
Costco   to  not   have  to   artificially   overcharge  due   to                                                               
"essentially a  price fixing mechanism." It  turned out, however,                                                               
that that provision  was very burdensome for both  Costco and the                                                               
DOR. He  supported this  change, but said  it would  increase the                                                               
price slightly.                                                                                                                 
                                                                                                                                
3:15:41 PM                                                                                                                    
CHAIR PASKVAN asked if Costco factors labor into their cost.                                                                    
                                                                                                                                
MR. MAKAY  answered yes;  they factor in  every cost.  Costco and                                                               
the DOR spent a lot of time  figuring out how to determine cost -                                                               
for example, how much of his  salary or their overhead should get                                                               
applied to  one little department  in two buildings in  a company                                                               
that has  550 locations.   He said it  is very subjective  and he                                                               
appreciated the department working  with them trying to determine                                                               
that, but it  was an unwieldy process. Tobacco  suppliers did not                                                               
allow  deductions  that  Costco  sometimes  gets  for  its  other                                                               
products;  so the  profit they  made  on tobacco,  even with  the                                                               
existing  assumptions,   was  higher  in  Alaska   than  probably                                                               
anywhere in the country.                                                                                                        
                                                                                                                                
SENATOR  MEYER asked  if all  the states  he covers  have minimum                                                               
pricing for cigarettes.                                                                                                         
                                                                                                                                
MR. MAKAY answered that none of them do; Alaska is the only one.                                                                
                                                                                                                                
3:18:33 PM                                                                                                                    
SENATOR MEYER said he read that  23 other states do have this, so                                                               
it's not uncommon. Alaska is just the only one in his district.                                                                 
                                                                                                                                
MR. MAKAY said when this was  instituted a number of years ago, a                                                               
fair amount of analysis was done on the states.                                                                                 
                                                                                                                                
SENATOR MEYER  asked if tobacco can  be used as a  loss leader in                                                               
states that don't have minimum pricing.                                                                                         
                                                                                                                                
MR. MAKAY replied that he thought  so, but Costco has an internal                                                               
policy of  not selling things  below cost.  He said he  wasn't an                                                               
expert in that area.                                                                                                            
                                                                                                                                
3:19:21 PM                                                                                                                    
SENATOR MEYER said  he noticed the formula had  a trade discount,                                                               
and asked what that is.                                                                                                         
                                                                                                                                
MR. MAKAY  replied that a  lot of discounts have  been eliminated                                                               
by the tobacco  companies, except for volume  discounts and maybe                                                               
payment terms.                                                                                                                  
                                                                                                                                
3:20:16 PM                                                                                                                    
ROGER  HAMES,   President,  Hames  Corporation,   Sitka,  Alaska,                                                               
supported SB 117  and the CS for all the  reasons already stated.                                                               
He  added   that  he   understands  that   prices  would   go  up                                                               
fractionally at the most.                                                                                                       
                                                                                                                                
3:21:48 PM                                                                                                                    
CHAIR  PASKVAN held  SB 117  for further  work and  adjourned the                                                               
meeting at 3:22 p.m.