Legislature(2009 - 2010)HOUSE FINANCE 519

03/23/2010 09:00 AM House FINANCE

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09:08:15 AM Start
09:08:21 AM HB50
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
Scheduled But Not Heard
HOUSE BILL NO. 50                                                                                                             
     "An Act  relating to limitations on  mandatory overtime                                                                    
     for registered nurses and  licensed practical nurses in                                                                    
     health care facilities; and  providing for an effective                                                                    
9:08:31 AM                                                                                                                    
Co-Chair Stoltze went over the morning itinerary.                                                                               
9:09:18 AM                                                                                                                    
REPRESENTATIVE  PEGGY   WILSON  indicated  that   she  would                                                                    
present a general introduction to the bill.                                                                                     
Co-Chair   Hawker   MOVED   CSHB  50   (FIN),   26-LS0274\U,                                                                    
Chenoweth/Wayne, 3/22/10 as a working document.                                                                                 
Co-Chair Stoltze OBJECTED for discussion.                                                                                       
Representative  Wilson  reported  on the  excessive  working                                                                    
hours  for  nurses  in  Alaska. She  did  not  believe  this                                                                    
provides a safe working  environment for patients or nurses.                                                                    
She explained  that the  purpose of the  bill is  to promote                                                                    
better patient  safety by making sure  nurses receive enough                                                                    
rest.  There  are fifteen  other  states  that have  adopted                                                                    
similar  requirements.  Most  of the  other  state  versions                                                                    
restrict  nurses  to  twelve   consecutive  hours  with  the                                                                    
mandated rest  period of  twelve hours.  House Bill  50 will                                                                    
set a  fourteen hour limit  with a  ten hour rest  period to                                                                    
provide  additional  flexibility  to  hospitals.  There  are                                                                    
eleven additional states that are  in the process of passing                                                                    
a  similar bill.  Representative Wilson  alleged that  there                                                                    
will be testimony from some  hospitals insisting there is no                                                                    
need  for this  bill. Hospitals  in  Alaska do  not use  the                                                                    
practice  of   mandatory  overtime.   Representative  Wilson                                                                    
believed  that  nurses  in   Alaska  are  working  excessive                                                                    
overtime  without  adequate  rest at  these  hospitals.  She                                                                    
stated  that  nurses  are often  mandated  or  bullied  into                                                                    
working  the  overtime  hours.  Nurses  across  Alaska  have                                                                    
provided considerable  testimony and  written communications                                                                    
that there  are serious  problems occurring with  these long                                                                    
shifts. Nurses are working beyond  the twelve hour shifts on                                                                    
a frequent basis  and then returning to  work without enough                                                                    
rest.  She stressed  the lack  of safety  in this  practice.                                                                    
Nurses   often  work   twelve  hour   shift  over   multiple                                                                    
consecutive  days.  Representative   Wilson  disclosed  that                                                                    
nurses  often leave  the state  or retire  early. She  urged                                                                    
consideration and action on this bill.                                                                                          
9:13:24 AM                                                                                                                    
BEN  MULLIGAN, STAFF,  CO-CHAIR STOLTZE,  explained the  new                                                                    
Committee  Substitute.   He  began   on  page  4,   line  2,                                                                    
subsection  (i) which  needed further  clarification of  the                                                                    
intent  coming  out  of  the   Health  and  Social  Services                                                                    
Committee.  In   subsection  (ii)  and  (iii)   the  statute                                                                    
references needed  to be  clarified. Mr.  Mulligan continued                                                                    
to page 6  that removed Section 18.20.450  which brought the                                                                    
Department of Law into the  situation of retaliation against                                                                    
the nurses  by health care facilities.  The co-chair removed                                                                    
that  section.  He  also mentioned  that  the  Applicability                                                                    
sections needed to be updated.                                                                                                  
Co-Chair  Stoltze  remarked  that  the  change  was  brought                                                                    
through the committee substitute  rather than amendments. He                                                                    
voiced a  concern about a  state agency being involved  in a                                                                    
litigation issue.  Those opposed  to the  bill did  not like                                                                    
this section.                                                                                                                   
Co-Chair  Stoltze WITHDREW  his  OBJECTION.  There being  NO                                                                    
further    OBJECTION,    CSHB    50    (FIN)    26-LS0274\U,                                                                    
Chenoweth/Wayne, 3/22/10 was adopted as a working document.                                                                     
BECKY  ROONEY, STAFF,  REPRESENTATIVE WILSON  commented that                                                                    
the new Committee Substitute changed was acceptable.                                                                            
9:17:04 AM                                                                                                                    
Representative  Austerman asked  for an  explanation of  the                                                                    
change on  page six. Mr.  Mulligan stated that  the co-chair                                                                    
removed the Department  of Law in retaliation  cases for the                                                                    
representation of the nurses.                                                                                                   
Representative Austerman  reiterated his  question. Co-Chair                                                                    
Stoltze  interjected  that  the   section  was  removed.  It                                                                    
provided for the Department of  Law to be the legal services                                                                    
for the  nurses. Representative Austerman commented  that it                                                                    
appeared to be added back in.                                                                                                   
9:18:38 AM                                                                                                                    
Mr. Mulligan  explained that  the numbers  on the  bill have                                                                    
just been changed.                                                                                                              
Representative  Wilson expressed  that  she was  comfortable                                                                    
with the changes.                                                                                                               
9:19:10 AM                                                                                                                    
Representative  Doogan  noted  the  section  that  has  been                                                                    
deleted.  One   requirement  of  the  Commissioner   of  the                                                                    
Department  of  Labor  is investigate  the  allegations  and                                                                    
then,  if  there  is  a violation,  the  Department  of  Law                                                                    
prosecutes.  He  inquired  if   the  states  requirement  to                                                                    
investigate  complaints  has   been  removed.  Mr.  Mulligan                                                                    
replied yes.                                                                                                                    
9:20:26 AM                                                                                                                    
Representative Fairclough furthered  that if anyone violates                                                                    
the law  in the  state of Alaska  they still  have recourse,                                                                    
but it has just been removed from this specific document.                                                                       
Representative   Doogan   noted  that   the   Commissioner's                                                                    
positive  duty to  investigate  every  complaint alleging  a                                                                    
violation has been removed in  this bill. He inquired on how                                                                    
complaint investigations  would now occur.  Co-Chair Stoltze                                                                    
agreed that needed to be looked at again.                                                                                       
9:22:32 AM                                                                                                                    
Vice-Chair  Thomas  asked how  many  nurses  are in  Alaska.                                                                    
Representative Wilson  did not  know the exact  numbers, but                                                                    
estimated in the thousands.  Vice-Chair Thomas requested the                                                                    
exact number of nurses.                                                                                                         
9:23:41 AM                                                                                                                    
NANCY DAVIS, PRESIDENT,  ALASKA NURSES ASSOCIATION supported                                                                    
HB 50.  She informed  that she has  been a  Registered Nurse                                                                    
for   over   40  years   in   public   health  and   hospice                                                                    
associations. She  indicated that  nurses have  been seeking                                                                    
basic protection  for themselves  and patients.  The patient                                                                    
depends on the nurses for  their health and safety, which is                                                                    
especially  important   for  those  who  cannot   make  good                                                                    
determination   for  themselves.   The  patient   should  be                                                                    
protected against  mistakes or errors. Nurses  are ethically                                                                    
required to  guard and protect  the patient, but  often feel                                                                    
the  fear of  retaliation if  they  refuse to  work all  the                                                                    
overtime hours. The bill reduces  the practice of the nurses                                                                    
having  to  work these  excessive  overtime  hours. It  also                                                                    
protects  against the  retaliation  practices. Nurses  often                                                                    
fear their  job is in danger.  She would like to  see Alaska                                                                    
join other states in passing this bill.                                                                                         
9:29:59 AM                                                                                                                    
Vice-Chair  Thomas  inquired  on  the number  of  nurses  in                                                                    
Alaska  being affected.  Ms. Davis  replied  that there  are                                                                    
eight  thousand practicing  nurses  in Alaska,  but some  of                                                                    
them only practice a minimum  amount of hours. She indicated                                                                    
that  approximately 85  percent  of nurses  work in  24-hour                                                                    
institutional care facilities. She  noted that 15 percent to                                                                    
20 percent work outside in community or public health.                                                                          
Vice-Chair Thomas  asked for the  average age of  the nurses                                                                    
in Alaska.                                                                                                                      
Ms. Davis  responded that Alaska's working  nurses are older                                                                    
than  the national  average. She  estimated  close to  fifty                                                                    
years old for the average nurse.                                                                                                
Vice-Chair  Thomas  inquired  if nurses  must  update  their                                                                    
nursing licenses. Ms. Davis informed  that nurses must renew                                                                    
their licenses  every two years. They  must demonstrate work                                                                    
as  a   nurse  and  complete  thirty   hours  of  continuing                                                                    
Vice-Chair Thomas  asked who  pays for  this recertification                                                                    
training.  Ms. Davis  noted  that it  depends  on where  the                                                                    
nurses  worked;  many  hospitals  have  continuing  training                                                                    
available  in-house  for  the nurses,  but  there  are  some                                                                    
nurses who pay it themselves.                                                                                                   
Vice-Chair Thomas  noted that some  nurses belong  to unions                                                                    
and wondered  if those nurses  have the same  problems under                                                                    
union contracts.  Ms. Davis replied that  labor contracts do                                                                    
not always  address excessive overtime hours.  She estimated                                                                    
that  about  half  of Alaska's  facilities  have  collective                                                                    
bargaining agreements. She believed  that the first issue is                                                                    
patient safety.                                                                                                                 
Vice-Chair  Thomas  commented  that he  thought  the  unions                                                                    
would  speak to  this issue  for patient  safety. Ms.  Davis                                                                    
declared that she wished there was  no reason to have to set                                                                    
a limit, but there has been no other way to solve this.                                                                         
9:34:31 AM                                                                                                                    
Representative  Fairclough asked  if  Registered Nurses  and                                                                    
Licensed Practical Nurses cover  all aspects of nursing. Ms.                                                                    
Davis  replied yes,  although  there  are Certified  Nursing                                                                    
Assistants covered under the Board  of Nursing, but they are                                                                    
not considered professional nursing  staff. They do not have                                                                    
independent responsibility for patient care.                                                                                    
Representative Fairclough asked if  agencies would turn to a                                                                    
Certified  Nursing Assistant  in  seeking additional  hours.                                                                    
She wondered if that class  of nurses would be covered under                                                                    
this bill. Ms. Davis replied that  she did not believe a 24-                                                                    
hour  facility could  only run  with  nursing assistants.  A                                                                    
registered  nurse must  oversee and  be responsible  for the                                                                    
work of the nursing assistants.                                                                                                 
9:36:53 AM                                                                                                                    
ROD  BETIT,  PRESIDENT,  ALASKA   HOSPITAL  &  NURSING  HOME                                                                    
ASSOCIATION  spoke  on  behalf of  the  associations  twenty                                                                    
seven members  that represent  private, federal,  state, and                                                                    
tribal  facilities.  Although  he  respected  Representative                                                                    
Wilson  for her  efforts, he  did not  support the  bill. He                                                                    
indicated  that mandatory  overtime has  been tracked  for a                                                                    
number of years and it is  minimal in the state (ASHNHA 2007                                                                    
and  2008 Nurse  Overtime  Survey Results,  March 13,  2009,                                                                    
copy  on file).  Mandatory overtime  has only  been used  in                                                                    
four  facilities,  mostly   at  state  operated  psychiatric                                                                    
institutes.   The  chart   indicates   that  vacancies   are                                                                    
improving;  11 percent  in 2007  to 9  percent in  2008. Mr.                                                                    
Betit referred  to the blue  highlighted column  that showed                                                                    
the  temporary nursing  hours  purchased  by the  facilities                                                                    
from various companies throughout  Alaska. It reflected over                                                                    
one quarter  of a  million hours were  purchased. This  is a                                                                    
more expensive  approach to  the facilities  since temporary                                                                    
staff time is more expensive.  The final column shows that a                                                                    
zero  number of  grievances were  filed in  2008. Mr.  Betit                                                                    
believed that  this issue belongs  in the  bargaining table.                                                                    
He noted there  is a there is a 12  hour basic nursing shift                                                                    
which  means they  pay for  a fulltime  nurse to  produce 36                                                                    
hours of work in any given  week to protect a three day work                                                                    
for a nurse.  There is a 10 percent loss  of working time of                                                                    
each nurse  employed by  a facility. This  is one  of factor                                                                    
that contributes to the nursing shortage.                                                                                       
Mr.  Betit  continued  that  a third  issue  is  quality  of                                                                    
service  and  90 percent  of  Alaskans  responded always  or                                                                    
usually positive.  He proved further statistics  of positive                                                                    
patient  response.  He believed  the  real  question is  the                                                                    
storage  of nurses  throughout the  state. He  provided ways                                                                    
that his organization  has tried to deal  with this storage.                                                                    
He also referred  to several bills to  bring already trained                                                                    
and ready to  work nurses from around  the country. Finally,                                                                    
he  believed  this  bill  would   require  a  new  mandatory                                                                    
recording  burden that  could  hurt  smaller facilities.  He                                                                    
understood  the purpose,  but believed  the facilities  were                                                                    
meeting the  intent of the bill  and much was being  done to                                                                    
move forward in a positive way.                                                                                                 
9:43:31 AM                                                                                                                    
Representative Foster  wanted clarification on  the tracking                                                                    
burden  because it  seemed like  the tracking  mechanism was                                                                    
already in place.  Mr. Betit explained that  the report only                                                                    
tracked mandatory  overtime and on-call time.  The reporting                                                                    
requirement in  the bill  would be for  all overtime  by the                                                                    
nurses. All facilities in the  state use voluntary overtime,                                                                    
therefore every  facility in  the state  would have  to keep                                                                    
these records and report them on a quarterly basis.                                                                             
Representative Fairclough  inquired if  there was  a payroll                                                                    
system  in  place  in  each of  the  facilities.  Mr.  Betit                                                                    
replied that  was true,  but it  was his  understanding that                                                                    
the  depth of  detail  is  not routinely  put  out by  those                                                                    
personal systems.                                                                                                               
Representative Fairclough commended that  every time she has                                                                    
worked overtime  it is  tracked on  her payroll  checks. She                                                                    
did not understand how that  information could not be linked                                                                    
up for the required reporting.                                                                                                  
9:45:18 AM                                                                                                                    
Representative  Doogan  that  some  of the  numbers  show  a                                                                    
variety  of symbols  under "length  of shift  in hours."  He                                                                    
wondered what these numbers refer to.                                                                                           
Mr. Betit  agreed there  was an  inconsistent use  of commas                                                                    
and periods, but  basically it states the  variety of shifts                                                                    
available in each of the facilities.                                                                                            
9:46:23 AM                                                                                                                    
DR.   PATRICK   NOLAN,   ENDOCRINOLOGIST,   ANCHORAGE   (via                                                                    
teleconference)  voiced  his  concern about  nurses  working                                                                    
long  hours.  He  believed  that  even  the  fourteen  hours                                                                    
specified in  the bill was  excessive. Many  hospital nurses                                                                    
have quit  because of long hours  and overtime requirements.                                                                    
Nursing is  a stressful  job and mistakes  can be  made when                                                                    
someone is tired.                                                                                                               
9:49:09 AM                                                                                                                    
PATTIE  ARTHUR, NORTH  STAR  HOSPITAL (via  teleconference),                                                                    
testified in support of the  bill. She referenced Article 4,                                                                    
Section  18.20.400  Limitations   on  nursing  overtime  and                                                                    
applauded  this  inclusion. She  also  referred  to page  3,                                                                    
number 7 (A, B, C) (CS HB  50 (HSS). This allowed her to get                                                                    
her  nursing  degree  and  opened  other  opportunities  for                                                                    
nurses to  pursue their master's  degree or  nursing degree.                                                                    
She was in favor of passing this legislation.                                                                                   
9:51:02 AM                                                                                                                    
SCOTT JUNGWIRTH,  CHIEF HUMAN RESOURCES  OFFICER, PROVIDENCE                                                                    
HOSPITAL &  HEALTH SERVICES OF ALASKA  (via teleconference),                                                                    
indicated  that Providence  Hospital does  not support  this                                                                    
legislation. He  believed that collective  bargaining should                                                                    
be used to reach solutions  on staffing issues. His hospital                                                                    
does not  require mandatory overtime, but  allows the nurses                                                                    
to bid on overtime should  they choose. The on-call language                                                                    
in   this   legislation   is    vague   and   would   create                                                                    
misinterpretations.  On-call teams  are  often necessary  in                                                                    
cases  such  as emergency  operating  rooms.  For most  part                                                                    
nurses are allowed  to schedule their on-call  time which is                                                                    
a practice preferred by many nurses.                                                                                            
Co-Chair Stoltze asked for a faxed copy of his testimony.                                                                       
9:53:24 AM                                                                                                                    
Representative  Gara commented  that  nurses,  by being  on-                                                                    
call, alter  their lives  in significant  ways on  behalf of                                                                    
their patients.  He wished  to hear  some credit  offered to                                                                    
these nurses.                                                                                                                   
Vice-Chair  Thomas  inquired   about  collective  bargaining                                                                    
units  and   pondered  retuning   of  this  bill   to  those                                                                    
facilities that do not have collective bargaining units.                                                                        
9:54:43 AM                                                                                                                    
BARBARA  LANDER,  ICU  NURSE,  KETCHIKAN  GENERAL  HOSPITAL,                                                                    
supported  the  bill.  She  believed   this  would  put  the                                                                    
hospital on call with more  realistic hiring techniques. The                                                                    
facilities count on  nurses to work overtime to  fill in the                                                                    
time. She  gave a personal  experience when dealing  with an                                                                    
emergency and the resulting mistakes  made by some overtired                                                                    
nurses. She indicated there are  many examples like this and                                                                    
it  is a  widespread problem  that other  states have  dealt                                                                    
with.   She  disagrees   with   the  collective   bargaining                                                                    
technique because some nurses are  not covered by labor. She                                                                    
explained a situation of excessive  hours for herself. There                                                                    
are  some  nurses  that  oppose  this  bill  and  enjoy  the                                                                    
overtime hours.  Ms. Lander stressed  that this bill  is not                                                                    
about  the  nurses, but  for  the  safety of  the  patients.                                                                    
Hospital administrators use overtime as a staffing tool.                                                                        
10:01:10 AM                                                                                                                   
DR.  CHRISTIE  ARTUSO,  DIRECTOR OF  NEUROSCIENCE  SERVICES,                                                                    
PROVIDENCE    ALASKA    MEDICAL   CENTER    presented    her                                                                    
qualifications. She  expressed that  she was unaware  of any                                                                    
instance  when nurses  were required  to work  overtime. She                                                                    
testified  against the  bill. Dr.  Artuso argued  that there                                                                    
was no  need for  legislation to regulate  nurses. Mandatory                                                                    
overtime is not  the way to staff a  hospital, but sometimes                                                                    
it is  required and  many nurses  like this.  She elaborated                                                                    
that sometimes  nurses are  often sent home  due to  lack of                                                                    
work. She asserted  that when a nurse is  paid, then patient                                                                    
safety does  not seem to be  the issue. Why is  it necessary                                                                    
to have this  bill, but a battle of power  and money and not                                                                    
patient safety? She  asked where is the  current research on                                                                    
this  situation.  She challenged  them  to  check the  data.                                                                    
Demographics  of nurses  have changed  with better  educated                                                                    
nurses  and  workforce has  aged  but  research is  lacking.                                                                    
Nurse  patient  ratio  has  improved but  no  data.  Do  not                                                                    
support this legislation.                                                                                                       
10:07:19 AM                                                                                                                   
Representative Gara on the data how is it data.                                                                                 
Ms.  Artuso  patient  data  did   not  include  any  current                                                                    
delivery  that is  present today.  None of  some particulars                                                                    
were included.  Patients looked at  differently in  the past                                                                    
based on new techniques in  medical profession. Has not seen                                                                    
current studies.                                                                                                                
10:09:05 AM                                                                                                                   
DEBBIE   THOMPSON,   EXECUTIVE   DIRECTOR,   ALASKA   NURSES                                                                    
ASSOCIATION  supported this  bill.  She  is responsible  for                                                                    
hearing many of the nurses  regarding this bill. She did not                                                                    
believe this  to be  a union  issue - no  one party  has the                                                                    
best. She  believed that working through  a grievance. Often                                                                    
in  negotiation   session  told  it  would   be  handled  of                                                                    
legislation. It is  a patient safety issue.  The nurses were                                                                    
tired  but often  no one  to call  and they  dealt with  the                                                                    
pressures.  The  people and  patients  of  Alaska need  this                                                                    
10:12:52 AM                                                                                                                   
DOUG   CARSON,  BUSINESS   AGENT,  ALASKA   STATE  EMPLOYEES                                                                    
ASSOCIATION (via teleconference)  supported this legislation                                                                    
and supported nurses. He spoke  of the psychiatric institute                                                                    
overtime situation. Many required  working too much overtime                                                                    
and results in injury and safety.                                                                                               
DONNA  PHILLIPS,  REGISTERED  NURSE,  TURNAGAIN  ARM  HEALTH                                                                    
BOARD  OF  DIRECTORS   (via  teleconference)  supported  the                                                                    
legislation.  Patients should  not be  concerned about  long                                                                    
hours of  the nurses. Nurses  can only last so  long because                                                                    
of long  hours. UAA doing  great job of training  new nurses                                                                    
for  Alaska.  Too  many  people  rely  on  them,  especially                                                                    
doctors who rely on their  monitoring. She urged for patient                                                                    
10:17:21 AM                                                                                                                   
EVANGELYN DOTOMAIN,  PRESIDENT &  CEO, ALASKA  NATIVE HEALTH                                                                    
BOARD (via  teleconference) named her  issue is that  it has                                                                    
not been  proved it is  a problem  in Alaska. The  data does                                                                    
not support this  and their needs to be more  study on this.                                                                    
All facilities  have risk managers dealing  with this issue.                                                                    
Main concern is that is  presents a market challenge. Tribal                                                                    
health  care have  harder time  recruiting  nurses and  this                                                                    
legislation will make  it harder. In tight  labor market the                                                                    
nurse there  can make their  own deals. These are  agreed to                                                                    
in labor agreements. This will  provide a hardship. Also not                                                                    
sure how  certain issues  will be  handled under  this bill.                                                                    
How will they  know if people working  in several facilities                                                                    
be directed under this bill.                                                                                                    
10:21:23 AM                                                                                                                   
Representative  Foster understood  rural  Alaska has  unique                                                                    
challenges, and he believed  tribal facilities were exempted                                                                    
in  this bill  and wondered  if  Ms. Dotomain  was aware  of                                                                    
that.  Ms.  Dotomain  responded  that  she  was  aware.  She                                                                    
believed  the  whole market  is  changes  and made  it  more                                                                    
difficult to recruit and retain good nurses.                                                                                    
10:22:15 AM                                                                                                                   
JOHN  BRINGHURST,   CEO,  PETERSBURG  MEDICAL   CENTER  (via                                                                    
teleconference) voiced  his opposition  to the bill.  He has                                                                    
never  required  overtime  at his  facility,  it  is  always                                                                    
voluntary. There  will be a  burden that would  require more                                                                    
tracking. This  would go beyond just  tracking overtime, but                                                                    
many  other  features. There  is  only  one person  tracking                                                                    
human resources  and does  many other  jobs which  would add                                                                    
much  to  her already  overburdened  scheduled.  He did  not                                                                    
believe a  16 hour  shift was unsafe.  This should  be labor                                                                    
negotiation.  Nurses  often  spend  time  on  paperwork  and                                                                    
patient care. This would inflict more regulation.                                                                               
STACY ALLEN,  REGISTERED NURSE,  LABORERS LOCAL  341, PALMER                                                                    
(via  teleconference)  supported  this  bill  and  gave  her                                                                    
reasons.  She spoke  to the  mistakes made  when nurses  are                                                                    
tired. She wondered how it can  be believed that a nurse can                                                                    
work  safely  after  14  hours.  She  spoke  of  a  personal                                                                    
situation where she patients and  family were happy that the                                                                    
nurse  was  not  in  15th   hour  when  dealing  with  them.                                                                    
Collective bargaining is when  two groups agree on something                                                                    
or if they don't, then try to agree with what they can.                                                                         
10:28:45 AM                                                                                                                   
JOEY  MERRICK, PRESIDENT  OF DISTRICT  COUNCIL OF  LABORERS,                                                                    
EAGLE  RIVER (via  teleconference) supported  this bill.  He                                                                    
contended the  support of safety  in all industries.  It has                                                                    
been proved  that when working  longer hours,  more mistakes                                                                    
can happen.                                                                                                                     
10:30:19 AM                                                                                                                   
BARBARA HUFF TUCKNESS, DIRECTOR  OF LEGISLATIVE & GOVERNMENT                                                                    
AFFAIRS,   GENERAL  TEAMSTERS   LOCAL  959   spoke  to   the                                                                    
collective bargaining  situation. She indicated  that safety                                                                    
has been  a big issue  as well as  the number of  hours. She                                                                    
indicated  that  a  new  management  may  have  a  different                                                                    
attitude, but the importance deals  with patient safety. Ms.                                                                    
Huff supported the passage of the bill.                                                                                         
10:33:00 AM                                                                                                                   
Co-Chair Stoltze closed public testimony.                                                                                       
10:33:40 AM                                                                                                                   
CSHB 50  (FIN) was HEARD  and HELD in Committee  for further                                                                    

Document Name Date/Time Subjects
Averting Errors WSJ Article HB 50.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
CSHB 50 Sectional Revised Ver N.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
hb 50 sponsor.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
Hours of Service Limitations on Other Professions (3).pdf HFIN 3/23/2010 9:00:00 AM
HSS50-1.PDF HFIN 3/23/2010 9:00:00 AM
HB 50
HSS50-2.PDF HFIN 3/23/2010 9:00:00 AM
HB 50
HSS50-3.PDF HFIN 3/23/2010 9:00:00 AM
HB 50
scanned fiscal notes.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
States the prohibit RN OT Map HB 50.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
Studies Relating to Effects of Excessive Overtime by Nurses (2).pdf HFIN 3/23/2010 9:00:00 AM
HB 50
WORK DRAFT CS HB 50 26-LS0274 U.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
CSHB369 (FIN)-OOG-EO-03-23-10.pdf HFIN 3/23/2010 9:00:00 AM
HB 369
HB050CS(HSS)-DOLWD-WH-03-22-10.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
HB050CS(HSS)-DHSS-N-03-19-10.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
HB050CS(HSS)-DHSS-API-03-19-10.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
HB050CS(HSS)-DHSS-APH-03-19-10.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
HB 50 support letters.pdf HFIN 3/23/2010 9:00:00 AM
HB 50
CSHB 369 _FIN_ fiscal analysis-ALL _2_.pdf HFIN 3/23/2010 9:00:00 AM
HB 369