Legislature(2009 - 2010)CAPITOL 106

03/25/2010 03:00 PM HEALTH & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 309 DENTAL CARE INSURANCE TELECONFERENCED
Moved CSHB 309(HSS) Out of Committee
+ HB 361 CPR TRAINING FOR 911 DISPATCHERS TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 392 INCENTIVES FOR CERTAIN MEDICAL PROVIDERS TELECONFERENCED
Moved CSHB 392(HSS) Out of Committee
            HB 361-CPR TRAINING FOR 911 DISPATCHERS                                                                         
                                                                                                                                
4:03:30 PM                                                                                                                    
                                                                                                                                
CO-CHAIR KELLER announced  that the next order  of business would                                                               
be HOUSE  BILL NO. 361, "An  Act requiring 911 dispatchers  to be                                                               
trained in  cardiopulmonary resuscitation;  and providing  for an                                                               
effective date."   [In  front of the  committee was  the proposed                                                               
committee    substitute   (CS)    for   HB    361,   26-LS1478\R,                                                               
Luckhaupt/Mischel, 3/11/10.]                                                                                                    
                                                                                                                                
CRYSTAL  KOENEMAN,  Staff   to  Representative  Anna  Fairclough,                                                               
Alaska  State  Legislature, explained  that  HB  361 was  an  act                                                               
requiring  that 911  dispatchers  be  trained in  cardiopulmonary                                                               
resuscitation (CPR).   She  offered her belief  that this  was an                                                               
important step as Alaska was one  of only 18 states which did not                                                               
mandate this.                                                                                                                   
                                                                                                                                
4:04:49 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON moved to adopt  the proposed committee substitute                                                               
(CS) for HB 361, 26-LS1478\R,  Luckhaupt/Mischel, 3/11/10, as the                                                               
working  document.   There  being  no  objection, Version  R  was                                                               
before the committee.                                                                                                           
                                                                                                                                
MS. KOENEMAN explained  that the 911 coordinator  was currently a                                                               
position within  the Department of  Military &  Veterans' Affairs                                                               
(DMVA), and it  was suggested the coordinator  position should be                                                               
moved to the Department of Public Safety (DPS).                                                                                 
                                                                                                                                
4:06:01 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE T. WILSON  asked if it would be  necessary to have                                                               
a person certified in CPR in each bush Alaska community.                                                                        
                                                                                                                                
4:06:21 PM                                                                                                                    
                                                                                                                                
MS.  KOENEMAN replied  that most  municipalities had  dispatchers                                                               
trained  as emergency  medical dispatchers,  which included  CPR.                                                               
She  acknowledged  that bush  dispatchers  would  be required  to                                                               
receive  CPR training  and that  CPR certification  was available                                                               
online.                                                                                                                         
                                                                                                                                
4:07:43 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE T.  WILSON questioned the  value of an  online CPR                                                               
training and certification.                                                                                                     
                                                                                                                                
MS. KOENEMAN said  that the 911 coordinator  would facilitate and                                                               
monitor the CPR training.                                                                                                       
                                                                                                                                
REPRESENTATIVE T.  WILSON asked  how many communities  needed the                                                               
CPR certification for its dispatchers.                                                                                          
                                                                                                                                
MS.  KOENEMAN  said  that  it  was difficult  to  get  the  exact                                                               
information.                                                                                                                    
                                                                                                                                
4:09:15 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON  reported  that  CPR  no  longer  included                                                               
airway breathing,  and was now only  "100 beats per minute."   He                                                               
asked  if this  CPR adaptation  would affect  the wording  in the                                                               
proposed  bill and  that the  bill might  be mandating  something                                                               
that was no longer recommended.                                                                                                 
                                                                                                                                
4:10:15 PM                                                                                                                    
                                                                                                                                
MS.  KOENEMAN noted  that she  was aware  of the  new chest  pump                                                               
protocol  and she  suggested that  DMVA  or DPS  might have  more                                                               
information.                                                                                                                    
                                                                                                                                
4:10:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE T. WILSON asked if there was a fiscal note.                                                                      
                                                                                                                                
MS. KOENEMAN replied that a  new fiscal note was forthcoming from                                                               
DPS.  She  pointed out that the  bill did have a  referral to the                                                               
House Finance Committee.                                                                                                        
                                                                                                                                
4:11:33 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  KELLER  suggested  forwarding  the bill  to  the  House                                                               
Finance Committee.                                                                                                              
                                                                                                                                
4:12:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE LYNN asked about the  pros and cons for moving the                                                               
911 coordinator position within departments.                                                                                    
                                                                                                                                
4:12:26 PM                                                                                                                    
                                                                                                                                
MS. KOENEMAN replied  that neither department had  objected.  She                                                               
opined that DMVA  had initially received federal  funding for the                                                               
position.   In  response  to Representative  Lynn,  she said  the                                                               
decision came through discussions with both the departments.                                                                    
                                                                                                                                
4:13:40 PM                                                                                                                    
                                                                                                                                
MICHAEL   O'HARE,   Deputy   Director,   Division   of   Homeland                                                               
Security/Emergency   Management,   Department   of   Military   &                                                               
Veterans' Affairs  (DMVA), explained  that the position  had been                                                               
created at the  end of 2004 for emergency  communications as DMVA                                                               
had   responsibility  for   emergency  communications   during  a                                                               
catastrophic  disaster.   He explained  that the  day to  day 911                                                               
system should  belong in the  Department of Public  Safety (DPS),                                                               
and as defined in statute, it was not appropriate within DMVA.                                                                  
                                                                                                                                
4:15:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HOLMES asked  if the  position description  in HB
361 was the same as currently in DMVA.                                                                                          
                                                                                                                                
MR.  O'HARE agreed.   In  response to  Representative Seaton,  he                                                               
said that  CPR was still  the current requirement, but  that upon                                                               
recertification, the protocol would be for chest pumps.                                                                         
                                                                                                                                
REPRESENTATIVE SEATON  expressed his concern  for the use  of the                                                               
term CPR in statute, as it was no longer recommended.                                                                           
                                                                                                                                
MR. O'HARE  offered his  belief that the  term, CPR,  reflected a                                                               
current technique.   He agreed  that should the term  be changed,                                                               
then the statute would also have to change.                                                                                     
                                                                                                                                
4:17:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON reflected  on a  need to  use the  correct                                                               
term in statute.                                                                                                                
                                                                                                                                
CO-CHAIR  KELLER   agreed,  and  shared  an   anecdote  about  an                                                               
acquaintance  who  had  recently  trained  with  the  chest  pump                                                               
technique although the certification was still for CPR.                                                                         
                                                                                                                                
4:18:23 PM                                                                                                                    
                                                                                                                                
SUE  STANCLIFF, Special  Assistant, Office  of the  Commissioner,                                                               
Department of Public  Safety, noted that there were  two parts to                                                               
the  bill:  CPR   and  the  departmental  transfer   of  the  911                                                               
coordinator.  She said that a  poll to the statewide agencies had                                                               
revealed that the majority required  CPR, while many offered even                                                               
more  extensive  training.    She  reported  that  DPS  left  the                                                               
determination for CPR  with the dispatch commanders,  but that HB
361 would now  require CPR.  She offered her  support for CPR and                                                               
additional  training.    Addressing   the  transfer  of  the  911                                                               
coordinator  to DPS,  she stated  that as  DPS did  not currently                                                               
have this  position, it  would require  hiring a  position within                                                               
the Alaska State  Troopers.  She explained  the additional duties                                                               
for this  position.  She  reflected that  a fiscal note  would be                                                               
forthcoming.                                                                                                                    
                                                                                                                                
4:23:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  T.  WILSON asked  how  many  communities did  not                                                               
require CPR.                                                                                                                    
                                                                                                                                
MS. STANCLIFF replied  that no communities were  required to have                                                               
CPR certification.  In response  to Representative T. Wilson, she                                                               
said that some communities, such  as Anchorage and Fairbanks, had                                                               
a municipal ordinance for CPR certification.                                                                                    
                                                                                                                                
REPRESENTATIVE  T. WILSON  asked if  this was  a problem  in some                                                               
communities  and  she asked  if  the  coordinator would  need  to                                                               
travel  to the  bush communities.   She  questioned whether  this                                                               
would be a burden to the rural communities.                                                                                     
                                                                                                                                
MS. STANCLIFF said that six police  chiefs had responded to a DPS                                                               
poll that they were already requiring CPR certification.                                                                        
                                                                                                                                
REPRESENTATIVE  T.  WILSON asked  if  Alaska  State Troopers  and                                                               
Village Public Safety  Officers (VPSO) were required  to have CPR                                                               
certification.                                                                                                                  
                                                                                                                                
MS. STANCLIFF replied that this was part of the training.                                                                       
                                                                                                                                
4:25:57 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON  asked why the  911 coordinator duties  could not                                                               
be assigned to an existing position.                                                                                            
                                                                                                                                
MS.  STANCLIFF replied  that  DPS would  not  accept a  statutory                                                               
position without  doing it correctly.   She said that  the search                                                               
and  rescue   coordination,  the  emergency  response,   and  the                                                               
emergency calls  in conjunction with DMVA  all required training.                                                               
She opined that  the 911 coordinator would not be  limited to CPR                                                               
training.   She  pointed out  that the  job description  would be                                                               
based on the requirements listed in the statute.                                                                                
                                                                                                                                
4:27:30 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON  expressed concern for an  additional position to                                                               
be created for the 911 coordinator.                                                                                             
                                                                                                                                
MS. STANCLIFF, in response, said that  the DPS would not take the                                                               
job responsibility lightly.                                                                                                     
                                                                                                                                
CO-CHAIR HERRON asked if there was lateral funding from DMVA.                                                                   
                                                                                                                                
4:29:27 PM                                                                                                                    
                                                                                                                                
MR.  O'HARE  explained  that,  in  2004,  this  position  was  an                                                               
unfunded mandate which DMVA had  since been attempting to move to                                                               
another  department.    He explained  that  the  911  coordinator                                                               
position was  in conjunction  with the  Alaska Land  Mobile Radio                                                               
system,   which   had  since   been   moved   to  Department   of                                                               
Administration (DOA).   He explained  that, although  the statute                                                               
was  with DMVA,  the coordination  was with  DOA and  the Network                                                               
Security  Officer.     He  said  that  HB  361   would  add  more                                                               
responsibility,  which  would require  the  position  to be  full                                                               
time.                                                                                                                           
                                                                                                                                
4:31:44 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  T.  WILSON  asked  for  the  current  coordinator                                                               
duties.                                                                                                                         
                                                                                                                                
MR.  O'HARE explained  that the  911  coordinator identified  the                                                               
statewide  911 dispatchers,  and researched  the technologies  to                                                               
enhance 911 statewide  for approval by the legislature.   The new                                                               
job description  would include coordination of  the statewide 911                                                               
dispatchers for other required responsibilities.                                                                                
                                                                                                                                
4:32:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  T.  WILSON  asked which  communities  this  would                                                               
impact and if this was a positive impact.                                                                                       
                                                                                                                                
4:34:35 PM                                                                                                                    
                                                                                                                                
RODNEY DIAL,  Lieutenant, Alaska  State Troopers, in  response to                                                               
Representative T.  Wilson, said  that there  were very  few small                                                               
dispatch centers,  and that  this would not  affect any  of them.                                                               
He reported that  it would have more impact on  hub facilities in                                                               
bush  communities,  the  majority  of which  were  state  trooper                                                               
facilities.  He  said that the Alaska State  Troopers did require                                                               
CPR  and it  was  also taught  on a  departmental  level as  time                                                               
permitted.                                                                                                                      
                                                                                                                                
4:35:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE T. WILSON asked what community this would impact.                                                                
                                                                                                                                
LT. DIAL  replied that  he could  not think  of a  community that                                                               
would be  negatively impacted.   He opined that  most communities                                                               
were  offering   emergency  medical  dispatch  training   to  the                                                               
dispatchers.   He mentioned that providing  CPR instructions over                                                               
the phone was different than performing  CPR, and he did not know                                                               
if there would  be a phone certification.  He  opined that it may                                                               
be necessary for a CPR instructor certification, instead.                                                                       
                                                                                                                                
4:37:04 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON directed attention to  page 2, line 5 which                                                               
stated  that   "a  municipality  shall  require   that  emergency                                                               
dispatchers  on   the  911  system   be  trained   and  currently                                                               
certified..."  He asked if this applied to DPS.                                                                                 
                                                                                                                                
LT. DIAL  said that he had  not yet received a  response from the                                                               
Department of Law (DOL).                                                                                                        
                                                                                                                                
REPRESENTATIVE SEATON pointed out that  the bill language did not                                                               
mention  instruction,  and he  asked  Lt.  Dial if  the  language                                                               
should be amended to include instruction.                                                                                       
                                                                                                                                
LT. DIAL replied  that if dispatchers were only  trained in basic                                                               
CPR, they may  not be qualified to give CPR  instruction over the                                                               
telephone.   He referred to  an earlier response by  the American                                                               
Heart Association.                                                                                                              
                                                                                                                                
4:39:35 PM                                                                                                                    
                                                                                                                                
MS. KOENEMAN, in response to  Representative T. Wilson, clarified                                                               
that municipalities  were not required,  but had chosen  to train                                                               
emergency medical  dispatchers.   She recognized the  concern for                                                               
CPR   instruction   over   the  phone   versus   the   individual                                                               
certification for CPR.   She noted that this would  be worked out                                                               
with the  DPS, the dispatchers,  and the new 911  coordinator for                                                               
the best direction.                                                                                                             
                                                                                                                                
4:41:39 PM                                                                                                                    
                                                                                                                                
CO-CHAIR KELLER closed public testimony.                                                                                        
                                                                                                                                
[HB 361 was held over.]                                                                                                         
                                                                                                                                

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