Legislature(2015 - 2016)CAPITOL 106

04/05/2016 03:00 PM House HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Recessed to 4/6/16 at 3:30 pm --
Heard & Held
-- Public Testimony --
Heard & Held
Moved CSHB 315(HSS) Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
          HB 345-INSURANCE COVERAGE FOR CONTRACEPTIVES                                                                      
3:05:49 PM                                                                                                                    
CHAIR SEATON announced that the  first order of business would be                                                               
HOUSE BILL  NO. 345, "An  Act relating to insurance  coverage for                                                               
contraceptives   and  related   services;  relating   to  medical                                                               
assistance coverage for contraceptives  and related services; and                                                               
providing for an effective date."                                                                                               
3:06:28 PM                                                                                                                    
REPRESENTATIVE  TALERICO moved  to adopt  the proposed  committee                                                               
substitute  (CS)  for  HB   345,  labeled  29-LS1503\H,  Wallace,                                                               
3/22/16, as the working document.                                                                                               
CHAIR SEATON objected for discussion.                                                                                           
3:07:24 PM                                                                                                                    
MEGAN CAVANAUGH, Staff, Representative  Matt Claman, Alaska State                                                               
Legislature,  shared  the  changes   to  the  proposed  committee                                                               
substitute, Version  H.  She  relayed that Version H  removes the                                                               
provisions  that applied  to  over-the-counter contraceptives  in                                                               
the original bill on page 1, lines 11 - 12; page 2, lines 16 -                                                                  
17; and page 3, lines 18 - 19.                                                                                                  
3:08:15 PM                                                                                                                    
REPRESENTATIVE MATT  CLAMAN, Alaska  State Legislature,  as prime                                                               
sponsor  of  HB  345,  paraphrased  from  the  sponsor  statement                                                               
[included in  members' packets], which read  as follows [original                                                               
punctuation provided]:                                                                                                          
     Unintended  pregnancies have  significant and  negative                                                                    
     consequences for individual  women, their families, and                                                                    
     society  as a  whole. Research  links births  resulting                                                                    
     from unintended or closely  spaced pregnancy to adverse                                                                    
     maternal  and child  health outcomes  and other  social                                                                    
     and   economic   challenges.   With   Alaska's   fiscal                                                                    
     challenges, we should look for  ways to reduce costs in                                                                    
     the  shortterm  and  long-term.  House  Bill  345  will                                                                    
     reduce costs associated  with unintended pregnancies by                                                                    
     making  oral contraceptives  more  easily available  to                                                                    
     Alaskan women.                                                                                                             
     In  2010,  48%  of   all  pregnancies  in  Alaska  were                                                                    
     unintended. Alaska's unintended  pregnancy rate in 2010                                                                    
     was 54 per 1,000 women  aged 15-44. Of those unintended                                                                    
     pregnancies, 60%  resulted in  births, 26%  resulted in                                                                    
     abortions, and the  remainder resulted in miscarriages.                                                                    
     Most   unintended  pregnancies   are  associated   with                                                                    
     significant public  costs. In 2010, 64.3%  of unplanned                                                                    
     births   in  Alaska   were  publically   funded,  which                                                                    
     resulted in a $42.9 million cost to the state.                                                                             
     House Bill 345 seeks to  reduce the costs of unintended                                                                    
     pregnancies by  making oral contraceptives  more easily                                                                    
     available  to Alaskan  women.  A  research study  shows                                                                    
     that  women who  were  dispensed a  12-month supply  of                                                                    
     oral  contraceptives were  30% less  likely to  have an                                                                    
     unintended pregnancy  than women  who received a  1- or                                                                    
     3-month prescription.  The study concluded  that health                                                                    
     insurance  programs  and  public  health  programs  may                                                                    
     avert  costly  unintended   pregnancies  by  increasing                                                                    
     dispensing limits  on oral  contraceptives to  a 1-year                                                                    
     HB  345   requires  health  care   insurers,  including                                                                    
     Medicaid services,  to cover 12 months  of prescriptive                                                                    
     oral  contraceptives at  a  time.  Alaskan women  often                                                                    
     face  challenges while  trying  to access  prescription                                                                    
     contraceptives. Women living in  rural Alaska have less                                                                    
     access  to  healthcare   services  and  therefore  less                                                                    
     reliable   access   to   prescriptive   contraceptives.                                                                    
     Fisherwomen working on  a boat for two  or three months                                                                    
     at  a time  need longer  supplies of  prescription oral                                                                    
     contraceptives. This  bill looks to reduce  health care                                                                    
     costs  in Alaska  by preventing  unintended pregnancies                                                                    
     and providing  Alaskan women  greater access  to family                                                                    
     planning options.                                                                                                          
3:09:19 PM                                                                                                                    
MS.  CAVANAUGH clarified  that  the  recently distributed  fiscal                                                               
note  reflected  the  original   version  and  not  the  proposed                                                               
committee   substitute,  Version   H.      She  explained   that,                                                               
additionally, a fiscal note was  written for the Senate companion                                                               
bill, SB 156,  and reflected a $1.3 million cost  savings for the                                                               
CHAIR SEATON  pointed out  that the  fiscal note  for SB  156 was                                                               
located in the committee packets.                                                                                               
MS.  CAVANAUGH  reported that  the  proposed  bill mandated  that                                                               
health  care   insurers  provide  coverage  for   a  prescriptive                                                               
contraceptive  up  to  12  months  at  one  time.    She  defined                                                               
prescriptive   contraceptives   as  self-administered,   hormonal                                                               
contraceptives, namely  oral contraceptives  that do  not require                                                               
insertion  or   other  types  of  administration   by  a  medical                                                               
professional.   She said this was  explained in Section 1  of the                                                               
proposed bill, which  contained a religious exemption  as well as                                                               
a  definition for  health care  insurer, which  included a  self-                                                               
insured employer, such  as the State of Alaska.   She moved on to                                                               
explain  that  Section  2  of  the  proposed  bill  directed  the                                                               
Department of  Health and Social  Services to cover the  12 month                                                               
supply of prescription contraceptives  for eligible recipients of                                                               
medical assistance.   Section 3 of the proposed  bill allowed for                                                               
the 12  month supply  of prescription  contraceptives to  be made                                                               
available to Medicaid  recipients, and Section 4  of the proposed                                                               
bill related to the effective date.                                                                                             
MS. CAVANAUGH  stated that  a major  premise behind  the proposed                                                               
bill was that  offering women greater access  and availability to                                                               
contraceptives  reduced unintended  pregnancies.   This reduction                                                               
in  unintended  pregnancies had  a  direct  cost savings  to  the                                                               
state, which  was reflected  in the  provided fiscal  note, which                                                               
was drafted  to the  Senate version.   She directed  attention to                                                               
the study  [included in members'  packets], which  reported that,                                                               
in 2010,  48 percent of  pregnancies, about 8,000  pregnancies in                                                               
Alaska,  were unintended.   She  pointed out  that the  study had                                                               
used the  Centers for Disease  Control and  Prevention definition                                                               
of  an unintended  pregnancy  to mean  either  "mistimed, or  the                                                               
woman did not  want to become pregnant at that  time."  She added                                                               
that  the study  estimated that  3,000,  or 64.3  percent of  the                                                               
unplanned  pregnancies  in  2010,  were  publicly  funded.    She                                                               
reported that Alaska had spent  almost $113 million on unintended                                                               
pregnancies, that  70.8 percent was federally  funded, while 42.9                                                               
percent was  funded by the state.   She relayed that  these costs                                                               
also  had impacts  on programs  down the  line, including  foster                                                               
care, and on the child's overall  well-being.  She shared that an                                                               
additional study  [included in members' packets]  reviewed 84,000                                                               
women  in  California  provided  with  varying  amounts  of  oral                                                               
contraceptives, and that those researchers  observed a 30 percent                                                               
reduction in the odds of  pregnancy when given a year-long supply                                                               
of  oral  contraceptives.    Also reported  in  this  study,  the                                                               
California  family planning  program paid  $99 more  annually for                                                               
women who  received three cycles  of oral contraceptives  and $44                                                               
more  annually  for   women  who  received  one   cycle  of  oral                                                               
contraceptives than  it did for  women who received  the 12-month                                                               
supply all at once.  She  shared that the additional costs were a                                                               
result of pregnancy tests and  associated visits.  She noted that                                                               
the proposed  bill did not  change who was eligible  for coverage                                                               
or what kind  of prescriptions were being covered,  the bill only                                                               
allowed   that  women   who  currently   received  coverage   for                                                               
prescription  contraceptives could  receive the  prescription for                                                               
12 months  at one time,  if they choose.   She shared  that there                                                               
had been  concerns expressed from the  Small Business Association                                                               
for whether the  bill would apply to self-insured  entities.  She                                                               
stated that the sponsor would continue  to work with the group to                                                               
address  these  concerns.   She  pointed  out that  an  important                                                               
inclusion  to the  proposed  bill  was for  the  definition of  a                                                               
health care insurer  to include a self-insured  entity, which did                                                               
help  to  address  some  of  the concerns.    She  declared  that                                                               
proposed HB 345  would offer "huge advantages  for Alaskan women,                                                               
from eliminating the inconvenience  of refilling the prescription                                                               
every one  or three months  at a time  to the real  inability for                                                               
some  Alaskan  women to  make  it  to  the clinic,  hospital,  or                                                               
pharmacy to  refill that  prescription at all."   She  listed the                                                               
difficulties that many women faced in refilling prescriptions.                                                                  
3:14:50 PM                                                                                                                    
REPRESENTATIVE TARR  pointed out  that the  fiscal note  showed a                                                               
$1.3 million savings annually.                                                                                                  
3:15:11 PM                                                                                                                    
CHAIR SEATON opened public testimony on HB 345.                                                                                 
3:15:24 PM                                                                                                                    
DIANA GREENE  FOSTER, Researcher,  University of  California, San                                                               
Francisco, explained  that she  was working  on research  for the                                                               
State of California  to evaluate and analyze the  impact of year-                                                               
long  supplies for  oral  contraceptives.   She  shared that  her                                                               
research indicated that  the benefits included a  cost savings of                                                               
almost $100  annually per person.   She reported that  there were                                                               
fewer clinic visits and fewer  pregnancy tests.  She relayed that                                                               
a second  study linked family  planning dispensing to  claims for                                                               
pregnancies,  births,  and abortions.    The  findings were  that                                                               
women who  received a one  year supply  were less likely  to have                                                               
either  a birth  or  an abortion  in the  subsequent  year.   She                                                               
stated  that  oral contraceptives  were  the  most commonly  used                                                               
reversible  method of  contraception  in the  United States,  and                                                               
that most  unintended pregnancies and most  abortions occurred to                                                               
women  using contraceptives  inconsistently.   She reported  that                                                               
one  in five  women in  abortion clinics  reported that  they had                                                               
unprotected  sex because  they ran  out  of birth  control.   She                                                               
allowed  that this  change  would offer  a  higher potential  for                                                               
women to avert unintended pregnancies.                                                                                          
3:17:50 PM                                                                                                                    
CHAIR SEATON  noted that a  synopsis of her research  is included                                                               
in members' packets.                                                                                                            
3:18:27 PM                                                                                                                    
KENNI PSENAK  LINDEN shared that,  as a college student,  she had                                                               
been  diagnosed   with  Stage   4  endometriosis  and   had  been                                                               
prescribed  hormonal  birth  control  to  allow  for  the  future                                                               
possibility to have children.   She reported on the difficulty of                                                               
maintaining  consistent use  of  birth control  while being  only                                                               
allowed a  one-month prescription, and  stated that having  a 12-                                                               
month supply  readily available  "would have  been a  huge relief                                                               
and  would have  given  me much  needed peace  of  mind about  my                                                               
health  and  my  ability  to  choose what  was  best  for  me  in                                                               
consultation with my  doctor."  She asked that  the proposed bill                                                               
address access to  birth control by dependents.   She relayed the                                                               
health  difficulties  of  endometriosis,   and  shared  that  the                                                               
prescriptions for hormonal birth  control allowed her to continue                                                               
with and  graduate from  college.  She  declared support  for the                                                               
proposed bill.                                                                                                                  
3:20:23 PM                                                                                                                    
ROBIN SMITH  stated that this was  a good bill, and  there was no                                                               
reason not to  pass it as it offered cost  savings.  She declared                                                               
that  this  was  a  preventative   care  bill,  as  it  prevented                                                               
unintended  and unwanted  births and  abortions.   She listed  10                                                               
reasons why a  doctor might prescribe birth  control pills, other                                                               
than  to  prevent  pregnancy:   protection  against  ovarian  and                                                               
endometrial  cancer; prevention  of  ovarian  cysts; prevent  and                                                               
treat endometriosis;  prevent anemia; avoid  migraines associated                                                               
with menstrual  periods; treat PMS;  treat acne, and  excess hair                                                               
growth; and  balance hormone deficiency.   She declared  that, as                                                               
it  was beneficial  for women  to  have access  to birth  control                                                               
pills, there were not any  negatives associated with the proposed                                                               
3:23:58 PM                                                                                                                    
CATRIONA REYNOLDS,  Clinic Manager, Kachemak Bay  Family Planning                                                               
Clinic, pointed out  that she had sent in two  pages of facts and                                                               
data.  She stated that  consistent access to birth control should                                                               
not  be  dependent on  an  insurance  carrier.   She  listed  the                                                               
benefits  for supplying  12 months  of birth  control protection,                                                               
which included consistent use.                                                                                                  
3:26:32 PM                                                                                                                    
STEVEN SAMUELSON stated his support  of the proposed bill, noting                                                               
that people should  not be hindered by legislation  in pursuit of                                                               
health, especially when discussed with  a doctor.  He pointed out                                                               
that  many women  were  working in  the field  and  did not  have                                                               
immediate access  to refills.   He declared "people like  sex, so                                                               
why not have them be prepared."   He reiterated his support of HB
3:28:48 PM                                                                                                                    
ELIZABETH FIGUS  reported that during  the summer  fishing season                                                               
she  did not  have time  to visit  a doctor.   She  allowed that,                                                               
although  some medical  issues were  unavoidable, it  was "silly"                                                               
and   "unnecessary"   not   to  pre-approve   a   birth   control                                                               
prescription.   She declared  that the  proposed bill  would save                                                               
money and  time for  individual women, and  would save  the costs                                                               
for   unplanned  pregnancies.      She  pointed   out  that,   as                                                               
contraception was already legal, it was only necessary to make                                                                  
the system be more fiscally efficient.  She stated her support                                                                  
for proposed HB 345.                                                                                                            
3:30:53 PM                                                                                                                    
CHRISTINE NIEMI, The League of Women Voters - Alaska,                                                                           
paraphrased from a prepared statement [included in members'                                                                     
packets], which read as follows [original punctuation provided]:                                                                
     The League of Women  Voters of Alaska strongly supports                                                                    
     HB  345  (companion  to  SB 156),  a  bill  related  to                                                                    
     insurance   coverage  for   contraceptives  and   other                                                                    
     services   that   reduce   the   risk   of   unintended                                                                    
     pregnancies.  At  the  national level,  the  League  of                                                                    
     Women  Voters of  the  United  States supports  primary                                                                    
     care  for   all,  care  that  includes   "prenatal  and                                                                    
     reproductive  health." When  women have  the consistent                                                                    
     ability  to  plan  their  pregnancies,  their  families                                                                    
     benefit    through   greater    financial   well-being,                                                                    
     healthier   living   conditions,  healthier   children,                                                                    
     greater  opportunities,  and  a  myriad  of  additional                                                                    
     benefits.  While  improving  the quality  of  life  for                                                                    
     families, the  ability to avoid  unintended pregnancies                                                                    
     also reduces  costs for state and  federal governments.                                                                    
     In  2010 according  to  the  Guttmacher Institute,  the                                                                    
     State  of Alaska  spent nearly  $43  million on  health                                                                    
     costs  related  to  unintended  pregnancies  while  the                                                                    
     federal  government added  another  $71  million for  a                                                                    
     total  cost of  $114 million.  Guttmacher reports  that                                                                    
     48%  of   all  pregnancies  in  Alaska   in  2010  were                                                                    
     unplanned  and 64%  of  Alaska's unplanned  pregnancies                                                                    
     were  publicly  funded,  representing the  $43  million                                                                    
     cost.  In addition,  the  cost  benefits of  supporting                                                                    
     women in  their efforts to plan  their pregnancies goes                                                                    
     far beyond  the cost of  the pregnancy itself.  A woman                                                                    
     who is  able to plan  a pregnancy can  better guarantee                                                                    
     that  her   health  is  at   optimum  level   prior  to                                                                    
     pregnancy, reducing  the risk of a  difficult pregnancy                                                                    
     and  trauma to  the  child. Such  planning reduces  the                                                                    
     possibility  of  increased   health  problems  for  the                                                                    
     child, problems  which can follow  the child  for years                                                                    
     and require  increased health  and education  costs for                                                                    
     the  State. A  planned  pregnancy  increases a  woman's                                                                    
     ability to  manage her  role as  income provider  for a                                                                    
     family and  allows that family the  best opportunity to                                                                    
     remain   as   financially  independent   as   possible.                                                                    
     Supporting  affordable contraceptives  prescribed on  a                                                                    
     12-month basis  will undoubtedly  reduce the  number of                                                                    
     unintended  pregnancies in  Alaska, thereby  increasing                                                                    
     family  wellbeing and  reducing State  costs. 2  HB 345                                                                    
     can assist  women and families  to plan  pregnancies so                                                                    
     they  are  ready  for the  added  responsibility  of  a                                                                    
     child. In  addition, costs to the  State for unintended                                                                    
     pregnancies  can be  reduced.  This is  a win-win  bill                                                                    
     that   deserves   consideration  by   the   Legislature                                                                    
     especially  as it  struggles  with  the budget  crisis.                                                                    
     Thank you for your consideration.                                                                                          
3:32:36 PM                                                                                                                    
ALYSON CURREY, Planned Parenthood of  the Great Northwest and the                                                               
Hawaiian Islands, stated support for  insurance coverage for a 12                                                               
month  supply of  birth control  when supplied  by a  health care                                                               
provider.   She  added that  1 in  4 women  said they  had missed                                                               
pills  because of  not  being able  to  get them  in  time.   She                                                               
reported that a one year  supply dramatically improved consistent                                                               
use,   lowered  unintended   pregnancies,   and  hence,   reduced                                                               
3:34:10 PM                                                                                                                    
SAMANTHA  SAVAGE   stated  her  support   for  HB  345   and  she                                                               
paraphrased  from  a  prepared statement  [included  in  members'                                                               
packets], which read as follows [original punctuation provided]:                                                                
     I am writing today to  encourage you to support SB 156.                                                                    
     For many many women  oral contraception is their method                                                                    
     of  choice   for  various  personal   medical  reasons.                                                                    
     Alaskan women  face more barriers trying  to access all                                                                    
     medications due to  geographic and occupational reasons                                                                    
     (women who  live and  work in  rural communities  or on                                                                    
     fishing  vessels for  example).  Speaking  from my  own                                                                    
     life as  someone who left  the Mat-Su Valley  to attend                                                                    
     school  in Fairbanks,  trying  to  get my  prescription                                                                    
     refilled was an incredible burden  as I could only have                                                                    
     it  refilled on  a  month by  month  basis. Having  the                                                                    
     ability to have  12 months of birth  control covered by                                                                    
     an insurance  plan and  Medicaid at  one time  saves in                                                                    
     costs related  to doctors visits  to the  women seeking                                                                    
     medication, and  it saves  money related  to unintended                                                                    
     pregnancy. I urge your support  of this bill that would                                                                    
     have a  positive impact  on the  lives of  many Alaskan                                                                    
3:35:36 PM                                                                                                                    
CAITLIN HEDBERG urged  support of the proposed bill.   She shared                                                               
that she  is a  professional woman, and  that she  often traveled                                                               
for work.   She noted  that it was  a burden having  to re-supply                                                               
birth control,  reporting that missing  a pill or starting  a new                                                               
cycle because  of an interruption  to access wreaks havoc  on the                                                               
human body.   She had experienced an unintended  pregnancy due to                                                               
a lack  of access for  birth control.   She pointed out  that her                                                               
insurance would  only allow a  one month supply  at a time.   She                                                               
concluded  that the  proposed bill  was the  fiscally responsible                                                               
choice for the state and for the women of the state.                                                                            
3:38:49 PM                                                                                                                    
MAXINE  DOOGAN,  Community  United  for  Safety  and  Protection,                                                               
reported that she  represented current and former  sex workers in                                                               
Alaska, sex trafficking victims, and  their allies.  She declared                                                               
support for HB 345 as it expanded access to health care.                                                                        
3:39:33 PM                                                                                                                    
CHAIR   SEATON  closed   public   testimony  on   HB  345   after                                                               
ascertaining no one further wished to testify.                                                                                  
3:39:41 PM                                                                                                                    
REPRESENTATIVE WOOL  stated that  he supported the  proposed bill                                                               
as it "totally  makes sense."  He asked if  this was an insurance                                                               
bill, and whether it had been  previously possible for a 12 month                                                               
prescription for birth control pills.                                                                                           
MS. CAVANAUGH  replied that  currently women could  not get  a 12                                                               
month  supply of  oral  contraceptives  at one  time,  as it  was                                                               
usually limited to one or three month supplies.                                                                                 
REPRESENTATIVE  WOOL mused  that the  current state  of insurance                                                               
regulations  would not  cover the  payments for  more than  three                                                               
3:41:32 PM                                                                                                                    
MARGARET BRODIE, Director, Director's  Office, Division of Health                                                               
Care  Services,   Department  of  Health  and   Social  Services,                                                               
explained that  a Medicaid prescription  was on  a month-by-month                                                               
basis, with those  individuals under 18 years of age  able to get                                                               
a 3  month prescription.  In  response to Chair Seaton,  she said                                                               
that the proposed bill would change  the situation for a 12 month                                                               
prescription, but that  it would be necessary to  ensure that the                                                               
individual  was eligible  for  all  12 months,  and  if not,  the                                                               
department  would have  to reimburse  the federal  government for                                                               
its  share  of  the  prescription that  the  individual  was  not                                                               
MS. BRODIE,  in response  to Chair  Seaton, replied  that private                                                               
insurance, dependent on  the plan, was for either a  one month or                                                               
a three month prescription.                                                                                                     
REPRESENTATIVE WOOL directed attention  to the benefit savings in                                                               
the analysis of  the fiscal note, and asked  about the difference                                                               
between  the 9  percent failure  rate and  the 7  percent failure                                                               
rate,  resulting in  120 unintended  pregnancies.   He questioned                                                               
whether  all  of  the  unintended  pregnancies  had  resulted  in                                                               
MS.  BRODIE  expressed her  agreement  that  the 120  pregnancies                                                               
would not  all result in live  birth, and she offered  her belief                                                               
that this had been taken into consideration in the calculations.                                                                
3:45:14 PM                                                                                                                    
CHAIR SEATON said that HB 345 would be held over.                                                                               
3:45:45 PM                                                                                                                    
REPRESENTATIVE TARR  declared that  this problem with  access had                                                               
been long standing.  She pointed  out that young families had not                                                               
testified,  noting  that  they  were  very  challenged  with  the                                                               
demands of parenthood and working.   She opined that the proposed                                                               
bill would be very beneficial to young families.                                                                                
3:46:58 PM                                                                                                                    
CHAIR  SEATON removed  his objection  to  the proposed  committee                                                               
substitute.   There  being no  further objection,  Version H  was                                                               
adopted as the working draft.                                                                                                   
[HB 345 was held over.]                                                                                                         

Document Name Date/Time Subjects
HB 345 Supporting Document Guttmacher - general.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Supporting Document UCSF Study Newspaper Article.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Supporting Document Guttmacher Alaska Stats.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Sponsor Statement.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Supporting Document Unintended Pregnancies Study.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Supporting Document Cost Savings Study.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Supporting Document ADN Commentary.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345vA.PDF HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 vH.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 fiscal Note- DCCED-DOI-04.01.16.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Support- League of Women Voters.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 334 Opposition_SAFV_3.28.16.pdf HHSS 4/5/2016 3:00:00 PM
HB 334
HB 334 Letter of Concern_Rep Josephson.pdf HHSS 4/5/2016 3:00:00 PM
HB 334
HB 315 Proposed Cs Version N.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
hB 315Explanation of Changes from version A to W to E.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB 315 Proposed Amendment E.2.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB 345 Fiscal Note - DHSS-HCMS-3-16-16.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 315 Fiscal Note DRAFT-DHSS-SDSA -4-1-16 ver E.PDF HHSS 4/5/2016 3:00:00 PM
HB 315
HB 315 Fiscal Note DRAFT-DHSS-HCMS 4-1-16 ver E.PDF HHSS 4/5/2016 3:00:00 PM
HB 315
HB 315 Fiscal Notes DRAFT-DHSS-SDMS-4-1-16 ver E.PDF HHSS 4/5/2016 3:00:00 PM
HB 315
HB334-ACS-TRC-04-05-16.pdf HHSS 4/5/2016 3:00:00 PM
HB 334
HB 345 Background -SB 156 - Fiscal Note - DHSS 2.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
SB 156
HB 315 Support PCA April 5 Letter Support CSHB 315.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB 315 Proposed Amendment to the CS_N.5.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB 334 adopted CS version N.pdf HHSS 4/5/2016 3:00:00 PM
HB 334
HB 315 Opposition -remove HCBS- AADD.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB 315 Letter of concern from the governors council.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB 315 CS HSS version P-HSS final.pdf HHSS 4/5/2016 3:00:00 PM
HB 315
HB334 opposition - Christine Pate.pdf HHSS 4/5/2016 3:00:00 PM
HB 334
HB 345 Support - Tanana Chiefs Conference.PDF HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Support Samantha Savage.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Testimony - Amend- Jamie Donley.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Support - Beth Leban.pdf HHSS 4/5/2016 3:00:00 PM
HB 345
HB 345 Opposition - Small business association.PDF HHSS 4/5/2016 3:00:00 PM
HB 345
HB 334 Proposed CS version P.pdf HHSS 4/5/2016 3:00:00 PM
HB 334