Alaska Health Policy Review
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March 5, 2010 - Vol 4, Issue 8
In This Issue
Interview With Hotel Workers From UNITE HERE Local 878
Take Alaska Health Policy Class in Fall 2010 ... In Your Jammies!
New Study: Alaska Medicaid Trends
Please Respect Our Copyright
CON Watch
Health Policy Calendar
Bill Watch: Bills on the Move
Bill Watch: Drugs
Bill Watch: Health Professional Workforce and Health Education
Bill Watch: Medical Assistance and Health Insurance
Bill Watch: Mental Health
Bill Watch: State Boards and Issues
Bill Watch: Family Health Issues
Bill Watch: Worker's Compensation
Bill Watch: General Health Policy
Bill Watch: Bill Tracking Methodology
AHPR Staff and Contributors
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Resources

AJPH published study of hotel worker injuries, 2005

APHA presentation on hotel worker health problems, 2009

Letter canceling safety conference at Sheraton

Local Anchorage blogger covers boycott

Summary of study on hotel worker health problems, 2007

From the Editor

Dear Reader,

We all like the medical and public health concept of "prevention." Eat healthy foods, lose weight, stop smoking, exercise regularly, and you will reap the benefits. These are health behaviors that for the most part we as individuals can control. In the case of food, for example, we become informed about a healthy diet and healthy foods, we seek them out, and we exercise the personal discipline to eat them and limit the intake of other foods. Ah, prevention successfully acheived! By following this plan we reduce our risk for a host of medical problems.

Here is another prevention scenario -- one we as health professionals don't talk about all that often. Imagine that you know what you are doing increases your risk for a range of medical and even behavioral problems, but you are not in control of the harmful environment. You want to alter your behavior, but there are formidable barriers that are not of your making. In such a setting, what form does does prevention take?

A 2005 survey of 941 hotel room cleaners found that during a twelve-month period, 75 percent of workers in the study experienced work-related pain.

A 2009 study presented at the annual conference of the American Public Health Association notes that hotel employees have relatively higher rates of occupational injury and sustain more severe injuries than most other service workers. The overall injury rate was 5.2 injuries per 100 worker-years. The rate was highest for Hispanics (6.4/100), housekeepers (7.9/100), female Hispanic housekeepers (10.6/100). Acute trauma rates were highest in kitchen workers (4.0/100) and housekeepers (3.9/100); housekeepers also had the highest rate of musculoskeletal disorders (3.2/100). (We link to these and other studies and related materials in the "Resources" section on the left about the health issues facing hotel workers, especially housekeepers.)

Hotel workers do not control the dangerous occupational settings they work in. Management does. In this environment, prevention takes the form of labor/management struggle over who will control dangerous conditions in the workplace. In Anchorage, right now, at the Hilton and the Sheraton, that struggle is being waged by $12 an hour housekeepers against enormous national corporations. In this week's Alaska Health Policy Review, we take you deep inside this collision of social forces over the question of prevention in the workplace.

Lawrence D. Weiss PhD, MS
Editor, AHPR
ldweiss@acpp.info

Interview with Hotel Workers from UNITE HERE Local 878

Last Sunday, I had the privilege of interviewing six hotel workers at the modest offices of UNITE HERE Local 878, at 530 East Fourth Avenue. They were accompanied by a UNITE HERE staff organizer, and a coworker who was there to "support" her friends. Last November, 84 percent of union workers at the Sheraton Anchorage voted to put the Sheraton under boycott due to the refusal of the hotel to address health and safety issues and to provide affordable health insurance, among other issues. Hilton workers have been fighting for similar health and safety issues since August 2008, when their last contract expired. The Anchorage Hilton is also under boycott. Join us in this extraordinary interview on the battleground of prevention in the workplace as housekeepers and bellmen challenge huge national corporations for a safe workplace and affordable health care. This interview was conducted on Sunday, February 28, 2010. Note on transcription editing: Most of the interviewees are not Native English speakers and have varying degrees of proficiency with the English language. We tried to balance minimal editing in order to keep their words as authentic as possible, while at the same time enhancing clarity as needed.

UNITE HERE Local 878
Interview Participants (Back row, left to right:) Anna Rodriquez, Sheraton housekeeping supervisor; Audelia Hernandez, supporting co-worker; Troy Prichacharn, Sheraton bellman; and Jessica Lawson, hotel organizer for UNITE HERE (Front row, left to right:) Vicki Castro, Hilton housekeeping office clerk; Blanca Garcia, Hilton housekeeper; Elda Buezo,Sheraton housekeeper

AHPR:This is UNITE HERE Local 878. Who does this union local represent? What kinds of people?
 
Anna: Hotel and restaurant.
 
Jessica: And some laundry. And some airport food service.
 
AHPR: And this is all in Anchorage, or does it go beyond Anchorage?
 
Jessica: It goes beyond.
 
AHPR:So, other towns and locations in Alaska?
 
Multiple responders: Yes. Yes. Yes.
 
AHPR: Here in Anchorage, what are some of the hotels you represent, for example?
 
Vicki: The Captain Cook, the Clarion, Hilton Hotel, which is my area, and then the Sheraton. And then you have the Westmark.
 
AHPR: Any restaurants?
 
Troy: The Hawthorne Suites is union.
 
Jessica: The Howard Johnson and a couple of restaurants: Club Paris and the Corsair.
 
AHPR: I understand you are involved in a current boycott of the Hilton and Sheraton hotels in Anchorage. I assume what a boycott means is that those of you who are employed in those two places are still working there, but what you are trying to do is get potential clients and customers to not go there.
 
Troy: That's correct.
 
AHPR: Why would you do that?
 
Vicki: To financially bankrupt the hotel. That is the only message that we can give them so that way they can sit with us and work with our contract.
 
AHPR: What are the issues that you are struggling over?
 
Vicki: Well, with the Hilton, I think the same thing with the Sheraton, it is about our health care, the job classification, the seniority ...
 
Troy and Vicki: The workloads.
 
Vicki: Those are the most important things that we are fighting for.
 
Jessica: And when she is talking about defined job classifications, why that is so important is the hotels are trying to combine two or three classifications into one, which increases the workload also for other departments, not just housekeeping.
 
"We have to pay more on the health care. It used to be that we don't have to pay anything on the health care. It was just the Hilton and the union are the ones paying for it. ... But now the company wants us to pay on our own, without the union. So, it is just between us and the company, and we cannot afford that. Because we don't make that much money at all."

AHPR: Is health insurance an issue here, when you said "health care issues," is your health insurance plan one of the issues?
 
Troy: Yes, that's the most important thing that we are fighting for.
 
AHPR: And what are the issues there? For example, do you have to pay more? Is the coverage worse?  What are the issues?
 
Vicki: We have to pay more on the health care. It used to be that we don't have to pay anything on the health care. It was just the Hilton and the union are the ones paying for it. We don't have anything to do with it? We don't have to pay the premium money. But now the company wants us to pay on our own, without the union. So, it is just between us and the company, and we cannot afford that. Because we don't make that much money at all.
 
AHPR: If I can ask you, what kind of salaries or wages are you making? 

Vicki: It's like, for the room attendants, twelve-something an hour.
 
Interviewee: $12.34.

Interviewee: $12.01
 
AHPR: So it's around 12 bucks. And how much do they want you to pay for health insurance, do you recall?
 
Vicki: I think from us at the Hilton, it's a round $800.
 
AHPR: So, from nothing to $800 month?
 
Vicki: Yes.
 
AHPR: Wow! That's a big hit for somebody who earns 12 bucks an hour.
 
Vicki: It is. Because, you know, with that amount, we cannot afford it.

Anna: We won't be able to afford it.

Vicki: We are just going to work for the health insurance, you know.
 
Jessica: And that's mostly for the full-family health care. Most people at the hotels have families that they need to support on the health care. So, while it might be affordable for single people, where it's like $120 or something -- don't necessarily quote me on that amount, but around that amount -- when it jumps to having another dependent, or more than one dependent ... It's just, the reason why they don't know the exact amounts is it's so huge! Why even think about it, because it's so big. And the deductible is also higher.
 
AHPR: Oh, that's important.
 
Jessica: Especially at the Sheraton, the employer's plan is almost double. The rate of coverage isn't as good also.
 
AHPR: Is there a health trust, or is it just individual plans? How does that work?
 
Jessica: That's what Vicki was saying is, the union health care plan is what both the Sheraton and the Hilton are covered under right now.
 
AHPR: And hotel management wants to get out from contributing to the cost of coverage with the union trust?
 
Jessica: That's right. In my opinion I think the reason why they want to get away from it, is because they know people aren't going to actually [be able to] pay for this other health care plan, so it's going to cost them a lot less.
 
AHPR: I want to read you just a few sentences from a study that was reported at the last meeting, the 2009 meeting of the American Public Health Association. The name of the study is, "Occupational health disparities in the U.S. hotel industry." And I am just going to quote a couple of sentences from the summary. And actually some health and safety people from your national union were involved in this, and then a number of universities and other parties were involved in the study.

You may very well be familiar with it, but it says, "Hotel employees have relatively higher rates of occupational injury, and sustain more severe injuries than most other service workers. The overall injury rate was 5.2 injuries per 100 workers, per year. Housekeepers had 7.9 injuries per 100 housekeepers, per year. Housekeepers also had the highest rate of musculoskeletal disorders, at 3.2 per 100 workers, per year." So it sounds to me like, according to this study, that there's fairly high rates of injuries from housekeepers doing the kind of work that they do. Does this sound like your reality?
 
Multiple responders: Yes. Yeah. Yeah, it is.

"We are not able to take our breaks, because we just running, running, to try to finish our work, and that leads to injure yourself. ... I noticed since that they increased my work, I really start to feel pain in my wrist. ... Also, it is affecting ... my mental [state] because I am so stressed. ... It is so tense, because sometimes my neck is like this [grimacing and tightening neck muscles], you know?"
 
AHPR: So, speaking one at a time, could you talk about what the issues are, and how you or others you know may have been affected by them?
 
Elda: Well, like what she is saying is that they increase the job, so we have to do more work with our hours. We are not able to take our breaks, because we just running, running, to try to finish our work, and that leads to injure yourself. It happened to me three weeks ago. I was running, I smashed my fingers trying to close the closet. I smashed three fingers because of that. I noticed since that they increased my work, I really start to feel pain in my wrist. You can tell right there [pointing to side of her wrist]. Because it is like running and trying to doing this quickly, you know? Somehow, my body start to see the difference because too much work. Also, it is affecting -- I'm going to talk about it -- it is affecting my mental [state] because I am so stressed. By the time I get off from work, I am so upset, because I am running. I don't feel safe anymore, you know what I mean? Sometimes people are screaming at you in the morning. It's like a hurting, it's like a mental [stress], too, you know? By the time you get off from the work, you are so [stressed out] you shout out to all the people who have nothing to do with that, you know that? It is so tense, because sometimes my neck is like this [grimacing and tightening neck muscles], you know? So it is affecting [you] because you bump your elbows and you bump your knees. Sometimes you [are] running, you are stripping [the linen off the bed], you can easily hurt yourself [badly].
 
Jessica: Elda, you're not new at this. How long have you been doing this?
 
Elda: Working housekeeping? 25 years! But this is worst since last year [when] they increased our workload. [Now] it is so stressful. Everything changed in there.
 
AHPR: And how did they increase it? From what to what?
 
Elda: From 15 to 17 rooms.
 
AHPR: Per what, per eight hours?
 
Elda: Per eight hours. And then, you cannot even have your lunch in peace -- you know what I mean? Because you have to clock out, to go out and take 30 minutes, and then you're clocking in, and then you're eating, and then look, you know? The time! So, by the time you get there, your food is right here, stuff it [in your mouth] right here, because you cannot even have your meal in peace. You know what I mean? It's affecting the physical and mental [states]. That's what I mean to say, because it changed a lot.

AHPR: Is it that you are under so much stress that you have a hard time eating, or is it that a half hour is not enough? Or maybe it's both?
 
Elda: Both, I think. Because it is stress, and then it's just stress, you know. When you eat, you want to just take your time to eat without looking to the watch, [but now] you need to finish quickly because you need to clock out. You cannot miss one minute because, [then someone] is messing around with your check, [and they] don't want to give some money, you know what I mean? Somehow, it's messed up, the whole thing, if you miss one minute, or if you go over two minutes more, you know? Your check doesn't come at the end of the two weeks.
 
Jessica: This is something new for the Sheraton. At the Hilton, they are not dealing with this yet. They are taking away the lunch period, which [had been] paid for. What people would do, is they would go and have lunch, and while they are eating, if something needed to be done, then they would get up and go do it because they were getting paid. Now, they are now not getting paid for that half hour; however, people are still getting called to go do these different things, right? And, so then people are also just not clocking out anymore, and they are using their two10-minute breaks for a 20-minute lunch, where they are not really even doing 20 minutes -- that kind of thing.

"They are taking away the lunch period, which [had been] paid for. What people would do, is they would go and have lunch, and while they are eating, if something needed to be done, then they would get up and go do it because they were getting paid. Now, they are now not getting paid for that half hour; however, people are still getting called to go do these different things, right?"
 
AHPR: So, does that mean that they are not then taking the breaks?
 
Multiple responders: No! No breaks. Not taking breaks. No time for a break.
 
AHPR: Do you want to talk about your situation, Blanca?
 
Blanca: Okay. It's same situation for the Hilton, only no punch. We go to go to the lunch, but to the ladies at the Hilton -- because I worked at the Hilton, and she works at the Sheraton, it is the same. Right now, at the Hilton, a lot of people are having accidents. Me, I have one accident last year, in June 2009, and I no working for six month. And right now a lot of people in same [situation. They had an] accident, [they are not] working, and the company, no cooperation with the people. They are liking the people working, working -- that's it. [Management thinks] "And I don't care if the people feel good or not good, the people over there, I don't care." And sometime, you no have nothing for eat, and the money, anything for eat, and those ladies no have a chance. In the Hilton right now, all the people no have a chance for break, no have a chance for their lunch, because the Hilton changed the floors in the bathroom. That's why they have accidents, [because of] more cleaning to the bathroom, because it is a big floor covered with carpet. And right now they have more extended floor. This is the problem right now. And all the people, a lot of frustration, and [all the] time the manager watch the people, what they do.
 
Jessica: Blanca, do you want to talk about [how] this new floor is just indicative of all the different kinds of amenities that they put into these rooms, and then they don't change the workload requirements. So, it's more workload, but they don't account for that in their quotas. And so, when they put in this [larger] floor, that meant that they had to get down and scrub a lot more, so do you want to tell them exactly what happened?
 
Blanca: Yeah. I working for 15 years at the hotel, and never have a accident. Only last year, when change to the floor. And when we cleaning the room -- because [the workload is now] 17 rooms -- I need to hurry up, hurry up, and I slipped on the floor and my knee broken.
 
Jessica: She fell on her knee.
 
Blanca: On the knee. And right now I use the cane, and the doctor say, right now I can't go back to the room. I can't.
 
AHPR: So, you still can't do your job?
 
Blanca: Yes.
 
AHPR: Elda, you work where?
 
Elda: At the Sheraton Hotel.
 
AHPR: At the Sheraton, okay. Has there been the same workload change as at the Hilton, where they went from 15 to 17, I believe?
 
Blanca: Right, right, but at the Sheraton, I don't know when it start. At the Hilton, it was last year. And the problem is change [from 15 to] 17 rooms, and change the floor. So, it's [a bigger] floor.
 
AHPR: Even though the bathrooms are larger and there are more rooms to clean, that is all supposed to be done in the same number of hours?
 
Blanca: Right.
 
AHPR: Yes, Anna?
 
Anna: What she means is the rooms are bigger, so increase the workload -- not only in the [number of] rooms, but inside the room -- because more amenities, and because they rebuild the floor, it is more dangerous for them because it is bigger [and there is] more work.
 
Blanca: Yes, and the Hilton change everything. Before, the Hilton is only a small room -- it's two pillows. Now two beds, it's eight pillows, and one bed, it's five pillows. And [they changed] the coffee pot, change everything, everything. So, you need more, bring everything, [more of] everything to the room. And sometime, I not have the linen in the closet, [so] you need to come down to laundry, [with a] plastic bag, bring it [from] the laundry up -- coffee, paper toilet tissues, everything. This is the problem to the Hilton.
 
Elda: Similar to the hotel [where I work]. Before the new company get in and buy this hotel, we used to have all the supplies in the main closet, but now my boss wants us to bring the washcloths, coffee, soaps, the shampoo, the conditioner, the towels you need to clean the racks. He want us to bring everything, everything.
 
AHPR: So in other words, the room on the floor, the supply room on the floor, is not stocked?
 
Vicki: Right.

"Before, I just used to stay in the Housekeeping Department and take every call [from] these people that are calling if they need something. But the new company cut down. They cut down my hours from eight hours to four, to six, four, two and three."
 
AHPR: So in the past, was there somebody else who stocked it?
 
Vicki: Yes, right. We used to have houseman for every floor, that delivered all the stuff that they needed on the floor. We used to have four. Two for each floor, because in the Hilton Hotel there are 600 rooms. When we were busy, we used to have four housemen, two for each tower. So that way they just concentrate on their rooms. But not anymore. With the new company, they just only had one houseman. So, the workload is so heavy for the houseman, that some of these room attendants, they can't wait, they go down and get the stuff they needed.
 
Blanca: Example -- my floor is 12th floor. When we don't have nothing, I go to the basement, go to the laundry, bring everything, and go again to the 12th floor. I no have the time [to] finish 17 rooms. That is the problem. And the supervisor and the manager, [they say] "Hurry up, hurry up, hurry up." A lot of stress.
 
Jessica: Do you guys want to describe how before, also, you had somebody sitting down in the office  who could answer the phones?
 
Vicki: Oh, yes. I used to do that before with the Hilton Corporation. Before, I just used to stay in the Housekeeping Department and take every call [from] these people that are calling if they need something. But the new company cut down. They cut down my hours from eight hours to four, to six, four, two and three. Because they don't want me to be down there to help these people with whatever they needed.
 
AHPR: And how did you help them in what you were doing?
 
Vicki: I used to call the houseman, you know to deliver the stuff that they needed, rather than they go down to bring it themselves, because they are fully loaded with 17 rooms.
 
AHPR: You said something like you went from so many hours to fewer hours. What did you say again?
 
Vicki: They cut down my hours.
 
Jessica: Before implementation, what was that?
 
Vicki: It was eight hours.
 
Jessica: And then what is it now?
 
Vicki: Now, it's three hours. And I have been there for 23 years.
 
Blanca: Because before, when she was there, when I need something -- coffee or linen [for] example -- I call her, and she calls somebody, and somebody bring everything. Right now, you call and nobody answers the phone. That's why you need go down and bring everything.
 
Anna: Similar at the Sheraton.
 
Jessica: Actually, the Sheraton is even more interesting because they've cut down the supervisors, right? Do you want to talk about that?
 
Anna: Yeah. We used to be three supervisors in summertime. Wintertime, we have two. Now it is only one. And one have to sign coming at six o'clock, open the house, assign all the paperwork to the [housekeepers]. Like example, Friday I had 18 ladies, and I have to work by myself.
 
AHPR: Are you a supervisor there?
 
Anna: Yes, sir. So I have to run from the 15th floor to the third floor. Sometime I have to do it by the stairs because the elevator too slow. If I wait for the elevator, I won't finish my job. So when the lady called down to the office, "I need a shower curtain," "I need coffee," I am not there to answer the phone. So, it is a waste of time. And on top of that, they have to finish their room.

"We started in June, and we barely had six negotiations sessions. By the last one, all of a sudden in the mail we get word that they think we are at impasse, ... But we hadn't even agreed on a majority of the contract, even the small stuff like language issues. There is a certain National Labor Relations law that says if you reach legal impasse, the employer has the right to impose their final offer. Their final offer was 17 rooms."
 
AHPR: Explain to me something. Was this increase in the room numbers done in the middle of a contract? I don't understand how that was done.
 
Anna: At the Sheraton, they passed the contract, and they implemented that on September of last year.
 
Vicki: Same thing with the Hilton. That's what they did, too.
 
Anna: [In practice], they did their own contract and they put their own law. "This is what you guys are going to do." That is why we have this thing. "We want this. This is what you are going to do. End that story. How you do it, we don't care. You have to do 17 rooms, no matter what."
 
Jessica: So the Sheraton, we were in the middle of contract negotiations. We started in June, and we barely had six negotiations sessions. By the last one, all of a sudden in the mail we get word that they think we are at impasse, which is just a legal term for "neither side will give." But we hadn't even agreed on a majority of the contract, even the small stuff like language issues. There is a certain National Labor Relations law that says if you reach legal impasse, the employer has the right to impose their final offer. Their final offer was 17 rooms. So, that's what they've done. We filed a charge with the National Labor Relations board saying that we do not believe we are at an impasse. Currently that is being investigated, but in the meantime the hotel gets to get away with doing this kind of thing. We think it's because they're hoping that people will just give up eventually because they are in such a stressful situation, and tired, and bodies hurting -- that they just want to try and weaken them to just take a bad contract. So, go ahead Anna.
 
Anna: And it's not only in the housekeeping area. She worked in the public area, and they used to be ...
 
AHPR: Okay, you are pointing to somebody else in the room who is not at the table, and what does she do? Does she work in the public area?
 
Anna: Yes. She is a bathroom attendant. And before, [there was a man for the men's bathroom, and a woman for the women's bathroom, but] now she have to do man and woman. Sometimes she have accident because a guy go running into her, and she have to run out of the bathroom. She is [in] the same situation that we are [in] now.
 
Jessica: She is a porter, which is basically the term that Sheraton uses for "janitor." She cleans all of the public bathrooms throughout the hotel. There are how many again?
 
Anna: She cleans bathrooms and meeting rooms.
 
AHPR: Just one person does all that in the hotel?
 
Anna: Only one person, sir, in eight hour shift.
 
Jessica: The next eight hours, somebody else, and then the next...
 
Anna: Then with the boss on the back of her back, "Hurry up, hurry up!" Man, you have to hurry up! Hurry up! When you have a boss on top of your back saying that, you get stressed.
 
Elda: Easy you can get hurt. Somebody pushing you especially, you know what I mean? Pushing you to do your job, like intimidate you, you know, "Hurry, hurry, hurry!" You run, so you are not even thinking. You have to listen to the guy, that person pushing you. So it is easy for us to get hurt, because they don't give us the safety environment. That's what I think.
 
Anna: It's not only getting us stressful, it's getting us upset.
 
Elda: That's what I mean, mental!
 
Anna: Sometimes you want to [makes a gesture implying leaving] the job.
 
Elda: Some guy already walk off from [the job]. He didn't take it, he just walked off. He said, "Here is your job," and he get off.
 
Jessica: And why is it that you guys haven't left? Because it is really stressful.
 
Blanca: A lot of people at the Hilton quit because a lot are tired when go home. [There is] nothing [they] can do. Not cook for the children, nothing, [just go] to sleep. That's why people quit. A lot of people over there, because a lot tired.
 
Anna: I haven't quit because after 24 years of working, I am not going to let them go that easy. I am going to fight for what I have.
 
Elda: Neither do I. I've been 20 years, and I don't want to give up, you know? Because how they just come and implement all [their] own rules, without care about our safety, you know? That's the main thing, every employer has to first give the employees safe environment, you know? But they no giving us this in the hotel.
 
AHPR: I think in at least one case, the ownership of the hotel changed. Is that what is causing these problems?
 
Multiple responders: Both of them.

"That's right. How much more with us. We have lots of new employees who have been there like a week, or a month -- they quit because of the workload. They can't handle it, you know. They said that they're back is hurting, their arms. I have 20 years employee who quit."
 
AHPR: Is it the same owner for both of them?
 
Vicki: No, different. Two different ones. Hilton is owned by Columbia Sussex. Used to be by Hilton Corporation. They sold the hotel to Columbia Sussex, which is based in Kentucky. And you know, they are not really good to employees.
 
Jessica: They are not even good to their management.
 
Vicki: That's right. How much more with us. We have lots of new employees who have been there like a week, or a month -- they quit because of the workload. They can't handle it, you know. They said that they're back is hurting, their arms. I have 20 years employee who quit. She said, "I can't handle the job anymore." You know, because of the workload. "If it's 15 rooms, I'll stay over, but 17 rooms, I can't really handle it."
 
Blanca: [Before] Columbia Sussex, I was training the [housekeepers]. Last year, Columbia Sussex bring [their own] people from California to here, and their people training [our housekeepers]. Right, because maybe Columbia Sussex [worried that], "Oh, Blanca told the [housekeepers] no do 17 rooms, right?" Columbia Sussex from California trained a lot of people, but only [one stayed employed] in the hotel.
 
Vicki: Just one, out of all those people that they trained. See, they brought trainings, their managers, from San Diego and from their home base, Missouri. And then, all of those people that they trained, they hired from here. So they were the trainees. Out of those people, there was only one that was left because they can't handle the job. It's really hard.
 
Jessica: So what they are talking about is, it just so happens that the people that are in the union leadership at the Hilton Hotel, are all the people who do the training. So, when they implemented the contract at the Hilton, which was in April of 2009, they needed to hire people because the summer is a busier time. They all of a sudden brought up other people. Our folks weren't good enough to be the trainers anymore. So, then they trained all these people, but what they are saying is, only one person ended up sticking around out of how many people? It was like 20-something people who were getting trained. They just couldn't handle the 17 rooms, so they would leave.
 
AHPR: So this was at the time of transition between the old and new owners?
 
Blanca: Yes, because before when we [were] training the people, [they] give me only eight rooms for two or three [trainees]. And when the [new owners] come in, give me 17 rooms. And every [trainee had to] do 17 rooms.
 
Jessica: And they can't handle it.

"We are there for so many years because, yeah, we love the hotel. We love what we do, but they don't care about that, they just care money. You know? They don't care the effort that we do, if we are there to do those services that we do with happiness, so that the guests come back."
 
AHPR: And these are the new trainees?
 
Vicki: Yes, and they were bombarded with 17 rooms instead of like, you know, you train with your trainer. I just gave you only eight rooms to start with. Then, after a month, you are by yourself. I just give you four to start with. And then it increases like six, eight, until  you are ready to take that 15, 17 rooms. But with the new company, no, they give you 17 rooms right away.
 
Jessica: So their company, Columbia Sussex, we feel they care more about quantity than quality. We've seen that in the guest satisfaction scores and stuff. Since the increase and everything, people aren't as happy, and because the housekeepers aren't as happy, then that affects the mood when they are talking to guests, and so on, and so on.
 
Blanca: [Hotel guests don't see the owner here], but here are the people that work at the hotel. We are there for so many years because, yeah, we love the hotel. We love what we do, but they don't care about that, they just care money. You know? They don't care the effort that we do, if we are there to do those services that we do with happiness, so that the guests come back. They don't care about none of that.
 
Elda: They don't get it. They don't respect us as a people. That's another thing that came and got me, you know? I just got called by my boss in housekeeping "a pushy person." You believe that? In front of my coworkers? So, for last week, I was under dire stress because I cannot believe it, you know, because I was asking them to give me all of the supplies I need for do my work.
 
Jessica: And so your guys' company, who owns it again?
 
Anna: Remington Corporation.
 
Jessica: So Remington is the operator, and then the owner is Ashford Hospitality.
 
AHPR: Of which hotel?
 
Jessica: Of the Sheraton. It is owned by Ashford, and operated by Remington, and they are based out of Dallas.
 
AHPR: So that is a recent change?
 
Anna: 2007. They bought the hotel in 2007, but a lot of things have changed since that time. They came to Alaska, and they bring their own mind from down there, thinking that they are going to push it at us here, but we are going to fight here. We are not going to let them go!

AHPR: It sounds like when you try to complain about the workload or something, that maybe you are not being heard, or they are ignoring you, or something else?
 
Blanca: They don't care.
 
Vicki: They heard it, you know, but they don't care. All they care is about the money that's  coming to the company.
 
Jessica: Do you guys want to tell him what they said to you guys when they first were implementing the rooms?
 
Vicki: Yeah. They told all these room attendants -- we used to have a standard meeting every morning -- the manager told them, it's either they do 17 rooms, or they can leave. You know? Or, if they don't do 17 rooms, they get fired. So these people, they really try hard. They don't take their break, even 20-minutes lunch break. They take only 20 so that way they have plenty of time to finish the 17 rooms.
 
Jessica: And then when that didn't work, when people wanted to make sure that it was still a quality job, and that they were coming down with rooms not done, what did she say, like on day three or something?
 
Vicki: That they can come down, clock out, and go back.
 
AHPR: Ooh, that's illegal in Alaska.
 
Vicki: Yes, yes. And a lot of them do that too. They did, because they were so afraid to lose their job.
 
Blanca: Last month, [a particular housekeeper] working for 19 years over there, and she's quit last month because she can't finish 17 room in eight hour, and she clocks out and go again. And she goes to the hotel, over there at -- I don't know what time she go -- at six o'clock or seven o'clock.
 
Elda: Working for free after hours? Oh, shoot.
 
Blanca: And so she's quit.

Jessica: And we have mentioned this at a press event when we were launching the boycott at the Hilton, and it was mentioned on TV. They quickly changed that and let the women know that's not okay, but then they threatened them [because] they said, "You know we have a stack of applications this big." What are people going to do?
 
Blanca: We need the job. I mother single. I need a job. I need money for pay rent, for food, for everything. I need stay there.
 
Anna: That is what a human resource lady told us, especially one of the ladies that I know. If she don't finish those 17 rooms, she would hire somebody else to do it. So they threatening us, and that add stress, too.
 
AHPR: Are there people who you know, some of your coworkers, who may be afraid to talk about their health issues?
 
Multiple responders: Yes, yes, yes.
 
Elda: There is one person that I know too, that she is ready for two weeks of paying her, and I hear, but I don't think so, she wants to talk because she is afraid.
 
AHPR: That what, she would be fired, or what would happen?
 
Anna: She told me that since she came to Alaska, that is her job. And she don't know how to look for a job in other way. She don't know how to do anything else. If she got fired, she has a house to pay, she got a car to pay, and all of her bills, plus a medical problem. So, how is she going to handle it if she got fired because of that? So she is very afraid. And yes, she is waiting here because her elbow pain.
 
Elda: For two weeks, she is having pain in her back, due to the stress she got in the job, I think it's gotta be.
 
Anna: And she'd go to the emergency room because of the pain in her bladder, or whatever, so she is feeling the stress.
 
Blanca: You know what? The people are using a lot of medicine. Ben Gay, a lot, a lot. Me, right now I have a big bag for medicine, because when I finish the work, I go home, go shower hot water, and drink medicine.

"If you just ask any of the women to look in their purse or bag that they bring, you are going to see tons of bottles of medications. That is the other thing that is so egregious about this situation. They propose more work, and they want to take away the health care plans. They go hand-in-hand, so we can't let either of those go."

AHPR: I wanted to just quote you, this is another study, done by the University of California at San Francisco. And they found that, they looked at 941 Las Vegas housekeepers. They said that 83 percent report taking pain medication for discomfort due to work, and 62 percent reported work-related pain that forced them to visit a doctor. Seems to be pretty high rates.
 
Interviewee: Yes, it is true.
 
Interviewee: Yes.
 
Jessica: If you just ask any of the women to look in their purse or bag that they bring, you are going to see tons of bottles of medications. That is the other thing that is so egregious about this situation. They propose more work, and they want to take away the health care plans. They go hand-in-hand, so we can't let either of those go.
 
Anna: The Sheraton, they haven't been able to give us a package, and they are promising us in September for the health packages? But I guess the first was for a single person. It is over 100 and something dollar, but they haven't been able to find insurance or present us a package, a decent package. They not going to find it because health care is very expensive, and especially here in Alaska. I am a cancer survivor. I know how much money is spent when you have especially that kind of situation. I went to chemotherapy, to radiation therapy, and you know how much money is that? When I finished my treatment, I have to get a second job in order to pay what my part of that I have to pay. So I know, for a fact, how medical things is.
 
AHPR: So you even had health insurance, and you still had to take a second job to pay the copayments?
 
Anna: To pay, yes.
 
Jessica: And a lot of the women do have second jobs, right?
 
Multiple responders: Yes, yes.
 
Anna: A lot of people are getting health problems, especially at the Sheraton. I don't know, I can count with my hand, and I need more fingers to count how many ladies, some of them are passing away and some of them, we are still battling with cancer.
 
AHPR: You are still battling cancer, you said?
 
Anna: Yes. You know, and the coworkers.
 
Jessica: Vicki and I sat down the other day with a couple of the room attendants, and went over how many people are no longer doing the job at the Hilton because it went from 15 to 17 [rooms]. Like the reason they quit, or couldn't do the work anymore, because they got injured, from 15 to 17 [rooms]. And so, just in a short bit, we came up with 23 names. Twenty-three names of people that couldn't do the job anymore. And those are just the ones that we can think of. So, there is more injuries that have happened at the Hilton, but that's because it started in April. At the Sheraton, we can't even imagine what that's going to be like. They implemented in October, so it hasn't been as long, but already, all of a sudden, people are having the arm braces, and are having the patches, and the extra medications, and all that stuff.
 
Elda: And one cut her finger. What happened?
 
Anna: She suffers from diabetes, and healing the wound is difficult. So the doctor gave them a note that she can do only 10 rooms, so they call her, and then the doctor say, "Okay you do 13 room." They leave her at the house because they say, "No, it has to be 17 room or nothing." So they sent her home. She was in the house for a couple of weeks, because they want those 17 rooms done. Even when the doctor's order was 13 rooms. So they not willing to help us in any way.
 
Jessica: One of the big reasons why the women push through this pain is because there isn't light duty available. That's what happened to [our co-worker], right? She couldn't do it. The doctors are telling them, "You cannot go back to work again or you're never going to be able to do this job." They go back because they have families to support, and all that stuff. So they go back.
 
Anna: And that particular lady, she has been there 27 year, and look how they treating her. "You do 17 rooms, or don't work." No consideration.
 
Elda: But she injured herself because running to do her job.
 
Anna: To finish those 17 rooms.
 
AHPR: I would like to wrap this up, so what final comment would you like to say for the readers of Alaska Health Policy Review about this situation?
 
Elda: Well, I would like to say that because the increase of workload, they giving us a unsafe environment, easy to us to have injury, because all this job, this work. It is affecting to you mentally, you know? Because when you get off from that job, you are under a lot of stress, pain.
 
Anna: Me, in particular, to help us keep up the boycott on the Sheraton, so the Sheraton feel the pressure to at least sit down and give us a fair contract. We don't asking for nothing that we don't deserve. We don't asking for extra stuff, just to keep what we have. So, if [the readers] help us, in the way putting pressure to them, [hotel management] might be able to sit down with us and give us a fair contract.
 
" ... we would like the management to consider that we are the people who work very hard to get a living, and we would like them to consider us as as human beings, ... The employee have to be healthy to work a good job for them, because we can't go to work to for them 110 percent with 80 percent health."

AHPR: I'm assuming if you had a fair contract, for example if the contract had fewer rooms than 17 for you to clean, then that would help prevent your injuries and the stress, and so forth?
 
Anna: Yes.
 
Vicki: I think what I would like the readers to do is write down to the politician, maybe they should come up with something like legislation, you know, for all the hotels in Alaska, that maybe, let these workers do only 15 rooms, since we have high rate of injuries among room attendants. And they are the lowest paid, and they do the hard work, and they are the one who has the lowest paid, everywhere. You know, it will help them a lot.
 
AHPR: Maybe you could invite some legislators to come down and make up a room with you?
 
Anna: I think so.
 
Vicki: That would be nice. We did that with our managers, you know, when we was implementing the 17 rooms, she did it with the managers. She told the managers, "Why don't you go up and show us how to do it,?" And he did.
 
Jessica: Often times we think that the law is going to help us, and I think that that's why unions are so important, because if you can get it in your contract, it is an even better thing than what the law could provide. It's a way for the workers to have a voice on the job, in order to get those kinds of protections. What would be really great is if people would write the general managers of both these places and let them know, one, that they think it's not okay by increasing this workload, and two, that they are not going to come to these hotels anymore because these workers are the ones who are doing the hard work of pushing for the less rooms. Unfortunately, these two companies don't care about anything but the money. We believe they don't care about anything but the money, and that's why the workers voted to put boycotts on these hotels because it's the only way we can get them to listen.
 
AHPR: Thank you. Blanca, did you have any last comment you wanted to say?
 
Blanca: For help from other people, today, and help to the housekeepers, because housekeeping is very, very hard job. Very hard.
 
AHPR: Troy, do you have any last comment you'd like to say?
 
Troy: About our brothers and sisters in the Sheraton and Hilton hotel, we would like the management to consider that we are the people who work very hard to get a living, and we would like them to consider us as as human beings, not just thinking about money, money, and money for themself. Because, you know, we have to stay together. The employee have to be healthy to work a good job for them, because we can't go to work to for them 110 percent with 80 percent health.
 
Jessica: Troy, what happened to you when you were trying to get the message out to the public?
 
Troy: Well, they get rid of me because they want to make us weaker. They want to show the other employee that, "See, that is what he got, we had to get rid of him, so you know, we don't want you to do that." And then the people are afraid to fight back, and things like that. They will give us the lesser benefit.
 
Jessica: Troy is one of four people who were passing out flyers to customers about boycotting the hotel at the Sheraton. So these four people were some of our strongest people, were leaders inside the hotel, and they got rid of them. And we believe they got fired unjustly, so we have another unfair practice labor charge filed under that. But we are going to fight until we get these guys back.
 
Troy: We are going to fight until we outlast them.
 
AHPR: I want to thank you all for taking time on a Sunday afternoon for this interview, and telling the readers of Alaska Health Policy Review about the health issues in your jobs at the hotels. I wish you the best.

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Take Alaska Health Policy Class in Fall 2010 ... In Your Jammies!

Early warning! AHPR Editor Lawrence Weiss will be teaching HS 690 Alaska Health Policy in Fall 2010, a class offered by the Master of Public Health Program at UAA. This course is also open to persons who are not in the MPH program with permission of the department. It will be entirely online so you can do most of it at 2 a.m. in your jammies if you like.

The focus will be on health-related public policy in Alaska. The educational style will be fast-moving, highly interactive, and intellectually challenging. The curriculum will explore what health policy is, what impact it has on day-to-day practical operation of health care, how it is created, who influences it, and how national policies may affect health policy in Alaska.

Teleconferenced guest speakers will include some or all of the following: state legislators, lobbyists, program administrators, and advocates. Main source materials will include selections from approximately 1,800 pages of back issues of Alaska Health Policy Review, and a variety of relevant websites and other online resources. Students will conduct a high priority health policy analysis with practical application in Alaska, and will have the opportunity to have it reviewed for possible publication in Alaska Health Policy Review.

Sound interesting? Contact Katie Frost, ankrf@uaa.alaska.edu, administrative assistant in the UAA Department of Health Sciences. Ask her to put you on the "interested" list for HS 690 Alaska Health Policy so you can learn more about it and have the opportunity to sign up later this year. This class will be interesting, fun, and a great opportunity to network with like-minded health policy wonks!

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New Study: Alaska Medicaid Trends

The factors contributing to the large spike in the Fiscal Year 2010 Medicaid Budget, and the overall impact on Alaska's budget, were revealed in a recent study issued last week. Major findings from the report titled, "Analysis: Alaska Medicaid Trends, FY2010-FY2011," include:
  • There has been a substantial increase in the number of children enrolled in the Medicaid program over the last year, over 11,000 additional children enrolled.
  • In addition, there was a substantial increase in the use of the Food Stamp program.
  • The cause of the increase has been attributed to two major factors: an increase in statewide unemployment and an increase in Alaska's population.  
  • Most recent monthly trends in Medicaid spending show a slowing trend.
  • The overall impact on the FY2010 budget requires an additional $36.8 million from state general funds, and an additional $37.7 million in federal matching funds.
  • The recommended FY2011 Medicaid Budget requires $441.6 million from state general funds and an overall total of $1,318.2 million (from a combination of fund sources).
The findings were presented during a busy House Finance Committee meeting discussing HB 300 Approp: Operating Budget/Loans/Funds and HB 302 Approp: Mental Health Budget. The study was requested by Representative Mike Hawker and the House Finance Committee last year. The purpose of the study was to review Medicaid expenditures and projections (which are expected to spike by 17 percent in FY 2010), and to assist in the determination of the cause of the increase and the overall impact on the budget. The analysis and report were completed by Janet Clarke Consulting.

In-depth findings, including tables on Medicaid spending and enrollment trends, are available in the full report.

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Please Respect Our Copyright

Alaska Health Policy Review is sent to individual and group subscribers for their exclusive use. Please contact us for information regarding significant discounts for multiple subscriptions within a single organization. Distributing copies of the Alaska Health Policy Review is prohibited under copyright restrictions without written permission from the editor; however, we encourage the use of a few sentences from an issue for reviews and other "Fair Use."

We appreciate your referral of colleagues to akhealthpolicy.org in order to obtain a sample copy. The Alaska Center for Public Policy holds the copyright for Alaska Health Policy Review. Your respect for our copyright allows us to continue to provide this service to you.

For all related matters, please contact the editor, Lawrence D. Weiss, at health.policy.review@gmail.com.

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CON Watch

Certificate of Need (CON) is a review program administered by the Alaska Department of Health and Social Services (DHSS) that monitors the development of health care facilities and services. It was established to prevent excessive, unnecessary, or duplicative development of such structures, as well as to ensure that the project will meet the needs of the public. In addition to providing governmental oversight of the construction of high-cost medical facilities, the certificate of need program also allows for public scrutiny of the proposed projects.

The CON review process begins with a formal application proposing a new health facility structure or service development in Alaska. Any relevant plans, data, and architectural designs are submitted by the applicant and reviewed first by the Alaska DHSS. As the application is reviewed, a time period for written public comment is established, and if requested, a public meeting is scheduled to discuss the application in a public forum. As the project moves through the application process, any activity is reported to the state's CON website.

The following applications are listed on the state's CON website as current projects in various stages of the application process. We report here projects with activity from January 1, 2010 to the present. Projects that have not been updated since before that point were left out, although they are listed on the CON website in previous year CON activity. Each project name is hyperlinked to the project's individual CON page. We will continue to update any CON activity on a bi-monthly basis. The information is current as of March 4, 2010.

Providence Alaska Medical Center Expansion and Modernization
Status and last updated: Application Received*, 02/24/10
Additional Details:
Project Details: Providence Alaska Medical Center in Anchorage proposes to expand its campus including modernization and expansion of the neonatal intensive care unit, high-risk obstetrics prenatal unit, the Mother-Baby Unit, and maternity support services (labor and delivery, obstetric triage, obstetric recovery and cesarean section areas). The project also includes expansion and modernization of the cardiac surgery program, general surgery, and critical hospital ancillary services, including materials management, pharmacy, and sterile processing. The project will renovate 100,789 square feet and construct 85,782 square feet. The projected cost is $150,325,633. Completion is planned for no later than 2016.

*This application is in the review stage. As described in the public notice: To be reviewed concurrently, an application for a certificate of need for a similar service must be submitted within 60 days after the initial application for a service is declared complete. As soon as the initial application is declared complete, public notice will be issued and will include information on opportunities for public comment and the location where a copy of each certificate of need application may be reviewed.

Anchorage- Ambulatory Surgery Center
Applicant- Providence Alaska-Advanced Pain Center of Alaska
Status and last updated: CON Approved, 03/04/10
Additional Details: On February 15, 2006 Providence Alaska Health Systems filed notice of appeal of the Commissioner's Decision to deny a CON. On October 5, 2007 the Commissioner issued a final order and decision on appeal. On October 15, 2007 the joint venture appealed the Commissioner's decision to Superior Court. In 7/2008 the Superior Court overturned the Commissioner's decision and ordered a CON be awarded. The CON expiration is 12/31/09.

Anchorage- Electrophysiology Catheterization Laboratory
Applicant- Providence Alaska Medical Center
Status and last updated: CON Approved, 09/14/2009, Updated 03/04/10
 
Anchorage- Relocation and Expansion of Sleep Disorder Center
Applicant- Providence Alaska Medical Center
Status and last updated: CON Approved, 08/04/2009, Updated 03/04/10
Additional Details: Providence Alaska Medical Center proposes to relocate its Sleep Disorders Center and expand it by four testing beds. The project proposes to lease 10,300 square feet. The total cost of the project is estimated at $3.6 million with a completion date of May 2010. The application was deemed complete 6/2/09. A public hearing was held 5-6:30pm 6/18/09 in Anchorage. A CON was awarded August 4, 2009. The CON expires May 31. 2010.

Homer-Modular Building to House MRI Equipment
Applicant- South Peninsula Hospital
Status and last updated: Determination Made, 01/26/2010
Additional Details: On January 12, 2010 South Peninsula Hospital requested a Certificate of Need determination to construct a 900 sq ft building at the cost of approximately $800,000-$900,000 to house the MRI machine. The current trailer will be returned when the current MRI lease is terminated.

Wrangell- Replacement Hospital
Applicant- Wrangell Medical Center
Status and last updated: Application Complete, 01/21/10
Additional Details: A Certificate of Need application has been submitted by Wrangell Medical Center to construct a 39,000 sq ft replacement hospital in Wrangell, AK. The cost of the project is estimated at $25.4 million and will expand the square footage in all departments. The applicant also proposes to increase the number of long term care beds from 14 to 20. The estimated completion date is 7/1/13.

Health Policy Calendar

This calendar of health policy-related meetings is current as of March 4, at 11:00 AM. Please visit the Alaska State Legislature's list of committee hearings for the most current listings, as they are subject to change.

Monday, March 8, 2010, 1:30 PM
What: House Finance Standing Committee
Where: House Finance 519, Juneau
Other Information: HB 302 Mental Health Budget; Committee Amendments; Bills Previously Scheduled; Teleconferenced

Monday, March 8, 2010, 3:15 PM
What: House Labor and Commerce Standing Committee
Where: Barnes 124, Juneau
Other Information: HB 354 AK Capstone Avionics Revolving Loan Fund; Other Bills Scheduled; Teleconferenced

Tuesday, March 9, 2010 8:00 AM

What: House Community and Regional Affairs Standing Committee
Where: Barnes 124, Juneau
Other Information: HB 361 CPR Training for 911 Dispatchers; Other Bills Scheduled; Teleconferenced

Tuesday, March 9, 2010, 9:00 AM
What: House Finance Standing Committee
Where: House Finance 519, Juneau
Other Information: HB 302 Mental Health Budget; Bills Previously Scheduled; Teleconferenced

Tuesday, March 9, 2010, 3:00 PM
What: House Health and Social Services Standing Committee
Where: Capitol 106, Juneau
Other Information: SB 13 Medical Assistance Eligibility; HB 309 Dental Care Insurance; HB 284 Pioneer Home Rx Drug Benefit; Bills Previously Heard/Scheduled; Teleconferenced

Tuesday, March 9, 2010 3:30 PM
What: Senate Community and Regional Affairs Standing Committee
Where: Beltz 105 (TS Building), Juneau
Other Information: HJR 46 Supporting Denali Commission; Other Bills Scheduled; Teleconferenced

Tuesday, March 9, 2010, 5:00 PM
What: Senate Corrections Finance Subcommittee
Where: Fahrenkamp 203, Juneau
Other Information: Inmate Health Care

Wednesday, March 10, 2010 1:00 PM
What: House Judiciary Standing Committee
Where: Capitol 120, Juneau
Other Information: HB 327 Controlled Substances/Dextromethorphan; Other Bills Scheduled; Teleconferenced

Wednesday, March 10, 2010 1:30 PM
What: Senate Health and Social Services Standing Committee
Where: Beltz 105 (TS Building), Juneau
Other Information: SB 172 Alaska Health Care Commission; Confirmation of Governor's Appointments; Other Bills Scheduled; Teleconferenced

Wednesday, March 10, 3:15 PM
What: House Labor and Commerce Standing Committee
Where: Barnes 124, Juneau
Other Information: HB 282 Naturopaths; Bills Previously Heard/Scheduled; Teleconferenced

Thursday, March 11, 2010, 1:00 PM
What: House Judiciary Standing Committee
Where: Capitol 120, Juneau
Other Information: HJR 35 Const Am: Health Care; Other Bills Scheduled; Teleconferenced

Thursday, March 11, 2010, 3:00 PM
What: House Health and Social Services Standing Committee
Where: Capitol 106, Juneau
Other Information: HB 260 Medicaid: Preventive Care/Disease Mgt.; SCR 12 Fetal Alcohol Spectrum Disorders Day; Other Bills Previously Scheduled; Teleconferenced

Friday, March 12, 2010, 3:15 PM
What: House Labor and Commerce Standing Committee
Where: Barnes 124, Juneau
Other Information: Confirmation Hearings for multiple labor boards in Alaska, including the Board of Pharmacy; Board of Marital and Family Therapy; Board of Certified Direct-Entry Midwives; Board of Nursing; Board of Examiners in Optometry; Board of Pharmacy; State Physical Therapy and Occupational Therapy Board; Board of Professional Counselors; and Board of Psychologist and Psychological Associate Examiners; Teleconferenced

Friday, March 12, 2010 3:30 PM
What: Senate Health and Social Services Finance Subcommittee
Where: Beltz 105 (TS Building), Juneau
Other Information: Pre-Closeout and Question/Answer Session; Testimony by invitation only; Teleconferenced

April 28-30, 2010

What: The 4th Biennial Alaska Rural Health Conference
Where: Sheraton Anchorage Hotel
Other Information: "Planning for the Decade Ahead;" Access additional information and register here.

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Bill Watch: Bills on the Move

It's been busier than ever for health policy bills in the Legislature. Three new bills were introduced including one that would establish a Community Health Impact Assessment program within the Department of Health and Social Services, and another that would require 911 dispatchers obtain CPR certification prior to employment. Several bills were heard and moved out of committees, and many are scheduled to be heard in committees next week. It's going to be another exciting week for health policy.

HB 361 CPR Training for 911 Dispatchers was introduced on February 23 and is scheduled to be heard in (H) CRA on March 9. HB 392 Incentives for Certain Medical Providers was introduced and referred to (H) HSS on February 23. HB 399 Community Health Assessments was introduced and referred to (H) HSS on February 23.

HJR 46 Supporting Denali Commission is scheduled to be heard in (S) CRA on March 9. SB 172 Alaska Health Care Commission is scheduled to be heard in (S) HSS on March 10. HB 354 AK Capstone Avionics Revolving Loan Fund is scheduled to be heard in (H) L&C on March 8 and March 9.

HB 284 Pioneer Home Rx Drug Benefit; HB 309 Dental Care Insurance; and SB 13 Medical Assistance Eligibility are scheduled to be heard in (H) HSS on March 9. HB 327 Controlled Substances/Dextromethorphan is scheduled to be heard in (H) JUD on March 10. HJR 35 Const Am: Health Care is scheduled to be heard in (H) JUD on March 11. HB 260 Medicaid: Preventive Care/Disease Mgt. and SCR 12 Fetal Alcohol Spectrum Disorders Day are scheduled to be heard in (H) HSS on March 11.

HB 283 Purchase/Consumption of Alcohol was heard in (H) JUD on March 1, amended, and moved out of committee, and was referred to (H) FIN on March 4. HB 110 Psychologists' Licensing and Practice was read for the first time in the Senate and referred to (S) EDC on February 26.

HB 282 Naturopaths is scheduled to be heard in (H) L&C on March 10. HB 259 Adult Public Assistance Eligibility was heard and held in (H) HSS on February 25.

SB 199 Medicaid Coverage for Dentures was read for the first time in the House, and referred to (H) HSS, then (H) FIN on March 1. HB 52 Post-Trial Juror Counseling was heard and moved out of (H) JUD on February 26, and referred to (H) FIN on March 1.

HB 302 Mental Health Budget was heard and held in (H) FIN on February 26, and received public testimony in (H) FIN on March 2 and 3, and is scheduled to be heard again in (H) FIN on March 8. HB 314 Workers' Compensation was heard in and moved out of (H) JUD on February 25, and referred to (H) FIN on February 26.

HB 346 Workers' Compensation Advisory Board was amended in and moved out of (H) L&C on February 24, and referred to (H) FIN on February 26. HB 71 Advance Health Care Directives Registry was heard and held in (H) JUD on February 24.

The following is a list of all health-related bills recently proposed or sitting in various legislative committees. For a description of the process of selecting and tracking health policy bills, as well as the full names of committees and their abbreviations, refer to the end of the Bill Watch section.
 
Bill information is current as of March 4 at 11:00 AM.

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Bill Watch: Drugs

HB 17 Prohibit Tobacco Use Until Age 21
Sponsor: Rep. Crawford
Committee(s) and date of last action: Read and referred to (H) L&C, then (H) FIN, 01/20/09
Description: This bill requests to change the legal age from 19 to 21 for the purchase, sale, exchange, and possession of tobacco. Specifically, it requests that any statute listing the legal age as 19 for the above activities be amended to the age of 21.
 
HB 277 Certify Emergency Use of Epinephrine
Sponsor: Rep. Peggy Wilson
Committee(s) and date of last action: Referred to (H) HSS, 01/19/10
Description:  This bill proposes the addition of a state program in the Department of Health and Social Services that would provide prescriptions to eligible individuals for emergency use of epinephrine.
 
HB 283 Purchase/Consumption of Alcohol
Sponsor: Rep. Crawford
Committee(s) and date of last action: Heard in (H) JUD, amended, and moved out of committee, 3/01/10, referred to (H) FIN, 03/04/10
Description: This bill amends a previous statute concerning the legalities of purchasing, soliciting, or drinking alcohol among underage individuals and those with alcohol-related felonies. Specifically, it clarifies the conditions under which a person would be committing an alcohol-related crime.
 
HB 284 Pioneer Home Rx Drug Benefit
Sponsor: Rep. Gara
Committee(s) and date of last action: Scheduled to be heard in (H) HSS at 3:00 PM, 03/09/10
Description: This bill proposes a law requiring the Department of Health and Social Services to accept federal prescription drug benefits or to provide comparable benefits for residents of the Alaska Pioneers' Home.

HB 327 Controlled Substances/Dextromethorphan
Sponsor: Rep. Johansen
Committee(s) and date of last action: Scheduled to be heard in (H) JUD at 1:00 PM, 03/10/10
Description: This bill is related to SB 52 Salvia Divinorum (introduced during last year's session), in that it proposes to add the substance to an existing list of controlled substances.

SB 52 Salvia Divinorum As a Controlled Substance
Sponsor: Sen. Therriault
Committee(s) and date of last action: 03/18/09 (S) Referred to Finance
Description: Salvia divinorum and Salvinorin A are compounds of a plant used for medicinal purposes and with hallucinogenic properties. There has been an increase in its use, and has the potential for misuse and abuse. This bill requests that it be listed as a controlled substance.
 
SB 197 Emergency Contraceptives
Sponsor: Sen. Dyson
Committee(s) and date of last action: Referred to (S) HSS, 01/19/10
Description: This bill proposes to allow pharmacists in Alaska the "right to refuse to refer, recommend, or dispense emergency contraceptives." In addition, it would provide immunity for pharmacists from any civil liability resulting from such a refusal.
 
SB 215 Pioneer Home Rx Drug Benefit
Sponsors: Senators Wielechowski, Olson, Kookesh, Ellis, and Davis
Committee(s) and date of last action: Referred to (S) FIN, 02/10/10
Description: This is the Senate companion bill to HB 284.

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Bill Watch: Health Professional Workforce and Health Education

HB 28 Clinical Laboratory Science Professionals
Sponsor: Rep. Crawford
Committee(s) and date of last action: Read and referred to (H) L&C, then (H) FIN, 01/20/09
Description: This bill outlines the definitions related to "clinical laboratory scientist," including the allowable duties of a phlebotomist under the supervision of certain medical professionals, and the criteria for licensure and removal of license for laboratory scientists. It also establishes the composition and duties of a volunteer advisory board for clinical laboratory science professionals, to be effective October 1, 2009.
 
HB 50 Limit Overtime for Registered Nurses
Sponsors: Representatives Wilson, Gara, Tuck, Petersen, Lynn, Seaton, Gatto, Cissna, Munoz, Gardner, Ramras
Committee(s) and date of last action: (H) FIN, 04/15/09
Description: This bill cites the frequent overtime work schedules among nursing professionals as contributors to employee turnover and inadequate health care. It requests that a previous statute be amended to include limitations related to overtime among nursing schedules. These limitations include that no nursing professional is to work more than 80 hours during a 14-day period, and that time between each shift should be no less than 10 hours. Other amendments incorporate the availability of an anonymous complaint system in the workplace of nurses, and mandatory adoption of these provisions by all entities employing nursing professionals.
 
HB 51 Limit Overtime for Registered Nurses
Sponsor: Rep. Gardner
Committee(s) and date of last action: Read and referred to (H) HSS, then to (H) FIN, 01/20/09
Description: This bill is identical to HB 50.
 
HB 58 Educ Loan Repayment Program
Sponsors: Representatives Thomas, Wilson, Millett, Harris
Committee(s) and date of last action: (H) FIN, 04/01/09
Description: This bill requests that general funds be set aside for incentive use to recruit individuals in occupations facing a shortage. Dentists and licensed practical nurses are among the occupations listed that would have access to these funds and incentive programs. Allocation of these funds is grouped by geographical location, with more funding available to professionals who are employed in rural areas of the state. A minimum of one year of employment is required for eligibility, and the amount of funding increases incrementally with the number of years of employment.
 
HB 110 Psychologists' Licensing & Practice
Sponsor: Rep. Herron, by request of the Alaska Psychological Association
Committee(s) and date of last action: Read for the first time in the Senate and referred to (S) EDC, 02/26/10
Description: The sponsor states that "Under current law, AS 08.86.180(b) [see section 2] exempts from licensure employees of a "governmental unit, educational institution or private agency" who may practice some aspect of the psychology profession as a condition of employment. Both the Association and the Board of Psychologist and Psychological Examiners believe this is too broad of an exemption. HB 110 would restrict the exemption to school district personnel under appropriate supervision of onsite activities and federal employees. Other changes in the bill are removal of a time limit for licensure reexamination, and the expansion of the definition of the practice of psychology to include unpaid services." The bill was amended on January 29, to remove a section of the original bill that proposed to amend the definition of "to practice psychology."

HB 204 Postsecondary Medical Educ. Prog.
Sponsor: Rep. Dahlstrom
Committee(s) and date of last action: (H) FIN, 04/03/09
Description: This bill proposes to increase the number of medical students enrolled in the University of Washington's Medical School program, WWAMI. Specifically, the bill proposes an increase from 20 to 24 medical students.

HB 223 Training for Psychiatric Treatment Staff
Sponsor: Dept. of Health and Social Services
Committee(s) and date of last action: (H) HSS, 04/08/09
Description: This bill proposes detailed specifications for the educational and experiential requirements for caregivers in a psychiatric treatment setting, as well as the educational experience required by supervisors of psychiatric treatment staff.
 
HB 235 Prof Student Exchange Loan Forgiveness
Sponsors: Rep. Munoz
Committee(s) and date of last action: Heard and moved out of (H) EDC, and referred to (H) FIN, 02/08/10
Description: This bill provides loans and interest forgiveness for those loans to no fewer than five individuals seeking professional degrees in dentistry, optometry, and pharmacy. It also requires that eligible recipients be state residents, and increased incentives are provided to those who deliver post-graduate services in areas of need.
 
HB 282 Naturopaths
Sponsor: Rep. Munoz
Committee(s) and date of last action: Scheduled to be heard in (H) L&C, 03/10/10
Description: This bill is "An Act relating to naturopaths and to the practice of naturopathy; establishing an Alaska Naturopathic Medical Board; authorizing medical assistance program coverage of naturopathic services; amending the definition of 'practice of medicine'; and providing for an effective date."

HB 335 Physician Shortages: Grants
Sponsor: Rep. Gara and others
Committee(s) and date of last action: Introduced and referred to (H) HSS, 02/10/10
Description: This bill is also known as the "Medicare and Primary Care Access Act," and it proposes the establishment of state-funded grants for the specific use of providing "incentives by expanding the availability of nonprofit primary care clinics when the clinics can provide cost-effective help to solve medical access problems."
 
SB 8 Psychologist's Licensing and Practice
Sponsor: Sen. Hoffman
Committee(s) and date of last action: Read and referred to (S) EDC, then (S) L&C, 01/20/09
Description: This bill proposes an amendment to a previous statute regarding the ability of a psychological professional to take a psychological associate examination for licensure. Specifically, it adds that an individual is ineligible for examination if they failed an exam within the last six months and that this amendment is not applicable to a psychologist employed in a school district or a psychologist employed by the U.S. government while in the discharge of that employee's service.
 
SB 12 Limit Overtime for Registered Nurses
Sponsor: Sen. Davis
Committee(s) and date of last action: (S) FIN, 04/15/09
Description: Identical to HB 50, this bill cites the frequent overtime work schedules among nursing professionals as contributors to employee turnover and inadequate health care. It requests that a previous statute be amended to include limitations related to overtime among nursing schedules. These limitations include that no nursing professional is to work more than 80 hours during a 14-day period, and that time between each shift should be no less than 10 hours. Other amendments incorporate the availability of an anonymous complaint system in the workplace of nurses, and mandatory adoption of these provisions by all entities employing nursing professionals.
 
SB 18 Postsecondary Medical and Other Educ  
Sponsors: Senators Wielecheowski, Thomas, Ellis
Committee(s) and date of last action: (S) FIN, 03/16/09
Description: This bill proposes to raise the number of new students enrolled in medical education through the WWAMI program from 20 to 24 by 2010, and from 24 to 30 by 2012.
 
SB 70 Naturopaths
Sponsor: Sen. Davis
Committee(s) and date of last action: (S) L&C, (S) FIN, 04/01/09
Description: "An Act relating to naturopaths and to the practice of naturopathy; establishing an Alaska Naturopathic Medical Board; authorizing medical assistance program coverage of naturopathic services; and providing for an effective date."
 
SB 139 Incentives for Certain Medical Providers
Sponsors: Senators Olson, Wielechowski, Meyer, Davis
Committee(s) and date of last action: (S) FIN, 04/07/09
Description: "An Act establishing a loan repayment program and employment incentive program for certain health care professionals employed in the state; and providing for an effective date."

HB 392 Incentives for Certain Medical Providers
Sponsor: Rep. Herron
Committee(s) and date of last action: Introduced and referred to (H) HSS, 02/23/10
Other Information: This is the House companion bill to SB 139.

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Bill Watch: Medical Assistance and Health Insurance

HB 30 Repeal Defined Contribution Plans
Sponsors: Representatives Harris, Hawker, and Munoz
Committee(s) and date of last action: (H) L&C, 01/20/09
Description: This is the companion bill to SB 23, and is "An Act repealing the defined contribution retirement plans for teachers and for public employees; providing a defined benefit retirement plan for teachers and public employees; making conforming amendments; and providing for an effective date." From the sponsor: "By providing a retirement plan which is totally portable (such as a 401[k] or 457 plan), we risk employees leaving their positions for other opportunities. The result will be higher employee turnover, less loyalty from the employees, fewer experienced employees and educators, and a more transitory workforce. Per dollar of benefits paid, a defined contribution plan is more expensive than a defined benefit plan."
 
HB 61 Medical Assistance Coverage
Sponsors: Representatives Cissna and Gruenberg
Committee(s) and date of last action: Read and referred to (H) HSS, then to (H) FIN, 01/20/09
Description: This bill requests many changes to medical assistance eligibility for Alaskans. Among the changes are 1) disabled persons: increasing the eligibility for those in a family whose income does not exceed 250% of the official poverty level for Alaska; 2) individuals under the age of 19: increasing the family income eligibility from 175% to 200% of the federal poverty level for Alaska; 3) pregnant women: increasing the family income eligibility from 175% to 200% of the federal poverty level for Alaska.
 
HB 62 Medical Assistance Eligibility/Premiums
Sponsors: Rep. Hawker
Committee(s) and date of last action: Read and referred to (H) HSS, then to (H) FIN, 01/20/09
Description: This bill, also known as the "Denali Kid Care Accountability Act," amends a previous Alaska Statute on medical assistance eligibility requirements. Specifically, it adds sections requiring recipients of medical assistance in families whose income is between 175 and 250 of the federal poverty level to pay premiums, on a sliding scale, for medical assistance. The Department of Health and Human Services is required to set the premium at no less than 2% of the recipient's income, and establish a system of collecting premiums from recipients. This bill requests that these changes go into effect following the approved revisions and funding to make these changes.
 
HB 87 Med Benefits of Disabled Peace Officers
Sponsors: Representatives Millett, Dahlstrom, Gardner, Gara, Kerttula, Kawasaki
Committee(s) and date of last action: (H) L&C, 01/26/09
Description: This bill proposes waiving payment of premiums for major medical insurance for disabled peace officers who have at least 20 years of credited service as peace officers of the public.
 
HB 118 Medical Assistance Eligibility
Sponsor: Rep. Gara
Committee(s) and date of last action: Referred to (H) HSS, then to (H) FIN, 02/25/09
Description: "An Act expanding, and relating to advertising about, medical assistance coverage for eligible children and pregnant women; relating to the poverty guideline and cost sharing for certain recipients of medical assistance; having the short title of the 'No Child Left Uninsured Act'; and providing for an effective date."

HB 178 Payments to Physicians: Medicare/Probono
Sponsor: Rep. Gara
Committee(s) and date of last action: (H) HSS, 03/12/09
Description: This bill proposes the following: "An Act providing for state incentive payments to physicians who provide qualified services to Medicare recipients and services to patients for which there is no charge to the patient; having the short title of the 'Doctors for Seniors Act'; and providing for an effective date." Thus, the bill proposes to create state incentive programs for physicians to increase the number of providers who will see new and existing Medicare patients, at no additional charge to the patient.
 
HB 187 Ins. Coverage: Autism Spectrum Disorder
Sponsor: Rep. Petersen
Committee(s) and date of last action: Heard in (H) HSS, 01/28/10
Description: "An Act requiring insurance coverage for autism spectrum disorders, describing the method for establishing a treatment plan for those disorders, and defining the treatment required for those disorders; and providing for an effective date."

HB 292 Grants to Disaster Victims
Sponsor: Rules by Request of the Governor
Committee(s) and date of last action: Moved to (H) FIN, 02/19/10
Description: This bill establishes the conditions upon which disaster relief funds are granted to individuals throughout Alaska. Specifically, it adds that when the president does not declare a major disaster, but the governor declares a disaster emergency in Alaska, the governor is allowed to issue grants to certain individuals affected by the disaster, not exceeding $5,000.

SB 216 Grants to Disaster Victims
Sponsor: Rules by Request of the Governor
Committee(s) and date of last action: Introduced and referred to (S) FIN, 02/05/10
Description: This is the Senate companion bill to HB 292, and is identical.

HB 328 Traumatic Brain Injury: Program/Medicaid
Sponsor: Rep. Johnson
Committee(s) and date of last action: Introduced and referred to (H) HSS, 02/05/10
Description: "An Act establishing a traumatic or acquired brain injury program and registry within the Department of Health and Social Services; and relating to medical assistance coverage for traumatic or acquired brain injury services."

HB 207 Maximum Benefit from the Fishermen's Fund
Sponsor: Rep. Harris
Committee(s) and date of last action: Heard in (H) RLS, 02/04/10
Description: From the sponsor: "The Alaska Fisherman's Fund was established 1951 to provide for the treatment and care of Alaska licensed commercial fishermen and crew who have been injured while fishing on shore or off shore in Alaska. The upper limit on claims in the fund has been $2,500 since 1959. If $2,500 in 1959 dollars was adjusted for the Consumer Price Index, it would be worth approximately $18,229.64 today. While the limitation in state law has remained unchanged, health care costs have steadily risen.

HB 207 updates the Alaska Fishermen's Fund limit to $10,000. This is intended to help ensure that Alaska's fishermen have better access to health care when injured while fishing. Updating the claim limit to $10,000 will bring this very worthwhile program back to providing a meaningful level of assistance as the payer of last resort for commercial fishermen and crew that sustain injuries or illness while fishing."

HB 309 Dental Care Insurance
Sponsor: Rep. Thomas
Committee(s) and date of last action: Scheduled to be heard in (H) HSS at 3:00 PM, 03/09/10
Description: "An Act prohibiting health care insurers that provide dental care coverage from setting a minimum age for receiving dental care coverage, allowing those insurers to set a maximum age for receiving dental care coverage as a dependent, and prohibiting those insurers from setting fees that a dentist may charge for dental services not covered under the insurer's policy."

SB 163 Maximum Benefit from the Fishermen's Fund
Sponsor: Sen. Paskvan
Committee(s) and date of last action: Heard in (S) FIN, 02/23/10 and moved to (S) RLS on 02/24/10
Description: This is the Senate companion bill to HB 207, and is identical.
 
HB 259 Adult Public Assistance Eligibility
Sponsor: Rep. Keller
Committee(s) and date of last action: Heard and held in (H) HSS, 02/25/10
Description: This bill is described as "an act relating to citizenship requirements and an alcohol impairment and drug testing program for applicants for and recipients of adult public assistance.
 
HB 260 Medicaid: Preventive Care/Disease Mgt.
Sponsor: Rep. Keller
Committee(s) and date of last action: Scheduled to be heard in (H) HSS at 3:00 PM, 03/11/10
Description: This bill adds an additional section to an established Alaska Statute on medical assistance services, and proposes that the following preventive care and disease management services be added to home waivers for eligible recipients: medication management; coordination with a primary care provider; use of evidence-based practice guidelines; patient education; provider collaboration; routine health and outcome assessments; and other preventive and disease management services identified by the department in regulation.
 
HB 265 Medicaid Coverage for Dentures
Sponsors: Representatives Gardner, Petersen, and Gara
Committee(s) and date of last action: Heard and held in (H) HSS, 02/23/10
Description: This bill amends an existing medical assistance eligibility statute, stating that if a Medicaid recipient receives approval for partial or complete dentures, the amount awarded for payment should not exceed $1,150 for each recipient in a fiscal year. In addition, no additional restorative benefits would be given during a two-year period following the approval of payment for dentures.
 
SB 199 Medicaid Coverage for Dentures
Sponsor: Sen. Ellis
Committee(s) and date of last action: Read for the first time in the House, and referred to (H) HSS, then (H) FIN, 03/01/10
Description: This is the Senate companion bill, and is identical, to HB 265.
 
HB 270 Medicaid for Medical and Intermediate Care
Sponsor: Rep. Munoz
Committee(s) and date of last action: Referred to (H) HSS, 01/19/10, then (H) FIN
Description: This bill proposes to amend the eligibility requirements for a selected group of individuals who are not eligible for other types of medical assistance. Specifically, it raises the income eligibility threshold to 300 percent of the federal poverty level for individuals receiving care in a medical or intermediate care facility.
 
HB 286 Medicaid for Medical and Intermediate Care
Sponsor: Representatives Gara and Gruenberg
Committee(s) and date of last action: Referred to (H) HSS, 01/19/10
Description: Amending the eligibility threshold for medical assistance for persons in a medical or intermediate care facility.
 
HJR 35 Const Am: Health Care
Sponsor: Representatives Kelly, Keller, Peggy Wilson, and Gatto
Committee(s) and date of last action: Scheduled to be heard in (H) JUD at 1:00 PM, 03/11/10
Description: This resolution proposes an amendment to the Constitution of the State of Alaska, that would prohibit the interference of any laws with an individual's right to purchase health care insurance from a privately owned company. Also, it would prevent the passage of laws that "compel a person to participate in a health care system."
 
HCR 9 Home Health Aides for Seniors
Sponsors: Representatives Cissna and Gruenberg
Committee(s) and date of last action: Introduced and referred to (H) HSS, then to (H) FIN, 02/25/09
Description: This bill promotes the expansion of home health services to older Alaskans and adults with disabilities by requesting that the governor direct the Department of Health and Social Services to apply to the federal government for additional waivers under the home and community-based waiver program to better serve older Alaskans and adults with disabilities through a federally reimbursable service either as a separate service or as a service that may be combined with other waivers.
 
SB 10 Medicaid/Ins for Cancer Clinical Trials
Sponsor: Sen. Davis
Committee(s) and date of last action: Read and referred to (S) RLS, 04/16/09
Description: This bill requests that a health insurance company be required to provide coverage for any medical expenses incurred during the course of participation in an approved clinical trial.
 
SB 11 Dependent Health Insurance; Age Limit
Sponsor: Sen. Davis
Committee(s) and date of last action: 03/20/09 Referred to (S) L&C, then (S) FIN
Description: This bill requests that among health insurance policies covering dependents of enrollees, the defined age for "dependent child" be raised from 23 to 26 years of age.
 
SB 13 Medical Assistance Eligibility
Sponsor: Sen. Davis
Committee(s) and date of last action: Scheduled to be heard in (H) HSS at 3:00 PM, 03/09/10
Description: This bill requests that the family income eligibility requirements for medical assistance among children and pregnant women be raised from 175% to 200% of the federal poverty level, effective immediately.
 
SB 23 Repeal Defined Contrib Retirement Plans
Sponsor: Sen. Elton
Committee(s) and date of last action: (S) FIN, 03/25/09
Description: "An Act repealing the defined contribution retirement plans for teachers and for public employees; providing a defined benefit retirement plan for teachers and public employees; making conforming amendments; and providing for an effective date." From the sponsor: SB 23 returns guaranteed pension and health care benefits to Alaska public employees. Analyses by actuaries and the state Division of Retirement and Benefits show that Alaska's defined benefit pension - paying a guaranteed monthly benefit plus health care - costs the same as the new defined contribution system but provides much better benefits. SB 23 repeals the laws putting public employees into risky individual savings account plans, and enrolls them in the least expensive pension plans, the current public employee tier III and teacher tier II.
 
SB 32 Medicaid: Home/Community Based Services
Sponsor: Sen. Ellis
Committee(s) and date of last action: (H) FIN, 04/14/09
Description: This bill requests an amendment to a previous statute outlining medical assistance among health facilities, adding medical assistance eligibility for home and community-based services.
 
SB 38 Pharmacy Benefits Managers; Managed Care
Sponsor: Sen. Elton
Committee(s) and date of last action: (H) L&C, then (H) FIN, 04/06/09
Read and referred to (S) HSS, 01/21/09
Description: This bill proposes to change language in a previous statute, amending "managed care entity" to "health care insurer."
 
SB 61 Mandatory Universal Health Insurance
Sponsors: Senators French and Ellis
Committee(s) and date of last action: Referred to (S) L&C, then (S) FIN on 03/16/09
Description: This bill proposes the establishment of the Alaska Health Care Program (AKCP), a program given the task of ensuring that all Alaskans have access to affordable health care insurance covering all essential services. The AKCP will be monitored and managed by an Alaskan Health Care Board of 13 members, 12 of which are to be appointed by the governor. Similar to SB 160 (25th legislative session), this bill includes
  • A framework for personal choice: This bill facilitates a relationship between health insurance providers and individuals, and doesn't assume that a one size fits all solution will meet the health care needs of all Alaskans.
  • A unique voucher system: By pooling money from all stakeholders, a sliding scale voucher system will ensure that every Alaskan can take personal responsibility for acquiring health insurance coverage. The system will also make it easy for multiple entities to contribute towards a health plan for an individual.
  • A health care clearinghouse: The clearinghouse will disseminate information about quality health care products, assisting Alaskans who are utilizing vouchers under the Alaska health care plan.
  • The Alaska health care fund: This fund will receive contributions from individuals, businesses and government to ensure that all interested parties contribute to the health of Alaskans.
SB 65 Medicaid for Adult Dental Services
Sponsors: Senators Davis and Ellis
Committee(s) and date of last action: (S) HSS, 01/21/09
Description: This bill is "An Act repealing the repeal of preventative and restorative adult dental services reimbursement under Medicaid; providing for an effective date by repealing the effective date of sec. 3, ch. 52, SLA 2006; and providing for an effective date."
 
SB 79 Med Benefits Disabled Peace Officers
Sponsors: Senators McGuire and Paskvan
Committee(s) and date of last action: (S) FIN, 03/05/09
Description: This bill proposes waiving payment of premiums for major medical insurance for disabled peace officers who have at least 20 years of credited service as peace officers of the public.
 
SB 82 Medicaid for Adult Dental Services
Sponsors: Rules by request of the governor
Committee(s) and date of last action: Referred to (S) HSS Finance, 02/04/09
Description: This bill is "An Act providing for an effective date by delaying the effective date of the change of coverage of adult dental services under Medicaid; and providing for an effective date."
 
SB 87 Medical Assistance Eligibility
Sponsor: Sen. Wielochowski
Committee(s) and date of last action: Heard and held in (S) FIN, 02/11/09
Description: This bill proposes an additional eligibility category for Medicaid services. Specifically, it adds children, pregnant women, and other specified individuals in families with incomes between 200% and 300% of the federal poverty level. Additionally, individuals in this income category would be required to pay a yearly premium for medical assistance. The premiums would be determined by a sliding scale based on annual income. The range for premiums would be set at no less than $240 per year and no more than $1200 per year.
 
SB 155 Medical Assist for Cognitive Disabilities
Sponsor: Sen. McGuire
Committee(s) and date of last action: 03/18/09 (S) Referred to (S) HSS, then to (S) FIN
Description: "The department shall establish in regulation a system for setting medical assistance reimbursement rates based on the functional level of care needed by an eligible recipient with a diagnosed cognitive disability, regardless of the recipient's need for medical or personal care support. The system must address eligible recipients' needs for appropriate assessment, rehabilitation, case management, ongoing support and respite or companion services, regardless of whether the services are provided in a health care facility or under a home and community-based waiver granted under 13 AS 47.07.045."

SB 238 Medicaid for Medical and Intermediate Care
Sponsor: Sen. Davis
Committee(s) and date of last action: Referred to (S) FIN, 02/03/10
Description: This is the companion bill to HB 286, which amends the eligibility threshold for individuals in certain health care facilities.

SB 258 Dental Care Insurance
Sponsor: Sen. Huggins
Committee(s) and date of last action: Referred to (S) L&C, 02/17/10
Description: "An Act prohibiting health care insurers that provide dental care coverage from setting a minimum age for receiving dental care coverage, allowing those insurers to set a maximum age for receiving dental care coverage as a dependent, and prohibiting those insurers from setting fees that a dentist may charge for dental services not covered under the insurer's policy."

SB 296 Long-Term Care Insurance
Sponsor: Sen. McGuire
Committee(s) and date of last action: Introduced and referred to (S) L&C, 02/24/10
Other Information: This bill proposes to amend the existing regulations regarding long-term care insurance, to include more clear and specific language about the insured's policy and benefits. In addition, the bill proposes to implement and administer a long-term care insurance premium assistance program, that would provide assistance to an individual who obtains long-term care insurance from an insurer in the private market.

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Bill Watch: Mental Health

HB 52 Post-Trial Juror Counseling
Sponsor: Rep. Kerttula
Committee(s) and date of last action: Heard in and moved out of (H) JUD, 02/26/10, and referred to (H) FIN, 03/01/10
Description: This bill proposes to make available up to 10 hours of psychological counseling for any juror serving in a criminal trial where graphic images or content are presented.
 
SB 21 Mental Health Care Insurance Benefit
Sponsor: Senators Davis and Ellis
Committee(s) and date of last action: Read and referred to (S) HSS, then (S) L&C, then (S) FIN, 01/21/09
Description: This bill proposes to implement parity in the types of medical services covered under existing health insurance plans. Specifically, it proposes that health care insurance policies be prohibited from denying coverage or discriminating health care services related to mental health, alcoholism or substance abuse; that there be no difference in coverage between physical and mental health coverage; and that these changes take effect no later than July 1, 2009.
 
SB 66 Mental Health Patient Grievances
Sponsor: Sen. Davis
Committee(s) and date of last action: (S) HSS, 01/21/09
Description: This bill proposes new regulations related to patient grievances in a mental health setting. Specifically, it aims to streamline the grievance process so as to ensure that patients' rights are honored and are not deterred by the grievance filing process.

HB 302 Mental Health Budget
Sponsor: Rules by request of the Governor
Committee(s) and date of last action: Heard and held in (H) FIN, 02/26/10, received public testimony in (H) FIN on 03/02/10 and 03/03/10, scheduled to be heard again in (H) FIN at 1:30 PM, 03/08/10 and at 9:00 AM, 03/09/10
Description: Appropriates $195 million to mental health, with a $161 million operating budget from the general fund, $2 million from federal funds, and $33 million from other sources of funding.  

SB 231 Mental Health Budget
Sponsor: Rules by request of the Governor
Committee(s) and date of last action: Heard in (S) FIN, 02/10/10
Description: This is the companion bill for HB 302.

SB 263 Extend Board of Professional Counselors
Sponsor: Rules by Request of Leg Budget and Audit
Committee(s) and date of last action: Read and referred to (S) L&C, 02/08/10
Description: This bill proposes to extend the termination date of the Board of Professional Counselors by ten years, from June 30, 2010 to June 30, 2018, to take effect immediately upon signature.

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Bill Watch: State Boards and Issues

HB 25 Health Reform Policy Commission
Sponsor: Rep. Hawker
Committee(s) and date of last action: Read and referred to (H) HSS, then (H) FIN), 01/20/09
Description: This bill proposes that issues related to health care and health care policy be given high priority among government officials. Specifically, it proposes the addition of a new chapter in the Alaska Statute 18, establishing the Alaska Health Reform Policy Commission, outlining the composition and duties of that commission, to be effective immediately.
 
HB 75 Health Commission/Planning
Sponsors: Representatives Cissna and Gruenberg
Committee(s) and date of last action: Read and referred to (H) HSS, then (H) FIN, 01/20/09
Description: This bill requests the establishment of the Alaska Health Commission, whose purpose is to provide policy recommendations ensuring quality, accessibility, and affordability of health care throughout the state. The commission is to have 15 members, of the following composition: one member from the Alaska Mental Health Trust Authority, one member from the University of Alaska Health Education and Training Program, one member representing the Alaska Native Tribal Health Consortium, one member from the Alaska Primary Care Association, one member from the Alaska State Hospital and Nursing Home Association, one member from the health industry, one member from the Alaska Nurses Association, two health care consumer members/advocates, and six members of the Alaska legislature. This act is to take effect by July 1, 2009.
 
SB 35 Extend Suicide Prevention Council
Sponsors: Senators Davis, Ellis, and Therriault
Committee(s) and date of last action: (S) RLS, 04/11/09
Description: This bill amends a previous act to extend the termination of the Statewide Suicide Prevention Council from June 30, 2009 to June 30, 2013.
 
SB 40 Extend Suicide Prevention Council
Sponsor: Sen. Therriault
Committee(s) and date of last action: Read and referred to (S) HSS, then to (S) FIN, 01/21/09
Description: This bill is identical to SB 35.
 
SB 172 Alaska Health Care Commission
Sponsor: Sen. Olson
Committee(s) and date of last action: Scheduled to be heard in (S) HSS, 03/10/10
Description: This bill establishes the Alaska Health Care Commission as a permanent entity.

SB 247 Extending Board of Pharmacy
Sponsor: Sen. Olson
Committee(s) and date of last action: Referred to (S) FIN, 02/24/10
Other Information: This bill proposes to extend the Board of Pharmacy to June 30, 2018, to take effect immediately.

SB 248 Extend Bd of Marital & Family Therapy
Sponsor: Sen. Olson
Committee(s) and date of last action: Referred to (S) FIN, 02/24/10
Other Information: This bill proposes to extend the Board of Marital and Family Therapy to June 30, 2014, to take effect immediately.

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Bill Watch: Family Health Issues

HB 34 Partial-Birth Abortion
Sponsors: Representatives Coghill, Newman, Keller, and Dahlstrom
Committee(s) and date of last action: 01/20/09 Referred to (H) HSS, then to (H) JUD
Description: This bill proposes to amend the language in a previous statute, requesting that the definition of "partial-birth" abortion include terms indicating intention and deliberation, the presence of partial vaginal birth, and the knowledge that the birth will result in the death of a child.
 
HB 35 Notice and Consent for Minor's Abortion
Sponsors: Representatives Coghill, Newman, Keller, and Dahlstrom
Committee(s) and date of last action: (H) HSS, 04/03/09, then JUD, FIN
Description: This bill proposes several amendments to a previous statute regarding abortion among pregnant women under 17 years of age. These include the prohibition of a medical professional to perform an abortion without parental notification and consent, with the exception of an immediate and potentially lethal risk to the minor.
 
HB 176 Nursing Mothers in the Workplace
Sponsor: Rep. Cissna
Committee(s) and date of last action: (H) HSS, then (H) L&C, 03/09/09
Description: "An Act relating to break times for employees who nurse a child."

SCR 12 Fetal Alcohol Spectrum Disorders Day
Sponsor: Sen. Meyer
Committee(s) and date of last action: Scheduled to be heard in (H) HSS at 3:00 PM, 03/11/10
Description: This bill would establish September 9, 2010, as Fetal Alcohol Spectrum Disorders Awareness Day.
 
SB 5 Partial-Birth Abortion
Sponsors: Senators Dyson and Therriault
Committee(s) and date of last action: Read and referred to (S) HSS, then (S) JUD, 01/21/09
Description: This bill is identical to HB 34.
 
SB 6 Notice and Consent for a Minor's Abortion
Sponsors: Senators Dyson and Therriault
Committee(s) and date of last action: Read and referred to (S) HSS, then (S) JUD, 01/21/09
Description: This bill is identical to HB 35.
 
SB 15 Info, Anesthesia, Consent for an Abortion
Sponsor: Sen. Dyson
Committee(s) and date of last action: Read and referred to (S) HSS, then (S) JUD, 01/21/09
Description: This bill proposes that all pregnant women considering abortion should be given information regarding their options to reduce pain to an unborn fetus prior to the procedure, to take effect immediately.
 
SB 16 Definitions: Person/Child/Human/Etc
Sponsor: Sen. Dyson
Committee(s) and date of last action: Read and referred to (S) HSS, then (S) JUD, 01/21/09
Description: This bill requests to define the above terms to include a human born in any stage of fetal development; it is noted that this bill does not intend to extend the rights of human life to an unborn human.
 
SB 42 Nursing Mothers in Workplace
Sponsors: Senators Ellis and Wielechowski
Committee(s) and date of last action: 03/26/09 Heard and Held in (S) L&C at 1:30 PM Beltz 211, then to (S) HSS
Description: This bill proposes that an employer be required to provide "reasonable" unpaid break time for mothers who are nursing a child, and that a private room or area be made available for nursing mothers. This bill does not require that employers allow children of nursing mothers in the workplace.
 
SB 44 Safe Abandonment of Infants
Sponsor: Sen. Menard
Committee(s) and date of last action: Read and referred to (S) HSS, then (S) JUD, 01/21/09
Description: This bill requests an amendment to a previous statute, proposing that parents who safely surrender an infant 60 days or younger be exempt from prosecution or penalty.
 
SB 181 Ultrasounds Preceding Abortions
Sponsor: Sen. Dyson
Committee(s) and date of last action: (S) HSS, 04/06/09
Description: This bill proposes that Alaska follow several other states in requiring that a doctor perform an ultrasound on women considering an abortion. The sponsor states, "Senate Bill 181 is intended to bring Alaska into conformity by ensuring that a woman's consent to an elective abortion in our state is a better informed decision. The bill ensures that when an ultrasound is performed by the physician performing the abortion, that the ultrasound image be displayed such that it is visible by the woman, should she so choose to view the ultrasound. In so doing it shifts the burden of responsibility. No longer would the mother in crisis need to ask to see the ultrasound. Instead the physician would be required to display the ultrasound screen to her."

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Bill Watch: Worker's Compensation

SB 20 Worker's Comp Medical/Rehab Records
Sponsors: Senators French and Thomas
Committee(s) and date of last action: Read and referred to (S) L&C, then (S) JUD, 01/21/09
Description: This bill proposes that any documents containing personal and confidential information of an employee that is receiving, or has received, worker's compensation, are kept in a confidential location away from the public's view.

HB 314 Workers' Compensation
Sponsor: Labor and Commerce Committee
Committee(s) and date of last action: Heard in and moved out of (H) JUD, 02/25/10, referred to (H) FIN, 02/26/10
Description: This bill is "An Act relating to fees and charges for medical treatment or services, the crime of unsworn falsification, investigations, and penalties as they relate to workers' compensation; and providing for an effective date.

HB 346 Workers' Compensation Advisory Board
Sponsor: Rep. Olson
Committee(s) and date of last action: Heard and amended in (H) L&C, 02/24/10, and referred to (H) FIN on 02/26/10
Other Information: This bill proposes that a Workers' Compensation Advisory Board be established, with a variety of members who would be required to meet every six months. If established, the bill would take effect immediately, and the Board would be in place until June 30, 2015.

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Bill Watch: General Health Policy

HR 14 Oppose Federal Health Reform Bills
Sponsor: Rep. Chenault
Committee(s) and date of last action: Introduced and referred to (H) HSS, 02/17/10
Other Information: This bill proposes a list of negative consequences to Alaska, and suggests "that the House of Representatives urges the Alaska Congressional delegation to vote against the current health care reform bills and to develop health care reform that is affordable and accessible to all legal residents," and  "that the House of Representatives urges Governor Parnell  and the Administration to review the constitutionality of the special deal for other states contained in the current federal health care reform bills." Once passed, it is requested that the resolution be sent to President Obama.

HJR 46 Supporting Denali Commission
Sponsor: Community and Regional Affairs committee (CRA)
Committee(s) and date of last action: Scheduled to be heard in (S) CRA, 03/09/10
Other Information: This bill urges Congressional support of the Denali Commission.

HB 71 Advance Health Care Directives Registry
Sponsors: Representatives Holmes, Dahlstrom, Millett, and Kawasaki
Committee(s) and date of last action: Heard and held in (H) JUD, 02/24/10
Description: This bill amends a previous statute by adding that a health care facility will not be subject to civil or criminal liability in the event that they act in reliance to an advance health care directive or fail to check an advance health care directive registry for a patient in their facility. In addition, HB 71 proposes the establishment of an advance health care directive registry within the Department of Health and Social Services, where individuals or their guardians can file advance health directives. This registry would be confidential and may not be used for another purpose.
 
HB 168 Trauma Care Centers/Fund
Sponsor: Rep. Coghill
Committee(s) and date of last action: Heard in (S) HSS, 02/22/10 and referred to (S) FIN, 02/24/10
Description: "An Act relating to state certification and designation of trauma centers; creating the uncompensated trauma care fund to offset uncompensated trauma care provided at certified and designated trauma centers; and providing for an effective date."

SB 168 Trauma Care Centers/Fund
Sponsor: Health and Social Services, by request of the Governor
Committee(s) and date of last action: Scheduled to be heard in (S) HSS at 1:30 PM on February 10
Description: This is the Senate companion bill to HB 168, and is identical.

HB 304 Ban Smoking in Public Places
Sponsors: Representatives Salmon and Buch
Committee(s) and date of last action: Read and referred to (H) STA, then (H) JUD, 01/19/10
Description: This bill proposes to amend current laws related to smoking in public places, as well as smoking in any enclosed establishment serving as a place of employment. It includes several specific areas where smoking should be prohibited, including waiting areas for public transportation, facilities providing mental health services, legislative buildings, and health clubs.

HB 361 CPR Training for 911 Dispatchers
Sponsor: Rep. Fairclough
Committee(s) and date of last action: Introduced and referred to (H) CRA, then (H) HSS, 02/23/10; Scheduled to be heard in (H) CRA at 8:00 AM on 03/09/10
Other Information: This bill proposes that all 911 dispatchers be required to have certification in cardiopulmonary resuscitation (CPR) prior to their employment.

HB 399 Community Health Assessments
Sponsor: Rep. Cissna
Committee(s) and date of last action: Introduced and referred to (H) HSS, 02/23/10
Other Information: This bill would establish a health impact assessment program within the Department of Health and Social Services, with the goal of creating healthy communities and reducing health disparities, to take effect July 1, 2012.

HB 354 AK Capstone Avionics Revolving Loan Fund
Sponsor: Rep. Keller
Committee(s) and date of last action: Scheduled to be heard in (H) L&C at 3:15 PM, 03/08/10
Other Information: This bill proposes an amendment to existing legislation on avionics loan funding, to include both owners and leasers of aircraft. The legislation would apply to medevac carriers who lease their aircraft. Representative Keller proposed the bill to increase air traffic safety, stating on his website, "The program was developed to provide low-interest loans to in-state private and commercial aircraft owners to upgrade their avionics, or on-board navigational aids and computer systems."

SCR 13 Supporting Senior Caregivers
Sponsors: Senators Bund and McGuire
Committee(s) and date of last action: Introduced and referred to (S) HSS, 02/24/10
Other Information: This bill proposes, "Supporting senior caregivers and encouraging the Department of Health and Social Services to provide additional education on the effects of aging and the importance of senior caregivers."

SB 41 New Driver's/Permit: CPR/First Aid
Sponsor: Sen. Ellis by request of the Governor
Committee(s) and date of last action: Read and referred to (S) HSS, then to (S) STA, 01/20/09
Description: This bill requests that new applications for driver's permits or licenses only be issued to individuals who have completed cardiopulmonary resuscitation and first aid training in the one year prior to the application. This does not apply for individuals who have already obtained a driver's license or permit in Alaska or another state, and is to be effective January 1, 2010.
 
SB 49 Blood Donation Awareness Fund
Sponsor: Sen. McGuire
Committee(s) and date of last action: Moved to (S) FIN, 02/27/09
Description: This bill requests that the opportunity to donate $1 or more to the Blood Donation Fund be made available to all applicants for motor vehicle or identification documents. These donations would be place in the Blood Donation Awareness Fund, and would be used to promote blood donation activities throughout Alaska.

SB 169 Approp: Trauma Care Fund
Sponsor: Health and Social Services, by request of the Governor
Committee(s) and date of last action: Awaiting reschedule of committee hearing in (S) HSS, 02/10/10
Description: "An Act appropriating $5,000,000 to the uncompensated trauma care fund; and providing for an effective date."

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Bill Watch: Bill Tracking Methodology

Bills listed here were selected based on a series of subjective criteria to determine whether they were "health-policy related." All bills currently sitting in the Senate and House Health and Social Services committees were examined, and any that obviously dealt with non-health-related education or social services issues were eliminated. Every other House and Senate committee was then examined for health-related bills, which were included in the final list.
 
After determining the full set of health-related bills still in committee or pre-filed for the new session, they were divided into several general categories. This was done to facilitate finding bills that dealt with certain key health policy issues and to make overall navigation of the list easier. The remaining bills were categorized as "general" health policy-related because of the wide range of subjects they covered.
 
The information listed for each bill includes the bill number, the short title, the primary sponsor or sponsors, the committee in which the last action on the bill took place, and the date on which the last action on the bill took place. A short summary of each bill is also included.
 
Abbreviations have been used for committee names. The committee names and their abbreviations are:
  • (H) HSS: House Health and Social Services Committee
  • (S) HSS: Senate Health and Social Services Committee
  • (H) L&C: House Labor & Commerce Committee
  • (S) L&C: Senate Labor & Commerce Committee
  • (H) EDC: House Education Committee
  • (S) EDC: Senate Education Committee
  • (H) FIN: House Finance Committee
  • (S) FIN: Senate Finance Committee
  • (H) JUD: House Judiciary Committee
  • (S) JUD: Senate Judiciary Committee
  • (H) STA: House State Affairs Committee
  • (S) STA: Senate State Affairs Committee  
  • (S) RLS: Senate Rules Committee
  • (H) CRA: House Community and Regional Affairs Committee
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AHPR Staff and Contributors

Lawrence D. Weiss, PhD, MS, Editor
Kelby Murphy, Senior Policy Analyst
Jacqueline Yeagle, Newsletter design and editing

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