--- type: "Bill" title: "An Act relating to advanced practice registered nurses and physician assistants; and relating to death certificates, do not resuscitate orders, and life sustaining treatment." description: "An Act relating to advanced practice registered nurses and physician assistants; and relating to death certificates, do not resuscitate orders, and life sustaining treatment." jurisdiction: "us/states/ak" legislature: "Alaska Legislature" session: "32" identifier: "HB 392" citation: "Alaska HB 392 (32)" classification: ["bill"] subjects: ["DEATH", "GUARDIANSHIP", "HEALTH & SOCIAL SERVICES", "LIABILITY", "MEDICAL CARE", "MINORS", "NURSES", "OCCUPATIONS & PROFESSIONS", "WILLS"] status: "enacted" primary_sponsors: ["SNYDER"] version_count: 5 action_count: 63 vote_count: 3 first_action: "2022-02-22" last_action: "2022-10-05" source: "openstates" source_identifier: "ocd-bill/3086e12e-0510-4eca-aa81-e7f812267bd8" source_url: "https://www.akleg.gov/basis/Bill/Detail/32?Root=HB392" source_hash: "e8b526ad06ca9910c62d032ed758d43a707f4c8ff09ceffd068db9150d9cb312" vintage: "2026-07-01" source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump" retrieved_at: "2026-07-06" confidence: "reported" tags: ["legislation", "bill", "us-ak"] --- # Alaska HB 392 (32) — An Act relating to advanced practice registered nurses and physician assistants; and relating to death certificates, do not resuscitate orders, and life sustaining treatment. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **CSHB 392(HSS)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/32?Hsid=HB0392B) 2. **CSHB 392(HSS) am** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/32?Hsid=HB0392C) 3. **Enrolled HB 392** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/32?Hsid=HB0392Z) 4. **HB 392** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/32?Hsid=HB0392A) 5. **SCS CSHB 392(HSS)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/32?Hsid=HB0392D) ## Votes - (H) PASSED Y40 #2735 — **40–0** (pass) · lower - (H) CONCUR AM OF (S) Y36 E1 A3 #3037 — **36–0** (pass) · lower - (S) PASSED Y15 N- E2 A3 #2752 — **15–0** (pass) · upper ## Sponsors - SNYDER — primary (person) - Kurka — cosponsor (person) - Rasmussen — cosponsor (person) - Rauscher — cosponsor (person) - Tarr — cosponsor (person) - Tilton — cosponsor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2022-02-22** (H) READ THE FIRST TIME - REFERRALS `reading-1` - **2022-02-22** (H) HSS, L&C - **2022-03-24** (H) HEALTH & SOCIAL SERVICES at 03:00 PM DAVIS 106 - **2022-03-24** (H) -- Invited & Public Testimony -- -- MEETING CANCELED -- - **2022-03-29** (H) HEALTH & SOCIAL SERVICES at 03:00 PM DAVIS 106 - **2022-03-29** (H) Heard & Held - **2022-03-31** (H) HEALTH & SOCIAL SERVICES at 03:00 PM DAVIS 106 - **2022-03-31** (H) -- Testimony -- -- MEETING CANCELED -- - **2022-04-14** (H) HEALTH & SOCIAL SERVICES at 03:00 PM DAVIS 106 - **2022-04-14** (H) Moved CSHB 392(HSS) Out of Committee -- Delayed to Immediately Following Session -- - **2022-04-20** (H) HSS RPT CS(HSS) NEW TITLE 4DP - **2022-04-20** (H) DP: FIELDS, SPOHNHOLZ, SNYDER, ZULKOSKY - **2022-04-20** (H) FN1: ZERO(DHS/DOH) - **2022-04-20** (H) FN2: (CED) - **2022-04-20** (H) LABOR & COMMERCE at 03:15 PM BARNES 124 - **2022-04-20** (H) Heard & Held - **2022-04-22** (H) LABOR & COMMERCE at 09:00 AM BARNES 124 - **2022-04-22** (H) Moved CSHB 392(HSS) Out of Committee -- Please Note Time Change -- - **2022-04-25** (H) L&C RPT CS(HSS) NEW TITLE 3DP 1NR - **2022-04-25** (H) DP: SNYDER, FIELDS, SPOHNHOLZ - **2022-04-25** (H) NR: SCHRAGE - **2022-04-25** (H) FN1: ZERO(DHS/DOH) - **2022-04-25** (H) FN3: ZERO(CED) - **2022-04-26** (H) COSPONSOR(S): RAUSCHER - **2022-05-02** (H) RULES TO CALENDAR 5/2/2022 - **2022-05-02** (H) READ THE SECOND TIME `reading-2` - **2022-05-02** (H) HSS CS ADOPTED UC - **2022-05-02** (H) AM NO 1 ADOPTED UC `amendment-passage` - **2022-05-02** (H) AM NO 2 OFFERED AND WITHDRAWN - **2022-05-02** (H) ADVANCED TO THIRD READING UC `reading-3` - **2022-05-02** (H) READ THE THIRD TIME CSHB 392(FIN) AM `reading-3` - **2022-05-02** (H) PASSED Y40 `passage` - **2022-05-02** (H) COSPONSOR(S): KURKA, TARR, TILTON, RASMUSSEN - **2022-05-02** (H) TRANSMITTED TO (S) `passage` - **2022-05-02** (H) VERSION: CSHB 392(HSS) AM - **2022-05-03** (S) READ THE FIRST TIME - REFERRALS `reading-1` - **2022-05-03** (S) HSS - **2022-05-03** (S) HEALTH & SOCIAL SERVICES at 01:30 PM BUTROVICH 205 - **2022-05-03** (S) Heard & Held - **2022-05-03** (S) Minutes (SHSS) - **2022-05-05** (S) HEALTH & SOCIAL SERVICES at 01:30 PM BUTROVICH 205 - **2022-05-05** (S) Moved SCS CSHB 392(HSS) Out of Committee - **2022-05-05** (S) Minutes (SHSS) - **2022-05-09** (S) HSS RPT SCS(HSS) 1DP 4NR SAME TITLE - **2022-05-09** (S) DP: WILSON - **2022-05-09** (S) NR: REINBOLD, COSTELLO, BEGICH, HUGHES - **2022-05-09** (S) FN1: ZERO(DHS/DOH) - **2022-05-09** (S) FN3: ZERO(CED) - **2022-05-15** (S) RULES TO CALENDAR 5/15/2022 - **2022-05-15** (S) READ THE SECOND TIME `reading-2` - **2022-05-15** (S) HSS SCS ADOPTED UC - **2022-05-15** (S) ADVANCED TO THIRD READING UC `reading-3` - **2022-05-15** (S) READ THE THIRD TIME SCS CSHB 392(HSS) `reading-3` - **2022-05-15** (S) PASSED Y15 N- E2 A3 `passage` - **2022-05-15** (S) ENGROSSED - **2022-05-17** (S) TRANSMITTED TO (H) AS AMENDED `passage` - **2022-05-17** (S) VERSION: SCS CSHB 392(HSS) - **2022-05-17** (H) CONCUR RECEIVED AND HELD - **2022-05-17** (H) CONCUR TAKEN UP UC - **2022-05-17** (H) CONCUR AM OF (S) Y36 E1 A3 - **2022-10-05** (H) 2:00 P.M. 8/4/22 Transmitted to Governor `executive-receipt` - **2022-10-05** (H) Signed into law 8/10 CHAPTER 58 SLA 22 `executive-signature` - **2022-10-05** (H) EFFECTIVE DATE(S) OF LAW 11/8/22 `became-law` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3086e12e-0510-4eca-aa81-e7f812267bd8`. Confidence: reported (aggregated from official Alaska legislature records).