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---
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**400** (pass) · lower
- (H) CONCUR AM OF (S) Y36 E1 A3 #3037**360** (pass) · lower
- (S) PASSED Y15 N- E2 A3 #2752**150** (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 <Invitation Only> -- -- 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).