Legislature(1999 - 2000)

03/31/1999 02:05 PM House FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
HOUSE BILL NO. 161                                                                                                              
                                                                                                                                
"An Act relating to reduction in payments to                                                                                    
individuals under certain benefit programs; and                                                                                 
providing for an effective date."                                                                                               
                                                                                                                                
Co-Chair Mulder observed that Tamara Cook, Legal Counsel,                                                                       
Legislative Affairs Agency, indicated that the legislation                                                                      
would not affect Medicaid because that is a payment to a                                                                        
provider, not an individual. He noted that it was not his                                                                       
intent that the legislation affect Medicaid.                                                                                    
                                                                                                                                
MARGIE VANDOR, DEPARTMENT OF LAW noted concerns by the                                                                          
Department of Law. She pointed out that the legislation                                                                         
raises the question of unconstitutional delegation of                                                                           
legislative authority. She observed that the legislation is                                                                     
broad and pointed out that similar broad legislation was                                                                        
struck down by the court. The legislation does not identify                                                                     
benefit programs. She stated that the legislation provides                                                                      
that "not withstanding other provisions of law" insufficient                                                                    
funding would be handled on a pro rata basis. This conflicts                                                                    
with existing programs that provide that insufficient                                                                           
funding be handled through a reduction in service. She                                                                          
stated that programs need to be identified and guidelines                                                                       
provided regarding the determination of when a pro rata                                                                         
basis should be done. She asserted that there is too much                                                                       
left up to the agencies. She noted that it is a legislative                                                                     
function to set the guidelines of appropriations.                                                                               
                                                                                                                                
In response to a question by Vice-Chair Bunde, Ms. Vandor                                                                       
stated that each benefit program would have to be addressed                                                                     
separately.                                                                                                                     
                                                                                                                                
ALISON ELGEE, DEPUTY COMMISSIONER, DEPARTMENT OF                                                                                
ADMINISTRATION provided information on the legislation in                                                                       
regards to the longevity bonus program. She spoke against an                                                                    
across the board pro rata reduction to the program. She                                                                         
pointed out that the Administration has introduced HB 55 to                                                                     
allow an income cap on the program as a fair way to address                                                                     
a reduction. She added that it is difficult to determine the                                                                    
actual amount of need in order to estimate when pro ration                                                                      
should occur. She observed that the program might have been                                                                     
unnecessarily reduced in the current year had they responded                                                                    
to earlier estimates.                                                                                                           
                                                                                                                                
KAREN PERDUE, COMMISSIONER, DEPARTMENT OF HEALTH AND SOCIAL                                                                     
SERVICES testified in opposition to HB 161. She stated that                                                                     
the legislation conflicts with longstanding statutes.                                                                           
Recipients will not be able to anticipate the amount of                                                                         
their payments. She noted that most programs have                                                                               
accompanying statutes that describe the program's criteria.                                                                     
There are federal protections that would prevent the                                                                            
legislation from applying to some programs. She acknowledged                                                                    
that the legislature does have the ability to pro rate                                                                          
programs. She observed that there are a number of cash                                                                          
payment programs that would be affected. The Alaska                                                                             
Temporary Assistance Program (ATAP), payments to foster                                                                         
parents, subsidized adoption and guardianship, and Adult                                                                        
Public Assistance (APA) would be affected. She maintained                                                                       
that changes should be made to programs through legislation.                                                                    
                                                                                                                                
Co-Chair Mulder referred to Commissioner Perdue's letter                                                                        
dated March 31, 1999 (copy on file). He read from the                                                                           
letter: "Our TANF Block Grant requires that we maintain                                                                         
state expenditures at 80 percent of our 1994 level (MOE).                                                                       
The Governor's FY2000 budget for ATAP includes only the                                                                         
amount of General Funds necessary to meet the MOE." He asked                                                                    
if the MOE (maintenance of effort) level is stationary.                                                                         
Commissioner Perdue clarified that the amount does not                                                                          
change. It is 80 percent of the amount paid by the state in                                                                     
1994. Co-Chair Mulder observed that this assumes that the                                                                       
amount spent in 1994 was the right amount at that point in                                                                      
time. Commissioner Perdue noted that this amount was agreed                                                                     
on in Congress. Co-Chair Mulder noted that Commissioner                                                                         
Perdue stated that: "Any reduction to the General Fund                                                                          
amount in this program would result in significant                                                                              
penalties." He asked what the penalties would be.                                                                               
Commissioner Perdue did not know the exact amount but                                                                           
observed that the state would have to make a cash payment to                                                                    
the federal government.                                                                                                         
                                                                                                                                
Vice-Chair Bunde asked if it would be more disturbing for                                                                       
payments to end prematurely or to be pro rated. Commissioner                                                                    
Perdue stressed that individuals are dependent on their                                                                         
payments and that either scenario would be difficult.                                                                           
                                                                                                                                
Commissioner Perdue pointed out that community programs that                                                                    
help persons with mental illness or developmental disability                                                                    
are dependent on the payments. She added that the state pays                                                                    
the Medicaid premiums for 8,000 elderly Alaskans.                                                                               
                                                                                                                                
JEANNETTE GRASTO, PRESIDENT, NATIONAL ALLIANCE FOR THE                                                                          
MENTALLY ILL, FAIRBANKS spoke against HB 161. She maintained                                                                    
that the programs are essential.                                                                                                
                                                                                                                                
GENE GRASTO, NATIONAL ALLIANCE FOR THE MENTALLY ILL,                                                                            
FAIRBANKS testified against HB 161. He maintained that the                                                                      
legislation is "disability cleansing." He asserted that the                                                                     
state has sufficient funding to take care of the needs of                                                                       
the mentally ill.                                                                                                               
                                                                                                                                
MARGO WARING, STAFF, ALASKA MENTAL HEALTH BOARD reviewed the                                                                    
Board's concerns with HB 161. She emphasized that reduction                                                                     
in funding levels for persons with mental illness would                                                                         
jeopardize their wellbeing by threatening already low-income                                                                    
levels. She observed that Alaska has been reducing the                                                                          
capacity of the Alaska Psychiatric Institute for several                                                                        
years, in favor of community based care. Community care                                                                         
requires that persons have basic income support to live in                                                                      
communities rather than in institutions. Of the 8,000 low                                                                       
income, disabled Alaskans on APA, many are chronically                                                                          
mentally ill. She maintained that formula programs assure                                                                       
that increases and decreases do not jeopardize those already                                                                    
enrolled. The Alaska Mental Health Board supports the                                                                           
continuation of benefit programs that are predictable,                                                                          
consistent, and provide sufficient support for individuals                                                                      
with disabilities.                                                                                                              
                                                                                                                                
ERNIE DUMMANN, MEMBER, COUNCIL OF DISABILITIES AND SPECIAL                                                                      
EDUCATION, ANCHORAGE testified via teleconference in                                                                            
opposition to HB 161. He noted that he is the father of a                                                                       
severely disabled child. He expressed concern that support                                                                      
for his son would be reduced by the legislation. He stressed                                                                    
that community based programs are extremely stretched.                                                                          
                                                                                                                                
JOHN WOODWARD, CHAIR, STATE INDEPENDENT LIVING COUNCIL,                                                                         
ANCHORAGE testified via teleconference in opposition to HB
161. He recommended that the legislation be held until                                                                          
questions regarding the affect of the legislation are                                                                           
answered.                                                                                                                       
                                                                                                                                
SCOT WHEAT, NATIONAL ALLIANCE FOR THE MENTALLY ILL, HOMER                                                                       
testified via teleconference in opposition to HB 161. He                                                                        
maintained that reductions to benefits would cause                                                                              
disruptions and increase the number of persons in                                                                               
institutions. He stressed that people need support in                                                                           
transportation, childcare and housing in order to move from                                                                     
welfare to work.                                                                                                                
                                                                                                                                
KELLY BEHEN, CONSUMER MEMBER, MENTAL HEALTH BOARD, HOMER                                                                        
testified via teleconference in opposition to HB 161. She                                                                       
expressed concern that the legislation could shift costs to                                                                     
overburdened communities without resources.                                                                                     
                                                                                                                                
ROBYN HENRY, EXECUTIVE DIRECTOR, NATIONAL ALLIANCE FOR THE                                                                      
MENTALLY ILL, ANCHORAGE testified via teleconference in                                                                         
opposition to HB 161. She stressed that the legislation                                                                         
would have grave effects upon those with mental health                                                                          
problems. She stressed that the legislation could jeopardize                                                                    
the ability of people to live independently and make it                                                                         
necessary for people to return to institutions.  She noted                                                                      
that citizens receive over $1 thousand dollars in permanent                                                                     
fund dividend checks.                                                                                                           
                                                                                                                                
(Tape Change 99- 58, Side 1).                                                                                                   
                                                                                                                                
KARLEEN JACKSON, EXECUTIVE DIRECTOR, ANCHORAGE testified via                                                                    
teleconference against the proposed legislation.  She urged                                                                     
Committee members to reconsider. She stated that the                                                                            
legislation undermines the work that has occurred over the                                                                      
last two years, to get people to work. She stressed that it                                                                     
would be extremely hard for homeless shelters and other                                                                         
support groups to provide for individuals if their benefits                                                                     
were reduced to 8 months. She maintained that there would be                                                                    
an increased cost to the state if individuals were taken out                                                                    
of the work place and made homeless.                                                                                            
                                                                                                                                
Vice-Chair Bunde pointed out that the 8 or 12 month scenario                                                                    
was a hypothetical condition.  He had asked which would be                                                                      
the least damaging to those receiving payments.  Ms. Jackson                                                                    
replied that if it causes them to become homeless, a one-                                                                       
year time limit would be short sighted. She asserted that if                                                                    
benefits are cut, the benefit will be lost.                                                                                     
                                                                                                                                
JEAN STEELE, HOMER testified via teleconference in                                                                              
opposition to HB 161. She noted that she is disabled.  She                                                                      
stated that she was grateful for the services that she                                                                          
currently receives.  She stated that the proposed bill is                                                                       
disturbing in its generalities.  She maintained that without                                                                    
specific language, it leaves people floating in the air.                                                                        
Those who are disabled and cannot work depend on these                                                                          
services and cannot afford to have the state budget balanced                                                                    
on their backs.  She asserted that funds are being spent on                                                                     
travel and highways and other things that cannot be                                                                             
rationalized by those that are disabled.  She stated that                                                                       
further cuts could exacerbate a spiraling.                                                                                      
                                                                                                                                
JOHANNA TORNES, HOMER testified via teleconference in                                                                           
opposition to HB 161. She echoed the previous comments.  She                                                                    
observed that bill is vague.                                                                                                    
                                                                                                                                
JEFF JESSE, E.D., ALASKA MENTAL HEALTH TRUST AUTHORITY                                                                          
testified in opposition to HB 161. He emphasized that many                                                                      
beneficiaries are close to the edge. He noted that                                                                              
recipients have built their independence around these funds.                                                                    
He stressed that individuals on the margin would not be able                                                                    
to maintain their independence with reductions. He asserted                                                                     
that the reduction of any programs would push individuals to                                                                    
the edge. He stressed that the mental health population is                                                                      
trying to put together the benefits that they receive. He                                                                       
pointed out that if projections were significantly off or a                                                                     
recession was to hit the state, there could be a dramatic                                                                       
impact to beneficiaries.  He maintained that the legislature                                                                    
has to take the risk and shoulder the responsibility for                                                                        
making hard choices. He stressed that the way to make the                                                                       
choice is not through short funding programs in the budget                                                                      
process.                                                                                                                        
                                                                                                                                
HB 161 was HELD in Committee for further discussion.                                                                            

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