Legislature(2017 - 2018)HOUSE FINANCE 519

02/16/2017 01:30 PM House FINANCE

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Audio Topic
01:35:00 PM Start
01:35:45 PM Overview: Governor's Fy 18 Budget Amendments
01:35:54 PM HB57 || HB59
02:32:35 PM HB23
02:50:33 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 57 APPROP: OPERATING BUDGET/LOANS/FUNDS TELECONFERENCED
Heard & Held
+= HB 59 APPROP: MENTAL HEALTH BUDGET TELECONFERENCED
Heard & Held
+ Overview: Governor's Budget Amendments by Pat TELECONFERENCED
Pitney, Director, OMB, Office of the Governor
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 23 INS. FOR DEPENDS. OF DECEASED FIRE/POLICE TELECONFERENCED
Moved CSHB 23(FIN) Out of Committee
HOUSE BILL NO. 23                                                                                                             
                                                                                                                                
     "An Act  relating to  major medical  insurance coverage                                                                    
     under  the  Public   Employees'  Retirement  System  of                                                                    
     Alaska  for  certain  surviving spouses  and  dependent                                                                    
     children  of  peace   officers  and  firefighters;  and                                                                    
     providing for an effective date."                                                                                          
                                                                                                                                
2:32:35 PM                                                                                                                    
                                                                                                                                
Co-Chair  Seaton  MOVED  to  ADOPT  the  proposed  committee                                                                    
substitute  for  HB  23,   Work  Draft  30-LS0258\U  (Wayne,                                                                    
2/10/17).                                                                                                                       
                                                                                                                                
Representative Pruitt OBJECTED for discussion.                                                                                  
                                                                                                                                
JANE PIERSON,  STAFF, REPRESENTATIVE NEAL  FOSTER, discussed                                                                    
the changes in the committee substitute (CS):                                                                                   
                                                                                                                                
     The  first change  occurred when  the committee  passed                                                                    
     Amendment  1(a), which  changed  "health" insurance  to                                                                    
     "medical" insurance throughout  the bill, insuring that                                                                    
     the  surviving  dependents  of   a  fallen  officer  is                                                                    
     granted the  same level  of medical  insurance benefits                                                                    
     the deceased employee was receiving  at the time of the                                                                    
     employee's death as directed by  the bill (see, page 3,                                                                    
     lines 14-16).                                                                                                              
                                                                                                                                
     The next  amendment the committee passed  was Amendment                                                                    
     3, as amended.   These changes can be found  on page 3,                                                                    
     lines  14  through  26,  which  clarify  the  level  of                                                                    
     insurance that  is required,  how payments  of premiums                                                                    
     shall  be  paid.   Additionally,  on  page 4,  lines  7                                                                    
     through   9  and   13  through   15  large   and  small                                                                    
     municipalities are defined.                                                                                                
                                                                                                                                
     The  next amendment  that passed  was  Amendment 4,  on                                                                    
     page  3, line  7 that  changed age  65 to  eligible for                                                                    
     Medicare.                                                                                                                  
                                                                                                                                
     The committee  in passing  Amendment 10  changed police                                                                    
     to  peace officer  throughout the  bill  and defined  a                                                                    
     peace officer  on page 4,  lines 10 through 12  to mean                                                                    
     an employee  occupying a position  as a  peace officer,                                                                    
     chief  of  police,   regional  public  safety  officer,                                                                    
     correctional  officer, correctional  superintendent, or                                                                    
     probation officer.                                                                                                         
                                                                                                                                
     The  final changes  to  this bill  were  made when  the                                                                    
     committee passed Amendment  13(a) simplifying how money                                                                    
     is appropriated to the fund.                                                                                               
                                                                                                                                
2:35:41 PM                                                                                                                    
                                                                                                                                
Co-Chair Foster  relayed the committee  had passed  a number                                                                    
of amendments the previous week,  which had been rolled into                                                                    
the  current  CS.  He  listed  people  available  to  answer                                                                    
questions. He noted that  Representative Kawasaki had joined                                                                    
the meeting.                                                                                                                    
                                                                                                                                
Representative  Guttenberg pointed  to the  definition of  a                                                                    
peace officer on  page 4 line 10. He wanted  to ensure there                                                                    
were no unintended consequences caused  by the change to the                                                                    
definition.                                                                                                                     
                                                                                                                                
Ms.  Pierson answered  that the  committee had  expanded the                                                                    
definition  and had  not eliminated  anything that  had been                                                                    
previously in the bill.                                                                                                         
                                                                                                                                
Representative Guttenberg clarified  his question. He wanted                                                                    
to ensure  there were not  unintended consequences  in other                                                                    
places.                                                                                                                         
                                                                                                                                
Co-Chair Foster recognized  bill sponsor Representative Andy                                                                    
Josephson in the audience.                                                                                                      
                                                                                                                                
Ms.  Pierson  deferred  the question  to  Legislative  Legal                                                                    
Services.                                                                                                                       
                                                                                                                                
DANIEL  WAYNE,  ATTORNEY,  LEGISLATIVE LEGAL  SERVICES  (via                                                                    
teleconference),   summarized  his   understanding  of   the                                                                    
question.  He  asked  for verification  that  Representative                                                                    
Guttenberg was  asking whether anyone had  been dropped from                                                                    
the definition of peace officer.                                                                                                
                                                                                                                                
Representative Guttenberg replied in the affirmative.                                                                           
                                                                                                                                
Mr. Wayne answered that he  did not believe the change would                                                                    
have  any unforeseen  consequences. The  previous definition                                                                    
had  included   Department  of  Transportation   and  Public                                                                    
Facilities employees and University  of Alaska employees who                                                                    
had  general  police  powers  to arrest  and  so  forth.  He                                                                    
believed  the individuals  would qualify  as peace  officers                                                                    
under the bill's updated definition.                                                                                            
                                                                                                                                
Vice-Chair  Gara asked  for verification  that Medicaid  did                                                                    
not count under the legislation, but Medicare did.                                                                              
                                                                                                                                
LISA   WEISSLER,  STAFF,   REPRESENTATIVE  ANDY   JOSEPHSON,                                                                    
replied that  medical, throughout the bill,  referred to the                                                                    
level of coverage at the  time of an employee's death, while                                                                    
major  medical   came  into  play  for   ineligibility.  She                                                                    
addressed whether Medicare was  considered major medical and                                                                    
did not believe  it mattered for the purpose -  the bill set                                                                    
the  criteria  and  made  it  quite  specific  in  terms  of                                                                    
becoming eligible for major medical or Medicare.                                                                                
                                                                                                                                
2:40:35 PM                                                                                                                    
                                                                                                                                
Vice-Chair  Gara  surmised  it   was  the  level  of  health                                                                    
insurance  a person  had previously  and once  an individual                                                                    
reached   the  Medicare   eligibility  age,   they  received                                                                    
Medicare.                                                                                                                       
                                                                                                                                
Ms. Weissler replied in the affirmative.                                                                                        
                                                                                                                                
Representative  Wilson   noted  Alaska's   Medicaid  program                                                                    
covered  much more  than in  some other  states. She  stated                                                                    
that Medicaid would be medical  insurance. She believed that                                                                    
it  probably would  not happen  for most  of the  population                                                                    
impacted by  the bill. She  surmised that Medicaid  would be                                                                    
the same as if the state were providing other insurance.                                                                        
                                                                                                                                
Ms. Pierson replied that she  did not believe anyone covered                                                                    
under  the policy  would qualify  for  Medicaid because  the                                                                    
policy would be in effect.                                                                                                      
                                                                                                                                
Representative Wilson  noted Medicaid did not  have anything                                                                    
to  do with  whether  or  not a  person  had insurance.  She                                                                    
stated  that it  was related  to the  individual's level  of                                                                    
income. She  detailed that a  person qualified  for Medicaid                                                                    
if their income was low  enough. She noted that Medicaid was                                                                    
an insurance  policy and because  of the extras  provided in                                                                    
Alaska,   she  wondered   if   Medicaid   would  cover   the                                                                    
individuals.                                                                                                                    
                                                                                                                                
Ms.  Weissler replied  she did  not know  how to  answer the                                                                    
question. She  referred to a  document that had  been passed                                                                    
out  [by Co-Chair  Foster's office]  to  the committee  that                                                                    
included  definitions  for  health,  medical,  and  Medicare                                                                    
(copy on file).                                                                                                                 
                                                                                                                                
Representative  Wilson   referred  to  the   definition  and                                                                    
believed  Medicaid would  fall under  the medical  insurance                                                                    
category.                                                                                                                       
                                                                                                                                
Co-Chair Foster  recognized Representative  Charisse Millett                                                                    
in the audience.                                                                                                                
                                                                                                                                
2:43:15 PM                                                                                                                    
                                                                                                                                
Ms.  Pierson deferred  Representative  Wilson's question  to                                                                    
Mr. Wayne.                                                                                                                      
                                                                                                                                
Mr.  Wayne replied  that the  definition  of major  medical,                                                                    
which  was included  on the  handout. He  detailed that  the                                                                    
document listed  Medicare as a  major medical plan  under AS                                                                    
21.55.500   (a  definitions   section  relating   to  health                                                                    
insurance, but not necessarily  about health insurance being                                                                    
discussed  in   the  bill);  it   was  the   only  statutory                                                                    
definition Legislative  Legal Services  had found.  He asked                                                                    
for a repeat of the question.                                                                                                   
                                                                                                                                
Representative  Wilson  clarified  she  was  speaking  about                                                                    
Medicaid,  not  Medicare.  She specified  that  Medicaid  is                                                                    
based  on a  person's  income  - a  person  could apply  for                                                                    
Medicaid at  any time.  She continued that  if a  person was                                                                    
eligible,  Medicaid covered  health  insurance, dental,  and                                                                    
other extras. She  was trying to determine that  if a person                                                                    
qualified for  Medicaid they would  not be eligible  for the                                                                    
other insurance under the bill.                                                                                                 
                                                                                                                                
2:45:21 PM                                                                                                                    
                                                                                                                                
Ms. Pierson answered that Medicaid  was usually the payer of                                                                    
last resort, as long as  another insurance was available the                                                                    
person would not qualify for Medicaid.                                                                                          
                                                                                                                                
Representative Wilson explained that  she had been concerned                                                                    
that  an individual  may end  up  going back  and forth  and                                                                    
could  become disqualified  when  their  income changed.  It                                                                    
would be  a hardship  on families if  they were  passed back                                                                    
and forth between  plans. She asked someone  to double check                                                                    
that if a person had a health  plan that they may be able to                                                                    
receive the  supplements and would  not be  disqualified for                                                                    
the insurance under the bill.                                                                                                   
                                                                                                                                
Vice-Chair Gara believed Medicaid did  not count as the kind                                                                    
of  insurance a  person  would receive  under  the bill.  He                                                                    
reasoned that major  medical was defined in  AS 21.55.500 as                                                                    
an expense incurred insurance. He  relayed that Medicaid was                                                                    
not an expense incurred insurance.                                                                                              
                                                                                                                                
2:46:51 PM                                                                                                                    
                                                                                                                                
Vice-Chair Gara  spoke to the three  fiscal notes associated                                                                    
with the  bill. The first  was a  zero fiscal note  from the                                                                    
Department  of Public  Safety (DPS).  He explained  that DPS                                                                    
would  manage the  fund that  funded  the benefits  provided                                                                    
under the  legislation at no  cost with existing  staff. The                                                                    
next fiscal note had no  OMB component number because it was                                                                    
the creation of  a new fund called  fund capitalization. The                                                                    
note  reflected  the  cost  of  the  program,  estimated  at                                                                    
$70,100 in  FY 18 through FY  23. The last note  was for the                                                                    
Department  of Administration,  Division  of Retirement  and                                                                    
Benefits  and  had zero  fiscal  impact.  The Department  of                                                                    
Administration  would  help DPS  manage  the  new fund  with                                                                    
existing staff.                                                                                                                 
                                                                                                                                
Co-Chair  Seaton  MOVED  to  REPORT   CSHB  23(FIN)  out  of                                                                    
committee   with   individual    recommendations   and   the                                                                    
accompanying fiscal notes.                                                                                                      
                                                                                                                                
Representative  Pruitt noted  he WITHDREW  his OBJECTION  to                                                                    
the adoption of the CS.                                                                                                         
                                                                                                                                
There being NO further  OBJECTION, CSHB 23(FIN) was REPORTED                                                                    
out of  committee with a  "do pass" recommendation  and with                                                                    
one   new  zero   fiscal  note   from   the  Department   of                                                                    
Administration;   one  new   zero  fiscal   note  from   the                                                                    
Department of Public Safety; and  one new fiscal impact note                                                                    
from the Office of the Governor for Fund Capitalization.                                                                        
                                                                                                                                
Co-Chair  Foster addressed  the schedule  for the  following                                                                    
meeting.                                                                                                                        
                                                                                                                                

Document Name Date/Time Subjects
HFIN Governor's Amendments 2-16-17.pdf HFIN 2/16/2017 1:30:00 PM
HB 57
HB 58
HB 95
HB 23 NEW FN FUND CAP 2-16-17.pdf HFIN 2/16/2017 1:30:00 PM
HB 23
OMB Response to HFIN Questions 2-16-17.pdf HFIN 2/16/2017 1:30:00 PM
HB 57
HB 59
HB 95