Legislature(2021 - 2022)ADAMS 519

03/17/2022 01:30 PM House FINANCE

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01:34:26 PM Start
01:35:32 PM HB60
03:10:03 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 281 APPROP: OPERATING BUDGET/LOANS/FUNDS TELECONFERENCED
Scheduled but Not Heard
+= HB 282 APPROP: MENTAL HEALTH BUDGET TELECONFERENCED
Scheduled but Not Heard
+= HB 60 PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION TELECONFERENCED
Heard & Held
-- Public Testimony --
+= SB 9 ALCOHOLIC BEVERAGE CONTROL; ALCOHOL REG TELECONFERENCED
<Above Item Removed from Agenda>
-- Continued to 03/18/22 --
+ Presentation: Spring Forecast by Legislative TELECONFERENCED
Finance Division
+ Bills Previously Heard/Scheduled TELECONFERENCED
HOUSE BILL NO. 60                                                                                                             
                                                                                                                                
     "An Act relating to mental health education."                                                                              
                                                                                                                                
1:35:32 PM                                                                                                                    
                                                                                                                                
Co-Chair Foster  listed individuals  available for  questions                                                                   
if needed. He OPENED public testimony.                                                                                          
                                                                                                                                
1:36:34 PM                                                                                                                    
                                                                                                                                
PATTY  OWEN, ALASKA  PUBLIC HEALTH  ASSOCIATION, JUNEAU  (via                                                                   
teleconference),   spoke    in   strong   support    of   the                                                                   
legislation.   The   organization  believed   mental   health                                                                   
programming   in  schools   was  an  essential   part   of  a                                                                   
comprehensive  health  education   program  in  schools.  The                                                                   
organization supported  requiring mental health  education in                                                                   
schools. She advocated  for additional mental  health support                                                                   
such as increased mental health counselors.                                                                                     
                                                                                                                                
Representative  LeBon asked if  additional training  would be                                                                   
required,  and limited  staff  members  would  be allowed  to                                                                   
provide mental health  services in schools. [Ms.  Owen was no                                                                   
longer  available online.  She called  back in  later in  the                                                                   
meeting and answered questions.]                                                                                                
                                                                                                                                
1:38:50 PM                                                                                                                    
                                                                                                                                
DOUG  KOESTER,  SELF,  JUNEAU  (via  teleconference),  shared                                                                   
that  he  was  calling  on his  own  behalf  and  worked  for                                                                   
Council on Domestic  Violence and Sexual Assault  (CDVSA). He                                                                   
shared the  numerous topics  he had  worked on with  children                                                                   
including  sexual  health  education,   violence  prevention,                                                                   
adolescent  brain education  and resiliency.  He shared  that                                                                   
students  had expressed  a need to  better understand  mental                                                                   
health.  He was  in  strong support  of  the legislation.  He                                                                   
believed mental health  was one of the cornerstones  of being                                                                   
human. He  stated that  adults did not  remember what  it was                                                                   
like to  have an adolescent  brain. He equated  an adolescent                                                                   
brain to a Ferrari  and stated that if a person  did not know                                                                   
how to  use it, they could  make mistakes. He  explained that                                                                   
mental  health training  enabled individuals  to learn  about                                                                   
their bodies and brain. He thanked the committee.                                                                               
                                                                                                                                
Representative   Edgmon   stated    that   the   science   of                                                                   
understanding  mental health  had  grown over  the years.  He                                                                   
asked  why  the  subject  was  not  considered  an  essential                                                                   
criterion  by  the  CDC  [Centers  for  Disease  Control  and                                                                   
Prevention] or other.                                                                                                           
                                                                                                                                
Mr. Koester answered  that he believed knowing  oneself was a                                                                   
very  important part  of school.  He understood  there was  a                                                                   
lot of  push back  with social  emotional learning;  however,                                                                   
he believed that  understanding oneself and how  to be honest                                                                   
with  yourself were  included  in  the cornerstones  of  life                                                                   
skills.                                                                                                                         
                                                                                                                                
Representative  Edgmon  wondered why  it was  not  part of  a                                                                   
curriculum  or  considered  to  be part  of  a  comprehensive                                                                   
healthcare package at the high schools.                                                                                         
                                                                                                                                
Mr. Koester  replied that he  was not certain.  He considered                                                                   
that perhaps  it was  expected to be  an undercurrent  of all                                                                   
teachings.                                                                                                                      
                                                                                                                                
Vice-Chair  Ortiz asked  if the  bill would  give the  option                                                                   
for school  districts to integrate  mental health  into their                                                                   
curriculum.  He asked  if it would  be a  matter of  adopting                                                                   
curriculum   and   expecting    staff   to   teach   on   it.                                                                   
Alternatively, he  wondered if it would require  training and                                                                   
extra certification to teach the subject.                                                                                       
                                                                                                                                
1:44:13 PM                                                                                                                    
                                                                                                                                
Mr.  Koester answered  that there  would  be guidelines  that                                                                   
empowered schools  and districts that  opted to use  them. He                                                                   
stated that  the bill allowed  for local control,  similar to                                                                   
the  way sex  education was  taught.  He stated  it would  be                                                                   
tricky to  think teachers  would have to  go through  a whole                                                                   
new  understanding of  how to  teach. He  believed there  was                                                                   
enough room  in the bill to  give districts and  teachers the                                                                   
opportunity  to  find  curriculum.   He  would  like  to  see                                                                   
Alaska-based  curriculum  based  on its  specific  needs.  He                                                                   
referenced the  lack of daylight  impacting mental  health as                                                                   
an example specific to Alaska.                                                                                                  
                                                                                                                                
Representative  Carpenter asked  about Mr. Koester's  opinion                                                                   
on   the  criticalness   of   mental   health  training.   He                                                                   
understood  the topic  was broad.  He did  not recall  mental                                                                   
health training  curriculum or teaching when he  had attended                                                                   
high  school.  He  did  remember   adults  telling  him  that                                                                   
getting to know  oneself was important and it  was a lifelong                                                                   
objective. He  stated that if  adding the requirement  in the                                                                   
budget was critical,  he wondered whether it  meant the state                                                                   
was saying  there would  be people growing  up in  Alaska who                                                                   
would be  unable to  know themselves if  the program  was not                                                                   
offered.                                                                                                                        
                                                                                                                                
Mr. Koester  responded that he  believed school was  only one                                                                   
part  about learning  about  oneself.  He believed  the  most                                                                   
important  place for values  and to  learn about oneself  was                                                                   
in the  family.  He explained  that ancestors,  grandparents,                                                                   
and parents  all had  the most  important place. He  remarked                                                                   
that not all  youth had perfect home with  the opportunity to                                                                   
learn  about the  topics.  He believed  it  was important  to                                                                   
talk about  the subject  in schools as  well to  ensure there                                                                   
was  an awareness.  He  shared  that many  of  the youths  he                                                                   
worked  with  were not  aware  of  mental health  issues.  He                                                                   
elaborated  if more  was known  sooner  it could  potentially                                                                   
impact  the  way  people acted  towards  others  with  mental                                                                   
health issues.  He shared  that he had  worked in  the mental                                                                   
health field  for 10 years in  Alaska and it was  a difficult                                                                   
place. He stated  it was a disease and something  that people                                                                   
needed to know about.                                                                                                           
                                                                                                                                
1:48:22 PM                                                                                                                    
                                                                                                                                
KRISTINA WILSON,  SELF, WASILLA (via teleconference),  called                                                                   
in support  of the bill. She  shared that she is  an educator                                                                   
and spent  a lot of  time on  social emotional learning.  She                                                                   
highlighted that  schools did not  put emphasis on  more than                                                                   
basic feelings.  She strove to  get to know her  students and                                                                   
understood  they sometimes  needed more  than a teacher.  She                                                                   
stated   that   students   were  exposed   to   suicide   and                                                                   
conversations  more than  adults realized.  She stressed  the                                                                   
need  for youth  to  be able  to  understand  what they  were                                                                   
struggling  with. She  relayed that  with the  implementation                                                                   
of  a mental  health structure  in her  curriculum she  could                                                                   
help  students  navigate  to become  the  best  learners  and                                                                   
provide the best environment for their learning.                                                                                
                                                                                                                                
Ms. Wilson  implored committee  members to  look at  the data                                                                   
and  make   students  and   mental  health  conversations   a                                                                   
priority.  She wanted to  normalize the  conversations.  As a                                                                   
parent  she  was  asking  the  legislature  to  do  more  for                                                                   
children.  She   shared  that  her  daughter   had  attempted                                                                   
suicide the past  year. She elaborated that  her daughter was                                                                   
now advocating for  others. She emphasized that  if there had                                                                   
been more  support at  school her  daughter could  have found                                                                   
support  sooner. She stressed  that the  state's schools  had                                                                   
the bare minimum  when it came to mental health.  She and her                                                                   
daughter  were lucky  that her  daughter's  attempt had  been                                                                   
unsuccessful. She stated that children deserved more.                                                                           
                                                                                                                                
Representative  LeBon thanked Ms.  Wilson for her  testimony.                                                                   
He  asked  if  it  was her  vision  that  the  school  health                                                                   
teacher would  receive additional  training or  certification                                                                   
and perform  the role.  He asked  if Ms.  Wilson had  another                                                                   
vision.                                                                                                                         
                                                                                                                                
Ms.  Wilson  answered  that the  curriculum  could  start  in                                                                   
health classes,  but it  was her vision  for all  teachers to                                                                   
be  able to  have  the  conversations  with students  and  to                                                                   
normalize vocabulary and conversations.                                                                                         
                                                                                                                                
Representative  LeBon asked  if it  would require  additional                                                                   
certification for all faculty.                                                                                                  
                                                                                                                                
Ms. Wilson  agreed. She believed  it was worth the  time. She                                                                   
stated that as  a teacher she would gladly give  her time for                                                                   
the training.                                                                                                                   
                                                                                                                                
Vice-Chair  Ortiz asked  what subject  Ms. Wilson taught.  He                                                                   
thanked her for her service.                                                                                                    
                                                                                                                                
Ms.  Wilson answered  that  she currently  taught  elementary                                                                   
students.  In  the  past she  had  taught  behavior  support,                                                                   
middle  school  students  and   additional  elementary  grade                                                                   
levels.                                                                                                                         
                                                                                                                                
Vice-Chair  Ortiz  asked  about   better  integrating  mental                                                                   
health into  the school system.  He stated his  understanding                                                                   
that Ms.  Wilson saw the  effort starting from  the beginning                                                                   
with students  entering kindergarten  and in some  ways being                                                                   
exposed through  books being  read and discussions  including                                                                   
concepts of self-understanding and mental health.                                                                               
                                                                                                                                
1:53:22 PM                                                                                                                    
                                                                                                                                
Ms.  Wilson   answered  there   already  conversations   that                                                                   
involved  social emotional  learning  covering  how we  feel,                                                                   
what  we feel,  and  what was  happening  inside  of us.  The                                                                   
curriculum  existed  but it  was  bare bones.  She  confirmed                                                                   
that  starting  at  a  young  age  was  very  important.  She                                                                   
believed they  could improve  curriculum through  high school                                                                   
to prepare students for any situation they may come across.                                                                     
                                                                                                                                
Vice-Chair  Ortiz asked  what  Ms. Wilson  would  say to  the                                                                   
concern it was  another request or burden added  to teachers.                                                                   
He stated  it seemed  there were  more and  more requests  of                                                                   
teachers, often without  support. He noted that  the bill was                                                                   
optional   for   districts   to   integrate   mental   health                                                                   
curriculum.                                                                                                                     
                                                                                                                                
Ms. Wilson  agreed but remarked  it was also possible  to say                                                                   
that adding  a new curriculum  was adding another  thing. She                                                                   
stated there  would always  something  added and there  would                                                                   
always  be   opposition.  She  believed  teachers   would  be                                                                   
wholeheartedly  in  if  it  enabled  teachers  to  be  better                                                                   
teachers,  allowed  classrooms  to  run  more  smoothly,  and                                                                   
enabled students  to reach  out. She  stated there  were ways                                                                   
it could be incorporated on teacher time.                                                                                       
                                                                                                                                
1:55:52 PM                                                                                                                    
                                                                                                                                
Vice-Chair Ortiz asked  if Ms. Wilson saw HB 60  as a partial                                                                   
pathway to arriving at the goal.                                                                                                
                                                                                                                                
Ms. Wilson replied, "Absolutely."                                                                                               
                                                                                                                                
Representative  Rasmussen  had heard  from  many teachers  in                                                                   
Anchorage  School District  that  they  were struggling.  She                                                                   
remarked it  had been a  tumultuous time for  teachers during                                                                   
the  COVID-19 pandemic.  She  had  a bit  of  a concern  over                                                                   
adding another  requirement on  teachers. She asked  how much                                                                   
time  Ms.  Wilson  had  to  spend  maintaining  her  teaching                                                                   
certificate  through state  mandates. She  wondered if  there                                                                   
were areas to scale back to offset the time.                                                                                    
                                                                                                                                
Ms. Wilson replied  there were ways to slim  things down with                                                                   
any  type of  professional  development.  She explained  that                                                                   
professional development  days could  be slimmed down  to add                                                                   
additional  topics.  She  stated   there  were  conversations                                                                   
about repeated  professional development that were  no longer                                                                   
necessary  but mandated by  the state.  She believed  some of                                                                   
the  training needed  to be  cleaned up  to eliminate  things                                                                   
that were  no longer  relevant and  include other  items. She                                                                   
believed  that  conversations   between  staff  and  teachers                                                                   
about  mental  health  would   help  teachers  as  well.  She                                                                   
underscored there was a huge benefit  to students and staff.                                                                    
                                                                                                                                
Representative  Rasmussen  asked if  it  would be  beneficial                                                                   
for  the   bill  to  implement   a  taskforce  or   group  to                                                                   
collaborate  with  the  Department  of  Education  and  Early                                                                   
Development (DEED)  and the Department  of Health  and Social                                                                   
Services  (DHSS) to  engage behavioral  health  professionals                                                                   
and  educators from  across the  state to  identify the  best                                                                   
curriculum  moving forward.  She thought  the idea could  put                                                                   
more weight behind  the legislation. She thought  there could                                                                   
be challenges  with the  bill's current  form because  it was                                                                   
open to district  choosing to opt in. She  suggested it could                                                                   
help  implement what  was needed  in order  to impact  mental                                                                   
health and suicide rates in Alaska.                                                                                             
                                                                                                                                
Ms.  Wilson  agreed  that a  taskforce  would  be  beneficial                                                                   
because  it  could optimize  people's  time  and  information                                                                   
that was  put out. She  explained there  could be a  focus on                                                                   
good curriculum  instead of trying multiple options  that did                                                                   
not work.  She stated  there could  be conversations  on what                                                                   
was  best from  kindergarten through  high  school if  people                                                                   
with the knowledge educated others.                                                                                             
                                                                                                                                
2:00:05 PM                                                                                                                    
                                                                                                                                
Representative  Carpenter  stated  he  had a  difficult  time                                                                   
understanding what  a curriculum for mental health  would be.                                                                   
He wondered  when mental health  curriculum would  be taught.                                                                   
He  asked  what  it  would  look  like  in  an  already  busy                                                                   
schedule for teachers.  He wondered whether the  district Ms.                                                                   
Wilson worked  for was currently  prohibited from  adding the                                                                   
subject  into its  existing  curriculum.  He wondered  if  it                                                                   
needed to be in state law.                                                                                                      
                                                                                                                                
Ms.  Wilson  replied  that  social   emotional  learning  was                                                                   
already added into  a chunk of the day. She noted  it was not                                                                   
a  majority of  the day  and did  not  replace anything.  She                                                                   
explained  that   the  conversations  could  be   added  into                                                                   
science, reading,  social services, and anywhere.  She agreed                                                                   
that  teachers  did  need  support   and  needed  legislation                                                                   
passed in  order for the issue  to be taken seriously  and to                                                                   
set up a program for success.                                                                                                   
                                                                                                                                
Representative  Carpenter   stated  that  when   children  or                                                                   
adults had physical  health issues they were  typically taken                                                                   
to  a physician  and individuals  with  mental health  issues                                                                   
typically  saw  a mental  health  professional.  He  wondered                                                                   
about the liability  on teachers for teaching  the subject or                                                                   
giving mental  health advice to  students. He wondered  if it                                                                   
meant the parents  would be involved in advice  given or not.                                                                   
He  wondered  what risk  a  teacher  would face  that  should                                                                   
perhaps be left to a mental health professional.                                                                                
                                                                                                                                
Ms. Wilson  answered  that she  felt she picked  up the  risk                                                                   
daily when teaching  in general. She believed  there could be                                                                   
other  conversations  in  addition   to  something  that  was                                                                   
provided  by  a doctor.  She  explained  conversations  could                                                                   
give  people insight  into mental  health  without needing  a                                                                   
doctor's  permission.  She  clarified  it did  not  take  the                                                                   
place  of a parent  or speak  for parents.  She explained  it                                                                   
was  merely  educating  students,   giving  mental  health  a                                                                   
voice.  She explained  that everything  taught  needed to  be                                                                   
prefaced with  the fact that  students would  learn something                                                                   
else  at home  and home  was first,  and  teachers were  just                                                                   
giving additional information and resources.                                                                                    
                                                                                                                                
Representative Carpenter thanked the testifier.                                                                                 
                                                                                                                                
2:04:39 PM                                                                                                                    
                                                                                                                                
Representative  Edgmon believed  the intent  of the  bill was                                                                   
for  the  Board  of  Education  to  provide  guidelines  that                                                                   
schools had  the option to  follow or  not. He read  from the                                                                   
bill.  He  believed   the  committee  did  a   great  job  at                                                                   
quantifying cost  and a lousy  job measuring the  benefit and                                                                   
at  knowing what  actually  happened  when the  dollars  were                                                                   
appropriated.  He   remarked  that  most  of   the  committee                                                                   
members  had not  grown  up in  the  social  media world.  He                                                                   
highlighted  the strain social  media put  on kids.  He asked                                                                   
if  it  played a  role  in  the acuteness  of  mental  health                                                                   
challenges in younger adults. He believed it did.                                                                               
                                                                                                                                
Ms.  Wilson replied,  "Absolutely,  I believe  it does."  She                                                                   
believed  kids  were  being introduced  to  social  media  at                                                                   
younger and  younger ages  and that  they were being  exposed                                                                   
more than adults  thought even with safeguards  in place. She                                                                   
stated that  information was out  there on platforms  and via                                                                   
word of  mouth and on school  computers. She  believed better                                                                   
conversations  could be  had the more  teachers and  students                                                                   
were educated.                                                                                                                  
                                                                                                                                
2:07:18 PM                                                                                                                    
                                                                                                                                
Co-Chair Foster noted that Ms. Owen was back online.                                                                            
                                                                                                                                
Representative  LeBon   asked  Ms.  Owen  if   she  had  been                                                                   
listening to the comments over the past ten minutes.                                                                            
                                                                                                                                
Ms.  Owen  confirmed  that  she had  been  listening  to  the                                                                   
meeting.                                                                                                                        
                                                                                                                                
Representative  LeBon wondered  if Ms. Owen  had a  vision of                                                                   
how  the  mental  health certification  process  for  a  K-12                                                                   
instructor  would work.  For  example, when  he  had been  in                                                                   
high school  there had been  a health education  teacher, and                                                                   
everyone had  been required  to take the  class. He  asked if                                                                   
there  should   be  trained   and  certified  mental   health                                                                   
professional  among the  faculty  members. Alternatively,  he                                                                   
wondered  if it was  broader and  all teachers  needed  to be                                                                   
certified in some fashion.                                                                                                      
                                                                                                                                
Ms.  Owen clarified  that  the  bill was  not  a mandate  but                                                                   
encouraged mental  health education as part  of comprehensive                                                                   
health  education. She  elaborated  that  the bill  addressed                                                                   
grades K-12 and  not high school curriculum  only. She stated                                                                   
that it depended  school district by school  district because                                                                   
there were  trained health education  teachers in  Alaska who                                                                   
were well equipped  to teach the subject. In  other districts                                                                   
a classroom  teacher taught health  education if  required by                                                                   
the district.  In the  latter cases,  teacher training  would                                                                   
be important.  She noted  that the  question would  be better                                                                   
directed to DEED.                                                                                                               
                                                                                                                                
2:09:47 PM                                                                                                                    
                                                                                                                                
Representative  Wool   did  not  believe  the   bill  created                                                                   
professional   counselors  out  of   teachers  and   was  not                                                                   
mandating  teachers to  be therapists.  He thought  it was  a                                                                   
unit in a health  class that would talk about  mental health.                                                                   
He remarked  that the  schools in  his district were  already                                                                   
teaching  the  subject.  He  did   not  think  the  bill  was                                                                   
specifying   there  would   be  personal   advice  given   to                                                                   
individual  students.  He knew  schools  had counselors,  but                                                                   
likely  not enough,  and he  thought they  likely spent  time                                                                   
figuring  out which  classes students  should  be taking.  He                                                                   
shared that there  had been a psychology class  taught in his                                                                   
high  school, but  the teacher  had not  been a  professional                                                                   
psychologist.  He thought it  the situation  in the  bill was                                                                   
similar  where  a  curriculum   would  teach  students  about                                                                   
mental health and different issues that may arise.                                                                              
                                                                                                                                
Representative  Wool   thought  social  media   was  a  major                                                                   
problem  that had  been  documented  and studied.  The  other                                                                   
problem was  access to  phones during  school. He  thought it                                                                   
was an issue that  needed to be addressed, but  no one wanted                                                                   
to  touch the  problem. He  felt  the committee  conversation                                                                   
was getting  a bit broad for  what the bill actually  did. He                                                                   
supported  the  legislation.   He  believed  teachers  giving                                                                   
therapeutic  advice to  children was  not what  the bill  was                                                                   
about.                                                                                                                          
                                                                                                                                
Representative  Carpenter  thought   public  testifiers  were                                                                   
well  within their  right  to explain  their  vision of  what                                                                   
they  wanted to  see happen.  He  clarified that  he was  not                                                                   
specifying anything  about the  bill, he had  been responding                                                                   
to  the comments  made  by callers.  He  stated  it was  very                                                                   
clear  that one  of the  callers  had stated  they wanted  to                                                                   
have conversations  with  students all  day long. He  stated,                                                                   
"If that's not counseling, I don't know what is."                                                                               
                                                                                                                                
2:13:12 PM                                                                                                                    
                                                                                                                                
Representative  Thompson thought  the  bill was  piecemealing                                                                   
school policy.  He suggested  perhaps the legislature  should                                                                   
work  with the  state  school  board in  adopting  curriculum                                                                   
envisioned by  the bill or with  a taskforce. He  thought the                                                                   
professionals  should  let  the  legislature  know  what  was                                                                   
needed.                                                                                                                         
                                                                                                                                
2:13:54 PM                                                                                                                    
                                                                                                                                
SHOSHANA   KUN,   SELF,   FAIRBANKS   (via   teleconference),                                                                   
testified  in  strong support  of  the  bill that  would  add                                                                   
mental health  to the education  curriculum. She  believed HB
60 aimed  to decrease the  stigma surrounding  mental illness                                                                   
and increase  students' knowledge  of mental health.  She did                                                                   
not believe the  bill was an unfunded mandate.  She explained                                                                   
that the bill  would implement guidelines  empowering schools                                                                   
and districts  to  choose to use  them. She  shared that  her                                                                   
daughter had  attempted suicide  a couple  of years  back and                                                                   
she had  not had the necessary  resources at her  school. She                                                                   
believed a  comprehensive K-12  curriculum that  also tackled                                                                   
mental  health was  key to improving  the  lives of youth  in                                                                   
Alaska. She highlighted the high  rate of suicide in Alaska.                                                                    
                                                                                                                                
Representative LeBon thanked Ms. Kun for calling in.                                                                            
                                                                                                                                
2:15:49 PM                                                                                                                    
                                                                                                                                
DESIREE  ASULUK,  SELF,  TOKSOOK  BAY  (via  teleconference),                                                                   
spoke  in  support of  the  bill.  She  shared that  she  was                                                                   
                 th                                                                                                             
currently  in  12    grade.  She  stated  the  importance  of                                                                   
education,  early  detection   and  intervention,  and  early                                                                   
prevention   efforts   that    were   crucial   to   reducing                                                                   
difficulties and  deaths in cities  and in rural  areas where                                                                   
mental  health was  extremely  limited. She  stated that  the                                                                   
bill  may  increase  awareness   and  eliminate  disabilities                                                                   
caused  by  mental illness.  She  underscored  that  Alaska's                                                                   
education system  must develop a comprehensive  mental health                                                                   
curriculum.  She  stated  that  incorporating  mental  health                                                                   
education and  dispelling common misconceptions  about mental                                                                   
illness was  critical and  led to a  reduction in  the stigma                                                                   
for  those   experiencing  mental  illness.  She   urged  the                                                                   
committee to pass the bill. She thanked the committee.                                                                          
                                                                                                                                
2:17:19 PM                                                                                                                    
                                                                                                                                
LOURDES  RIVERA,  SELF,  EAGLE  RIVER  (via  teleconference),                                                                   
spoke on behalf  of her 18 year old son who  was currently at                                                                   
work.  She shared  that she is  a retired  Air Force  officer                                                                   
and had  four children ranging  from 18  to 35 years  of age.                                                                   
She  detailed  that  all  of  her  children  had  experienced                                                                   
mental  health crises,  primarily  as teenagers.  She  stated                                                                   
that the  pandemic had exacerbated  the mental  health issues                                                                   
for teens.  She strongly supported  the bill.  She emphasized                                                                   
that  the issues  had plagued  youth in  Alaska for  decades,                                                                   
yet no one wanted  to speak about the topic.  She highlighted                                                                   
news  stories   about  young  professional   athletes  having                                                                   
mental  breakdowns;  however,  the  situation  was  happening                                                                   
"right under  our noses." She shared  that her son  who is an                                                                   
honor   student,  Eagle   Scout,   community  volunteer   had                                                                   
attempted  suicide  in  November  of 2021.  She  shared  that                                                                   
there  had  been  no  signs or  symptoms.  He  was  a  highly                                                                   
functioning autistic  young man. She  he read a  statement by                                                                   
her son that he had included in a college application:                                                                          
                                                                                                                                
     I   am  thankful   that  I   have  had   all  of   these                                                                   
     opportunities  and this  past  year taught  me the  most                                                                   
     about resilience.  During all of these  accomplishments,                                                                   
     I was hiding  a big secret that literally  almost killed                                                                   
     me.  I was  silently suffering  from severe  depression,                                                                   
     which  led to  a suicide  attempt, hospitalization,  and                                                                   
     much  needed  treatment.  I learned  the  importance  of                                                                   
     treating my depression and asking for help.                                                                                
                                                                                                                                
     I've  experienced  a state  championship  with my  drill                                                                   
     team,  I've Eagled, I've  had my  first date,  and first                                                                   
     formal,  recently  turning   18.  All  of  these  things                                                                   
     happening after  my suicide attempt. If you  ask me what                                                                   
     I am  most thankful  for since the  attempt I  will tell                                                                   
     you  I  am  thankful  for  every  conversation,  Colonel                                                                   
     Brokaw  [JROTC instructor],  my dogs,  my siblings,  and                                                                   
     the warm  welcome I received  from my classmates  when I                                                                   
     returned.                                                                                                                  
                                                                                                                                
Ms. Rivera relayed  that within the past couple  of weeks the                                                                   
Eagle  River   High  School  varsity  basketball   coach  had                                                                   
committed  suicide.   She  shared  that  when   her  son  had                                                                   
attempted suicide,  there had been 100 other  students in the                                                                   
ROTC  program and  Colonel  Brokaw  and counselors  had  been                                                                   
heavily involved  in making sure the other  students received                                                                   
appropriate  counseling.  She  relayed  that  the  basketball                                                                   
team had received  strong community support in  recent weeks.                                                                   
She believed  teachers were  already doing  some of  what the                                                                   
bill talked about in some ways to help reduce the stigma.                                                                       
                                                                                                                                
Ms. Rivera  relayed that after  investigating a bit,  she had                                                                   
discovered her  son had told more  than a dozen  students how                                                                   
he was  feeling. She elaborated  that if any of  the students                                                                   
had informed  a teacher or if  they had known as  parents [it                                                                   
would have  made a difference].  She stressed there  had been                                                                   
no signs  to indicate  her son  was depressed. She  explained                                                                   
that [it  could have  been different]  if students  had known                                                                   
to understand  warning signs and that  it was okay  to tell a                                                                   
trusted  adult,  teacher,  or counselor  if  another  student                                                                   
confided  in  them.  She  reiterated   that  there  had  been                                                                   
silence  in her  son's  situation and  it  had almost  killed                                                                   
him.  She did  not think  there  needed to  be a  complicated                                                                   
curriculum. She  spoke to the  importance of  introducing and                                                                   
dispelling   misconceptions   about   mental   illness.   She                                                                   
emphasized that  students now welcomed her son.  She detailed                                                                   
that  people  were  talking  about   the  topic.  She  stated                                                                   
unfortunately  the high  school had  more to  deal with  most                                                                   
recently with  the suicide  of the  high school teacher.  She                                                                   
explained  there   was  something   in  place,  but   it  was                                                                   
important to create  something for everyone across  the board                                                                   
that  would allow  districts to  opt in,  reduce the  stigma,                                                                   
and common  misconceptions. She added  that her son  had been                                                                   
under   psychological   care   for   years   and   even   the                                                                   
psychologist   had  voiced   they  could   not  believe   the                                                                   
situation  happened. She  stressed  the  importance of  early                                                                   
intervention that saved lives.                                                                                                  
                                                                                                                                
2:24:52 PM                                                                                                                    
                                                                                                                                
KATHLEEN WEDEMEYER,  DEPUTY DIRECTOR  CITIZENS COMMISSION  ON                                                                   
HUMAN   RIGHTS,  SEATTLE   (via  teleconference),   expressed                                                                   
empathy  for previous  callers. She  stated the  organization                                                                   
believed  any mental  health  education  must  be focused  on                                                                   
overall  improvement  of health  and  needed  to be  in  full                                                                   
agreement and  involvement of  the parents. The  organization                                                                   
believed that  as written,  the bill left  the state  open to                                                                   
mental  health education  that  could  turn Alaska's  schools                                                                   
into  marketing  agents for  psychiatric  diagnosis  labeling                                                                   
and treatment with mind altering drugs.                                                                                         
                                                                                                                                
Ms.   Wedemeyer  highlighted   that   the  organization   had                                                                   
identified  four   areas  it  believed  the   bill  could  be                                                                   
improved. First,  insert a provision to allow  parents to opt                                                                   
out  of   mental  health   education.  Second,   broaden  the                                                                   
participants  to  include  other  non-psychiatric  healthcare                                                                   
professionals  including parents,  members  of the  statewide                                                                   
suicide prevention  council, spiritual advisors  and leaders,                                                                   
business  leaders with  emphasis  on dealing  with youth  via                                                                   
non-drug,  non-coercive  approaches  in  order to  provide  a                                                                   
holistic  approach  to  mental health  education  for  youth.                                                                   
Third, incorporate  language to  prevent the bill  from being                                                                   
or becoming  a  screening referral  diagnosing and  treatment                                                                   
[poor audio quality].  Fourth, align the bill  with the State                                                                   
of Alaska suicide  prevention plan about creating  health and                                                                   
wellness.                                                                                                                       
                                                                                                                                
Ms.  Wedemeyer relayed  that the  organization would  support                                                                   
any curriculum  emphasizing suicide prevention  and wellness.                                                                   
She   referenced   the  infective   nature   of   psychiatric                                                                   
diagnoses.  She  quoted  from  the  psychiatrist  and  former                                                                   
Diagnostic   and  Statistical   Manual   (DSM)  chair   Allen                                                                   
Frances:                                                                                                                        
                                                                                                                                
     Psychiatry,  unlike other  fields of  medicine is  based                                                                   
     on a highly  subjective diagnostic system.  There are no                                                                   
     objective  tests in  psychiatry.  No X-ray,  laboratory,                                                                   
     or  exam finding  that  says definitively  that  someone                                                                   
     does or  does not  have a mental  disorder. There  is no                                                                   
     definition of  a mental disorder, I mean  you just can't                                                                   
     define it.                                                                                                                 
                                                                                                                                
Ms. Wedemeyer read from prepared remarks:                                                                                       
                                                                                                                                
     Today  in  the  U.S.  alone we  have  over  six  million                                                                   
     youths  from   the  age  of  zero  to   17  on  powerful                                                                   
     psychiatric  drugs.  The  main  issue  of  education  in                                                                   
     schools   should  focus   on   health  [inaudible]   and                                                                   
     returning   individuals   to  health   after   emotional                                                                   
     crises. Issues  youths face are real and  varied and are                                                                   
     not   just  mental   phenomena.   These  issues   create                                                                   
     emotional  crisis that parents,  families, friends,  and                                                                   
     communities  must  act  to  address.  These  issues  are                                                                   
     outlined  in  the  Alaska Youth  Risk  Behavior  survey.                                                                   
     They  include drug  use, bullying,  violence, low  rates                                                                   
     of  physical  activity, poor  diet,  smoking,  drinking,                                                                   
     and  more.  Additionally,  parents  must be  allowed  to                                                                   
     direct what  their children  are being taught  in school                                                                   
     with regards  to mental health.  This is  necessary with                                                                   
     the  biased  and  consumer marketing  driven  nature  of                                                                   
     current  mental health education  that will  be provided                                                                   
     if HB  60 is  not modified to  give a balanced  approach                                                                   
     of   what   people   are    experiencing   with   modern                                                                   
     psychiatry.                                                                                                                
                                                                                                                                
Ms. Wedemeyer asked the committee to amend the bill.                                                                            
                                                                                                                                
Co-Chair  Foster  requested  Ms.   Wedemeyer  send  the  four                                                                   
suggestions to the committee email.                                                                                             
                                                                                                                                
2:29:49 PM                                                                                                                    
                                                                                                                                
SYCELY   WHEELES,  SELF,   ANCHORAGE  (via   teleconference),                                                                   
shared that she  is a junior in high school.  She shared that                                                                   
she had met  with many representatives in the  past week. She                                                                   
spoke in  support of the  bill. She  shared that one  in four                                                                   
adolescents experienced  a mental illness. She  had struggled                                                                   
with anxiety  most of  her life  and she  had not known  what                                                                   
she was experiencing  until diagnosed at age  13. She relayed                                                                   
that the  first and  only lesson she  had received  on mental                                                                   
                                  th                                                                                            
health was  a brief unit  in her 8   grade health  class. She                                                                   
stated  she  had  ironically   missed  most  of  the  segment                                                                   
because  she  had  been  getting   support  from  her  school                                                                   
counselor  for her  mental health  struggles. She  elaborated                                                                   
she  had eight  years of  health  classes and  had only  been                                                                   
taught about her mental health once.                                                                                            
                                                                                                                                
Ms.  Wheeles  stressed  that  mental  health  was  a  serious                                                                   
public  health issue  and  the pandemic  had  made the  issue                                                                   
more  apparent.  She  stated  that in  2019,  22  percent  of                                                                   
Alaska high  school students planned  a suicide  attempt. She                                                                   
highlighted   national  reports   showed  that  symptoms   of                                                                   
anxiety and depression  had doubled during the  pandemic. She                                                                   
relayed  that in  December  2021,  the U.S.  Surgeon  General                                                                   
declared  a  youth  mental  health  crisis.  The  bill  would                                                                   
directly  address  the lack  of  mental health  education  in                                                                   
Alaska's schools.  Additionally, the bill would  decrease the                                                                   
stigma  associated   with  mental  illness.  She   urged  the                                                                   
committee to support the bill.                                                                                                  
                                                                                                                                
2:32:20 PM                                                                                                                    
                                                                                                                                
RAE   ROMBERG,  PREVENTION   DIRECTOR,   ALASKA  NETWORK   ON                                                                   
DOMESTIC VIOLENCE  AND SEXUAL  ASSAULT, DEPARTMENT  OF HEALTH                                                                   
AND SOCIAL SERVICES  (via teleconference), spoke  in favor of                                                                   
the  legislation.  She  shared  that she  worked  to  prevent                                                                   
domestic  and   sexual  violence   in  Alaska  and   saw  how                                                                   
connected  the issues  were to  mental  health. She  believed                                                                   
mental health needed  to be included in health  curriculum to                                                                   
help  reduce  rates  of  domestic  and  sexual  violence  and                                                                   
suicide.  She   reasoned  the   bill  seemed  to   allow  the                                                                   
flexibility  for school  districts  to decide  what made  the                                                                   
most  sense   for  their  schools.   The  bill   allowed  and                                                                   
encouraged  school districts  to  talk  about mental  health.                                                                   
Teachers were  dealing with mental  health issues  daily with                                                                   
students and  those issues  interrupted students'  ability to                                                                   
participate and succeed in school.                                                                                              
                                                                                                                                
Ms. Romberg stated  that the bill could even  do the simplest                                                                   
thing   by   introducing   terms  and   definitions   -   not                                                                   
psychiatric  terms  and  not  promoting  psychiatric  meds                                                                      
destigmatizing  anxiety and  stress  and normalizing  talking                                                                   
about  suicide.  She  believed   the  change  could  have  an                                                                   
incredible  and positive  impact  on students.  She  remarked                                                                   
that students  were under an  incredible amount  of pressure.                                                                   
She  highlighted  a  YRBS  survey   showing  that  almost  20                                                                   
percent  of   students  had  reported  being   electronically                                                                   
bullied, 38  percent felt  so sad  and hopeless they  stopped                                                                   
doing  some  of  their  usual   activities,  and  25  percent                                                                   
seriously  considered  attempting  suicide. She  stated  that                                                                   
mental health  was already  in schools.  She believed  it was                                                                   
"our"  responsibility  to  give   students  the  language  to                                                                   
describe what  they were  dealing with,  which could  lead to                                                                   
appropriate  referrals   and  support.  She   discussed  that                                                                   
social  and emotional  regulation skills  and positive  self-                                                                   
concepts  and  feeling  valued were  protective  factors  for                                                                   
depression,  suicide, substance  abuse, violence,  and unsafe                                                                   
sexual  activity.  She noted  the  information  was from  the                                                                   
work of Becky Judd in Alaska. She thanked the committee.                                                                        
                                                                                                                                
2:36:22 PM                                                                                                                    
                                                                                                                                
JOHON  ATKINSON,   SELF,  METLAKATLA  (via   teleconference),                                                                   
testified in  support of the  legislation. He shared  that he                                                                   
had been a counselor  for the past 10 years and  had lived in                                                                   
Metlakatla  his entire  life. He  currently had  two sons  in                                                                   
the  middle and  high school  system. He  had worked  closely                                                                   
with  12 to  13 schools  throughout  the  state on  wellness,                                                                   
prevention,   and  respect.   He  had   seen  firsthand   the                                                                   
importance  of investing  the  time and  teaching focused  on                                                                   
mental health for  Alaskan youth. He emphasized  the positive                                                                   
effects that  learning about mental  health had  on student's                                                                   
work  and physically;  healthy  mental  health  went hand  in                                                                   
hand with  both. He  planned to  continue work on  prevention                                                                   
in  schools.  It  was clear  that  more  efforts  focused  on                                                                   
teaching mental  health was needed  in schools.  He supported                                                                   
the  legislation.  There had  already  been  a need  for  the                                                                   
topic prior to  the pandemic. Since students  had returned to                                                                   
school, new needs  were there. He spoke to  the importance of                                                                   
supporting  the mental  health of the  state's young  people.                                                                   
Educating  and talking  to young people  about mental  health                                                                   
strengthened and built a strong community of support.                                                                           
                                                                                                                                
2:40:52 PM                                                                                                                    
                                                                                                                                
JENNIFER   BROWN,  SELF,   UTQIAGVIK  (via   teleconference),                                                                   
shared  that she  is a  school  counselor and  member of  the                                                                   
National  Association of  Social Workers.  She stressed  that                                                                   
the bill  would help schools to  open the door to  talk about                                                                   
mental health.  She detailed  that the  school she  worked at                                                                   
talked about  mental health  consistently  due to high  rates                                                                   
of  suicide, depression,  and  anxiety.  She emphasized  that                                                                   
the  bill did  not  allow teachers  or  school counselors  to                                                                   
provide   a   diagnosis   or   prescribe   medications.   She                                                                   
underscored  that the  bill opened  the door  for schools  to                                                                   
hear about  mental health issues  and address them  when they                                                                   
arise. She  explained that  the bill  would provide  students                                                                   
with  the opportunity  to  understand what  was  going on  in                                                                   
their  minds and  teachers  the  opportunity  to learn  about                                                                   
different  diagnoses  and  to  notice things  going  on  with                                                                   
students.  She  explained  that  being  able  to  talk  about                                                                   
mental health  would destigmatize the issues.  She elaborated                                                                   
it  would  help  students  understand   they  could  work  to                                                                   
address  the  problems  they   were  facing.  She  urged  the                                                                   
committee  to  pass  the  bill  that  let  schools  have  the                                                                   
opportunity to talk about the issue.                                                                                            
                                                                                                                                
2:43:30 PM                                                                                                                    
                                                                                                                                
LILLY   CHUCKWUK,  SELF,   ALEKNAGIK  (via   teleconference),                                                                   
suggested  instead of  straining  the teachers,  she  thought                                                                   
someone  could  come  in  from   mental  health  because  she                                                                   
thought  they could  better identify  what to  look for.  She                                                                   
shared that  she had been  in a shelter  and could  tell when                                                                   
people  were experiencing  mental health  issues. She  shared                                                                   
that  it would  be helpful  to have  the topic  in jails  and                                                                   
shelters. She shared  that a family member  had been sexually                                                                   
abused  as a  child, but  she had  not completely  understood                                                                   
until  she had  kids. She  had learned  two of  her sons  had                                                                   
schizophrenia  and  they did  not  want  to go  to  treatment                                                                   
because of  the stigma.  She stated it  was a good  beginning                                                                   
to talk  about mental health in  schools, but it  should also                                                                   
be expanded to shelters and jails.                                                                                              
                                                                                                                                
Representative   Edgmon   thanked   Ms.  Chuckwuk   for   her                                                                   
testimony.                                                                                                                      
                                                                                                                                
Co-Chair Foster CLOSED public testimony.                                                                                        
                                                                                                                                
2:46:47 PM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
2:47:00 PM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Vice-Chair Ortiz asked  for a quick summary of  what the bill                                                                   
would and would not do.                                                                                                         
                                                                                                                                
EMMA  POTTER,  STAFF, REPRESENTATIVE  MATT  CLAMAN,  answered                                                                   
that  the bill  would  amend  the current  health  curriculum                                                                   
guidelines  by adding the  words "mental  health" to  a list.                                                                   
She  pointed  to page  1  of  the bill  that  specified  "the                                                                   
program  should include  instruction in  health and  personal                                                                   
safety including..."  The words  were followed  by a  list of                                                                   
about  13 items  instructed  by the  Board  of Education  and                                                                   
Early  Development for  schools  to adopt  as  part of  their                                                                   
health curriculum.  The bill amended the list  to include the                                                                   
words "mental health."                                                                                                          
                                                                                                                                
Vice-Chair Ortiz  asked about  the intended impact  of adding                                                                   
the words.                                                                                                                      
                                                                                                                                
Ms. Potter replied  that the guidelines were  to be developed                                                                   
in   consultation   with   DHSS,   regional   tribal   health                                                                   
organizations,  and  representatives  of national  and  state                                                                   
mental  health   organizations.  Once  the   guidelines  were                                                                   
created, schools could adopt them as their own.                                                                                 
                                                                                                                                
Vice-Chair  Ortiz  stated his  understanding  the  curriculum                                                                   
would be optional.                                                                                                              
                                                                                                                                
Ms. Potter agreed.                                                                                                              
                                                                                                                                
Vice-Chair  Ortiz   surmised  that   what  happened   when  a                                                                   
district  chose to include  mental health  in its  curriculum                                                                   
was  dependent   on  the  district   in  terms  of   how  the                                                                   
curriculum was  integrated into their particular  educational                                                                   
offerings.                                                                                                                      
                                                                                                                                
Ms. Potter agreed and deferred to DEED for more detail.                                                                         
                                                                                                                                
2:49:56 PM                                                                                                                    
                                                                                                                                
SHARON   FISHEL,   EDUCATION    SPECIALIST,   DEPARTMENT   OF                                                                   
EDUCATION   AND  EARLY   DEVELOPMENT  (via   teleconference),                                                                   
clarified  that  the bill  would  ask  DEED to  put  together                                                                   
guidelines/standards  for  schools   to  consider.  The  bill                                                                   
would  leave  give  local  control  to  districts  to  decide                                                                   
whether    to   adopt    curriculum    to    go   with    the                                                                   
standards/guidelines.                                                                                                           
                                                                                                                                
Vice-Chair Ortiz  asked for  verification the bill  pertained                                                                   
to adopting guidelines  that could be shaped  into curriculum                                                                   
within a given district.                                                                                                        
                                                                                                                                
Ms. Fishel  agreed. She explained  that just like  there were                                                                   
other  standards  for  reading,  math,  social  studies,  and                                                                   
science,   the  bill   asked   the  department   to   develop                                                                   
standards/guidelines   for  districts   to  opt  to   make  a                                                                   
selection for mental health.                                                                                                    
                                                                                                                                
Vice-Chair  Ortiz  asked  if some  districts  throughout  the                                                                   
state already  did that. He  surmised the bill  would provide                                                                   
some  guidelines  if  they  were  not  readily  available  in                                                                   
another area.  He asked  for confirmation  that the  bill did                                                                   
not result in any other specific actions.                                                                                       
                                                                                                                                
Ms. Fishel agreed.                                                                                                              
                                                                                                                                
DEBORAH   RIDDLE,   OPERATIONS    MANAGER,   INNOVATION   AND                                                                   
EDUCATION  EXCELLENCE DIVISION,  DEPARTMENT OF EDUCATION  AND                                                                   
EARLY  DEVELOPMENT  (via  teleconference),   added  that  the                                                                   
department was  instructed to  create standards  for reading,                                                                   
math,  language  arts,  social   studies,  and  science.  She                                                                   
shared  that  health  standards  were up  for  revision.  She                                                                   
stated  that  the  bill  would   impact  what  the  standards                                                                   
revisions may look like in terms of mental health.                                                                              
                                                                                                                                
2:53:25 PM                                                                                                                    
                                                                                                                                
Representative Carpenter  asked if someone would  be covering                                                                   
the fiscal note during the meeting.                                                                                             
                                                                                                                                
REPRESENTATIVE  MATT CLAMAN,  SPONSOR,  did  not believe  the                                                                   
committee  reviewed  the  fiscal  note  during  the  previous                                                                   
meeting. He thought it would be appropriate to review it.                                                                       
                                                                                                                                
Co-Chair  Foster asked  the department  to review the  fiscal                                                                   
note.                                                                                                                           
                                                                                                                                
Ms.   Riddle  relayed   that   the  fiscal   note   addressed                                                                   
stakeholder  engagement   in  creating  the   standards.  She                                                                   
explained  the typical  standards  revision process  involved                                                                   
reviewing existing  standards and determining what  needed to                                                                   
be changed.  The fiscal  note asked to  provide a  stipend to                                                                   
20 parents  and qualified  stakeholders in  order to  work on                                                                   
the  standards.   The  note  also   included  a   charge  for                                                                   
associated  regulations. Additionally,  there was  transition                                                                   
language  providing  the  board  with two  years  to  develop                                                                   
guidelines.  She summarized  that  the  fiscal note  gathered                                                                   
stakeholders and  a facilitator and paid a  stipend for those                                                                   
selected to work on the topic.                                                                                                  
                                                                                                                                
Representative  Carpenter asked  what was currently  stopping                                                                   
the    State    Board    of     Education    from    creating                                                                   
standards/guidelines  without the legislature  directing them                                                                   
to do so.  He asked if the  board was prohibited  from adding                                                                   
the two words.                                                                                                                  
                                                                                                                                
2:56:31 PM                                                                                                                    
                                                                                                                                
Ms. Riddle  responded that the  health standards were  on the                                                                   
list  for revision.  She explained  that  the department  was                                                                   
waiting to see  if there would be any significant  changes to                                                                   
what it  had planned in order  to do everything at  once. She                                                                   
stated that  the funding in the  fiscal note would  cover the                                                                   
mental health piece of the work.                                                                                                
                                                                                                                                
Representative  Carpenter stated  his understanding  that the                                                                   
standards  would   be  revised   to  include  mental   health                                                                   
recommendations  and what  was really  needed was  additional                                                                   
funding  make it  happen. He  asked if  the guidelines  would                                                                   
not be  written if  HB 60 was  not approved  or there  was no                                                                   
additional funding.                                                                                                             
                                                                                                                                
Ms.  Riddle  answered  that the  health  standards  would  be                                                                   
revised. She  clarified that the  fiscal note was  to provide                                                                   
additional   support  needed   to  add   the  mental   health                                                                   
component.                                                                                                                      
                                                                                                                                
Representative  Carpenter asked  for  verification that  DEED                                                                   
did not currently  have the qualified or  available personnel                                                                   
to create the mental health standards.                                                                                          
                                                                                                                                
Ms. Riddle  answered that any  time new standards  were added                                                                   
stakeholder  engagement  was used  to ensure  the  department                                                                   
was hearing all  of the perspectives and that  standards were                                                                   
as  complete as  possible to  make them  relevant to  Alaska.                                                                   
Stakeholders  would  include  mental  health  counselors  and                                                                   
other.  She stated  it  took quite  a  long  time to  develop                                                                   
standards  and gather  the needed  stakeholder engagement  to                                                                   
make standards as relevant to the state as possible.                                                                            
                                                                                                                                
Representative  Carpenter  referenced  that the  fiscal  note                                                                   
included a  $35,000 contract  for a  mental health  expert to                                                                   
facilitate   the    standards   process    and   professional                                                                   
development  materials.  He  asked if  the  department  could                                                                   
create the  standards without a  mental health expert  if the                                                                   
bill did not pass.                                                                                                              
                                                                                                                                
Ms.  Riddle  answered  it  was important  to  have  a  mental                                                                   
health   expert  for   the  mental   health  component.   The                                                                   
department  did  not  have  the   staff  and  its  staff  was                                                                   
overwhelmed.  She elaborated  that  the department  typically                                                                   
hired an  outside facilitator  to guide it through  standards                                                                   
revisions.  The  facilitator  would  be  specific  to  mental                                                                   
health.                                                                                                                         
                                                                                                                                
2:59:36 PM                                                                                                                    
                                                                                                                                
Representative Edgmon  asked if the last sentence  in Section                                                                   
2  of the  bill  was  Bree's law  [part  of the  Alaska  Safe                                                                   
Children's Act effective on June 30, 2017].                                                                                     
                                                                                                                                
Ms.  Fishel   confirmed  that  the  language   "abuse,  child                                                                   
abduction, neglect,  sexual abuse, and domestic  violence" on                                                                   
page 2,  lines 1  and 2  was the Alaska  Safe Children's  Act                                                                   
passed  several  years earlier  to  include Erin  and  Bree's                                                                   
law.                                                                                                                            
                                                                                                                                
Co-Chair  Foster  asked  the  bill  sponsor  if  he  had  any                                                                   
comments.                                                                                                                       
                                                                                                                                
Representative  Claman shared  it was the  first time  he had                                                                   
heard DEED  had a plan to  update the health  standards soon.                                                                   
He stated  it sounded like  the process involved  stakeholder                                                                   
engagement.  He remarked it  was unclear  to him whether  the                                                                   
fiscal  note in  terms of  gathering  all of  the people  was                                                                   
redundant to what  the department would already  be doing. He                                                                   
asked  if  the  department  was  going  to  be  updating  the                                                                   
standards  anyway,  whether  the bill's  only  fiscal  impact                                                                   
pertained  to the  hiring  of the  mental  health expert.  He                                                                   
thought  it sounded  like there  may be a  bit of  redundancy                                                                   
going on. He  thought perhaps the department  could provide a                                                                   
bit more clarity.                                                                                                               
                                                                                                                                
Representative   Wool  remarked   that  the  department   had                                                                   
relayed a  consultant would  need to be  hired to  tailor the                                                                   
standards to Alaska's  specific needs. He thought  in general                                                                   
mental  health needs  were common  across  state borders.  He                                                                   
remarked  that  kids  in  other  states  also  suffered  from                                                                   
depression,  peer  pressure,  and  suicide.  He  thought  the                                                                   
issues needed  to be addressed  and time was of  the essence.                                                                   
He   hoped  coordinators   and   authors   of  the   programs                                                                   
understood the need  and that there was some  universality to                                                                   
mental health  issues,  the same as  physical health  issues.                                                                   
He  hoped schools  could  get  the curriculum  sooner  rather                                                                   
than later.                                                                                                                     
                                                                                                                                
Representative  Edgmon   highlighted  that  Bree's   law  had                                                                   
passed  with widespread  bipartisan  support.  He noted  that                                                                   
for individuals  who had not supported  the bill it  had been                                                                   
due to  a fiscal cost. He  characterized the current  bill as                                                                   
different  in  terms of  the  scale  of potential  change  it                                                                   
would  bring. He  noted that  sometimes it  was necessary  to                                                                   
pay for things to get something to happen.                                                                                      
                                                                                                                                
Representative LeBon  stated that one of the  callers [during                                                                   
public testimony]  had suggested  parents be given  an option                                                                   
to opt  in or  out. He  asked how it  would work  practically                                                                   
speaking  with an  addition to  the  health curriculum  under                                                                   
the titled  mental health. He  asked if the intention  of the                                                                   
bill  would be  for  all  students in  a  high  school to  be                                                                   
introduced to  the concept of  good mental health. If  so, he                                                                   
asked  how  a  family  would  opt  their  child  out  of  the                                                                   
program.                                                                                                                        
                                                                                                                                
3:04:28 PM                                                                                                                    
                                                                                                                                
Representative   Claman   answered    there   was   currently                                                                   
generally an  option to  opt out of  health programs  such as                                                                   
high school  sex education  programs.  He had always  thought                                                                   
it made  a lot of sense  for a family  to have the  choice to                                                                   
opt out  of a  health program  segment if  they did  not like                                                                   
what  was  being  taught about  physical  or  mental  health.                                                                   
Whereas  he thought  an opt-in  standard  that would  require                                                                   
schools  to send  a request  to  the parents  asking if  they                                                                   
wanted their child  to participate in a program  would create                                                                   
a tremendous  burden on  school districts  that did  not make                                                                   
sense. He thought  if anything, there should only  be an opt-                                                                   
out  option.   He  reiterated  there  were   already  opt-out                                                                   
provisions for  some or all  of health curriculum  currently,                                                                   
which he believed would apply to the bill as well.                                                                              
                                                                                                                                
Representative LeBon  asked if the mental health  part of the                                                                   
curriculum  taught  by  a certified  health  instructor  with                                                                   
training  and  certification  in  mental health  in  a  class                                                                   
setting with an option to opt out.                                                                                              
                                                                                                                                
Representative  Claman   answered  in  the   affirmative.  He                                                                   
imagined that in  elementary schools, mental health  would be                                                                   
a part of a  health unit taught by the classroom  teacher. He                                                                   
believed  it  would be  part  of  the  curriculum in  a  high                                                                   
school health  class. He  did not  envision a separate  class                                                                   
for mental health.                                                                                                              
                                                                                                                                
Representative   LeBon   thought   that   under   the   model                                                                   
previously  described  by  Representative   Claman,  everyone                                                                   
there would not be an option to opt out.                                                                                        
                                                                                                                                
Representative  Claman  clarified  it was  his  understanding                                                                   
there would  be the  ability to opt  out. He elaborated  that                                                                   
particularly  with  sex education,  it  had always  been  his                                                                   
understanding there was the ability to opt out.                                                                                 
                                                                                                                                
3:07:17 PM                                                                                                                    
                                                                                                                                
Representative  LeBon  surmised that  sex  education was  not                                                                   
taught  by  all  K-12 teachers.  He  thought  it  was  likely                                                                   
targeted at a  specific grade level where the  curriculum was                                                                   
established, shared  with parents,  and parents could  opt in                                                                   
or out. He thought mental health would be different.                                                                            
                                                                                                                                
Representative Claman deferred to the department.                                                                               
                                                                                                                                
Vice-Chair Ortiz  clarified that  it had been  his experience                                                                   
as  a  past  teacher  that  parents  could  opt  out  of  sex                                                                   
education.  He  noted  some  of  the  callers  during  public                                                                   
testimony had  identified their vision of  integrating mental                                                                   
health  education throughout  K-12.  He did  not believe  the                                                                   
bill would address  it in either direction. He  agreed that a                                                                   
parent would  not be  able to  opt out of  the subject  if it                                                                   
was integrated in all classes.                                                                                                  
                                                                                                                                
Representative Claman  agreed. He noted the bill  would allow                                                                   
guidelines for districts to choose their own path.                                                                              
                                                                                                                                
HB  60   was  HEARD  and   HELD  in  committee   for  further                                                                   
consideration.                                                                                                                  
                                                                                                                                
Co-Chair Foster reviewed the schedule for the following                                                                         
morning.                                                                                                                        
                                                                                                                                

Document Name Date/Time Subjects
HB 60 Legal Memo 022322.pdf HFIN 3/17/2022 1:30:00 PM
HB 60
HB 60 Public Testimony Rec'd by 031722.pdf HFIN 3/17/2022 1:30:00 PM
HB 60
HB 60 Support Student Mental Health Eductation-KPBSD.pdf HFIN 3/17/2022 1:30:00 PM
HB 60
LFD Presentation- HFIN Spring Forecast, 3-17-22.pdf HFIN 3/17/2022 1:30:00 PM