Legislature(2001 - 2002)

03/01/2001 03:03 PM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
HB 114-INHALANT ABUSE                                                                                                         
                                                                                                                                
CHAIR DYSON  announced the next  order of business as  HOUSE BILL                                                               
NO. 114, "An Act relating to abuse of inhalants."                                                                               
                                                                                                                                
Number 0803                                                                                                                     
                                                                                                                                
REPRESENTATIVE  MARY  KAPSNER,  Alaska  State  Legislature,  came                                                               
forth as  sponsor of HB 114.   She explained she  was offering an                                                               
amendment that would  change [the charge of  inhalant abuse] from                                                               
a class B misdemeanor to a violation.                                                                                           
                                                                                                                                
Number 0882                                                                                                                     
                                                                                                                                
REPRESENTATIVE  JOULE made  a motion  to adopt  Amendment 1,  22-                                                               
LS0130\C.1, Luckhaupt, 2/28/01, which read:                                                                                     
                                                                                                                                
     Page 1, line 5:                                                                                                            
             Delete "crime"                                                                                                     
             Insert "offense"                                                                                                   
                                                                                                                                
     Page 2, lines 1 - 3:                                                                                                       
             Delete all material and insert:                                                                                    
            "(d)   Abuse    of   inhalants    is   a                                                                            
     violation."                                                                                                                
                                                                                                                                
There being no objection, Amendment 1 was adopted.                                                                              
                                                                                                                                
Number 0924                                                                                                                     
                                                                                                                                
JIM   HENKELMAN,   Statewide   Outreach   Coordinator,   Inhalant                                                               
Intervention Project, Yukon-Kuskokwim  Health Corporation (YKHC),                                                               
came forth  to testify in support  of HB 114.   He clarified that                                                               
the  [Inhalant  Intervention  Project],   in  development,  is  a                                                               
statewide project.   He said that [the YKHC] has  felt for a long                                                               
time the need to get a handle  on youth who are using and abusing                                                               
inhalants, to  get a comprehensive assessments  completed, and to                                                               
determine the level of treatment that [the youth] may require.                                                                  
                                                                                                                                
MR. HENKELMAN explained that  [the Inhalant Intervention Project]                                                               
is  a three-pronged  project, whereby  [YKHC]  will be  providing                                                               
information sessions, training  conferences throughout Alaska for                                                               
communities that  request their services in  identifying inhalant                                                               
abusers, and  providing brief assessments.   He said  that [YKHC]                                                               
will   also   be   providing   short-term   intervention   within                                                               
communities  that request  it,  which will  try  and address  the                                                               
children's needs  and do further  assessment of the  children who                                                               
are identified  as in need.   Finally, he said, [YKHC]  will have                                                               
the  residential program,  which is  currently scheduled  to open                                                               
August 31.                                                                                                                      
                                                                                                                                
Number 1091                                                                                                                     
                                                                                                                                
CHAIR DYSON  recaptured a  conversation he  had earlier  with Mr.                                                               
Henkelman.  He stated that Mr.  Henkelman had said there are some                                                               
people whose  first exposure [to inhalants]  causes organic brain                                                               
damage,  while others,  who have  been  [inhaling] for  25 or  30                                                               
years, have  some appearance of  a normal behavior when  they are                                                               
not "huffing."   Users will  experience euphoria, the  feeling of                                                               
power and hallucinations,  and have memory problems.   He said he                                                               
asked  Mr. Henkelman  if there  were  any patterns  of adults  or                                                               
older kids getting [younger] kids  [to use inhalants] in order to                                                               
exploit them.  He said that  Mr. Henkelman said [he didn't know],                                                               
but  that it  is logical  for that  to be  one reason  why people                                                               
would [get kids to use inhalants].   Also, Mr. Henkelman told him                                                               
that research  may find  that there's  evidence now  of permanent                                                               
genetic damage  that may  be transferred  to a  subsequent child.                                                               
Chair Dyson said  that [he and Mr. Henkelman]  also discussed how                                                               
people damaged from  "huffing" have problems similar  to those of                                                               
children  with  FAS  (Fetal  Alcohol  Syndrome)  and  FAE  (Fetal                                                               
Alcohol  Effects),  and  that   many  have  significant  behavior                                                               
problems in school and for parents.                                                                                             
                                                                                                                                
Number 1242                                                                                                                     
                                                                                                                                
REPRESENTATIVE  COGHILL   asked  when   this  project   would  be                                                               
completed.                                                                                                                      
                                                                                                                                
MR. HENKELMAN  replied that  ground was  broken in  August [2000]                                                               
for the construction  of the residential facility  in Bethel, and                                                               
completion is expected in August [2001].   He said that [YKHC] is                                                               
in the process  of hiring staff and will be  spending most of the                                                               
summer with staff  training.  He added that the  funding [for the                                                               
project] is through  the Center for Substance  Abuse Treatment in                                                               
Washington, D.C., and is a three-year funding package.                                                                          
                                                                                                                                
REPRESENTATIVE COGHILL  asked if [YKHC] anticipates  an immediate                                                               
filling  of space  available, and  what they  anticipate for  the                                                               
workload.                                                                                                                       
                                                                                                                                
MR. HENKELMAN answered  that the facility has 16 beds,  but he is                                                               
not sure if  16 people [will be admitted] in  the first admission                                                               
[group].  He said they might  take a smaller number for the first                                                               
group, in  order to get  [YKHC's] feet on  the ground.   He added                                                               
that  they are  anticipating groups  of  16 to  go through  every                                                               
three to four months.                                                                                                           
                                                                                                                                
Number 1350                                                                                                                     
                                                                                                                                
REPRESENTATIVE COGHILL  asked what the treatment  would be beyond                                                               
the three months.                                                                                                               
                                                                                                                                
MR. HENKELMAN  replied that  part of  the work  he is  doing with                                                               
statewide communities is  to improve their capacity  to deal with                                                               
this problem.   Through  training and  support from  the program,                                                               
[YKHC] will require that, prior  to a community referring a child                                                               
to treatment, [the  community tell YKHC] who  the primary support                                                               
person for the child during treatment  will be.  That person will                                                               
join treatment  for at least one  week of the cycle  and be there                                                               
in the community for the child after treatment is completed.                                                                    
                                                                                                                                
MR. HENKELMAN  added that  [YKHC] will also  be working  with the                                                               
community  treatment  providers,  such  as a  school,  church  or                                                               
mental  health substance-abuse  facility,  based  on the  child's                                                               
individual  needs, to  have services  available as  an after-care                                                               
plan.   He remarked  that [YKHC] wants  this plan  tentatively in                                                               
place prior to  the child actually starting treatment,  so as the                                                               
child  is   going  through  treatment  and   specific  needs  are                                                               
identified, [YKHC] will know who,  in the community, to give that                                                               
information to  so that person  can carry on the  treatment after                                                               
the child is out.   He said that [YKHC] hopes  to do some follow-                                                               
up work from the residential program,  but it won't it be so much                                                               
working with  the actual  individual as it  will be  working with                                                               
the treatment providers  in the community that  are providing the                                                               
follow-up care.                                                                                                                 
                                                                                                                                
Number 1430                                                                                                                     
                                                                                                                                
REPRESENTATIVE COGHILL  asked what  the different levels  of care                                                               
are.                                                                                                                            
                                                                                                                                
MR.  HENKELMAN  replied, as  with  any  treatment program,  there                                                               
needs  to  be an  individualized  treatment  plan, based  on  the                                                               
child's  need.   If the  child has  only used  inhalants once  or                                                               
twice, the hope would be that  [the child] could be dealt with in                                                               
the community,  instead of in  a four-month  residential program.                                                               
He stated  that someone  who has  been chronically  inhaling will                                                               
have  any   number  of  neurological,  cognitive,   and  physical                                                               
problems  [and will  have to  go through  "detox"].   The "detox"                                                               
process for  inhalants takes at least  four to six weeks  for the                                                               
liver  to  process out  the  neurotoxins  absorbed by  the  fatty                                                               
tissues.  He  said the program would use steam  baths, which have                                                               
been  effective  in other  programs,  in  combination with  other                                                               
treatments in  order to  "detox" as quickly  as possible.   Then,                                                               
based on the neurological,  psychological, and cognitive testing,                                                               
an  ongoing,  year-round school  program  will  evaluate how  the                                                               
child is currently  functioning.  He added that  records from the                                                               
[child's] school could provide a  good idea of what deficits have                                                               
occurred as a result of the inhalants.                                                                                          
                                                                                                                                
REPRESENTATIVE  COGHILL  asked how  [YKHC]  fits  in on  training                                                               
other communities in Alaska.                                                                                                    
                                                                                                                                
MR.  HENKELMAN answered  that  he is  currently  scheduled to  do                                                               
presentation in at  least a half-dozen conferences  over the next                                                               
six  months  around the  state.    He said  that  he  just did  a                                                               
presentation for the foster parent training in Bethel.                                                                          
                                                                                                                                
Number 1640                                                                                                                     
                                                                                                                                
REPRESENTATIVE WILSON  remarked that  sometimes it  takes several                                                               
months for  [a person] to  "detox" before  he or she  is actually                                                               
treated.   She asked if  there are going  to be people  moving in                                                               
[while one group is still in "detox"].                                                                                          
                                                                                                                                
MR. HENKELMAN  replied that they  would provide treatment  in the                                                               
program  for the  four to  six weeks  of the  "detox" during  the                                                               
initial   part;   however,   the    ability   to   really   start                                                               
recompensating won't happen  until they are "detoxed."   He added                                                               
that  a  focus  of  the  program  will  be  to  teach  skills  to                                                               
compensate for  whatever deficits [the  intakes have as  a result                                                               
of inhalant abuse].                                                                                                             
                                                                                                                                
REPRESENTATIVE WILSON  asked what  will happen after  three years                                                               
[after they have used the program money].                                                                                       
                                                                                                                                
MR.  HENKELMAN responded  that [YKHC]  is working  with folks  in                                                               
Washington [D.C.] in  order to establish ongoing funds.   He said                                                               
they suspect  most of the  kids coming  into the program  will be                                                               
eligible for Medicaid.                                                                                                          
                                                                                                                                
Number 1716                                                                                                                     
                                                                                                                                
REPRESENTATIVE CISSNA  asked, since  there are FAS-  and FAE-type                                                               
symptoms from  "huffing," whether  these children also  have poor                                                               
judgment skills.   She also  asked what  happens to the  kids [of                                                               
people who are "huffing"].                                                                                                      
                                                                                                                                
MR. HENKELMAN  answered that one  of the highest  risk-groups for                                                               
using inhalants  is the FAS  and FAE kids because  their judgment                                                               
is impaired.  For those who aren't  [FAS or FAE kids], as soon as                                                               
they  start using  inhalants it  seems  that the  ability to  use                                                               
their judgment and  their impulse control is  destroyed early on.                                                               
He  said he  had heard  that FAS  and FAE  kids have  very little                                                               
childhoods memory, but  that kids who are  "huffing" can remember                                                               
their childhood up to the point that they started "huffing."                                                                    
                                                                                                                                
REPRESENTATIVE CISSNA asked if children  [of "huffers"] are going                                                               
to  have more  problems  than an  FAS or  FAE  child and  whether                                                               
there's a way to address that.                                                                                                  
                                                                                                                                
MR. HENKELMAN said absolutely, but  there is very little research                                                               
on the genetic  effects of inhalants.  He said  that it would not                                                               
surprise  him if  some of  the  problems that  kids diagnosed  as                                                               
being FAS or FAE are having  were results of their parents having                                                               
"huffed."   He added that a  study, conducted a year  or two ago,                                                               
said  if   a  19-year-old  had   been  "huffing"  and   had  done                                                               
significant damage to himself, the cost  to the state would be in                                                               
the area of $1.4 million for ongoing care.                                                                                      
                                                                                                                                
Number 1894                                                                                                                     
                                                                                                                                
ROBERT BUTTCANE,  Legislative & Administrative  Liaison, Division                                                               
of  Juvenile  Justice, Department  of  Health  & Social  Services                                                               
(DHSS), came forth and stated  that he thinks [Amendment 1] still                                                               
allows for  the opportunity to  identify these kids,  impose some                                                               
level  of accountability,  and  then  to intervene  in  a way  to                                                               
assess, educate,  and refer  them to  appropriate treatment.   He                                                               
mentioned that  [DHSS] is looking  at this from a  standpoint of:                                                               
"Let's  do what  we can  do today,  and in  that, let's  take the                                                               
small steps  that we can  to start  dealing with this  issue more                                                               
effectively."                                                                                                                   
                                                                                                                                
MR.  BUTTCANE  stated  that  in  Alaska  many  of  the  treatment                                                               
facilities are not fully equipped  right now to deal the problems                                                               
of inhalant abuse.  Some  substance-abuse treatment programs have                                                               
taken in  [inhalant users], but  there needs to be  assistance in                                                               
building  greater  capacities  to  address  the  specific  issues                                                               
related to  inhalant abuse.  He  said he was pleased  to hear Mr.                                                               
Henkelman talk about  [YKHC's] plans and thinks  they are exactly                                                               
what  is  needed  -  training  and  educating  people,  including                                                               
villages, parents, and care providers.                                                                                          
                                                                                                                                
Number 1978                                                                                                                     
                                                                                                                                
MR. BUTTCANE  referred to the  phraseology, on page 2,  lines 1-3                                                               
of the  bill, that a person  found guilty of a  violation of this                                                               
offense  would  be  subject  to  a  fine,  which  could  then  be                                                               
suspended on the condition that  the afflicted person be required                                                               
to  successfully complete  an inhalant  abuse treatment  program.                                                               
He said  the difficulty  that [DHSS]  has with  this is  that the                                                               
treatment  resources   are  still   limited  and   not  available                                                               
everywhere around the state.   He added that [DHSS] has submitted                                                               
a  fiscal  note based  on  what  might be  done  in  terms of  an                                                               
intensive outpatient treatment.                                                                                                 
                                                                                                                                
REPRESENTATIVE COGHILL  informed Mr. Buttcane that  that language                                                               
was taken out with [Amendment 1.]                                                                                               
                                                                                                                                
MR. BUTTCANE  replied that that  would then negate  [DHSS's] need                                                               
for  a  fiscal  note.    He  clarified  that  a  requirement  for                                                               
treatment  by the  court generated  the fiscal  note, so  that if                                                               
that were a  discretionary move, then there wouldn't  be a fiscal                                                               
impact on the [DHSS].                                                                                                           
                                                                                                                                
Number 2051                                                                                                                     
                                                                                                                                
MR.  BUTTCANE stated  that amending  the current  alcoholism [and                                                               
drug] commitment  statutes and  adding inhalant  abuse recognizes                                                               
that   some   of   these   abusers   will   require   significant                                                               
environmental  controls,   such  as  locked  doors   and  secured                                                               
confinement.   However,  using the  existing alcoholism  and drug                                                               
abuse  statute  could  pose a  risk  to  some  inhalant-inflicted                                                               
individuals.   He stated that  the question was posed  of whether                                                               
it would be  good for [the village public  safety officer (VPSO)]                                                               
to be able to  do a protective-custody hold in a  jail cell if he                                                               
or she found someone passed out  from having used inhalants.  The                                                               
problem of putting somebody in jail,  in order for that person to                                                               
get sober,  is that the afflicted  person may be worse  off in 11                                                               
hours than when he or she first was put in.                                                                                     
                                                                                                                                
MR. BUTTCANE  added that  because of  the complexities  with this                                                               
substance abuse  issue, many people need  medical supervision and                                                               
not  to be  put  in  a small  village  jail  or holding  facility                                                               
without  medical care.   He  said  the [DHSS]  is concerned  that                                                               
using the  provisions available for  the alcohol and  drug issues                                                               
for inhalant  abuse could  be dangerous in  some situations.   He                                                               
suggested  perhaps developing  involuntary commitment  procedures                                                               
that relate  specifically to inhalant abuse,  taking into account                                                               
some  of these  instances that  might require  longer periods  of                                                               
emergency hold as  well as longer periods of  treatment in secure                                                               
or "locked" programs.                                                                                                           
                                                                                                                                
Number 2144                                                                                                                     
                                                                                                                                
REPRESENTATIVE JOULE asked if [an  inhalant abuser] would have to                                                               
be put into  locked protective custody, according to  the way the                                                               
bill is  written.  He suggested  if this is only  a violation and                                                               
not  a criminal  offense, perhaps  just  a safe  space should  be                                                               
provided.                                                                                                                       
                                                                                                                                
MR. BUTTCANE replied that it  wouldn't necessarily mean that [the                                                               
custody]  would  have to  be  locked.    He  said the  [DHSS]  is                                                               
concerned that  by including this  as a provision  for protective                                                               
custody, people  may be inclined to  treat it in the  same manner                                                               
as when  someone is  trying to  sober up, and  put the  person in                                                               
locked or  unlocked facilities  in the  village that  didn't have                                                               
the  medical  supervision  specific  to the  issues  of  inhalant                                                               
abuse.                                                                                                                          
                                                                                                                                
REPRESENTATIVE  WILSON remarked  that  she is  not familiar  with                                                               
people who have  been "huffing," but she is  familiar with people                                                               
who come  in the  emergency room  after breathing  something that                                                               
has damaged  their lungs.   She  said that  many times  when that                                                               
happens, at first it doesn't appear  to be much of a problem, but                                                               
as the  lungs develop fluid  in order to protect  themselves from                                                               
the irritants,  it can take  several hours before  this condition                                                               
gets worse.   She  asked if  this is the  type of  situation [Mr.                                                               
Buttcane] is referring to [with inhalant users].                                                                                
                                                                                                                                
MR. BUTTCANE responded  that he does not know the  full extent of                                                               
the impact  of inhalants.  He  said it is his  understanding that                                                               
complications   could   occur   from  inhalants   that   wouldn't                                                               
necessarily be manifested with alcohol intoxication.                                                                            
                                                                                                                                
Number 2258                                                                                                                     
                                                                                                                                
REPRESENTATIVE CISSNA  asked whether  a good  reason to  secure a                                                               
person would  be if  there was possible  danger in  the immediate                                                               
aftermath of "huffing."                                                                                                         
                                                                                                                                
MR. HENKELMAN  replied that there may  be some concern.   He said                                                               
that Representative  Wilson was  accurate in  noting some  of the                                                               
problems it  could create.   He added  that some of  the problems                                                               
are  with  the heart  because  inhalants  create irregular  heart                                                               
rhythms.                                                                                                                        
                                                                                                                                
Number 2317                                                                                                                     
                                                                                                                                
CHAIR DYSON said that in his  community the cops pick up somebody                                                               
who has passed  out, and the protocol requires them  to take [the                                                               
person]  to  where  there  is medical  expertise  to  figure  out                                                               
whether  or not  the  person is  drunk, in  a  diabetic coma,  or                                                               
suffering from trauma, and  so on.  He asked why  it would be any                                                               
different for someone who is passed out because of huffing.                                                                     
                                                                                                                                
MR.  BUTTCANE replied  that in  actual practice  it might  not be                                                               
[different], and  [police officers]  would follow a  procedure in                                                               
which they consult  with the village health aide,  who might make                                                               
a  determination that  given the  person's condition,  he or  she                                                               
needed  to  be transported  to  a  regional medical  facility  as                                                               
opposed to  simply being  housed in  the local  lock-up facility.                                                               
The  concern  is that  if  this  is  included in  the  protective                                                               
custody section  of the alcohol  and drug  commitment provisions,                                                               
it may  give people  a false  sense that  medical concern  is not                                                               
present and  that it is  OK to have the  person "sober up"  in an                                                               
adult  jail in  the village  without  really being  aware of  any                                                               
medical consequences.                                                                                                           
                                                                                                                                
TAPE 01-22, SIDE B                                                                                                              
Number 2356                                                                                                                     
                                                                                                                                
MR.  BUTTCANE remarked  that  the  involuntary commitment  scheme                                                               
that  is  used  in  the  drug  and  alcohol  chapter  requires  a                                                               
demonstration of extreme chronic behaviors.   He added that it is                                                               
a  standard of  proof  that  can't be  afforded  to  apply to  an                                                               
inhalant abuser.                                                                                                                
                                                                                                                                
CHAIR DYSON  asked if there  is anything  in the bill  that deals                                                               
with involuntary commitment.                                                                                                    
                                                                                                                                
MR. BUTTCANE  answered that Sections  3-7 [deal  with involuntary                                                               
commitments].    He  said  that  [Sections]  3  and  7  are  most                                                               
problematic and need  to be looked at in order  to decide if this                                                               
is the way to do business.  The  position of [DHSS] is that it is                                                               
not  advised.   The  alcohol commitment  statute  and the  mental                                                               
health commitment statute don't fit  with what's being dealt with                                                               
in the inhalant  issue.  He suggested that it  might be better to                                                               
start from scratch and craft  something that really is responsive                                                               
to this particular need.                                                                                                        
                                                                                                                                
Number 2287                                                                                                                     
                                                                                                                                
CHAIR DYSON  asked if  Mr. Buttcane senses  that people  who have                                                               
been "huffing"  are represented in the  corrections population or                                                               
in the criminal element in [Alaskan].                                                                                           
                                                                                                                                
MR.  BUTTCANE responded  that he  believes there  are people  who                                                               
have  suffered the  ill effects  of  inhalant abuse  both in  the                                                               
adult  and juvenile  criminal systems,  but he  doesn't know  the                                                               
numbers.   He remarked  that Representative  Joule had  asked [at                                                               
the  last meeting]  if there  have been  situations in  which the                                                               
DHSS  had funded  any inhalant-abuse  intervention or  prevention                                                               
efforts.  He said what [DHSS]  has been able to determine is that                                                               
the Division  of Alcohol  & Drug Abuse  did provide  funding from                                                               
the  Alaska  Mental  Health Trust  Authority  for  inhalant-abuse                                                               
prevention.   When  those funds  lapsed,  requests for  continued                                                               
funding were not approved.                                                                                                      
                                                                                                                                
REPRESENTATIVE JOULE asked to whom the requests had been made.                                                                  
                                                                                                                                
MR.  BUTTCANE  answered  that  he   believes  they  were  to  the                                                               
legislature.                                                                                                                    
                                                                                                                                
Number 2105                                                                                                                     
                                                                                                                                
VALERIE THERRIEN, Governor's Advisory  Board on Alcoholism & Drug                                                               
Abuse  (ABADA),  came forth  and  commented  on the  issues  that                                                               
[ABADA] had  reviewed.  First of  all, she said she  is concerned                                                               
about [inhalant  abuse under  the bill] being  backed down  to an                                                               
offense  [Amendment  1], because  talking  with  people from  the                                                               
juvenile justice  committee who  are in corrections,  she learned                                                               
that if  the purpose of  this bill is to  be able to  put someone                                                               
into custody,  it has  to be  a misdemeanor.   For example,  if a                                                               
VPSO is trying to get somebody  into treatment so that the person                                                               
is not  out on the street  "huffing," and if an  offense does not                                                               
permit the VPSO  to take custody of that person,  then this might                                                               
not be the  right approach.  She stated that  if an offense means                                                               
that a person could be put  into some type of protective custody,                                                               
that  would  certainly  ameliorate  the concerns  of  a  lot  the                                                               
members  of [ABADA].   She  added that  [ABADA] had  approved the                                                               
bill  as it  stood, with  [inhalant abuse]  being a  misdemeanor.                                                               
Because of  the concern of  the criminalization of this,  she had                                                               
asked that  the matter be  split into two  issues:  the  issue of                                                               
criminalization and the issue of  whether or not inhalants should                                                               
result  in  an  involuntary  commitment.   She  said  that  "both                                                               
portions passed."                                                                                                               
                                                                                                                                
MS.  THERRIEN continued,  stating that  second if  subsection (d)                                                               
[of Section  1 of the bill]  is eliminated, then she  is not sure                                                               
whether  Section 2  would be  consistent because  it talks  about                                                               
violation of statutes.  She  said that [ABADA] was concerned with                                                               
the  ability of  the facilities  to have  the capacity  to treat.                                                               
She suggested,  if it is  possible, that  during the four  to six                                                               
weeks  of  detoxification,  [patients]  be  put  in  a  treatment                                                               
facility for  drugs and  alcohol and then  go into  the treatment                                                               
facility for inhalant abuse, as a  way of using extra beds, so as                                                               
not to overcrowd the facility.                                                                                                  
                                                                                                                                
Number 1961                                                                                                                     
                                                                                                                                
MS.  THERRIEN stated  that  [ABADA] discussed  whether  or not  a                                                               
[five-year-old  child]   can  be  charged  with   an  offense  or                                                               
misdemeanor.   She remarked that  [the ABADA] was  very concerned                                                               
about  what liabilities  the state  would have  if a  VPSO picked                                                               
somebody up and  put him or her  into a place that  wasn't a jail                                                               
without medical facilities or nurses.                                                                                           
                                                                                                                                
Number 1865                                                                                                                     
                                                                                                                                
MS. THERRIEN asked Jerry  Luckhaupt, legislative counsel, whether                                                               
somebody  could   take  a  person  into   protective  custody  if                                                               
[inhalant abuse] were an offense opposed to a misdemeanor.                                                                      
                                                                                                                                
JERRY LUCKHAUPT Legislative Legal Counsel, Legislative Legal and                                                                
Research Services, Legislative Affairs Agency, came forth and                                                                   
replied that a violation doesn't indicate any criminality.  This                                                                
would be governed by a maximum-fine provision of $300.  If                                                                      
[inhalant abuse] happens in an officer's presence, the officers                                                                 
can, theoretically, take somebody into custody, but it usually                                                                  
doesn't happen.  People are usually taken into protective                                                                       
custody under Title 47, where it refers to alcohol and drug                                                                     
abuse.  If a police officer finds someone out on the street who                                                                 
appears obviously intoxicated, in most cases that person is not                                                                 
being arrested for the intoxication, but for some other offense.                                                                
If that person is intoxicated, that issue is usual dealt with                                                                   
first.  The incentive is to protect the person when he or she                                                                   
can't protect himself or herself.                                                                                               
                                                                                                                                
MS.  THERRIEN remarked  that [ABADA]  is hearing  that the  VSPOs                                                               
don't feel they have any authority  to take people off the street                                                               
and either put them  in a place where they can  be treated or put                                                               
them into jail, because it's not  against the law.  She asked, in                                                               
regard to  the protective  hold, how  someone could  be arrested,                                                               
and if someone could be arrested under a violation.                                                                             
                                                                                                                                
Number 1686                                                                                                                     
                                                                                                                                
MR. LUCKHAUPT  responded that  he can't speak  for the  VPSOs and                                                               
how  [an  arrest  could  happen].    He  said  that  VPSOs  don't                                                               
necessarily have a real power  of arrest under Title 11; instead,                                                               
they have  public safety  duties.   A public  safety professional                                                               
who  comes across  someone who  is unconscious  can't leave  that                                                               
person there but must intervene.                                                                                                
                                                                                                                                
CHAIR DYSON  asked if  reducing this to  a violation  reduces the                                                               
capacity to take [inhalant users] into protective custody.                                                                      
                                                                                                                                
MR.   LUCKHAUPT  answered   that   if  a   person  is   obviously                                                               
intoxicated,  [peace officers]  still  have an  obligation to  do                                                               
something, but not under criminal law.                                                                                          
                                                                                                                                
CHAIR DYSON stated  that the second question  Ms. Therrien raised                                                               
was  what  the lower  age  limit  was  for  this process  not  to                                                               
proceed.                                                                                                                        
                                                                                                                                
MR. LUCKHAUPT responded that there is  not a true age of majority                                                               
for that purpose.  He said that  someone under 18 is a minor, and                                                               
if  the person  is 16  or even  15, there  is potential  criminal                                                               
liability.                                                                                                                      
                                                                                                                                
Number 1553                                                                                                                     
                                                                                                                                
CHAIR DYSON clarified  that the question was: what  is the lowest                                                               
age limit to [charge] a child for a crime?                                                                                      
                                                                                                                                
MR. LUCKHAUPT  answered that traditionally, it  depends upon when                                                               
the child is  able to develop the requisite mens  rea to actually                                                               
understand that what he  or she is doing is a  crime.  Many times                                                               
that has been defined, by some states, as low as age 12.                                                                        
                                                                                                                                
CHAIR DYSON asked  whether a child under 12 could  be charged for                                                               
shoplifting.                                                                                                                    
                                                                                                                                
MR. LUKHAUPT replied  that a child probably is not  going to have                                                               
the requisite mens rea to be convicted of that crime.                                                                           
                                                                                                                                
Number 1481                                                                                                                     
                                                                                                                                
REPRESENTATIVE WILSON said that she  is concerned with Section 2,                                                               
page 2, line 7, which says:                                                                                                     
                                                                                                                                
     ... this  chapter and the  Alaska Delinquency  Rules do                                                                    
     not apply  and the minor  accused of the  offense shall                                                                    
     be charged,  prosecuted, and sentenced in  the district                                                                    
     court in the same manner as an adult;                                                                                      
                                                                                                                                
REPRESENTATIVE  WILSON asked,  since  there are  five and  eight-                                                               
year-olds  involved with  inhalants, how  the foregoing  language                                                               
plays in with this.                                                                                                             
                                                                                                                                
MR. LUCKHAUPT  replied that it  "trumps" all  this.  In  order to                                                               
[be  convicted of  a  crime],  the person  has  to be  competent.                                                               
Usually  before  the  age  of  12, a  child  does  not  have  the                                                               
requisite  competence to  be able  to  commit a  crime.   Society                                                               
assumes that children cannot reach that requisite mental state.                                                                 
                                                                                                                                
REPRESENTATIVE  WILSON  asked  whether   this  language  is  fine                                                               
because it will not apply to a person that young.                                                                               
                                                                                                                                
MR.  LUKHAUPT  answered  that  it  is  going  to  depend  on  the                                                               
particular  child  involved.    He  stressed  that  he  is  "99.9                                                               
percent"  sure   that  a  five-year-old  can't   be  charged  and                                                               
convicted with these offenses.                                                                                                  
                                                                                                                                
Number 1315                                                                                                                     
                                                                                                                                
REPRESENTATIVE  JOULE stated  that in  many communities  in rural                                                               
areas, there  is usually a  VPSO, some  sort of a  village person                                                               
who works with  a regional health program, or a  health aide.  He                                                               
noted  that in  Section  4  it states  that  a  person should  be                                                               
treated at a private treatment  facility or [another] appropriate                                                               
health  facility or  service  for emergency  medical.   He  asked                                                               
whether a village clinic would  be an appropriate health facility                                                               
if that area were in contact with medical teams.                                                                                
                                                                                                                                
MR. LUCKHAUPT responded that he  isn't sure; however, if there is                                                               
a health clinic in the village,  he thinks that is where a person                                                               
would be taken for the initial protection.                                                                                      
                                                                                                                                
MS. THERRIEN concluded that questions  need to be answered as far                                                               
as how  to physically make  sure people are  taken care of.   She                                                               
remarked that maybe  there needs to be a waiver  of liability, or                                                               
a  respirator in  every  village.   She stated  that  there is  a                                                               
difference between the civil aspect and the criminal aspect.                                                                    
                                                                                                                                
Number 0999                                                                                                                     
                                                                                                                                
CHAIR DYSON asked  Lieutenant Dunnagan, if moving this  down to a                                                               
violation limits the ability to take someone into custody.                                                                      
                                                                                                                                
ALVIA  "STEVE" DUNNAGAN,  Lieutenant,  Division  of Alaska  State                                                               
Troopers,   Department   of    Public   Safety,   testified   via                                                               
teleconference.   He answered  that someone  would not  be arrest                                                               
under a  violation unless he or  she refused to sign  a ticket or                                                               
refused to appear [in court].                                                                                                   
                                                                                                                                
CHAIR DYSON asked  what would happen if  someone is incapacitate,                                                               
and can't rationally decide whether to sign the violation.                                                                      
                                                                                                                                
LIEUTENANT DUNNAGAN  replied that  the person  could be  taken in                                                               
[to custody] under Title 47, but  the incapacitation has to be so                                                               
extreme that  if nothing is  done, that person will  possibly die                                                               
or  be seriously  injured.   If that  were the  case, the  person                                                               
would initially go  to some kind of medical  facility, whether it                                                               
is a clinic or  a health aide.  All the  clinics and health aides                                                               
in rural Alaska  are tied to major medical  facilities.  Usually,                                                               
the  health  aide will  call  the  physician  in charge  of  that                                                               
village  and discuss  the  situation.   If  the  doctor deems  it                                                               
necessary,  the person  is transferred  from the  village to  the                                                               
medical facility in a major area.                                                                                               
                                                                                                                                
Number 0884                                                                                                                     
                                                                                                                                
CHAIR  DYSON  asked Lieutenant  Dunnagan  at  what age  he  won't                                                               
arrest a young child involved in criminal activity.                                                                             
                                                                                                                                
LIEUTENANT DUNNAGAN  answered that it  is not a  general practice                                                               
to arrest  minor children  for anything;  instead, they  could be                                                               
arrested and  then released to  their parents.   If a 14-  or 15-                                                               
year-old  committed a  serious crime,  he or  she could  be taken                                                               
into custody and to a youth facility.                                                                                           
                                                                                                                                
CHAIR  DYSON  clarified  that  this bill  is  trying  to  provide                                                               
[public  safety officers]  and VPSOs  a  basis under  the law  in                                                               
which to deal  with a child who  is seven or eight  years old and                                                               
[using inhalants].   He asked  Lieutenant Dunnagan what  he could                                                               
do [for a young child] with out criminalization.                                                                                
                                                                                                                                
LIEUTENANT DUNNAGAN  replied that a seven-  or eight-year-old who                                                               
was [using inhalants]  would be taken to his or  her parents, and                                                               
possibly   paperwork  would   be   processed   to  the   juvenile                                                               
authorities.                                                                                                                    
                                                                                                                                
CHAIR  DYSON asked  if Lieutenant  Dunnagan really  has any  more                                                               
authority than he himself does  to intervene, unless it becomes a                                                               
matter of law.                                                                                                                  
                                                                                                                                
LIEUTENANT DUNNAGAN replied that from a legal standpoint, no.                                                                   
                                                                                                                                
Number 0734                                                                                                                     
                                                                                                                                
CHAIR DYSON asked if it  is Lieutenant Dunnagan's experience that                                                               
older children  or young adults  recruit [young] children  to get                                                               
involved in "huffing" in order to exploit them.                                                                                 
                                                                                                                                
LIEUTENANT DUNNAGAN  answered that  he didn't  know of  any cases                                                               
with inhalants.                                                                                                                 
                                                                                                                                
CHAIR DYSON  asked Lieutenant Dunnagan  if he sees  anything that                                                               
the legislature needs to know in order to proceed.                                                                              
                                                                                                                                
LIEUTENANT  DUNNAGAN replied  that he  thinks everybody  needs to                                                               
think about what  the term "incapacitated" means.   He added that                                                               
he doesn't  see any problems with  the bill as it  is written, or                                                               
with the amendment, because at least  now there will be a tool to                                                               
issue a  citation, thereby causing  a child  to go to  court with                                                               
his or her parents and talk about that problem.                                                                                 
                                                                                                                                
Number 0606                                                                                                                     
                                                                                                                                
REPRESENTATIVE JOULE  asked whether, even with  the bill amended,                                                               
as  a violation,  there  is anything  keeping  state troopers  or                                                               
VPSOs  from  dealing  with  the  parents  and  the  local  health                                                               
officials.                                                                                                                      
                                                                                                                                
LIEUTENANT  DUNNAGAN  answered no,  that  there  is nothing  that                                                               
could prohibit that.                                                                                                            
                                                                                                                                
REPRESENTATIVE  JOULE  asked  if   it  would  become  a  standard                                                               
operating procedure that [the state  troopers and VPSOs] would go                                                               
directly to the  parents and health aides to report  this type of                                                               
incident.                                                                                                                       
                                                                                                                                
LIEUTENANT  DUNNAGAN replied  that  he thinks  that would  happen                                                               
whether a citation was issued or not.                                                                                           
                                                                                                                                
Number 0468                                                                                                                     
                                                                                                                                
BARBARA BRINK,  Director, Public  Defender Agency,  Department of                                                               
Administration, testified  via teleconference.   She  stated that                                                               
if this  is a  misdemeanor and  a person is  arrested, he  or she                                                               
would go to jail; within 24  hours, that person would be entitled                                                               
to have  bail set.  Unless  the person were a  danger to society,                                                               
he or she would  be let out on his or her  own recognizance.  She                                                               
said  she doesn't  think it  is  beneficial to  use the  criminal                                                               
sanction as a way of holding  somebody to provide treatment.  She                                                               
expressed that  jail is  a time  to punish  an offender,  and she                                                               
thinks that having an amendment to  move this down to a violation                                                               
would still accomplish  many things.  For instance,  a VPSO would                                                               
be able to  stop the activity, remove the  materials or inhalants                                                               
from the child, take that child  to his or her parents' home, and                                                               
issue a citation so that the  parents and the child would have to                                                               
go to court and meet the judge.                                                                                                 
                                                                                                                                
REPRESENTATIVE COGHILL asked how Ms.  Brink would apply Title 47,                                                               
as a defender, and how she  thinks a judge would view these Title                                                               
47 measures in this bill.                                                                                                       
                                                                                                                                
MS. BRINK replied that the  Public Defender Agency doesn't have a                                                               
lot of experience  in the civil commitment  or protective custody                                                               
hearings involving  alcohol because [public defenders]  don't get                                                               
appointed in  those situations.   She said  that she  is learning                                                               
along with  everyone else how  different the use of  inhalants is                                                               
from the  use of alcohol,  and it seems as  if there should  be a                                                               
specific track for [inhalant users] in  order to take care of the                                                               
individuals' problems brought on by inhalant abuse.                                                                             
                                                                                                                                
Number 0262                                                                                                                     
                                                                                                                                
REPRESENTATIVE COGHILL remarked that  he agrees with Mr. Buttcane                                                               
that it  is necessary  to look at  a different  category, because                                                               
the only  similarity [between inhalant  users and  alcoholics] is                                                               
intoxication.                                                                                                                   
                                                                                                                                
CHAIR DYSON asked Ms. Brink if  she senses that there may be some                                                               
civil  rights issues  when dealing  with  protective custody  and                                                               
involuntary commitment.                                                                                                         
                                                                                                                                
MS.  BRINK  replied  that  there are  always  those  issues  when                                                               
restraining  someone against  his  or  her will.    She said  she                                                               
thinks that  was one of the  appealing parts of tying  this in to                                                               
the civil  commitment statute because those  statutes have built-                                                               
in due-process protections.                                                                                                     
                                                                                                                                
Number 0146                                                                                                                     
                                                                                                                                
CHAIR  DYSON called  an at-ease  at 4:37  p.m.   The meeting  was                                                               
called back to order at 4:42 p.m.                                                                                               
                                                                                                                                
Number 0075                                                                                                                     
                                                                                                                                
ERIC  TOMASINO, Governor's  Advisory Board  on Alcoholism  & Drug                                                               
Abuse, came forth to testify on HB  114.  He stated that over the                                                               
last  several  years  [inhalant  abuse] has  been  an  issue  the                                                               
[ABADA]  has always  talked about.   He  shared that  during [the                                                               
ABADA's]  public   testimony,  people  come  and   testify  about                                                               
inhalant abuse going on in  their villages and local communities.                                                               
He  said that  today a  mother testified  that last  Saturday she                                                               
took her son to a skateboarding park in Juneau.                                                                                 
                                                                                                                                
TAPE 01-23, SIDE A                                                                                                              
                                                                                                                                
MR. TOMASINO continued, stating that  as [this woman and her son]                                                               
drove into  the parking lot,  they saw  [a boy] "huffing'  in the                                                               
parking  lot.    He  said  that the  mother  called  the  police;                                                               
however, the  police responded by  saying there was  nothing they                                                               
could do.                                                                                                                       
                                                                                                                                
Number 0051                                                                                                                     
                                                                                                                                
REPRESENTATIVE   JOULE   commented   that  he   understands   the                                                               
frustration that  law enforcement feels,  but there used to  be a                                                               
time when law  enforcement entailed a lot of public  service.  He                                                               
said it  seems to him  that they  have missed the  opportunity to                                                               
provide a public service.                                                                                                       
                                                                                                                                
CHAIR DYSON asked  Mr. Tomasino if he had  seen people recruiting                                                               
younger kids with inhalants in order to exploit them.                                                                           
                                                                                                                                
MR.  TOMASINO replied  yes, that  when he  was a  drug user  as a                                                               
young  teenager  and  experimenting   with  inhalants,  he  would                                                               
recruit his friends to "huff" gas with him.                                                                                     
                                                                                                                                
CHAIR  DYSON  clarified  that  he   was  asking  if  people  were                                                               
recruiting kids  in order to exploit  them, not to get  more kids                                                               
to [inhale], in  order to have sex with them  or have them commit                                                               
crimes.                                                                                                                         
                                                                                                                                
MR. TOMASINO  answered that he  had never  thought of it  in that                                                               
respect and was not aware of it.                                                                                                
                                                                                                                                
Number 0206                                                                                                                     
                                                                                                                                
CHAIR DYSON remarked that the  committee was going to suspend the                                                               
hearing on HB 114.  [HB 114 was held over.]                                                                                     

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