Legislature(2005 - 2006)CAPITOL 106

02/08/2005 03:00 PM House HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ HB 82 EXTEND SUICIDE PREVENTION COUNCIL TELECONFERENCED
Moved Out of Committee
*+ HB 105 MEDICAID FOR ADULT DENTAL SERVICES TELECONFERENCED
Heard & Held
*+ HB 106 SENIOR CARE PROGRAM TELECONFERENCED
Heard & Held
Bills Previously Heard/Scheduled
HB 82 - EXTEND SUICIDE PREVENTION COUNCIL                                                                                     
                                                                                                                                
3:13:47 PM                                                                                                                    
                                                                                                                                
CHAIR WILSON announced that the  first order of business would be                                                               
HOUSE BILL NO. 82, "An Act  extending the termination date of the                                                               
Statewide  Suicide  Prevention  Council;  and  providing  for  an                                                               
effective date."                                                                                                                
                                                                                                                                
REPRESENTATIVE   NANCY  DAHLSTROM,   Alaska  State   Legislature,                                                               
Sponsor, relayed  HB 82 extends  the suicide council  until 2009.                                                               
The council consists of 15  members who represent rural and urban                                                               
Alaska.  The Joint Committee  on Legislative Budget and Audit has                                                               
recommended its  extension in order  for the council  to continue                                                               
addressing  three  issues: finding  ways  to  reduce the  suicide                                                               
rate,   broadening  public   awareness,  and   enhancing  suicide                                                               
prevention services throughout the state.                                                                                       
                                                                                                                                
3:15:07 PM                                                                                                                    
                                                                                                                                
KATHRYN  CRAFT, Departmental  Coordinator,  Prevention and  Early                                                               
Intervention Section,  Department of  Health and  Social Services                                                               
(DHSS),  explained  that  the goals  of  the  Suicide  Prevention                                                               
Council  are:   to broaden  public awareness  of suicide  and the                                                               
risk  factors   related  to  suicide,  to   enhance  the  suicide                                                               
prevention  programs  by  aligning  work  with  the  Division  of                                                               
Behavioral  Health,   to  develop  healthy   communities  through                                                               
collaborative community  - or  faith -  based approaches,  and to                                                               
strengthen existing,  and build new, partnerships  between public                                                               
and  private  entities  that   will  advance  suicide  prevention                                                               
efforts.   The council is  pleased with the  audit recommendation                                                               
to extend  its sunset  to June  2009, because  it will  allow the                                                               
council to continue the work it started, she noted.                                                                             
                                                                                                                                
MS. CRAFT relayed that the council  is working on a "follow back"                                                               
study, also  called psychological  autopsies.  The  study entails                                                               
gathering  a  year's  worth  of  data  on  individuals  who  have                                                               
committed  suicide.    After  an  appropriate  duration  for  the                                                               
mourning of  the deceased,  the council  asks family  members for                                                               
voluntary  interviews  to  gather   information.    Some  of  the                                                               
information gathered  is aggregate on suicide  rates, age groups,                                                               
primary methods  of suicide,  gender, documentation  of substance                                                               
use, ethnicity, urban versus rural,  and regional data on suicide                                                               
attempts.  In September 2004,  the council released the statewide                                                               
suicide  prevention plan.    The council  has  started media  and                                                               
public  awareness  campaigns,  and  is currently  involved  in  a                                                               
clergy and  clinician initiative,  which allows  professionals to                                                               
combine efforts  through working  together to prevent  suicide in                                                               
local areas.   The  fiscal year  (FY) 2005  annual report  is due                                                               
March 1,  2004; she noted  that would  be "forthcoming in  just a                                                               
couple of weeks."                                                                                                               
                                                                                                                                
3:18:18 PM                                                                                                                    
                                                                                                                                
CHAIR WILSON  noted that  the prevention plan  has been  given to                                                               
the committee.   She stated  that "Alaska, per capita,  is number                                                               
one in  the nation with suicides  ... and we really  need to work                                                               
on this; ... we should continue this program."                                                                                  
                                                                                                                                
3:18:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE GARDNER  related her belief that  Alaska is second                                                               
to Nevada in suicides.                                                                                                          
                                                                                                                                
3:19:08 PM                                                                                                                    
                                                                                                                                
MS. CRAFT relayed that Alaska  ranges either between one and six,                                                               
regarding per  capita suicide rates.   She noted that  next year,                                                               
Alaska will be rated number one  in suicides, but that has yet to                                                               
be released.                                                                                                                    
                                                                                                                                
3:19:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON  commented  on  an  Anchorage  Daily  News                                                               
article  that details  a  recent audit  on  the suicide  council.                                                               
According  to  the  article  only  20  percent  of  the  $200,000                                                               
allocated  to the  council went  to  suicide prevention  efforts.                                                               
The  article  cites that  the  Department  of Health  and  Social                                                               
Services  spent   about  $32,000   on  furniture   for  unrelated                                                               
programs, he  noted.  He  asked why the  money never went  to the                                                               
suicide prevention program.                                                                                                     
                                                                                                                                
3:20:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  DAHLSTROM   related  that   the  audit   will  be                                                               
addressed through the House Finance Committee.                                                                                  
                                                                                                                                
3:20:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON  opined that  the  committee  needs to  be                                                               
aware of funding  issues.  He asked how the  expenditures will be                                                               
instituted from the department's standpoint.                                                                                    
                                                                                                                                
3:21:27 PM                                                                                                                    
                                                                                                                                
BILL  HOGAN,  Director,  Division  of  Behavioral  Health,  DHSS,                                                               
notified  the committee  that within  the last  year a  number of                                                               
changes have occurred for the  DHSS.  Simultaneously, the Suicide                                                               
Prevention Council  lost its coordinator.   An employee  from the                                                               
Division  of  Behavioral  Health temporarily  replaced  the  then                                                               
vacated  position, and  was responsible  for  determining the  FY                                                               
budget;  however,  due to  the  reorganization,  the task  proved                                                               
difficult, he  noted.  He  said that the  monies that did  not go                                                               
directly  to  the  council  were   used  to  support  the  DHSS's                                                               
integrated information  technology efforts, which  also supported                                                               
some of the efforts and activities  of the council, he added.  He                                                               
told the committee that the  division will actively work with the                                                               
council to ensure support of council's activities.                                                                              
                                                                                                                                
3:24:00 PM                                                                                                                    
                                                                                                                                
MR.  HOGAN, in  response to  Chair  Wilson, stated  that all  the                                                               
dollars  allotted  to  the Suicide  Prevention  Council  will  go                                                               
towards the council's activities.                                                                                               
                                                                                                                                
3:24:26 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE McGUIRE  moved to  report HB  82 out  of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
notes.                                                                                                                          
                                                                                                                                
3:25:14 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON objected for  the purpose of discussing the                                                               
zero fiscal note.                                                                                                               
                                                                                                                                
3:25:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE DAHLSTROM  explained that  there is a  zero fiscal                                                               
note because  the amount is  budgeted from the  governor's health                                                               
and social services budget.                                                                                                     
                                                                                                                                
3:25:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON withdrew the objection.                                                                                   
                                                                                                                                
CHAIR WILSON asked  if there were any further  objections.  There                                                               
being none, HB  82 was reported from the  House Health, Education                                                               
and Social Services Standing Committee.                                                                                         
                                                                                                                                

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