Legislature(2015 - 2016)CAPITOL 106

02/04/2016 03:00 PM House HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 226 EXTEND ALASKA COMMISSION ON AGING TELECONFERENCED
Moved HB 226 Out of Committee
-- Testimony <Invitation Only> --
+= HB 260 DAY CARE ASSISTANCE & CHILD CARE GRANTS TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= HB 262 SENIOR BENEFITS PROG. ELIGIBILITY TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= SB 23 IMMUNITY FOR PROVIDING OPIOID OD DRUG TELECONFERENCED
Moved HCS CSSB 23(HSS) Out of Committee
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
            HB 226-EXTEND ALASKA COMMISSION ON AGING                                                                        
                                                                                                                                
3:19:49 PM                                                                                                                    
                                                                                                                                
CHAIR SEATON  announced that the  next order of business  would be                                                              
HOUSE  BILL NO. 226,  "An Act  extending the  termination  date of                                                              
the Alaska  Commission on  Aging; and  providing for an  effective                                                              
date."                                                                                                                          
                                                                                                                                
3:20:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MIKE HAWKER, Alaska  State Legislature,  clarified                                                              
that there  were now three new  fiscal notes.  He  explained that,                                                              
as the Alaska Commission  on Aging (ACOA) existed in  the State of                                                              
Alaska,  the  qualifications  of   certain  federal  statutes  for                                                              
funding had  been met.   He reported that  ACOA also  fulfilled an                                                              
obligation  and requirement  for  the Alaska  Mental Health  Trust                                                              
Authority  (AMHTA).   He directed  attention to  the fiscal  note,                                                              
OMB Component  Number 2674, which  listed $119,100 under  the Fund                                                              
Source  from   MHTAAR  (Mental   Health  Trust  Authority   Agency                                                              
Receipts)  as  the  money  contributed by  AMHTA  to  fulfill  its                                                              
obligations.   He shared  that the General  Fund and  I/A Receipts                                                              
also listed under  the Fund Source were from  Department of Health                                                              
and Social  Services, which had  designated ACOA as the  agency to                                                              
fulfill  the federal  requirements.   He  pointed  out that  there                                                              
were now  fiscal notes from  the Senior and Disabilities  Services                                                              
Administration,  OMB Component Number  2663, showing a  receipt of                                                              
$603,200  in federal  receipts  [listed  under Fund  Source],  and                                                              
from  the Senior  Community  Based  Grants, OMB  Component  Number                                                              
2787,  which reflected  a federal  receipt  of $5,771,300  [listed                                                              
under  Fund Source].    He stated  the key  point  was that  "ACOA                                                              
serves a real  purpose here.  By  having it, we are  able to avail                                                              
ourselves  of the  federal money  that's available  for the  state                                                              
for  these particular  programs."   He  pointed  out that,  should                                                              
ACOA not  be re-authorized, the  state would either have  to cease                                                              
participation  in  these  programs,  or  designate  another  state                                                              
agency  to take  its place.   He  stated that  this clarified  the                                                              
need for three fiscal  notes, the exact role of ACOA,  and that it                                                              
satisfied requirements  from the federal government  for Alaska to                                                              
receive money for  senior benefits and requirements  from AMHTA to                                                              
satisfy  its obligations.   He declared  that  ACOA served  a good                                                              
purpose,  and there  was  great leverage  from  the general  funds                                                              
invested in these services.                                                                                                     
                                                                                                                                
3:25:23 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  asked  about the  interplay  between  the                                                              
three fiscal notes.                                                                                                             
                                                                                                                                
REPRESENTATIVE  HAWKER  reiterated  that  all three  fiscal  notes                                                              
defined  allocations in  the  various budgets  which  appropriated                                                              
money and  provided a  fund source  for this  money.   He directed                                                              
attention to  the Allocation on  each fiscal note, which  was "the                                                              
most  granular  level  within  the  budget  where  this  money  is                                                              
appropriated as both  an expenditure and we provide  a fund source                                                              
for it."   He  pointed to  the Appropriation,  which he  explained                                                              
was the next  tier of the  budget, and was within  the Department,                                                              
listed just above  it.  He shared that, although  all three fiscal                                                              
notes  were   appropriated  into   the  Senior  and   Disabilities                                                              
Services,  the allocations  were  to  different areas,  hence  the                                                              
need for  three separate  fiscal notes.   He explained  that, with                                                              
the  passage  of any  bill  with  an attached  fiscal  note,  this                                                              
fiscal  note was  added  to the  budget  through an  appropriation                                                              
that identified  the specific fiscal  note.  He pointed  out that,                                                              
as this was a  reauthorization bill, the money was  already in the                                                              
current  budget, but  would disappear  without reauthorization  of                                                              
the agency,  a consequence should  proposed HB 226 not  be passed.                                                              
He  clarified that  should that  happen,  the money  would not  be                                                              
spent or  received, which was reflected  in the fiscal  notes.  He                                                              
stated that the  policy call was for whether  there was sufficient                                                              
value and merit from this agency and its activities.                                                                            
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  directed  attention  to the  fiscal  note                                                              
labeled OMB Component  Number 2663, and asked about  the nature of                                                              
the services for $520,300 listed under Operating Expenditures.                                                                  
                                                                                                                                
REPRESENTATIVE  HAWKER  referenced the  back  page  of the  fiscal                                                              
note, noting that  it explained the services in  general, although                                                              
a very specific explanation would come from the agency.                                                                         
                                                                                                                                
CHAIR SEATON clarified  that the fiscal note OMB  Component Number                                                              
2674 had been updated on 02/04/16.                                                                                              
                                                                                                                                
3:32:06 PM                                                                                                                    
                                                                                                                                
DUANE  MAYES, Director,  Central  Office, Division  of Senior  and                                                              
Disabilities Services, Department of Health and Social Services,                                                                
in response  to Representative Vazquez,  said that this  money was                                                              
for two reimbursable  services agreements (RSAs), one  to the Long                                                              
Term Care  Ombudsman in  the Department of  Revenue and  the other                                                              
to the Alaska Commission on Aging.                                                                                              
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  offered  her  belief that  funds  to  the                                                              
Alaska Commission  on Aging  would be  through Personal  Services,                                                              
under Operating Expenditures in the aforementioned fiscal note.                                                                 
                                                                                                                                
MR. MAYES  relayed that he was  unsure why these Services  had not                                                              
been included under Personal Services on the fiscal note.                                                                       
                                                                                                                                
3:34:26 PM                                                                                                                    
                                                                                                                                
JACQUELLI ZIEGENFUSS,  Administration Operations  Manager, Central                                                              
Office, Division  of Senior and Disabilities  Services, Department                                                              
of  Health and  Social  Services, explained  that  RSAs were  paid                                                              
from the Services  line, which included any passage  of funds onto                                                              
another state agency.                                                                                                           
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  asked  why  the  funding  to  the  Alaska                                                              
Commission  on  Aging  was  not on  the  Personal  Services  line,                                                              
instead of the Services line.                                                                                                   
                                                                                                                                
MS.  ZIEGENFUSS   directed  attention  to  the  fiscal   note  OMB                                                              
Component  Number  2663 and  explained  that  those funds  go  out                                                              
through the Services  line and then, on fiscal  note OMB Component                                                              
Number 2674, move  into the Personal Services line  for the Alaska                                                              
Commission  on Aging.   She directed  attention  to page 2,  final                                                              
paragraph, of  the aforementioned  fiscal note, which  stated that                                                              
the commission  was funded in part  by an RSA from the  Senior and                                                              
Disabilities  Services  Administration  component, while  a  small                                                              
portion of this was federal funding.                                                                                            
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  asked whether  the  Alaska Commission  on                                                              
Aging  was funded  through the  Personal Services  on fiscal  note                                                              
OMB Component  Number 2663  and then  additionally through  an RSA                                                              
from the Senior and Disabilities Services Administration.                                                                       
                                                                                                                                
MS. ZIEGENFUSS  directed  attention to Fund  Source, I/A  Receipts                                                              
(interagency  receipts) on  the fiscal note  OMB Component  Number                                                              
2674,  which helped  fund the  Personal  Services under  Operating                                                              
Expenditures.   She stated that  these funds, $348,100,  were used                                                              
for the expenditure of personal services.                                                                                       
                                                                                                                                
REPRESENTATIVE VAZQUEZ  asked if this money was  received from the                                                              
Senior and Disabilities Services Administration.                                                                                
                                                                                                                                
MS. ZIEGENFUSS stated her agreement.                                                                                            
                                                                                                                                
REPRESENTATIVE TARR  asked if the  other dollars not  reflected in                                                              
the  fiscal  notes  were  awarded   through  a  competitive  grant                                                              
process, and what  evaluation process was used to  ensure that the                                                              
money was distributed "to the best places."                                                                                     
                                                                                                                                
3:38:38 PM                                                                                                                    
                                                                                                                                
LISA MORLEY, DSDS  Grants, Central Office, Division  of Senior and                                                              
Disabilities Services,  Department of Health and  Social Services,                                                              
explained that  the other  funds not accounted  for in  the fiscal                                                              
note  were  distributed   directly  from  the   Administration  on                                                              
Community  Living, part  of the  Older Americans  Act.  The  funds                                                              
identified in  this fiscal  note were from  Title III, and  were a                                                              
combination  of   funds  for  grants  and  services   directly  to                                                              
seniors, the  Long Term Care  Ombudsman, the Alaska  Commission on                                                              
Aging, and  administration.  She  stated that Title IV  funds were                                                              
discretionary and  competitive, and that  the State of  Alaska was                                                              
not currently  receiving any of  these funds.  She  explained that                                                              
Title  V   funds  were  for   workforce  for  seniors,   and  were                                                              
distributed to  the Department of  Labor & Workforce  Development.                                                              
She  relayed that  Title VI  funds  were awarded  directly to  the                                                              
tribal governments,  about $4 million  during the past year.   She                                                              
concluded  with the  Title VII  funds  which were  awarded to  the                                                              
Long Term Care Ombudsman in the Department of Revenue.                                                                          
                                                                                                                                
REPRESENTATIVE VAZQUEZ  asked where the  public could look  at the                                                              
list of grantees.                                                                                                               
                                                                                                                                
MS.  MORLEY asked  if  the reference  was  for grantees  receiving                                                              
funds to  provide direct services  in Alaska or those  who receive                                                              
Title III funds.                                                                                                                
                                                                                                                                
REPRESENTATIVE VAZQUEZ  asked about any grantees  receiving grants                                                              
from the Division of Senior and Disabilities Services.                                                                          
                                                                                                                                
MS. MORLEY replied  that these were online in  an operating grants                                                              
book, which  listed every  grant funded program  by region  and by                                                              
grantee,  and  included  the  dollar amounts.    She  offered  her                                                              
belief that  this was  listed under the  Department of  Health and                                                              
Social Services,  Finance  and Management  Services.  She  offered                                                              
to provide the link.                                                                                                            
                                                                                                                                
REPRESENTATIVE  TARR asked for  how long  the Older Americans  Act                                                              
was reauthorized relative to the longevity of the funds.                                                                        
                                                                                                                                
MS. MORLEY replied that she did not recall.                                                                                     
                                                                                                                                
MR. MAYES said that he would supply the information.                                                                            
                                                                                                                                
There being  no further objection,  the amended fiscal  notes were                                                              
adopted.                                                                                                                        
                                                                                                                                
3:42:49 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  moved  to  report  HB  226,  Version  29-                                                              
LS1089\A,  out of  committee with  individual recommendations  and                                                              
the  accompanying   amended   fiscal  notes.     There  being   no                                                              
objection,  HB 226  was moved  from  the House  Health and  Social                                                              
Services Standing Committee.                                                                                                    

Document Name Date/Time Subjects
SB 23 Background_Legal opinion_regulatory vs civil immunity_Wallace_01.29.16.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
SB 23 Proposed Amendment E.4.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
SB 23 Proposed Amendment E.3.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
SB 23 proposed amendment E.6.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
SB 23 Support_Kenai Peninsula Borough resolution.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
SB 23 Background_Response from DCCED-CBPL_2-3-16.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
SB 23 Support_ASHNHA Letter of Support.pdf HHSS 2/4/2016 3:00:00 PM
SB 23
HB 226 Support_community care coalition_feb 3.pdf HHSS 2/4/2016 3:00:00 PM
HB 226
HB 226 Fiscal note_DHSS-SCBG-2-4-16.pdf HHSS 2/4/2016 3:00:00 PM
HB 226
HB 226 Fiscal Note_DHSS-COA-1-25-16_updated.pdf HHSS 2/4/2016 3:00:00 PM
HB 226
HB 226 Fiscal Note_DHSS-SDSA 2-4-16.pdf HHSS 2/4/2016 3:00:00 PM
HB 226
HB260 Response to HB 260 Questions in 012816 H-HSS.pdf HHSS 2/4/2016 3:00:00 PM
HB 260
HB 262 Response to HB 262 Questions in 012816 H-HSS.pdf HHSS 2/4/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 262 proposed cs_ver w.pdf HHSS 2/4/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262