Legislature(2017 - 2018)CAPITOL 106

03/16/2017 03:00 PM HEALTH & SOCIAL SERVICES

Note: the audio and video recordings are distinct records and are obtained from different sources. As such there may be key differences between the two. The audio recordings are captured by our records offices as the official record of the meeting and will have more accurate timestamps. Use the icons to switch between them.

Download Mp3. <- Right click and save file as
Download Video part 1. <- Right click and save file as

Audio Topic
04:23:39 PM Start
04:24:45 PM Presentation: Facing Foster Care in Alaska
04:41:39 PM HB151
05:12:58 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Delayed to 10 min. After Recess --
+ Presentation by Facing Foster Care in AK TELECONFERENCED
*+ HB 151 DHSS;CINA; FOSTER CARE; CHILD PROTECTION TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= HB 103 OPTOMETRY & OPTOMETRISTS TELECONFERENCED
Scheduled but Not Heard
-- Public Testimony --
+= HB 174 EXTEND DISASTER EMERGENCY:OPIOID EPIDEMIC TELECONFERENCED
<Bill Hearing Canceled>
-- Testimony <Public/Invited> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                         March 16, 2017                                                                                         
                           4:23 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Ivy Spohnholz, Chair                                                                                             
Representative Bryce Edgmon, Vice Chair                                                                                         
Representative Sam Kito                                                                                                         
Representative Geran Tarr                                                                                                       
Representative Jennifer Johnston                                                                                                
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative David Eastman                                                                                                    
Representative Colleen Sullivan-Leonard                                                                                         
                                                                                                                                
Representative Matt Claman (alternate)                                                                                          
Representative Dan Saddler (alternate)                                                                                          
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
PRESENTATION: FACING FOSTER CARE IN ALASKA                                                                                      
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
HOUSE BILL NO. 151                                                                                                              
"An Act  relating to the duties  of the Department of  Health and                                                               
Social Services; relating to training  and workload standards for                                                               
employees  of  the  Department of  Health  and  Social  Services;                                                               
relating to  foster care  licensing; relating  to placement  of a                                                               
child   in   need   of   aid;  relating   to   the   rights   and                                                               
responsibilities  of foster  parents; relating  to subsidies  for                                                               
adoption or  guardianship of  a child in  need of  aid; requiring                                                               
the  Department   of  Health  and  Social   Services  to  provide                                                               
information to a  child or person released  from the department's                                                               
custody; and providing for an effective date."                                                                                  
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
HOUSE BILL NO. 103                                                                                                              
"An Act relating to the practice of optometry."                                                                                 
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
HOUSE BILL NO. 174                                                                                                              
"An  Act   extending  the  governor's  declaration   of  disaster                                                               
emergency to  address the opioid  epidemic; and providing  for an                                                               
effective date."                                                                                                                
                                                                                                                                
     - BILL HEARING CANCELED                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 151                                                                                                                  
SHORT TITLE: DHSS; CINA; FOSTER CARE; CHILD PROTECTION                                                                          
SPONSOR(s): REPRESENTATIVE(s) GARA                                                                                              
                                                                                                                                
03/01/17       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/01/17       (H)       HSS, FIN                                                                                               
03/16/17       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
AMANDA METIVIER, Statewide Coordinator                                                                                          
Facing Foster Care in Alaska                                                                                                    
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT:   Presented  a discussion  on Facing  Foster                                                             
Care in  Alaska and  answered questions  during discussion  of HB                                                               
151.                                                                                                                            
                                                                                                                                
REPRESENTATIVE LES GARA                                                                                                         
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION  STATEMENT:   Presented HB  151  as the  sponsor of  the                                                             
bill.                                                                                                                           
                                                                                                                                
NAVEAH INGAM                                                                                                                    
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 151.                                                                          
                                                                                                                                
RACHAEL BESSLER                                                                                                                 
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 151.                                                                          
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
4:23:39 PM                                                                                                                    
                                                                                                                                
CHAIR IVY SPOHNHOLZ  called the House Health  and Social Services                                                             
Standing   Committee    meeting   to    order   at    4:23   p.m.                                                               
Representatives  Spohnholz,  Tarr,   Johnston,  and  Edgmon  were                                                               
present at  the call  to order.   Representative Kito  arrived as                                                               
the meeting was in progress.                                                                                                    
                                                                                                                                
^Presentation: Facing Foster Care in Alaska                                                                                   
           Presentation: Facing Foster Care in Alaska                                                                       
                                                                                                                                
                                                                                                                                
4:24:45 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced that the  first order of business would                                                               
be a presentation from Facing Foster Care in Alaska.                                                                            
                                                                                                                                
4:25:04 PM                                                                                                                    
                                                                                                                                
AMANDA  METIVIER, Statewide  Coordinator, Facing  Foster Care  in                                                               
Alaska, explained that young people  with Facing Foster Care from                                                               
all over  Alaska came to  the Alaska State Legislature  in Juneau                                                               
each  year to  learn  about government  and  how the  Legislature                                                               
worked, and  to become advocates and  have a say in  what happens                                                               
to  them.   She pointed  out  that the  State of  Alaska was  the                                                               
guardian  of  young  people  in  foster care.    She  shared  the                                                               
experiences of each of the  youth, including their time in foster                                                               
care,  the  number  of  placements, the  number  of  siblings  in                                                               
different  foster  care  placements,   and  the  number  of  case                                                               
workers.   She stated  that Facing  Foster Care  in Alaska  was a                                                               
non-profit organization  of young people  in and from  the foster                                                               
care  system, and  they  worked to  promote  positive changes  to                                                               
child welfare in Alaska.  She  declared that young people who had                                                               
experience in  the system  were the experts.   She  reported that                                                               
the numbers of  children coming into the system was  on the rise,                                                               
and was  now at  a record  high, as  more than  1 percent  of the                                                               
overall child population in the state  lived in foster care.  She                                                               
explained that Facing  Foster Care taught young people  how to be                                                               
advocates for  themselves and  about their  rights.   These young                                                               
people then train child welfare  staff and care givers, and share                                                               
their  experiences  in the  system  with  social workers,  foster                                                               
parents, judges, and  lawmakers.  She added that this  was also a                                                               
peer support organization,  as foster care could  be very lonely.                                                               
Groups  of foster  kids were  able to  meet to  talk about  their                                                               
fears and  problems, as well as  help each other with  basic life                                                               
skills.  She  noted that the group also performed  a larger scale                                                               
advocacy role, which included  proposals for specific legislative                                                               
items and meetings with judges and  the Director of the Office of                                                               
Children's Services (OCS).                                                                                                      
                                                                                                                                
MS.  METIVIER said  that she  wanted to  review the  Foster Youth                                                               
Bill of Rights  [included in members' packets].   She shared that                                                               
federal law  ensured that young  people, ages 14 and  older, were                                                               
notified of  their rights while in  the foster care system.   She                                                               
stated  that Facing  Foster Care  had worked  with youth  and the                                                               
department to put together this bill  of rights.  She pointed out                                                               
that youth  had the right to  attend their court hearings,  to be                                                               
part of  the process  for planning on  their own  permanency, and                                                               
for knowing  why they  were in  foster care.   Foster  youth were                                                               
instructed about  the need to  leave the foster care  system with                                                               
their   documents,   including   social  security   card,   birth                                                               
certificate,  and  medical records.    She  shared that  OCS  was                                                               
diligently working  to ensure that  youth had received a  copy of                                                               
the  bill of  rights, and  that youth  signed off  that they  had                                                               
received it.                                                                                                                    
                                                                                                                                
MS. METIVIER  reported that there had  been a long term  push for                                                               
resources for  young people transitioning  out of the  system and                                                               
into adulthood.  These resources  were intended to create support                                                               
systems    and   teach    skills   to    preclude   homelessness,                                                               
incarceration, and early pregnancy.   She stated that youth don't                                                               
need  as many  social services  and  resources when  they have  a                                                               
family or  a connection to an  adult who can help  them navigate.                                                               
She pointed out  that you would do better having  someone who was                                                               
pushing you to do things.  She  declared that the goal was a push                                                               
for permanency, so that youth were  no longer simply aging out of                                                               
foster care,  but instead had  a permanent family.   She reported                                                               
that there had been a conversation  with the Director of OCS, who                                                               
would now make the  final decision for a youth to  age out of the                                                               
system.                                                                                                                         
                                                                                                                                
CHAIR SPOHNHOLZ  lauded the  Facing Foster  Care program  for its                                                               
leadership  in  the move  toward  advocacy  and consideration  of                                                               
youth rights.                                                                                                                   
                                                                                                                                
4:37:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR  asked how Facing  Foster Care  got financial                                                               
support.                                                                                                                        
                                                                                                                                
MS. METIVIER reported that the  organization started in 2003 as a                                                               
small youth  advisory group to  OCS, with support from  the Casey                                                               
Family Programs  and the  independent living  program.   She said                                                               
that the  group had  worked toward becoming  its own  entity, and                                                               
worked to  become a non-profit.   She reported that  the majority                                                               
of  funding was  from local  foundations and  private donors,  as                                                               
well as fund  raising through Pick, Click, Give.   She added that                                                               
there was  also grant funding.   She said there was  a very small                                                               
budget, and  most of the work  was performed by volunteers.   She                                                               
stated  that the  youth were  elected for  two years  as regional                                                               
representatives from  each of  the five OCS  regions.   She added                                                               
that youth  had to campaign and  the youth members voted  for the                                                               
representatives.   The  youth board  planned with  the governance                                                               
board of directors  and helped with fund raising,  and this group                                                               
worked with  adults in  the community.   She said  that a  lot of                                                               
time was spent in writing grants and searching for funding.                                                                     
                                                                                                                                
REPRESENTATIVE JOHNSTON  asked about  the governance  in addition                                                               
to the five regions.                                                                                                            
                                                                                                                                
MS.   METIVIER  explained   that   in  addition   to  the   youth                                                               
representing the  five OCS regions,  there was governance  by the                                                               
non-profit   board  of   directors,   which  included   volunteer                                                               
attorneys, and business and financial  people from the community.                                                               
In  response  to  Representative  Johnston,  she  said  that  the                                                               
governance board term  limits were staggered for  two, three, and                                                               
four years to allow for smoother transition.                                                                                    
                                                                                                                                
        HB 151-DHSS; CINA; FOSTER CARE; CHILD PROTECTION                                                                    
                                                                                                                                
4:41:39 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced that the  final order of business would                                                               
be HOUSE  BILL NO.  151, "An  Act relating to  the duties  of the                                                               
Department of  Health and Social  Services; relating  to training                                                               
and workload standards for employees  of the Department of Health                                                               
and Social Services; relating to  foster care licensing; relating                                                               
to placement  of a child in  need of aid; relating  to the rights                                                               
and  responsibilities of  foster parents;  relating to  subsidies                                                               
for  adoption  or  guardianship  of  a  child  in  need  of  aid;                                                               
requiring  the  Department  of  Health  and  Social  Services  to                                                               
provide  information  to a  child  or  person released  from  the                                                               
department's custody; and providing for an effective date."                                                                     
                                                                                                                                
4:42:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EDGMON  moved  to adopt  the  proposed  committee                                                               
substitute (CS) for HB 151,  labeled 30-LS0451\R, Glover, 3/7/17,                                                               
as the working document.                                                                                                        
                                                                                                                                
CHAIR SPOHNHOLZ objected for discussion.                                                                                        
                                                                                                                                
4:42:30 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE LES GARA, Alaska State Legislature, paraphrased                                                                  
from the Sponsor Statement [included in members' packets], which                                                                
read:                                                                                                                           
                                                                                                                                
     Foster  youth in  Alaska are  not  getting the  chances                                                                    
     they deserve.  The Children Deserve  a Loving  Home Act                                                                    
     aims to increase the likelihood  that foster youth will                                                                    
     have the  same opportunities  in life, and  same health                                                                    
     and  well-being, as  their peers.  When roughly  40% of                                                                    
     our  foster youth  end  up homeless  at  some point  in                                                                    
     their lives after leaving care,  and roughly 20% end up                                                                    
     in jail, it's  a call for reform.  The nation's leading                                                                    
     foster care non-profit, Casey  Family Programs, has the                                                                    
     correct goal to reduce  the number of youth languishing                                                                    
     in foster care by 50%  by 2020. Alaska should join that                                                                    
     effort. We  should achieve it  not by leaving  youth in                                                                    
     neglect  and  abuse to  keep  our  foster care  numbers                                                                    
     down, but by getting neglected  and abused youth out of                                                                    
     the foster care system,  into a permanent, loving home,                                                                    
     much  more  quickly  than  we  do  now.  Many  Alaskans                                                                    
     recognize  that our  child welfare  system has  room to                                                                    
     improve; this bill seeks to  make real positive changes                                                                    
     that  support  youth  and  families,  as  well  as  the                                                                    
     caseworkers who  serve them. It's been  well documented                                                                    
     by many sources that  when case workers are overworked,                                                                    
     outcomes for  children and families suffer.  The Office                                                                    
     of  Children's Services  (OCS) recommends  standards of                                                                    
     approximately  12 cases  or families  per worker    but                                                                    
     today,  most caseworkers  are  carrying caseloads  that                                                                    
     vastly exceed  that amount (as  high as 43  families in                                                                    
     Wasilla, 36  in Homer,  and 30  or more  in six  of the                                                                    
     state's main OCS offices).  Conditions in rural Alaska,                                                                    
     especially the  challenges of remote travel,  make even                                                                    
     a 12  family caseload overwhelming for  workers in such                                                                    
     regions.  Beyond  the  risk of  poorer  outcomes,  high                                                                    
     caseloads contribute to high  worker turnover, a costly                                                                    
     problem that  slows timelines to permanency.  This bill                                                                    
     seeks  to  improve  both  caseload  levels  and  worker                                                                    
     retention by implementing  significant new training and                                                                    
     workforce  standards.  New   workers  would  receive  a                                                                    
     minimum of  six weeks  of training  and would  carry no                                                                    
     more  than  six  cases/families   in  the  first  three                                                                    
     months, and  12 families  in the  first 12  months. The                                                                    
     bill  also provides  for the  employment of  mentors to                                                                    
     help  caseworkers become  more effective  and make  the                                                                    
     transition  from training  to  a  full caseload.  These                                                                    
     standards  are recognized  to improve  outcomes, enable                                                                    
     faster timelines to permanency,  and allow case workers                                                                    
     to perform their duties as  intended. In addition, this                                                                    
     bill provides for a number  of other changes to support                                                                    
     the  well-being  of  youth  in  care,  and  to  promote                                                                    
     quicker  timelines   for  children  returning   to,  or                                                                    
     finding   new,  permanent   homes.  The   bill  extends                                                                    
     subsidies for  adoptions and  guardianships to  age 21,                                                                    
     to  incentivize permanency  and the  closing of  cases,                                                                    
     and promotes  contact with  siblings and  with previous                                                                    
     out  of-home caregivers  to promote  the well-being  of                                                                    
     children and  maintain a network  of support  for them.                                                                    
     Another  important  tenet  of  this  bill  is  enacting                                                                    
     timelines  for  waivers  and  exemptions  to  licensing                                                                    
     requirements for relatives  who may want to  care for a                                                                    
     child, but are not licensed foster parents.                                                                                
                                                                                                                                
     The  bill also  makes it  easier for  youth and  foster                                                                    
     parents  to engage  in normal  day  to day  activities,                                                                    
     such  as going  on  vacation  without prior  caseworker                                                                    
     approval, with  fewer requirements. In  addition, youth                                                                    
     at age  14 are empowered  to participate in  their case                                                                    
     plan  with a  larger role.  This bill  also strengthens                                                                    
     the requirement to search  for relatives before placing                                                                    
     a   child  with   foster   parents,  recognizing   that                                                                    
     placements  with family  are  often the  best and  most                                                                    
     loving  option  for  youth. Providing  support,  and  a                                                                    
     voice,  for youth  and families  who need  our help  is                                                                    
     perhaps  one of  our  most important  duties in  public                                                                    
     service. This bill seeks to  give caseworkers the tools                                                                    
     they  need to  carry out  their duties  to the  best of                                                                    
     their  abilities, and  it seeks  to  support youth  and                                                                    
     families with provisions  that support well-being, make                                                                    
     it easier  for children to  move out of the  system and                                                                    
     into  a permanent  home more  quickly, and  provide the                                                                    
     necessary  resources for  a  system  that can  function                                                                    
     well. This  bill is intended  to create  an environment                                                                    
     where loving homes are the priority for all youth.                                                                         
                                                                                                                                
5:01:15 PM                                                                                                                    
                                                                                                                                
AMANDA  METIVIER, Statewide  Coordinator, Facing  Foster Care  in                                                               
Alaska, stated  that a major  provision of the proposed  bill was                                                               
for setting standards  to workloads for case workers,  as many of                                                               
the issues would be "wiped away"  if case workers had the time to                                                               
do what was necessary.  She  reported that, although there was an                                                               
initial cost, there  would be a long term savings  of millions of                                                               
dollars when not having to pay a  daily rate for the cost of care                                                               
for a  young person  in the  foster care system,  as well  as for                                                               
attorneys, the court  system, and the long  term social services.                                                               
She declared that  an earlier move into permanency  was much more                                                               
cost effective  versus staying  in the system.   She  pointed out                                                               
that so many  of the young people leaving the  foster care system                                                               
had not been  prepared, and now, these young  people had children                                                               
who were moving into the foster  care system.  She explained that                                                               
there  were  five  protective factors  that  young  parents  were                                                               
supposed  to have,  which included:  concrete  social support  in                                                               
times of  need and someone  to call when  you are stressed.   She                                                               
shared stories  of her interactions  with case workers  coming to                                                               
her home,  as she was  now a foster  parent, and she  spoke about                                                               
her earlier  dream for becoming a  case worker at OCS,  until she                                                               
saw the  high numbers of case  worker turnover.  She  opined that                                                               
this setting  allowed for the  loss of many good  social workers.                                                               
She declared  that improving the  caseload levels would  make all                                                               
the other problems solvable.  She  offered her belief that it was                                                               
important to engage  youth in planning, at 14 years  of age.  She                                                               
offered a quote: "it's better to  plan for the battle than battle                                                               
the  plan," and  opined  that  having the  youth  engaged in  the                                                               
process would make  it more successful.  She  reiterated that the                                                               
most  important pieces  of the  proposed bill  were to  lower the                                                               
workload and increase the training for workers.                                                                                 
                                                                                                                                
5:07:11 PM                                                                                                                    
                                                                                                                                
NAVEAH  INGAM offered  her belief  that the  proposed bill  would                                                               
help both  the youth in  care, as well  as those youth  that were                                                               
going  to   be  in  care.     She  shared  her   experience  when                                                               
communication was  lost with her  younger sibling when  they were                                                               
placed separately, and the current  feelings of abandonment.  She                                                               
opined  that the  opportunity  for  communication among  siblings                                                               
would have positive mental health ramifications.                                                                                
                                                                                                                                
5:08:59 PM                                                                                                                    
                                                                                                                                
RACHAEL  BESSLER  shared  that  Amanda Metivier  was  her  foster                                                               
parent and  how positive it was  to have permanency.   She shared                                                               
her  story of  how  difficult life  had been,  and  that she  was                                                               
"going  down a  wrong road."   She  did not  want anybody  in her                                                               
life, and she did not want  any connections.  She went through 47                                                               
foster  homes because  she felt  abandoned and  alone.   She said                                                               
that Amanda helped  her see a future, and  that Amanda's daughter                                                               
was  like her  little sister.   She  relayed that  permanency and                                                               
connection can bring a much easier  life, and allowed youth to do                                                               
something earlier  in life.   She declared that  permanency could                                                               
change the  lives of  so many  people, and that  she was  here to                                                               
advocate  for   those  who  still   did  not  have   a  permanent                                                               
connection.   She said that  having a person  you can talk  to at                                                               
the end of the day was so  important.  She emphasized that HB 151                                                               
could  dramatically change  the  lives of  many children,  noting                                                               
that without a  permanent connection, she would either  be on the                                                               
street or incarcerated.                                                                                                         
                                                                                                                                
5:12:10 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced that HB 151 would be held over.                                                                       
                                                                                                                                
[The objection to the proposed CS, Version R, was maintained.]                                                                  
                                                                                                                                
5:12:58 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 5:12 p.m.                                                                                                          

Document Name Date/Time Subjects
HB 151 vers. U Sponsor Statement 3.1.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HB 151
HB 151 Draft Proposed Blank CS ver R 3.7.2017.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Sectional Analysis ver R 3.15.2017.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Explanation of Changes ver R 3.15.2017.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Fiscal Note DHSS-CSM 03.10.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Fiscal Note DHSS-CST 03.10.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Fiscal Note DHSS-FCBR 03.10.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Fiscal Note DHSS-FLSW 03.10.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Fiscal Note DHSS-SAG 03.10.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 1. OCS Office by Office Caseloads 3.1.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 2. High Caseloads How Do They Impact Health and Human Services 3.1.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 3. Children Waiting to be Adopted 2014.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 4. Applying the Science of Child Development in Child Welfare Systems (Excerpt).pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 5. NJ DCF Workforce Report (Excerpt).pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 6. Why the Workforce Matters.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 7. Creating a Permanence Driven Organization - Anu (Excerpt).pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 8. DHSS Memo OOH Growth.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 9. DHSS Memo NJ Standard and Workforce.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 10. Relevant Statistics.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document 11. Supporting Article.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document - Casey Family Programs Letter 3.15.2017.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 151 Supporting Document-Letters of Support 3.15.2017.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/21/2017 3:00:00 PM
HHSS 3/23/2017 3:00:00 PM
HB 151
HB 103 Draft Proposed Blank CS ver D 3.13.2017.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Explanation of Changes (CS) 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
SB 36 Opposition Letter Coulter MD vs. SB36 HB103.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
SFIN 3/14/2017 9:00:00 AM
HB 103
SB 36
HB 103 Letters of Support 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Fiscal Note DCCED--DCBPL 3.13.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Sectional Analysis (CS) 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Sponsor Statement 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Supporting Document Ohio State Optometry Curriculum 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Supporting Document Medical Liability Premiums Fact Sheet 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Supporting Document Regulation Flow Chart 3-10-17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Supporting Document-Board of the Examiners in Optometry.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Supporting Document-Optometrists Practicing in AK 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Supporting Documents Optometry Education Flyer 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB103 Career Guide Optometry 2.22.17.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB103 Letters of Opposition-Support.pdf HHSS 3/14/2017 3:00:00 PM
HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103
HB 103 Opposing Document--Letters 3.15.17.pdf HHSS 3/16/2017 3:00:00 PM
HHSS 3/18/2017 3:00:00 PM
HB 103