Legislature(1997 - 1998)

04/29/1997 01:05 PM House JUD

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
 HB 234 - ABORTIONS UNDER GENERAL RELIEF PROGRAM                               
                                                                               
 CHAIRMAN GREEN announced the first order of business was House Bill           
 No. 234, "An Act relating to assistance for abortions under the               
 general relief program; and relating to financial responsibility              
 for the costs of abortions."  He acknowledged the presence of the             
 sponsor, Representative Martin, and advised members that although             
 testimony had been closed previously, Kristen Bomengen had been               
 unavoidably absent and would therefore be testifying.                         
                                                                               
 Number 0079                                                                   
                                                                               
 KRISTEN BOMENGEN, Assistant Attorney General, Human Services                  
 Section, Civil Division (Juneau), Department of Law, came forward             
 to testify, specifying that she is the supervising attorney of the            
 Human Services Section.                                                       
                                                                               
 MS. BOMENGEN noted that Deborah Behr had addressed one                        
 constitutional issue quite adequately at the April 25 hearing; that           
 issue arises because the effect of this bill is to cut off funding            
 for abortions under the general relief medical program by placing             
 abortion services first on the list of procedures (to be                      
 eliminated).                                                                  
                                                                               
 MS. BOMENGEN said in their analysis, that is likely to be found               
 unconstitutional because in states offering higher privacy                    
 protections, state courts have found that when a state elects to              
 offer pregnancy-related services, it needs to do so in a                      
 "constitutionally neutral" manner.  "And under our privacy                    
 protections, in our state, we find it likely that our court would             
 find the same," Ms. Bomengen added.  She described that as the                
 first level of inquiry into the constitutional issues.                        
                                                                               
 MS. BOMENGEN said, however, that if the funding status changed and            
 abortion services were made available - or if this bill were                  
 successfully challenged in court, with a resulting determination              
 that the state had to make those services available - that would              
 trigger other parts of this bill, the issues of recovery of funding           
 and responsibility for repayment to the state, giving rise to                 
 another level of constitutional problems.                                     
                                                                               
 MS. BOMENGEN explained that in this case, the woman would be                  
 required to provide the name of her sexual partner, with the                  
 express intent on the part of the state to inform that sexual                 
 partner that the woman had received an abortion.  Ms. Bomengen said           
 there are many reasons why a woman may not want that individual to            
 know.  And although this law provides for a good-cause exception,             
 that may have to cover a broad range; there may be many                       
 repercussions that would be an invasion of that individual's                  
 privacy, such as simply revealing the fact to family and friends or           
 publicizing it in some way with an intent to humiliate.                       
                                                                               
 MS. BOMENGEN stated, "And so, the U.S. Supreme Court has talked not           
 to this particular issue - I wasn't able to find any other state              
 laws that addressed it in quite this way - but the Supreme Court              
 has spoken to spousal notification issues.  And even in the case of           
 a spousal notification requirement, where arguably a spouse ...               
 would have reasons to have that kind of private information, the              
 court has found that it's unconstitutional to require that a spouse           
 be informed of the procedure.  So, we think it highly unlikely that           
 the court in our state, again, would allow us to make the provision           
 of services contingent upon the requirement that she identify her             
 sexual partner."                                                              
                                                                               
 MS. BOMENGEN acknowledged that this may be somewhat confusing                 
 because the state requires a woman who has a child and is seeking             
 services on behalf of that child to identify a sexual partner, the            
 father of the child.  However, in that case, the state is in the              
 position of supporting that child otherwise and is able to show a             
 compelling interest in identifying a responsible parent to provide            
 that support.                                                                 
                                                                               
 MS. BOMENGEN pointed out that that compelling interest would not be           
 present here in that same way, since the state would only be                  
 seeking to recover the minimal expense of the procedure.                      
 Furthermore, the state already has a provision in place to recover            
 that cost from the woman's permanent fund dividend (PFD).  Ms.                
 Bomengen concluded, "And so, it seems unlikely that this would                
 withstand a constitutional challenge as well, again, on privacy               
 grounds.  And so, there is a reason to distinguish this kind of a             
 requirement, contingency of services that would require the naming            
 of a sexual partner, from the services in other instances where               
 there is a long-term support ... going to a child."                           
                                                                               
 Number 0484                                                                   
                                                                               
 REPRESENTATIVE CON BUNDE indicated he was troubled about the                  
 difference between the state's compelling right in a live birth and           
 in this instance.  He requested clarification about the process and           
 expense of recovering the money from the male involved in an                  
 aborted pregnancy.  He added that obviously, he was concerned about           
 a net gain for the state, not a net loss.                                     
                                                                               
 Number 0583                                                                   
                                                                               
 MS. BOMENGEN replied that she was not exactly certain of the                  
 figures for the costs.  However, in this bill, the state would be             
 required to file an independent action in order to establish that             
 claim before even going after a PFD, for example.  Given the                  
 estimated cost of the procedure itself, it was likely that the time           
 involved in filing and pursuing a complaint would exceed the                  
 recovery to be received directly from the individual.  Even where             
 they could collect attorneys' fees, it was unlikely that they would           
 collect anything to really equal the costs in time and energy.                
 Furthermore, there would be additional costs if the case were                 
 contested in some way so that blood testing or other testing became           
 necessary; those costs could conceivably be recovered.  Ms.                   
 Bomengen emphasized that the costs of pursuing these recoveries               
 would probably exceed the actual recoveries by the state.                     
                                                                               
 Number 0658                                                                   
                                                                               
 REPRESENTATIVE BUNDE mentioned preserving evidence from a legal               
 standpoint, then said it boggles the mind.                                    
                                                                               
 Number 0685                                                                   
                                                                               
 REPRESENTATIVE BRIAN PORTER referred to the constitutional problem            
 relating to the state's provision for privacy.  He asked what Ms.             
 Bomengen's feeling would be on that if the requirement to name the            
 father were to be eliminated.                                                 
                                                                               
 MS. BOMENGEN replied, "That would eliminate that particular element           
 of the constitutional vulnerability of the bill. ... And that comes           
 at the point where we're making services contingent upon the                  
 naming.  So, that would remove that privacy invasion, so to speak."           
 She pointed out that the previous issue of virtually cutting off              
 funding would remain, however.                                                
                                                                               
 REPRESENTATIVE PORTER suggested that it would not be as a violation           
 of the privacy act.                                                           
                                                                               
 MS. BOMENGEN said that previous provision is vulnerable as a                  
 challenge to privacy considerations.                                          
                                                                               
 REPRESENTATIVE PORTER requested clarification.                                
                                                                               
 MS. BOMENGEN explained, "That goes to ... the tests that have been            
 applied in other states that have explicit privacy protections,               
 that when a state elects to provide pregnancy-related services, and           
 out of an acknowledgment that some kind of medical procedure is               
 necessary in any pregnancy-related service, that it must provide              
 those services in a `constitutionally neutral,' manner, so to                 
 speak, so that they would not necessarily impose upon the decision            
 ... of whether that woman could choose, under her constitutionally            
 protected right to choose, whether to terminate that pregnancy."              
                                                                               
 MS. BOMENGEN continued, "And so, it's based on some other state               
 cases in which that has been the finding, again, based on either              
 constitutional privacy protections in those state constitutions or            
 in an analysis that holds individual rights in high regard, which             
 is also something we find in our state constitutional analysis."              
                                                                               
 REPRESENTATIVE PORTER asked:  If it were legal but the state did              
 not have the money to pay for it, did those decisions say that the            
 state would have to provide the money to pay for it?                          
                                                                               
 Number 0844                                                                   
                                                                               
 MS. BOMENGEN replied that in this case, the area in which it is               
 vulnerable and capable of being challenged under the constitution             
 is the matter of separating out abortion services from other                  
 pregnancy-related services, so that abortion services are listed as           
 the first item (for elimination) but other pregnancy-related                  
 services are offered.                                                         
                                                                               
 REPRESENTATIVE BUNDE asked whether for the state to legally be able           
 to not provide abortion services, it would have to not provide any            
 pregnancy-related services.                                                   
                                                                               
 MS. BOMENGEN said that was essentially it.  She explained that if             
 the state was going to provide services in this area to people who            
 don't have funds to provide them for themselves, it was                       
 inappropriate to use the means of separating out one from another             
 in order to affect a constitutionally protected right.                        
                                                                               
 Number 0933                                                                   
                                                                               
 REPRESENTATIVE TERRY MARTIN, sponsor, wrapped up by touching on               
 numerous issues, including the state's attitude on abortion; fiscal           
 restraints; the Governor's saying that senior citizens are being              
 deprived of funds for emergency dental care and children are being            
 deprived of eyeglasses, both lower priorities than elective                   
 abortions; and making the father responsible for abortion costs as            
 well as live births, especially in cases of rape or incest.                   
                                                                               
 REPRESENTATIVE MARTIN continued, saying he found illogical the                
 arguments by the Department of Law, which he believed were red                
 herrings.  He mentioned controversy in some states over disclosure            
 of sexual partners in order to stop venereal disease, and he said             
 in many cases, those individuals were charged for the medical                 
 services.                                                                     
                                                                               
 Number 1074                                                                   
                                                                               
 REPRESENTATIVE MARTIN mentioned the constitutionality of the right            
 to abortions.  He said there are many laws for which the state                
 expends no money.  "It's not that we're not appropriating money for           
 it," he said.  "We're finding another source of financing it.  And            
 yes, we do limit that amount of money that goes to general relief             
 medicine to complement the federal money from Medicaid (indisc.)              
 allow for abortions."  He noted that senior citizens, under new               
 legislation, are asked to give some money for their prescriptions             
 and eyeglasses; they pay partially now for the services of Medicaid           
 and/or general relief medical services.  He restated his belief               
 that the constitutional issue of privacy is a red herring, saying,            
 "in many cases, for our freedoms, we do pay the bill; the                     
 government does not pay for it."                                              
                                                                               
 REPRESENTATIVE MARTIN said he believes only nine states pay for               
 abortions, and he does not know whether that is partly funded by              
 patients or their partners.  He said that a federal law had been              
 copied for the child support enforcement act.  Noting that these              
 abortion procedures are elective, he asked:  Why not let someone              
 else pay for them?                                                            
                                                                               
 REPRESENTATIVE MARTIN concluded, "So, I'd rather test it in court,            
 to see if the legislators are in charge of the funding.  The same             
 way like the prisons.  The court charged us and said we're going to           
 fine you, every year now, for overcrowded prisons.  Okay, fine us.            
 We don't fund it. ... We didn't put it back in the prisons account,           
 where they want the money.  We take it out of DNR and roll it back            
 in and pay it again.  So, we were not paying for what the court               
 demands that we will pay for.  And it's very clear that we, the               
 legislators, have the final authority on appropriations.  And in              
 this case, we're only seeking ... the partner to pay for the                  
 abortion."                                                                    
                                                                               
 REPRESENTATIVE MARTIN referred to a prior hearing's testimony and             
 indicated the most important thing is that this will cause about 80           
 percent of the children to live.  He commented, "Wonderful.                   
 Hallelujah.  Five hundred and ninety lives saved in one bill.                 
 That's what I love."  He said he did not particularly care what the           
 costs were.                                                                   
                                                                               
 REPRESENTATIVE PORTER asked whether public testimony was concluded.           
                                                                               
 CHAIRMAN GREEN indicated that although one person had called in,              
 testimony already had been closed except for Ms. Bomengen, who had            
 had a prior obligation.                                                       
                                                                               
 Number 1357                                                                   
                                                                               
 REPRESENTATIVE BUNDE stated his understanding that currently the              
 state does not require a woman receiving a state-funded abortion to           
 contribute to the expense via her PFD but that this bill would                
 require it.                                                                   
                                                                               
 REPRESENTATIVE MARTIN affirmed that, adding, "Or the partner."                
                                                                               
 Number 1376                                                                   
                                                                               
 REPRESENTATIVE ERIC CROFT asked whether it was Representative                 
 Martin's position that if a court were to find that this bill                 
 violates Alaska women's right to privacy or other constitutional              
 provisions and ordered the legislature to fund these, the                     
 legislature should refuse.                                                    
                                                                               
 REPRESENTATIVE MARTIN responded, "Number one, I believe in                    
 separation of the various three major bodies.  I don't want to say            
 what the court will or will not do.  I can see where the                      
 Administration, on many cases that we have before us, will bring up           
 the court.  Everything we do, almost, you know, has been                      
 unconstitutional, no matter what the bill is.  And so, we as                  
 legislators, in our best judgment, go forth with what we think is             
 proper and that would serve the public purpose.  Later on, if we              
 find it doesn't, ... then we have to adjust it accordingly.  But I            
 don't want to anticipate what the court will do.  I don't want to             
 even let that be a reason for supporting or [being] against the               
 bill."                                                                        
                                                                               
 Number 1438                                                                   
                                                                               
 REPRESENTATIVE NORMAN ROKEBERG announced that he had three                    
 amendments.  He offered Amendment 1, 0-LS0848\B.3, Lauterbach,                
 4/18/97, which read:                                                          
                                                                               
      Page 2, line 7, through page 3, line 10:                                 
           Delete all material and insert:                                     
                "Sec. 47.25.205.  Priority of general relief medical           
      assistance.  If the department finds that the cost of medical            
      assistance for all persons eligible under AS 47.25.120 -                 
      47.25.300 will exceed the amount allocated in the state budget           
      for that assistance for the fiscal year, the department shall            
      eliminate coverage for medical services in the following                 
      order:                                                                   
                     (1)  abortions where the pregnancy did not                
      result from rape or incest and related services and supplies,            
      such as medical supplies and equipment, transportation,                  
      laboratory and x-ray services, physician services, hospital              
      services, and pharmaceuticals, used for an abortion where the            
      pregnancy did not result from rape or incest;                            
                     (2)  treatment of speech, hearing, and language           
      disorders;                                                               
                     (3)[(2)]  optometrists' services and                      
      eyeglasses;                                                              
                     (4)[(3)]  occupational therapy;                           
                     (5)[(4)]  emergency dental services for adults;           
                     (6)[(5)]  prosthetic devices not including                
      dentures;                                                                
                     (7)[(6)]  medical supplies and equipment other            
      than those used to perform an abortion described in (1) of               
      this section;                                                            
                     (8)[(7)]  physical therapy;                               
                     (9)[(8)]  outpatient laboratory and outpatient            
      x-ray services other than those used for an abortion described           
      in (1) of this section;                                                  
                    (10)[(9)]  ambulatory surgical center services             
      other than services to perform an abortion described in (1) of           
      this section;                                                            
                    (11)[(10)]  nonemergency medical transportation            
      other than transportation to obtain an abortion described in             
      (1) of this section;                                                     
                    (12)[(11)]  outpatient physician services other            
      than services to perform an abortion described in (1) of this            
      section;                                                                 
                    (13)[(12)]  outpatient hospital services other             
      than services to perform an abortion described in (1) of this            
      section;                                                                 
                    (14)[(13)]  intermediate care facility services;           
                    (15)[(14)]  skilled nursing facility services;             
                    (16)[(15)]  emergency medical transportation               
      other than transportation for an abortion described in (1) of            
      this section;                                                            
                    (17)[(16)]  pharmaceuticals other than those               
      used in an abortion described in (1) of this section;                    
                    (18)[(17)]  inpatient physician services other             
      than services to perform an abortion described in (1) of this            
      section;                                                                 
                    (19)[(18)]  inpatient hospital services other              
      than services to perform an abortion described in (1) of this            
      section."                                                                
                                                                               
 REPRESENTATIVE ETHAN BERKOWITZ objected for discussion purposes.              
                                                                               
 REPRESENTATIVE ROKEBERG said it provides exceptions for instances             
 of rape and incest, which he believes would be consistent with                
 testimony regarding federal and state laws, as well as being                  
 consistent with the remainder of the bill.                                    
                                                                               
 Number 1513                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked how it would be determined whether             
 the pregnancy resulted from rape or incest if the woman did not               
 choose to disclose how it occurred.                                           
                                                                               
 REPRESENTATIVE ROKEBERG said he would leave that to "the department           
 and the peculiarities of the circumstances."  If there were a rape            
 or incest, he believed that law enforcement officers would be                 
 involved and the evidence needed by the department would be                   
 provided.                                                                     
                                                                               
 Number 1556                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ asked, "In the contingency where the                 
 woman's shame prevents her from disclosing what has happened, what            
 would we be doing here?  Would we be compelling her to relate a               
 story or compelling her to hide the truth?"                                   
                                                                               
 REPRESENTATIVE ROKEBERG suggested it would be a matter of choice.             
                                                                               
 Number 1580                                                                   
                                                                               
 REPRESENTATIVE CROFT noted that this conforms with every related              
 service, including medical transportation and pharmaceutical                  
 services.                                                                     
                                                                               
 CHAIRMAN GREEN said those are in existing law.                                
                                                                               
 REPRESENTATIVE ROKEBERG indicated the amendment was drafted by                
 their legal counsel, upon whom he would rely.                                 
                                                                               
 REPRESENTATIVE CROFT said he understood why it was drafted that               
 way.  However, it troubled him that the woman may have to disclose            
 that this was the result of rape or incest every step of the way,             
 including before being allowed on an ambulance, for example.                  
                                                                               
 CHAIRMAN GREEN suggested if they wanted compensation, there would             
 be disclosure.  Otherwise, there would not be.                                
                                                                               
 REPRESENTATIVE ROKEBERG said his answer was "ditto."                          
                                                                               
 CHAIRMAN GREEN asked whether the objection was maintained.                    
                                                                               
 REPRESENTATIVE BERKOWITZ said yes.                                            
                                                                               
 CHAIRMAN GREEN requested a roll call vote.  Voting for Amendment 1            
 were Representatives Bunde, Rokeberg and Green.  Voting against it            
 were Representatives Porter, Croft and Berkowitz.  Representative             
 James was absent.  Therefore, Amendment 1 failed, 3 to 3.                     
                                                                               
 Number 1730                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG offered Amendment 2, 0-LS0848\B.4,                    
 Lauterbach, 4/26/97, which read:                                              
                                                                               
      Page 1, line 5, following "costs.":                                      
           Insert "(a)"                                                        
                                                                               
      Page 1, following line 7:                                                
           Insert a new subsection to read:                                    
                "(b)  A parent or legal guardian of a minor liable             
      under (a) of this section for the medical costs of an abortion           
      is also liable for the medical costs of the abortion unless              
      the department determines that a statutory or constitutional             
      right of confidentiality would be infringed by a disclosure to           
      the parent or guardian that the abortion had occurred."                  
                                                                               
 REPRESENTATIVE ROKEBERG explained that Amendment 2 provides that              
 the parent or legal guardian can be found liable for the medical              
 costs of an abortion, unless the revelation of the abortion would             
 impinge on the statutory or constitutional right of confidentiality           
 of the patient.  Referring to earlier discussion of confidentiality           
 and privacy, he stated his belief that this is in the spirit of               
 maintaining that confidentiality, particularly as it relates to the           
 department's endeavor to get reimbursement and/or require a payment           
 by the parent or legal guardian for the procedure.                            
                                                                               
 Number 1776                                                                   
                                                                               
 CHAIRMAN GREEN asked whether this would apply to the parents or               
 legal guardians of both the pregnant woman and the male involved.             
                                                                               
 REPRESENTATIVE ROKEBERG at first said it was the parents of the               
 female, then added that it also could be the parents of the father,           
 which is the way it is drafted.                                               
                                                                               
 REPRESENTATIVE BUNDE noted that in legislation previously passed              
 through this committee, the parent of the female would be required            
 to give permission, at certain ages, to have the abortion.  He                
 asked whether the parent of the female, then, by having granted               
 this permission, would not assume greater liability.                          
                                                                               
 CHAIRMAN GREEN suggested that since subsection (a) says both are              
 equally liable, the parents of both would also be liable with this            
 amendment.                                                                    
                                                                               
 Number 1837                                                                   
                                                                               
 REPRESENTATIVE BUNDE stated, "Parents A give permission for a                 
 procedure that costs money.  Parents B had no input in that                   
 decision, and yet we're going to ... assess them both for the cost.           
 And, again, by the time we go through the whole process, ... it'll            
 have cost us more than we would have gained.  But, you see, I have            
 some problem there."                                                          
                                                                               
 CHAIRMAN GREEN replied, "Well, I think the attachment there would             
 be the fact that if ... mother A and father B are both minors, and            
 they have a responsibility but they can't afford it.  So, the                 
 parents of mother now [are] liable for a portion of the cost.  And            
 if it exceeds, because of some complications, then the parents of             
 B, who is also responsible, it seems to me would be, under this               
 amendment, be equally liable for the actions of their children.               
 But they had no decision, I agree, the male side."                            
                                                                               
 Number 1887                                                                   
                                                                               
 REPRESENTATIVE BUNDE noted that previous legislation had said that            
 for a child brought to term, the parents of the child's father had            
 equal financial responsibility, along with the parents of the                 
 child's mother.                                                               
                                                                               
 CHAIRMAN GREEN said he believed there would be parallel                       
 responsibility with this amendment.                                           
                                                                               
 REPRESENTATIVE ROKEBERG commented that he couldn't disagree with              
 anything either Chairman Green or Representative Bunde had said.              
                                                                               
 Number 1912                                                                   
                                                                               
 REPRESENTATIVE CROFT asked whether the parents of the unborn                  
 child's father, who had no right to influence the decision                    
 regarding abortion, were liable under this section for the medical            
 costs.                                                                        
                                                                               
 REPRESENTATIVE ROKEBERG said that is correct.                                 
                                                                               
 CHAIRMAN GREEN agreed.                                                        
                                                                               
 REPRESENTATIVE CROFT noted that it says "of a minor."  He stated              
 his understanding that if it was an older man with a young woman,             
 that man's parents would not be liable.                                       
                                                                               
 Number 1960                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG said he had not thought through that                  
 scenario.  He stated, "But I think the language is tight enough               
 that it would allow that the minor being liable under ...                     
 subsection (a) above, it would be her parents or legal guardian.              
 If there was a person of the age of majority, then they would not             
 be."                                                                          
                                                                               
 CHAIRMAN GREEN agreed that was the way he would read it.  He asked            
 whether that was Representative Rokeberg's intent.                            
                                                                               
 REPRESENTATIVE ROKEBERG responded, "Yeah, I mean, that's fine,                
 because I -- you know, it does lead to a troublesome-type of                  
 analysis in the field, as a practical application.  But, I mean,              
 that would be one way to do the demarcation, as to the majority of            
 the individuals involved."                                                    
                                                                               
 CHAIRMAN GREEN noted that Anne Carpeneti from the Department of Law           
 was present.  He asked what would happen if the father was a minor            
 at the time of consummation but came of age by the time the                   
 abortion occurred.                                                            
                                                                               
 REPRESENTATIVE ROKEBERG suggested that the proximate cause would be           
 ascribed to the time of the occurrence.                                       
                                                                               
 Number 2031                                                                   
                                                                               
 CHAIRMAN GREEN, after Ms. Carpeneti deferred to Ms. Bomengen,                 
 specified that the concerns regarding Amendment 2 were whether (b)            
 would attach a liability to the parents of both the minor father              
 and mother of the aborted child, and what would happen if that                
 father was not a minor or came of age between the conception and              
 the abortion.                                                                 
                                                                               
 MS. BOMENGEN responded, "It appears as though the intent is                   
 certainly to require that the parents of both minors would be                 
 liable, and that appears as though that's what the language is                
 doing here.  I believe we would have some legal questions to argue            
 about when it comes to someone who transitions that, minority to              
 majority.  So, I would imagine there'd be different ways that it              
 could be read, and it would have to be worked out."                           
                                                                               
 CHAIRMAN GREEN asked whether Ms. Bomengen believed for a man who              
 was not a minor at the time of conception, this wording would                 
 exclude his parents.                                                          
                                                                               
 MS. BOMENGEN replied that this clearly says a parent or legal                 
 guardian of a minor.                                                          
                                                                               
 CHAIRMAN GREEN asked whether the objection was maintained.                    
                                                                               
 REPRESENTATIVE CROFT said yes.                                                
                                                                               
 CHAIRMAN GREEN requested a roll call vote.  Voting for Amendment 2            
 were Representatives Rokeberg and Green.  Voting against it were              
 Representatives Bunde, Porter, Croft and Berkowitz.  Representative           
 James was absent.  Therefore, Amendment 2 failed, 4 to 2.                     
                                                                               
 Number 2163                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG offered Amendment 3, 0-LS0848\B.5,                    
 Lauterbach, 4/26/97, which read:                                              
                                                                               
      Page 1, line 7, following "child.":                                      
           Insert "The liability established under this section may            
      not be enforced if enforcement would violate a statutory or              
      constitutional right of confidentiality related to abortion              
      decisions."                                                              
                                                                               
      Page 4, following line 6:                                                
           Insert a new bill section to read:                                  
           "* Sec. 7.  AS 47.25 is amended by adding a new section             
      to read:                                                                 
                Sec. 47.25.267.  Protection of confidentiality.                
      Notwithstanding AS 47.25.150, 47.25.220, and 47.25.240, the              
      department may not implement AS 47.25.150, 47.25.220, or                 
      47.25.240 to the extent that implementation would violate a              
      statutory or constitutional right of confidentiality related             
      to abortion decisions."                                                  
                                                                               
      Renumber the following bill section accordingly.                         
                                                                               
 REPRESENTATIVE ROKEBERG advised members that Amendment 3 again                
 speaks to the issue of confidentiality, especially important in               
 light of the existing consent law and any "moving bill that speaks            
 to consent."  It relates to shielding a young woman from any                  
 revelations to a family member that may be harmful to her well-               
 being.  He asked for unanimous consent.                                       
                                                                               
 Number 2228                                                                   
                                                                               
 REPRESENTATIVE PORTER said he would speak against the amendment and           
 stated, "I guess perhaps to explain the position on all these                 
 amendments, I basically don't think it's appropriate to try to put            
 a dress on a nag and come up with a thoroughbred, because I don't             
 think this bill can ever be put in that position."                            
                                                                               
 REPRESENTATIVE PORTER continued, "But notwithstanding that, this              
 particular provision, while I understand its intent, would just               
 basically make absolutely a requirement that the provisions of the            
 bill would go to court and have to be determined whether they do or           
 do not violate a constitutional right of, in this case, privacy, I            
 presume.  I don't think we should write a statute that demands that           
 there be a supreme court decision before it could go into effect."            
                                                                               
 REPRESENTATIVE CROFT objected on much the same grounds, adding that           
 he did not want to employ more lawyers with this.                             
                                                                               
 Number 2270                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG took exception to the statement that this             
 would necessitate a legal judgment by the state supreme court.  He            
 said it is clear, black-and-white language, adding, "And the                  
 provisions in our constitution and our statutes are such that, I              
 think, that the rights of the individual should be protected, and             
 I think this speaks to that provision."                                       
                                                                               
 REPRESENTATIVE CROFT said it seemed that it would require                     
 litigation, unless they were giving authority to the department to            
 just ignore those portions of this statute that someone in the                
 department feels would violate it.  He stated, "I think both of               
 them are equally unpalatable, one, delegating that sort of judicial           
 determination to the department, the other, requiring that it be              
 litigated.  So, ... I apologize for being flippant on it, but I do            
 think it either requires it or is making a somewhat unusual                   
 delegation to the department."                                                
                                                                               
 Number 2337                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG suggested perhaps the issues of Amendment             
 3 should be separated, because that was not his intention.  He said           
 the objection he was hearing was that the department's judgment               
 would be taken up on the second portion.  He asked Representative             
 Croft for a response.                                                         
                                                                               
 REPRESENTATIVE CROFT stated, "I said that it's objectionable to me            
 either way."  He stated his belief that it would require judicial             
 enforcement; if not, it would require departmental enforcement.  He           
 guessed the former was preferable.  However, he believed that both            
 provisions do the same thing.  He concluded, "I would assume that             
 they mean judicial determination of statutory or constitutional               
 infirmity, not department.  So, I'm not operating under that                  
 assumption, and that's why I do think it will have to be                      
 litigated."                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG said he would still ask for consideration             
 of the amendment, stating that the intention is the paramount issue           
 here as to the constitutional and statutory rights being protected.           
                                                                               
 CHAIRMAN GREEN asked whether Representative Rokeberg was suggesting           
 dividing the question.                                                        
                                                                               
 REPRESENTATIVE ROKEBERG said no.                                              
                                                                               
 CHAIRMAN GREEN requested a roll call vote.  Voting for Amendment 3            
 were Representatives Rokeberg and James.  Voting against it were              
 Representatives Bunde, Porter, Croft, Berkowitz and Green.                    
 Therefore, Amendment 3 failed, 5 to 2.                                        
                                                                               
 REPRESENTATIVE ROKEBERG made a motion to rescind the committee's              
 action on Amendment 1.                                                        
                                                                               
 REPRESENTATIVE PORTER objected.                                               
                                                                               
 REPRESENTATIVE ROKEBERG said he believed Amendment 1 should be                
 reconsidered in light of the fact that the intention was to provide           
 further rights to victims of rape and incest, to ensure that they             
 are able to get an abortion.                                                  
                                                                               
 [Representative Porter's comments cut off by tape change]                     
                                                                               
 TAPE 97-70, SIDE B                                                            
 Number 0006                                                                   
                                                                               
 REPRESENTATIVE CROFT said his objection had been partly to the                
 substance.  He did not believe that inquiry was warranted for the             
 actual abortion service, and he certainly did not believe it was              
 warranted at every stage of the proceeding.  It compounded in his             
 mind a fundamental fallacy, that a woman must disclose and justify            
 it before obtaining this medical procedure.                                   
                                                                               
 CHAIRMAN GREEN asked whether that was an objection or was being               
 offered as a friendly amendment.                                              
                                                                               
 REPRESENTATIVE CROFT said it was an objection.                                
                                                                               
 Number 0046                                                                   
                                                                               
 REPRESENTATIVE JEANNETTE JAMES apologized for having arrived late.            
 She suggested that rather than having to make this disclosure at              
 each stage, a woman would disclose it once to the department and              
 then qualify for those services.                                              
                                                                               
 Number 0081                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ agreed that would be true if the woman               
 chose to make the disclosure.  "But what we're doing here is                  
 requiring her to make a disclosure," he stated.  "And to me, that's           
 invasive of her privacy on that issue, not even getting to the                
 privacy attached to abortion.  It's the issue of whether she has a            
 right to remain silent."                                                      
                                                                               
 Number 0099                                                                   
                                                                               
 REPRESENTATIVE BUNDE stated his understanding that for rape or                
 incest to exist for disclosure purposes under the bill, there must            
 have been a criminal trial and a finding, rather than someone                 
 asking for an abortion and saying a rape occurred.  He asked                  
 whether that was correct.                                                     
                                                                               
 REPRESENTATIVE PORTER replied, "Well, I think the work that's been            
 done throughout the state over the last 15-20 years has led to a              
 realization that there are fewer and fewer females who find                   
 themselves personally afraid of going forward with a prosecution of           
 rape or incest.  There are still those who do.  And this is                   
 precisely, in my mind, what the right to privacy is all about."               
                                                                               
 Number 0157                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG referred to a document from the Department            
 of Health and Social Services, received that day (copy in packets),           
 the last page of which is entitled "Report on Claims of Good Cause            
 for Refusing to Cooperate in Establishing Paternity and Securing              
 Child Support."  It indicates that from 4/1/96 to 9/30/96, there              
 was one instance of conception resulting from incest or forcible              
 rape out of 26 claims (of good cause) during that period.                     
 Representative Rokeberg said the amendment is consistent with the             
 federal requirements, both in terms of the case law and the                   
 regulations, and he did not understand the debate.                            
                                                                               
 Number 0188                                                                   
                                                                               
 REPRESENTATIVE JAMES stated that Representative Bunde's comment               
 made a lot of sense because of the time issue.  She said, "But                
 also, what Representative Rokeberg said, then why in the world do             
 they even have that language in there?  Does that mean that if you            
 went and had an abortion and only could do it under rape and                  
 incest, and then after the abortion is already done, you go to                
 court and you find out whether or not it was okay that you did it?"           
                                                                               
 REPRESENTATIVE JAMES said she believes there is a lot of                      
 inconsistency with "decisions that have been handed down to the               
 court."  She would like to put as much as possible on the table for           
 them to decide.  Otherwise, they would never have those answers.              
                                                                               
 CHAIRMAN GREEN asked how long a trial might take.                             
                                                                               
 REPRESENTATIVE PORTER said 120 days.                                          
                                                                               
 REPRESENTATIVE BERKOWITZ said that would be stretched out because             
 of discovery.  A rape trial itself would take at least one or two             
 weeks.                                                                        
                                                                               
 CHAIRMAN GREEN suggested that might take five or six months.                  
                                                                               
 REPRESENTATIVE PORTER clarified that it is 120 days from the time             
 of arrest or indictment.  For a "stranger rape" involving an                  
 unidentified perpetrator, it could be much longer.                            
                                                                               
 Number 0262                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG said he did not believe there needed to be            
 a fully adjudicated finding in this case; it did not make sense.              
                                                                               
 REPRESENTATIVE BERKOWITZ suggested if there was a false allegation            
 of rape or incest, the abortion would be performed and somebody's             
 name would be besmirched who could not come back and clear it.  All           
 kinds of problems may result from just the call of rape or incest,            
 including determining whether it is true and then proceeding                  
 accordingly.  Noting that this bill had been put forward with the             
 idea of being fiscally responsible, he said, "To invade that                  
 thicket invites all kinds of costs."                                          
                                                                               
 CHAIRMAN GREEN requested a roll call vote.  Voting to rescind the             
 previous action on Amendment 1 were Representatives Rokeberg, James           
 and Green.  Voting against it were Representatives Bunde, Porter,             
 Croft and Berkowitz.  Therefore, the motion failed, 4 to 3.                   
                                                                               
 REPRESENTATIVE ROKEBERG made a motion to rescind the previous                 
 action on Amendment 2.                                                        
                                                                               
 CHAIRMAN GREEN asked whether the reason was that an additional                
 committee member was present.                                                 
                                                                               
 REPRESENTATIVE ROKEBERG said yes.                                             
                                                                               
 CHAIRMAN GREEN asked whether there was discussion and requested a             
 roll call vote, saying he assumed there was an objection.                     
                                                                               
 An unidentified speaker affirmed the objection.  Voting to rescind            
 the previous action on Amendment 2 were Representatives Rokeberg,             
 James and Green.  Voting against it were Representatives Bunde,               
 Porter, Croft and Berkowitz.  Therefore, the motion failed, 4 to 3.           
                                                                               
 CHAIRMAN GREEN announced that the original bill was again before              
 the committee.                                                                
                                                                               
 Number 0359                                                                   
                                                                               
 REPRESENTATIVE PORTER stated that he respected the intent of the              
 sponsor and cosponsors.  Although the discussion on the privacy               
 argument had left him a bit confused, that was not the reason that            
 he would not support this legislation.  And while he also believed            
 that naming the father had merit, the cost and time involved in               
 trying to reach a conclusion to that end, including possible DNA              
 analyses and so forth, caused him some concern for "cruel-and-                
 unusual and also just plain it-doesn't-pencil-out."  Additionally,            
 he understood the intent of the proposed amendments, and had he               
 seen some ability to make the bill function to his principles, he             
 probably would have supported them.                                           
                                                                               
 REPRESENTATIVE PORTER recalled another bill before the committee a            
 few years earlier, which he had believed was appropriate and which            
 would have done the reverse of this, eliminating some regulations.            
 He stated that the "folks that would qualify for this kind of a               
 procedure are precisely the folks that need it, that need to have             
 that availability to avoid what I have seen personally happen when            
 all of this was against the law, back-room abortions.  And I will             
 never vote for a piece of legislation that would return us to that            
 era.  For that reason, I will be voting `no' on this bill."                   
                                                                               
 Number 0456                                                                   
                                                                               
 REPRESENTATIVE JAMES said her only concern in the bill is the issue           
 of the involvement of the man.  She recalled how in high school,              
 there had been pregnant girls, with the "guy just going off on his            
 merry way."  She believes it is unfair for the woman to take the              
 blame for something for which she is only half responsible.  She              
 expressed interest in finding a way to have a level playing field             
 for the man and the woman.                                                    
                                                                               
 REPRESENTATIVE JAMES said she understands the woman's right to                
 privacy; she supposes that if a woman chooses to take the whole               
 responsibility for the pregnancy, that is her choice.  However, the           
 law should provide the option of involving the male from the                  
 beginning.  Representative James said she would go so far as to say           
 it is important for the male to even be involved in the decision of           
 whether to carry the child or abort it, because it is half his.               
                                                                               
 REPRESENTATIVE JAMES expressed reservations about whether the bill            
 should go anywhere, saying that they had not determined all of the            
 intended or unintended consequences and that "it's a little                   
 premature and not correctly written."  However, she wanted to put             
 on record her belief that when a choice is made to enter into the             
 act that causes a pregnancy, both parties should share that                   
 responsibility equally, however that is accomplished.                         
                                                                               
 Number 0567                                                                   
                                                                               
 REPRESENTATIVE BUNDE said he would like to "associate his comments            
 with the previous two speakers."  He said he had serious concerns             
 about the constitutionality of the bill and yet would very much               
 appreciate a vehicle that would require personal responsibility of            
 the male.  He restated a comment from a previous hearing, about a             
 man who bragged of having sired 19 children by 11 different women.            
 Representative Bunde said that although he wanted to have that man            
 be financially responsible, at the least, he did not see that                 
 happening under HB 234.  Referring to previous legislation, he said           
 the practicality of preserving evidence for future DNA tests and              
 having a data bank, for example, was fiscally insurmountable.                 
                                                                               
 REPRESENTATIVE BUNDE said he believed the issue deserved debate and           
 further study, and he would not stand in the way if the committee             
 wished to move the bill for those purposes.  "But I could not vote            
 for this bill in its present form, should it come to the floor," he           
 concluded.                                                                    
                                                                               
 Number 0650                                                                   
                                                                               
 REPRESENTATIVE ROKEBERG stated his belief that the sponsor's                  
 intention was to focus on making people responsible for their                 
 actions.  Notwithstanding whatever position a person takes on                 
 abortion, he believes that the large majority of Alaskans do not              
 agree with subsidizing abortion procedures because of the                     
 sensitivity of the issue.                                                     
                                                                               
 REPRESENTATIVE ROKEBERG referred to testimony about people seeking            
 abortions being transported out of state or to other locales, such            
 as from rural to urban areas.  He suggested there is a gross amount           
 of abuse in this area and that many of these instances may occur              
 just for the personal desires of people to get a trip somewhere.              
                                                                               
 REPRESENTATIVE ROKEBERG indicated he agreed with Representative               
 Porter about the history of this issue.  However, he is disturbed             
 about abuse of the system and respects the sponsor's position.  He            
 himself had offered the amendments to try to "change the color of             
 this old nag, to make it a much better bill and to protect the                
 rights of women in this state, and their right to constitutional              
 privacy."  Those amendments were based on what he thinks the                  
 federal law is.  While he had some philosophical problems with this           
 bill, given his own position on the issue, he thinks there is a               
 legitimate reason to curtail the state payment in some, but not               
 all, instances.  He said without the amendments, it was difficult             
 to support moving the bill and he was in a quandary.                          
                                                                               
 Number 0793                                                                   
                                                                               
 REPRESENTATIVE BERKOWITZ suggested in the next session trying to              
 figure out ways to reduce the incidence of unwanted or untenable              
 pregnancies instead.                                                          
                                                                               
 REPRESENTATIVE ROKEBERG made a motion to move HB 234 from committee           
 with individual recommendations and the accompanying fiscal note.             
                                                                               
 REPRESENTATIVE CROFT objected.                                                
                                                                               
 CHAIRMAN GREEN requested a roll call vote.  Voting to move HB 234             
 from committee were Representatives Bunde, Rokeberg, James and                
 Green.  Voting against it were Representatives Porter, Croft and              
 Berkowitz.  Therefore, HB 234 moved from the House Judiciary                  
 Standing Committee by a vote of 4 to 3.                                       
                                                                               

Document Name Date/Time Subjects