Legislature(2001 - 2002)

05/05/2001 09:14 AM Senate FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
                                                                                                                                
     SENATE CS FOR CS FOR HOUSE BILL NO. 65(HES)                                                                                
     "An Act relating to a new optional group of persons eligible                                                               
     for medical assistance who require treatment for breast or                                                                 
      cervical cancer; and providing for an effective date."                                                                    
                                                                                                                                
                                                                                                                                
This  was the first  hearing  for this  bill in  the Senate  Finance                                                            
Committee.                                                                                                                      
                                                                                                                                
Senator Green moved to  adopt SCS CS HB 65 (HES) as a working draft.                                                            
                                                                                                                                
Without objection it was ADOPTED.                                                                                               
                                                                                                                                
Senator  Green spoke  to the  Senate  Health, Education  and  Social                                                            
Services committee  substitute, noting  the bill had been  discussed                                                            
extensively  in that committee. She  informed that this legislation                                                             
is an extension to the Medicaid program.                                                                                        
                                                                                                                                
Senator Green  pointed out  changes made to  the original bill,  the                                                            
first being  a limitation that no  more than $175,800 general  funds                                                            
could be spent  in FY 02 on services  for eligible persons  who have                                                            
been diagnosed  with breast  or cervical cancer.  She added  that no                                                            
more than $189,500  general funds could be spent for  these services                                                            
in FY 03. She  noted these amounts were requested  by the Department                                                            
of Health and Social Services.                                                                                                  
                                                                                                                                
Senator  Green told  of  the second  change  made in  the  committee                                                            
substitute regarding  reporting requirements from  the Department of                                                            
Health and  Social Services  to the legislature  indicating  whether                                                            
environmental,  behavioral or genetic  factors were associated  with                                                            
the onset  of these illnesses.  She indicated  press releases  state                                                            
that these cancers are  "epidemics" in Alaska. She remarked that the                                                            
intent  of   this  provision  is   to  inform  the  public   of  any                                                            
correlations  and tell  of actions  that could be  taken to  prevent                                                            
these illnesses.                                                                                                                
                                                                                                                                
Senator  Green spoke  to questions  regarding  the  amount of  money                                                            
allowed for  each patient. She shared  there has been a discrepancy                                                             
between the amount  allotted per person and the actual  expenses for                                                            
treatment services.  She stated the committee substitute  stipulates                                                            
the Department  of Health and Social  Services provides a  breakdown                                                            
of how much money was spent on each patient.                                                                                    
                                                                                                                                
Co-Chair Kelly  asked if qualification  for Medicaid remains  at 250                                                            
percent of the poverty level.                                                                                                   
                                                                                                                                
Senator Green affirmed.                                                                                                         
                                                                                                                                
AT EASE 1:25 PM / 1:25 PM                                                                                                       
                                                                                                                                
Senator Leman responded  to press reports published in the Anchorage                                                            
Daily News  regarding the hearings  held on this bill in  the Senate                                                            
Health, Education  and Social Services Committee.  He shared that an                                                            
article  quotes Commissioner  Karen  Perdue,  of the  Department  of                                                            
Health and Social Services,  as saying "…There's no way in hell that                                                            
government should be snooping in private matters of women."                                                                     
                                                                                                                                
                                                                                                                                
SFC 01 # 97, Side B 01:25 PM                                                                                                    
                                                                                                                                
                                                                                                                                
Senator  Leman acknowledged  that the  newspaper  did not quote  him                                                            
properly on this matter  and that it was therefore possible that the                                                            
commissioner  was misquoted  as well. He  asserted however  that, if                                                            
accurate, this  is an inappropriate statement for  a commissioner to                                                            
make. He said this is especially  true because this information must                                                            
be collected under the federal Medicaid requirements.                                                                           
                                                                                                                                
Senator  Leman relayed  that  in the  Senate Health,  Education  and                                                            
Social Services Committee,  he asserted, "We're not looking to snoop                                                            
in the  lives of women,  but we  want to know,  if Alaska women  are                                                            
getting breast and cervical  cancer at higher rates then the rest of                                                            
the country;  we want to  know why and if  there are things  that we                                                            
can do to change the environment,  change what's happening in Alaska                                                            
to reduce those chances, then we ought to identify them."                                                                       
                                                                                                                                
Senator  Leman assured  the  study  would not  be conducted  by  the                                                            
legislature  but  rather by  the  Department  of Health  and  Social                                                            
Services  would   release  information   generated  by  the   Nation                                                            
Institute of Cancer and other organizations in the field.                                                                       
                                                                                                                                
Senator Leman commented  that the action taken in the Senate Health,                                                            
Education  and Social Services  Committee was  intended to  be "very                                                            
positive,   constructive;   helping   women  in   Alaska"  but   was                                                            
interpreted  by some and being misrepresented  "as something  else."                                                            
                                                                                                                                
Senator Leman stated that,  while he is not an expert on medicine or                                                            
cancer, he does  "care about women in Alaska" and  the fight against                                                            
cancer. He shared  that he has lost family members  to cancer and to                                                            
breast  cancer, which  has had a  "profound effect"  on him  and his                                                            
family. Therefore,  he asserted that when "others  misrepresent what                                                            
we're trying to do, it hurts."                                                                                                  
                                                                                                                                
Senator Leman reiterated  that this legislation is "a positive step"                                                            
and surmised that Alaskans should benefit from it.                                                                              
                                                                                                                                
Senator  Green offered  a motion  to move  SCS CS HB  65 (HES)  from                                                            
Committee   with  accompanying   $598,200   fiscal  note  from   the                                                            
Department of Health and Social Services.                                                                                       
                                                                                                                                
The bill MOVED from Committee without objection.                                                                                
                                                                                                                                
AT EASE 1:28 PM / 1:30 PM                                                                                                       
                                                                                                                                
RECESS TO THE CALL OF THE CHAIR 1:30 PM / 9:07 PM                                                                               
                                                                                                                                

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