Legislature(1999 - 2000)

02/02/2000 01:35 PM Senate HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
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            SB 204-EXTEND ALASKA COMMISSION ON AGING                                                                            
                                                                                                                                
MS. JANE DEMMERT, Executive Director of the Older Alaskans                                                                      
Commission (OAC), said the OAC is very involved in bringing                                                                     
together the interests of many organizations that represent seniors                                                             
across the State. The State demographer recently projected a                                                                    
population of 80,000 elderly people within the next 15-18 years in                                                              
Alaska.                                                                                                                         
                                                                                                                                
Over 180 communities in Alaska are affected by the funding given to                                                             
local non-profit organizations by OAC that provide direct services                                                              
to older Alaskans.  OAC programs are available to all people age 60                                                             
and over, with the exception of the Senior Employment Program which                                                             
is available to people aged 55 and older.  OAC administers four                                                                 
grant programs.                                                                                                                 
                                                                                                                                
OAC will be working with organizations to provide community support                                                             
in whatever area is necessary.  The only increase in funding that                                                               
OAC has received over the past few years is through the Alaska                                                                  
Mental Health Trust Authority (AMHTA).  State agencies have                                                                     
coordinated services to meet the needs of both seniors and people                                                               
of all ages who are disabled, transportation being a prime example.                                                             
                                                                                                                                
OAC works in partnership with the AMHTA and AHFC to meet the                                                                    
transportation and housing needs of seniors and disabled people.                                                                
Anything legislators can do to help AHFC maintain its capacity to                                                               
meet seniors' needs in a consistent manner is very important to                                                                 
prevent a crisis 15 years from now.                                                                                             
                                                                                                                                
MS. DEMMERT commented that the Long Term Care Task Force has been                                                               
very instrumental in moving forward much needed legislation, and it                                                             
has also provided an opportunity for agencies to come together and                                                              
see how many issues are integrated.  She thanked task force members                                                             
for their efforts and noted that people were most appreciative at                                                               
the Common Ground Conference.                                                                                                   
                                                                                                                                
MS. DEMMERT said she provided an update to the committee on the                                                                 
work the OAC has done since last session in regard to the long-term                                                             
care ombudsman position.   The OAC has restructured its by-laws and                                                             
its committees to accommodate the steps necessary to enable the                                                                 
ombudsman function to be robustly supported within the OAC.  The                                                                
OAC is about to begin recruitment for a new long term care                                                                      
ombudsman.  Ms. Demmert thanked the Legislature for all the support                                                             
it has given to the OAC.                                                                                                        
                                                                                                                                
Number 2316                                                                                                                     
                                                                                                                                
SENATOR WILKEN noted that one recommendation in the Legislative                                                                 
Budget and Audit (LBA) report is to separate the long term care                                                                 
ombudsman position from the Department of Administration.  He asked                                                             
if that is being done.                                                                                                          
                                                                                                                                
MS. DEMMERT said that as the OAC went through this process, it                                                                  
drew material from four entities that fit the criteria: the Alaska                                                              
Legal Services and the Disability Law Center, and the State                                                                     
ombudsman's office and the AMTHA.  The OAC concluded that the long                                                              
term care ombudsman position should be retained within a State                                                                  
agency.  The OAC felt that having the ombudsman function in a legal                                                             
setting would not be as conducive to the progress that needs to be                                                              
made, and that placing it within government would have more impact                                                              
than placing it in a non-profit setting.                                                                                        
                                                                                                                                
The OAC had extensive discussions with the state ombudsman and the                                                              
AMHTA.  The state ombudsman did a review of options and concluded                                                               
that key points of divergence between the state ombudsman and long                                                              
term care ombudsman offices would make those offices incompatible                                                               
and that combining the two would not be beneficial to either                                                                    
function.  The AMHTA remains interested, but it is premature for                                                                
them to make a decision.  AMHTA is promulgating regulations to                                                                  
create a redress mechanism for beneficiaries of the trust.  AMHTA                                                               
has acknowledged that the work of the trust and the work of the                                                                 
long term care ombudsman are quite compatible so it is open to                                                                  
discussion about a future relationship.  Two representatives of the                                                             
AMHTA have agreed to be on the search committee for the long term                                                               
care ombudsman.  A new OAC standing committee will have oversight                                                               
of that position and the committee will report to the full OAC.                                                                 
                                                                                                                                
SENATOR WILKEN asked if the committee will establish the "arms-                                                                 
length" relationship that LBA thought was missing.                                                                              
                                                                                                                                
MS. DEMMERT replied that is correct.                                                                                            
                                                                                                                                
SENATOR WILKEN asked about the other LBA recommendations.                                                                       
                                                                                                                                
MS. DEMMERT said some of the accounting recommendations were                                                                    
addressed when OAC made new grant awards.  The new awards provide                                                               
for some of the notification that had been omitted in the past.                                                                 
Second, OAC sped up its process of notifying grantees of the                                                                    
proportion or amount of grantee funds that are federal so that they                                                             
will be notified on a timely basis if they come under federal audit                                                             
requirements.  A third recommendation regarding a cost allocation                                                               
plan issue is in the process of being finalized by OAC.                                                                         
                                                                                                                                
Number 2245                                                                                                                     
                                                                                                                                
SENATOR WILKEN noted the LBA recommended that the OAC be extended                                                               
to 2004.  He also noted the committee is awaiting a fiscal note.                                                                
MS. DEMMERT affirmed that the fiscal note was delivered.                                                                        
                                                                                                                                
SENATOR ELTON thanked Ms. Demmert for her discussion about the long                                                             
term care ombudsman, and pointed out that one can make an argument                                                              
that the long term care ombudsman is an advocate as well as an                                                                  
ombudsman so it differs from the state ombudsman.                                                                               
                                                                                                                                
SENATOR WILKEN asked whether anyone is opposed to the extension of                                                              
the OAC.                                                                                                                        
                                                                                                                                
MS. DEMMERT said she is not aware of any opposition.                                                                            
                                                                                                                                
MARIE DARLIN, representing the Capital City Task Force of AARP,                                                                 
made the following comments.  AARP supports the extension of the                                                                
OAC because it is vital to the concerns of AARP members.  AARP will                                                             
be watching long term care issues this year, particularly the                                                                   
assisted living home issue.                                                                                                     
                                                                                                                                
There being no further testimony on SB 204, SENATOR WILKEN                                                                      
announced it will be held until the next meeting.                                                                               

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