Legislature(2007 - 2008)BUTROVICH 205

03/19/2007 01:30 PM Senate HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SCR 4 PUBLIC HEALTH AND HEALTH COMPACT TELECONFERENCED
Moved CSSCR 4(HES) Out of Committee
*+ SB 38 SALVIA DIVINORUM AS CONTROLLED SUBSTANCE TELECONFERENCED
Moved SB 38 Out of Committee
*+ SB 100 SUBSTANCE ABUSE/MENTAL HEALTH PROGRAMS TELECONFERENCED
Moved SB 100 Out of Committee
            SCR  4-PUBLIC HEALTH AND HEALTH COMPACT                                                                         
                                                                                                                                
1:35:39 PM                                                                                                                    
CHAIR BETTYE DAVIS announced SCR 4 to be up for consideration.                                                                  
                                                                                                                                
RICHARD BENAVIDES, aide to Senator  Davis, sponsor of SCR 4, said                                                               
that  the resolution  is a  compact  examining the  multi-layered                                                               
health crisis in  Alaska. Medical costs rise  while the physician                                                               
population shrinks;  while the legislature  will work  to improve                                                               
this, individual Alaskans must also  try to minimize their impact                                                               
on the  health care system.  The compact will  encourage Alaskans                                                               
to make  healthy choices  and share  their experiences  and ideas                                                               
with one another.                                                                                                               
                                                                                                                                
REPRESENTATIVE CISSNA,  sponsor of HCR  1, companion bill  to SCR
4,  said that  the resolution  deals with  the problem  of health                                                               
care, and  the choices that  Alaskans make for their  own health.                                                               
She  explained how  health  habits are  important  to a  person's                                                               
well-being,  and the  legislature must  help Alaskans  change the                                                               
way  they  care  for  their  health.  With  this  resolution  the                                                               
governor  can make  an  invitation to  the  population to  inform                                                               
itself on  its health  and share information  and stories;  SCR 4                                                               
will start a statewide conversation on healthy living.                                                                          
                                                                                                                                
LIZ CLEMENT, aide  to Representative Cissna, said  that the House                                                               
Finance subcommittee  recently passed  out recommendations  for a                                                               
$2 billion  dollar health  budget for the  next fiscal  year; the                                                               
resolution  won't cost  a cent,  but provides  a new  approach to                                                               
health education.                                                                                                               
                                                                                                                                
REPRESENTATIVE CISSNA said  that SCR 4 asks  the state department                                                               
to look for  a different way of communicating with  the people of                                                               
Alaska.                                                                                                                         
                                                                                                                                
CHAIR  DAVIS commented  that she  and  Representative Cissna  had                                                               
discussed  the SCR  with the  governor,  and that  all three  had                                                               
talked   about  options   for  early   intervention  and   public                                                               
involvement.                                                                                                                    
                                                                                                                                
1:42:45 PM                                                                                                                    
                                                                                                                                
KARLEEN JACKSON,  Commissioner for  the Department of  Health and                                                               
Social Services (DHSS),  said that many people  have been working                                                               
on ways to get Alaskans to act together on health care.                                                                         
                                                                                                                                
1:43:58 PM                                                                                                                    
                                                                                                                                
DIANA  KASTO,  manager  of   Prevention  and  Early  Intervention                                                               
Services  with the  Division of  Behavioral Health  (DBH) in  the                                                               
Department of Health and Social  Services (DHSS), said that she's                                                               
worked with  Representative Cissna  over the  years, and  the DBH                                                               
wants   to  see   people  promoting   healthy  communities;   the                                                               
resolution speaks to this. In order  for the state to be healthy,                                                               
individuals must  be healthy as  well. As  a state we  must begin                                                               
focusing  on  health  issues, physically  and  behaviorally.  The                                                               
department looks forward to working to promote this.                                                                            
                                                                                                                                
1:46:24 PM                                                                                                                    
                                                                                                                                
SENATOR COWDERY moved to adopt  the proposed committee substitute                                                               
to  CSR  4,  labeled  25-LS0627/K,  Version  K,  as  the  working                                                               
document of the committee.   There being no objection, the motion                                                               
carried.                                                                                                                        
                                                                                                                                
1:46:51 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON said that the  committee substitute changes the way                                                               
of communication proposed in the  original, and asked if there is                                                               
a central  way for getting the  message of the SCR  to the people                                                               
of Alaska.                                                                                                                      
                                                                                                                                
1:48:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE CISSNA said that  the language was changed because                                                               
of concerns about  the interpretation of the language.   The core                                                               
of the initiative  is that it's voluntary; it's  an invitation to                                                               
change the  way people think.  People shouldn't expect  more than                                                               
the  resolution actually  contains, and  the wrong  wording would                                                               
change the aim of the SCR.                                                                                                      
                                                                                                                                
1:51:11 PM                                                                                                                    
                                                                                                                                
SENATOR  ELTON said  that the  core of  the compact  seems to  be                                                               
ballooning, and that it may  be difficult to share opinions about                                                               
the resolution with the changed wording.                                                                                        
                                                                                                                                
MS. JACKSON  said that the real  goal of the SCR  is dinner-table                                                               
conversations  and person-to-person  change; what  the resolution                                                               
addresses is  supporting existing efforts rather  than creating a                                                               
new program.                                                                                                                    
                                                                                                                                
SENATOR ELTON  said that he doesn't  mean to suggest the  goal is                                                               
faulty; if  a compact  is created  to encourage  healthy choices,                                                               
there should simply be follow-up.                                                                                               
                                                                                                                                
MS. JACKSON concurred.                                                                                                          
                                                                                                                                
1:54:33 PM                                                                                                                    
                                                                                                                                
SENATOR DYSON  said that he  agreed with Senator Elton,  and that                                                               
somehow a tracking method should be  created as well as an outlet                                                               
for  people's success  stories  and comments.  He  added that  he                                                               
hopes that  this will be  done even if  it's not included  in the                                                               
language of the SCR.                                                                                                            
                                                                                                                                
CHAIR DAVIS  said that  the issue is  important, and  perhaps the                                                               
committee   could  add   text  to   the   SCR  encouraging   such                                                               
developments.                                                                                                                   
                                                                                                                                
SENATOR  ELTON said  that in  the CS  there is  a component  that                                                               
points  to  the  sharing  of experiences.    He  emphasized  that                                                               
community  involvement is  important  for  personal success,  and                                                               
that maybe the existing language should be improved.                                                                            
                                                                                                                                
He then moved to adopt a conceptual amendment to SCR 4.                                                                         
                                                                                                                                
SENATOR DYSON suggested talking to  other people about the change                                                               
in languages before amending the resolution.                                                                                    
                                                                                                                                
CHAIR   DAVIS  suggested   deciding  to   accept  the   amendment                                                               
immediately.                                                                                                                    
                                                                                                                                
SENATOR DYSON said  that perhaps the authors of SCR  4 would have                                                               
the best suggestions.                                                                                                           
                                                                                                                                
REPRESENTATIVE  CISSNA  said  that   the  language  won't  be  as                                                               
important as the intention.                                                                                                     
                                                                                                                                
There being no objection, the motion carried.                                                                                   
                                                                                                                                
2:00:39 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON  moved to report  CSSCR 4(HES) from  committee with                                                               
individual recommendations  and accompanying fiscal  notes. There                                                               
being no objection, the motion carried.                                                                                         

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