Legislature(2017 - 2018)BUTROVICH 205

03/21/2018 01:30 PM HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Heard & Held
-- Testimony <Invited and Public> --
+ Bills Previously Heard/Scheduled: TELECONFERENCED
Heard & Held
-- Public Testimony --
        HB 151-DHSS;CINA; FOSTER CARE; CHILD PROTECTION                                                                     
1:31:13 PM                                                                                                                    
CHAIR WILSON  announced the  consideration of  HB 151.  [SCS CSHB                                                               
151(FIN) was before the committee.]                                                                                             
1:31:51 PM                                                                                                                    
CHAIR WILSON opened public testimony.                                                                                           
1:32:07 PM                                                                                                                    
JANINE  REEP,  Board  Member,  Facing   Foster  Care  in  Alaska,                                                               
supported HB 151.  She said she is an attorney  who has worked in                                                               
the field  of child protection  for over 30 years.  Currently she                                                               
is  a mediator  in child  protection cases.  She knows  the child                                                               
protection  system very  well. She  knows how  it is  supposed to                                                               
work and she  knows it is not working well.  Things are worse now                                                               
than when she  began 30 years ago. She's been  around long enough                                                               
to see  youth coming back  into the system as  parents themselves                                                               
or more often, incarcerated. The system needs to be fixed.                                                                      
She opined that  the bill might look  like it is full  of lots of                                                               
little things,  but the reality  is that each of  these sections,                                                               
if passed  into law, can  profoundly change a person's  life. For                                                               
example,  filling out  a foster  care application  is a  daunting                                                               
task. Under the  bill, OCS [Office of  Children's Services] would                                                               
be  required to  help  prospective foster  care parents  complete                                                               
application, and there is a deadline  for making a decision on an                                                               
application. She also highlighted  the provision for prudent care                                                               
allowing foster  parents to fill  out permission forms  for field                                                               
trips or participation on a sports  team. It is awkward for youth                                                               
to go a  state agency to have  a pink slip signed so  they can go                                                               
on a band  trip. It can mean  a youth misses out on  a network of                                                               
She said  the crux of the  bill is caseload limits.  She has been                                                               
saying for decades that nothing  will change unless caseloads are                                                               
statutorily capped. Caseworkers cannot  make good decisions for a                                                               
family  when   overloaded  with  cases.  A   relative  search  is                                                               
difficult  to  do.  Families will  not  share  information  about                                                               
relatives  if  they  don't  trust  someone.  Many  times  healthy                                                               
relatives are estranged from the  family. Unless a caseworker has                                                               
an  ongoing relationship  with a  family,  family placements  are                                                               
difficult  to find.  She  noted that  the graph  on  slide 16  of                                                               
Representative  Gara's  presentation  reflects  the  relationship                                                               
between  changes in  caseworkers and  chances of  permanency. She                                                               
said she has  seen that again and again. Progress  cannot be made                                                               
when a social  worker is in place for five  months and then gone.                                                               
The  case lingers  and  children languish  in  the system,  often                                                               
until they're  adults. She urged  the committee to pass  the bill                                                               
because  it  is  an  opportunity  to  make  a  real  change.  She                                                               
concluded  reiterating  that  until there  are  lower  caseloads,                                                               
nothing will work.                                                                                                              
1:37:54 PM                                                                                                                    
SENATOR MICCICHE noted  her 30 years of experience.  He asked why                                                               
none of  these issues are  getting better.  He asked if  there is                                                               
something systemic that is not in the bill.                                                                                     
MS.  REEP said  the turnover  is  insane and  the caseloads  have                                                               
increased.  The  numbers  are   outrageous.  Social  workers  are                                                               
dissatisfied and feel  they are doing a terrible job.  It is high                                                               
responsibility and they  are not going to stay. A  cap on numbers                                                               
will attract more  qualified people. Many social  workers are not                                                               
interested in working  for OCS because of the  horror stories and                                                               
the caseloads.  If they  knew there  was a  limit and  they could                                                               
actually  make  a  difference  in  helping  families,  they'd  be                                                               
MICHAEL  JEFFERY, Representing  Self,  supported HB  151. He  has                                                               
spent  40  years  in  Barrow, first  working  with  Alaska  Legal                                                               
Services and  then as  a superior  court judge  for 32  years. He                                                               
said part of the work of a  superior court judge is Child in Need                                                               
of Aid cases. He  likes many things about HB 151.  One of them is                                                               
training.  He hopes  that would  include  fetal alcohol  spectrum                                                               
disorder  issues. He  said social  workers  want to  do right  by                                                               
these families,  but if they  are swamped with cases,  they can't                                                               
do it.  He realizes that  some funding  issues go with  that, but                                                               
it's important  to have  these standards. He  loves the  parts of                                                               
the bill  about timeliness  in foster  care license  decisions. A                                                               
family is  offering itself.  If the  application is  dropped into                                                               
the void.  That denies the  availability of  that home and  it is                                                               
also  stress  for  the  family.  The  provisions  to  have  youth                                                               
participate in their  own case planning and the  ability of youth                                                               
and families to  do things without checking with  a social worker                                                               
will  reduce trauma  and long-term  damage that  can happen  from                                                               
multiple  placements  and the  feeling  of  being shut  out  from                                                               
making any decisions about their situation.                                                                                     
1:43:05 PM                                                                                                                    
ANDREW   CUTTING,  Program   Fellow,  Alaska   Children's  Trust,                                                               
supported HB  151. He  said his agency  looks at  children across                                                               
the  state and  worries about  kids who  are falling  through the                                                               
cracks.  This is  a way  to move  forward with  those being  left                                                               
behind.  With the  high case  numbers and  maxed out  staff, this                                                               
bill supports front line staff. A  lot of research shows the cost                                                               
of kids revolving through different  families. It increases their                                                               
ACEs [Adverse Childhood Experiences]  scores. The cost across the                                                               
state  associated with  ACEs scores  is  more than  $450,000,000.                                                               
Decreasing  caseworker loads,  providing additional  training and                                                               
support,  decreasing the  number  of kids  who  cross their  desk                                                               
every  day and  putting  kids in  supportive  families using  the                                                               
tools in this bill will reduce costs  in the long term, even if a                                                               
few more staff have to be  added in the front end. The Children's                                                               
Trust is a big, big supporter of this bill.                                                                                     
1:44:55 PM                                                                                                                    
TAMAR  BEN-YOSEF,   Executive  Director,  All   Alaska  Pediatric                                                               
Partnership, supported  HB 151. She  said the mission of  the All                                                               
Alaska  Pediatric  Partnership  is  to  improve  the  health  and                                                               
wellness of all Alaskan children.  They consider OCS caseworkers'                                                               
high  caseloads  and  resulting  inability  to  adequately  serve                                                               
families  a significant  barrier  to  children's optimal  health.                                                               
Nearly 3,000  Alaskan children are  in out-of-home  placement. In                                                               
some  places of  the state,  workers  are managing  more than  30                                                               
caseloads,   which    is   more   than   double    the   national                                                               
recommendations.  About  ten  percent of  children  entering  the                                                               
foster care system  are under the age of six.  The first three to                                                               
four  years of  life are  when the  brain structures  that govern                                                               
personality  traits,   learning  processes   and  self-regulation                                                               
skills  to   deal  with  stress  and   emotion  are  established,                                                               
strengthened, and  made permanent  and the nerve  connections and                                                               
nerve transmitter networks form during these critical years.                                                                    
These   transmitter   networks   are   influenced   by   negative                                                               
environmental  conditions,  such  as  child  abuse  and  neglect,                                                               
violence  within   the  family,   and  exacerbated   by  multiple                                                               
placements.  Most  children  entering  the  foster  care  system,                                                               
especially  those  entering  early  on, have  not  experienced  a                                                               
nurturing, stable  environment. The positive  experiences created                                                               
by  permanency  and  a  solid   relationship  with  a  supportive                                                               
caregiver  are   critical  in  both  the   short-  and  long-term                                                               
development of the  child and their ability  to participate fully                                                               
in society.  The premature  return of a  child to  the biological                                                               
parent  and the  inability of  a caseworker  to provide  families                                                               
with the  attention they  need to  remain stable,  compliant, and                                                               
safe  often  result  in  a  return  to  foster  care  or  ongoing                                                               
emotional trauma to the child.  No less important is that working                                                               
in  such  stressful environments  creates  toxic  stress for  the                                                               
caseworker  and  results  in  high  turnover  rates  and  further                                                               
negative outcomes for children.  Reduced caseloads and additional                                                               
training  will   result  in  a   healthier  and   more  supported                                                               
workforce,  leading to  more permanency  and better  outcomes for                                                               
1:47:50 PM                                                                                                                    
MARK  LACKEY, Member,  R.O.C.K  Mat-Su,  Executive Director,  CCS                                                               
Early Learning,  supported HB 151. He  said he has been  a foster                                                               
parent in  the past. He is  familiar with the issues  that HB 151                                                               
addresses. He adopted  a child and would estimate that  he was in                                                               
care  for  6-8  months  longer   than  needed  because  of  staff                                                               
turnover. Professionally,  CCS Early  Learning has seen  a steady                                                               
increase in the  percentage of their slots  provided for children                                                               
in foster care.  The last school year, 17 percent  of total slots                                                               
were for children in foster care. In 2009, it was six percent.                                                                  
1:50:05 PM                                                                                                                    
SENATOR BEGICH arrived.                                                                                                         
MR.  LACKEY said  they have  seen a  steady increase  in children                                                               
needing  care but  until  very  recently, they  have  not seen  a                                                               
corresponding  increase  in staffing  at  OCS.  Wasilla has  seen                                                               
recent  staffing increases,  which has  drastically helped  their                                                               
caseloads. R.O.C.K. Mat-SU  has been working closely  with OCS on                                                               
multiple issues.  He can  already see changes  in morale  and how                                                               
responsive staff  are and in  the level of  community engagement.                                                               
Getting children in and out of  the system as quickly as possible                                                               
requires sufficient staff.                                                                                                      
1:51:42 PM                                                                                                                    
ROSALIE REIN, Representing  Self, supported HB 151.  She said she                                                               
worked at OCS for seven-and-a-half  years and is now developing a                                                               
social services  program for the  Fairbanks School  District. The                                                               
high  rate   of  front  line   turnover  leaves  OCS   with  less                                                               
experienced   workers  and   growing   caseloads.  The   pressure                                                               
threatens  the  longevity  of   the  remaining  caseworkers.  The                                                               
provision in HB 151 capping  caseloads for new caseworkers during                                                               
the  first six  months is  going to  support workers  through the                                                               
steep learning  curve. Staff  retention is  a positive  effect of                                                               
allowing workers to develop a solid  skill set early in their OCS                                                               
careers.  Research shows  that caseworkers  who have  social work                                                               
education,  appropriate training,  specialized competencies,  and                                                               
greater experience are better able  to facilitate permanency. New                                                               
workers with  a full caseload  and older workers with  a caseload                                                               
more than twice  the national recommendation cannot  keep up with                                                               
adequate support for  foster parents, let alone  the children and                                                               
their families.  Her testimony  is not to  convince them  to make                                                               
sad caseworkers  happy. It  is about  ensuring that  children and                                                               
families  have  access  to  services in  a  timely  manner,  have                                                               
communication  with  their  worker,   and  for  relatives  to  be                                                               
identified so they  can provide care for their  own family. These                                                               
services require adequate staffing.                                                                                             
1:54:07 PM                                                                                                                    
RACHEL  BEDSWORTH, Statewide  Representative, Facing  Foster Care                                                               
in Alaska,  supported HB 151.  She said she  is a student  at the                                                               
University of  Alaska Anchorage and  aged out of the  foster care                                                               
system when  she turned 21 in  October. She was in  care 12 years                                                               
and moved  through 47  placements. She  had nine  social workers.                                                               
There was a  time in eighth grade  when she did not  know who her                                                               
social worker  was. She lived in  a foster home for  three months                                                               
where the  only food was  rice, broccoli, and cheese.  Her social                                                               
workers didn't listen  to her because they didn't  know her. They                                                               
need  more  social  workers,  so they  can  give  the  individual                                                               
attention that a child needs and deserves.                                                                                      
1:55:29 PM                                                                                                                    
SARAH  REDMON, Administrative  Director,  Facing  Foster Care  in                                                               
Alaska, supported HB  151. She said she was in  foster care three                                                               
different  times  over  seven  years. She  was  in  16  different                                                               
placements in  those seven years. She  is one of 12  siblings who                                                               
went into foster care at the  same time. During her placement she                                                               
had no contact  with her siblings. She was like  a mother for her                                                               
eight younger siblings.  She made sure they went  to school, went                                                               
to  bed, and  were  fed. Not  knowing where  they  were gave  her                                                               
social anxiety and  stress. If she had been able  to have contact                                                               
with  them, that  would have  provided some  relief. Making  sure                                                               
siblings have contact is her big focus.                                                                                         
1:58:20 PM                                                                                                                    
NATALIA EDWARDS, Member, Facing  Foster Care in Alaska, supported                                                               
HB 151. She said she has  been in foster care since February 2012                                                               
with  11  placements  and  somewhere  between  6  and  15  social                                                               
workers.  She  was  separated from  four  sisters,  which  caused                                                               
constant anxiety. She  will face repercussions for  that the rest                                                               
of her  life. In the past  two years she  has been in and  out of                                                               
homelessness and  has had  little to no  contact with  her social                                                               
workers. She was homeless because  so many social workers changed                                                               
with no notice;  it was hard to track down  who would have helped                                                               
with friends  who could  have become licensed.  It was  only when                                                               
Amanda Metivier [founder of Facing  Foster Care in Alaska] became                                                               
her foster  mother that  they tracked down  her social  worker to                                                               
figure what  needed to  be done  so she could  be in  a continual                                                               
safe home  with a  steady foster  parent. If HB  151 had  been in                                                               
effect in the  past, it would have helped  with the repercussions                                                               
with her siblings. She would have  had more attention in the past                                                               
six years.                                                                                                                      
2:00:30 PM                                                                                                                    
ALISON  KULAS, Executive  Director, Alaska  Mental Health  Board,                                                               
Advisory Board  on Alcoholism and  Drug Abuse, supported  HB 151.                                                               
She  said the  joint mission  of her  boards is  to advocate  for                                                               
programs  and   services  for   people  with   behavioral  health                                                               
disorders, their families, care  providers, and communities. They                                                               
look comprehensively  to build healthy and  safe environments for                                                               
Alaskans  to reach  their individual  potential. HB  151 supports                                                               
the safety and well-being of  Alaska's children in state custody.                                                               
This bill addresses  the concern that OCS  workers are overworked                                                               
and their  ability to serve  families adequately  is compromised.                                                               
Representative  Gara's bill  will  help mitigate  the trauma  and                                                               
long-term damage  of children who experience  multiple placements                                                               
or who languish in foster  care. Instability and neglect cause an                                                               
increased  likelihood  of  mental  health  challenges,  substance                                                               
abuse,  homelessness,   incarceration,  public   assistance,  and                                                               
unemployment. Decreasing caseloads can  help to intervene in this                                                               
expensive and damaging  cycle. Her boards want to  make sure that                                                               
OCS  workers  are  fully  trained  and  equipped  to  handle  the                                                               
challenges of  working with families  on their caseloads  so that                                                               
families really  get the  attention they  need to  remain stable,                                                               
compliant,  and safe.  They need  to stabilize  the workforce  to                                                               
better serve the needs of  families involved in the state's child                                                               
welfare system.                                                                                                                 
2:03:01 PM                                                                                                                    
CHAIR WILSON closed public testimony on HB 151.                                                                                 
CHAIR  WILSON asked  what  the  ratio is  of  OCS supervisors  to                                                               
2:03:27 PM                                                                                                                    
CHRISTY   LAWTON,  Director,   Office  of   Children's  Services,                                                               
Department of Health and Social  Services (DHSS), testified on HB                                                               
151.  She  said   generally  in  the  larger   offices,  such  as                                                               
Anchorage, Mat-Su,  and Fairbanks, supervisors have  six to eight                                                               
employees  per   unit.  The  Child  Welfare   League  of  America                                                               
recommends five per supervisor.                                                                                                 
SENATOR  VON IMHOF  observed that  the tribal  compact agreements                                                               
are just getting off the ground,  and asked what impact that will                                                               
have in taking the burden off employees by lowering caseloads.                                                                  
MS. LAWTON said in the very  long run, it will help with caseload                                                               
size, but in  the short-term, there will be lessening  of some of                                                               
the caseload.  There are pieces  of case management they  will be                                                               
slowly taking  on. Initially the  focus is helping  with relative                                                               
searches  and family  contact visitation  and doing  safety walks                                                               
through homes in  communities where they do not  have staff. They                                                               
are being  strategic about what  they are taking on  and starting                                                               
to build their  infrastructure and capacity. It will  be a number                                                               
of years before they are taking over large numbers of cases.                                                                    
CHAIR WILSON asked the sponsor if he had any closing remarks.                                                                   
2:05:37 PM                                                                                                                    
REPRESENTATIVE LES GARA, Alaska  State Legislature, sponsor of HB                                                               
151, said  there has been talk  about how much this  is evidence-                                                               
based--less  turnover, fewer  placement changes,  less trauma  to                                                               
children,  higher success  rates of  children, fewer  children on                                                               
public assistance, more children  in the workforce, more children                                                               
graduating high school, going to  college. What he wants to leave                                                               
the committee with is the notion  that we are closer than ever to                                                               
fixing the system, but the first  step is to have all the members                                                               
on  the team  with a  good manager  and good  systems. Drawing  a                                                               
parallel to a baseball team, he  said you need a good manager and                                                               
nine  players on  the field.  Without that,  you'll always  lose.                                                               
"We're  closer  than ever  to  fixing  many,  many, many  of  the                                                               
problems at OCS." In terms of  cost, the transfer of adult public                                                               
assistance money  to OCS last  year made  it possible to  hire 31                                                               
additional staff.  That is within  striking distance  of reaching                                                               
caseload limits that  will work, that will  reduce turnover rates                                                               
like they did in New Jersey.                                                                                                    
REPRESENTATIVE GARA said  he wanted to be clear  about the fiscal                                                               
note because  there are different  ways of writing  fiscal notes.                                                               
Early  fiscal notes  were  $4,  $5, and  $7  million. The  really                                                               
expensive things were  removed from the current  fiscal note, but                                                               
it does assume that the 31  new case workers remain. The cost for                                                               
that  is $1.4  million. The  fiscal  note last  year provided  75                                                               
percent  of the  funding for  those  workers. He  noted that  the                                                               
tradition in this  building often has been to fund  75 percent of                                                               
the  cost the  first  year and  100 percent  the  next year.  The                                                               
fiscal  note is  written as  a comparison  to what  is needed  in                                                               
addition to the 31  staff that were hired last year.  It is not a                                                               
comparison to  what was in  the budget  last year. The  funds for                                                               
those  31 workers  is  in  the governor's  budget  and the  House                                                               
budget. He  hopes they remain  in the Senate budget.   With that,                                                               
you are  within $1.4 million of  reach of actually making  a huge                                                               
difference  with   mentors  and   the  supervisors  to   get  the                                                               
supervisory  caseloads  to  what  Director Lawton  and  the  case                                                               
workers talked about  to reduce the work and  reduce the turnover                                                               
and reduce  the waste  of money  that we have  in the  system for                                                               
paying  for  empty positions.  The  empty  positions I've  talked                                                               
about  are hiring  somebody who  leaves within  a year  when they                                                               
have finally learned their job. That's not a wise use of money."                                                                
2:09:19 PM                                                                                                                    
CHAIR WILSON said he would hold  HB 151 awaiting the answers from                                                               
DHSS to some outstanding questions.                                                                                             

Document Name Date/Time Subjects
HB 215 CSHB215(FIN) Ver O.PDF SHSS 3/21/2018 1:30:00 PM
HB 215
HB215 Sponsor Statement ver O 2.20.18.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
HB215 Sectional Analysis ver O 2.20.18.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
HB 215 Explanation of changes Ver D to Ver O.PDF SHSS 3/21/2018 1:30:00 PM
HB 215
HB 215 FN 1_26_18.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
HB 215 DHSS Slide Presentation 2-20-2018.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
HB 215 Additional Documents-Public Health Briefing Paper 2.20.2018.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
HB 215 Letters of Support.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
CSHB 215 Comm on Aging Support.pdf SHSS 3/21/2018 1:30:00 PM
HB 215
HB151 Support Mark Lackey.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
Conference Committee Action 6-21 on OCS funding increase.pdf SHSS 3/21/2018 1:30:00 PM
HB 151 Alaska Caseloads FY 17 and 18.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Additional letters of support (Trust, AMHB, ARC, Access Alaska, FFCA).pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Applying the Science of Child Development in Child Welfare Systems excerpt.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Article - High caseloads hinder face-to-face visits with foster kids.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Article - Iowa's social workers see growing foster care loads.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 article High Caseloads Hinder Face-to-Face Visists with Foster Kids.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Article High Turnover, Caseloads in Louisiana Foster Care System.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Article Indiana Foster Care System is in Crisis.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 article Opioid Crisis Strains Indiana Foster Care System.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Caseload and Workload Management.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Facts about Child Abuse in Alaska.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Family Reunification, What the Evidence Shows.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 FN Dept Admin Ofc Public Advocacy.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 FN DHSS Children's Services Training.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 FN DHSS Front Line Social Workers.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Foster Care PowerPoint for SEN HSS.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 How Heroin is Hitting the Foster Care System.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 National Child Welfare Workforce Institute Brief on the Importance of Manageable Caseloads.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 New Jersey DCF Work Force Report excerpt.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 New Jersey's Child Welfare Outcomes Report 2017.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Reunification, Bringing Your Child Home from Foster Care.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Sectional analysis version L.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Sponsor Statement Senate HSS.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 1. OCS Office by Office Caseloads.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 2. High Caseloads How Do They Impact Health and Human Services 3.1.17.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 3. Children Waiting to be Adopted 2014.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 10. Relevant Statistics.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 14. Letters of Support.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 15. Casey Family Programs Testimony.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Syummary of New Jersey Settlement Agreement.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 version L.PDF SHSS 3/21/2018 1:30:00 PM
HB 151
HB151 Support Mark Lackey.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
LetterOfSupport-R.O.C.K.MatSu-HB151.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
MSHF Letter of Support HB151.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
Screened Out Reports 30-LS0451 L.2 to HB 151.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151 Reunification, Bringing Your Child Home from Foster Care.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB 151Letter of Support_kristina andrew.pdf SHSS 3/21/2018 1:30:00 PM
HB 151
HB151 LOS All Alaska Pediatric Partnership.pdf SHSS 3/21/2018 1:30:00 PM
HB 151