Legislature(2007 - 2008)BELTZ 211

02/11/2008 01:30 PM Senate JUDICIARY


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 211 AGGRAVATING FACTOR: HOMELESSNESS TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= SB 226 VEXATIOUS LITIGANTS TELECONFERENCED
Moved SB 226 Out of Committee
+= SB 247 MISSING PERSONS TELECONFERENCED
Moved CSSB 247(JUD) Out of Committee
+ Other Bills Previously Heard/Scheduled TELECONFERENCED
                     SB 247-MISSING PERSONS                                                                                 
                                                                                                                              
CHAIR  FRENCH announced  the consideration  of SB  247 and  noted                                                               
version E committee substitute (CS) had been distributed.                                                                       
                                                                                                                                
SENATOR HUGGINS  moved to adopt  version E,  labeled 25-LS1157\E,                                                               
as the working document.                                                                                                        
                                                                                                                                
2:16:58 PM                                                                                                                    
CHAIR  FRENCH  announced that  without  objection,  version E  is                                                               
before  the committee.  He asked  Mr. Peterson  to highlight  the                                                               
changes in the CS.                                                                                                              
                                                                                                                                
2:17:14 PM                                                                                                                    
DARWIN  PETERSON, staff  to Senator  Stedman, said  he agreed  to                                                               
carry the  bill for Senator  Green, the bill sponsor,  because he                                                               
was on  her staff  when the  bill was  drafted. He  explained the                                                               
changes in the CS.                                                                                                              
                                                                                                                                
Page  1,  lines  7-9,  contains   new  language  regarding  civil                                                               
immunity.  It's also  applied  in  Sec.2 at  the  request of  the                                                               
Department  of  Law  (DOL).  Law  enforcement  is  provided  some                                                               
immunity  if  it's  not  possible  to  gather  all  the  required                                                               
information when a missing person report is filed.                                                                              
                                                                                                                                
Page 2, lines 14-16, subsection  (c) says, "In accepting a report                                                               
of a  missing person,  the law  enforcement agency  shall request                                                               
from the  person making the  report, and make  reasonable efforts                                                               
to gather to the extent  it is available, information including".                                                               
The new language  addresses DOL's concern that  the phrase "shall                                                               
gather"  didn't give  the law  enforcement agency  much latitude.                                                               
Also,  it addresses  Senator  McGuire's  concern regarding  HIPPA                                                               
violations. Page  58 of the "HIPPA  Administrative Simplification                                                               
Regulation  Text"  says  that  "a  covered  entity  may  disclose                                                               
protected  health information  to  the extent  that  such use  or                                                               
disclosure is  required by law." AS  18.65.630 deals specifically                                                               
with the issue of medical and  dental records being released in a                                                               
missing person report.  It says that when a report  is filed, the                                                               
law  enforcement  agency "shall  provide"  release  forms to  the                                                               
person filing  the report. The  family, next of kin,  or guardian                                                               
"may"  fill out  the form  and deliver  it to  the physician  and                                                               
dentist.  It  that's  done, the  physician  and  dentist  "shall"                                                               
provide  the  information to  the  law  enforcement agency.  That                                                               
covers any problems with HIPPA, he said.                                                                                        
                                                                                                                                
2:20:55 PM                                                                                                                    
MR.  PETERSON explained  that  the  change on  page  2, line  29,                                                               
reflects  Senator   Therriault's  suggestion  that   credit  card                                                               
numbers  and bank  card  numbers  can be  helpful  in tracking  a                                                               
missing person's whereabouts.                                                                                                   
                                                                                                                                
Page  3,  lines 5-8,  paragraph  (17)  reflects a  suggestion  by                                                               
Senator  Therriault that  it  would be  helpful  to collect  more                                                               
information  related to  date of  last contact.  Responding to  a                                                               
request for  further explanation,  he said the  original language                                                               
asked for  date of last contact.  He asked the drafter  to expand                                                               
the  language  so  that all  the  circumstances  surrounding  the                                                               
disappearance are recorded including  "where the person was, whom                                                               
the person  might have been with,  when the person was  last seen                                                               
or heard  from - time  and date - [and]  reasons why they  may be                                                               
missing."                                                                                                                       
                                                                                                                                
2:22:08 PM                                                                                                                    
SENATOR THERRIAULT asked if the  date of last contact was removed                                                               
and paragraph (17) was beefed up.                                                                                               
                                                                                                                                
MR. PETERSON said yes.                                                                                                          
                                                                                                                                
Page 5, lines  1-6, subsection (f) addresses  the concern Senator                                                               
Huggins expressed about  collecting DNA from family  members of a                                                               
missing person. The  sponsor agrees and so the  new language says                                                               
DNA samples taken from a  family member are provided voluntarily.                                                               
Nothing  in the  section requires  a  family member  who has  not                                                               
committed  a crime  to provide  a DNA  sample. It  also clarifies                                                               
that DNA samples are to be destroyed when a case is closed.                                                                     
                                                                                                                                
Page 6, line  29, reflects a suggestion by  Senator Therriault to                                                               
require law  enforcement agencies to establish  written protocols                                                               
for handling  missing person cases  rather than  encouraging them                                                               
to do so.                                                                                                                       
                                                                                                                                
MR. PETERSON said that is the extent of the changes in the CS.                                                                  
                                                                                                                                
2:23:52 PM                                                                                                                    
MARY WEIR said  that she brought the issue  forward because there                                                               
were no  protocols for collecting  and handling  information when                                                               
her  daughter  went  missing  for  19 months.  It  was  all  very                                                               
confusing. As  it turned out  her daughter was in  California the                                                               
entire  time,   but  the  information  was   mishandled  and  the                                                               
identification was  never made.  Her experience is  not uncommon.                                                               
The last time she checked  there were 109,000 missing persons and                                                               
6,700  unidentified  [remains]  and  the  Department  of  Justice                                                               
estimates that  those figures  are low. SB  247 will  make Alaska                                                               
part  of  the solution  since  the  biggest reason  that  matches                                                               
aren't made is that protocols are lacking.                                                                                      
                                                                                                                                
CHAIR FRENCH  said he understands  that the Department  of Public                                                               
Safety has concern with some of wording in the bill.                                                                            
                                                                                                                                
2:26:31 PM                                                                                                                    
RODNEY  DIAL, Lieutenant,  Alaska  State  Trooper, Department  of                                                               
Public Safety,  stated support for  the goal of  the legislation,                                                               
but concern  with some of  the directives. "We would  prefer that                                                               
the bill would  change some of the 'shalls' to  'mays' so that we                                                               
can maintain officer  discretion in those cases  and allocate the                                                               
resources as we currently do."                                                                                                  
                                                                                                                                
CHAIR FRENCH asked him to be more specific.                                                                                     
                                                                                                                                
LIEUTENANT DIAL  explained that he's  referring to  collection of                                                               
DNA in cases where the person  has been missing more than 30 days                                                               
and in high risk cases. "We  have a significant percentage of our                                                               
missing persons cases  that go past 30 days."  Specifically he is                                                               
talking about  the language on page  4, lines 18-20, and  page 4,                                                               
line 21.                                                                                                                        
                                                                                                                                
CHAIR FRENCH  asked if  he believes that  the new  language "make                                                               
reasonable efforts" is insufficient.                                                                                            
                                                                                                                                
LIEUTENANT  DIAL   explained  that  in  cases   involving  repeat                                                               
runaways and  search and  rescue cases  where it's  unlikely that                                                               
the victim  will be rescued,  it's not always an  appropriate use                                                               
of resources  to travel  to different  communities to  obtain DNA                                                               
samples  of  family  members.  "We're   asking  to  maintain  the                                                               
discretion we currently have so we can allocate resources."                                                                     
                                                                                                                                
CHAIR FRENCH asked if a DNA sample is collected by a Q-tip swab.                                                                
                                                                                                                                
LIEUTENANT  DIAL said  yes; the  inside  of a  person's mouth  is                                                               
swabbed  for mitochondrial  DNA. That's  the "gold  standard" for                                                               
missing person  cases since  it can be  used for  comparison with                                                               
remains that  are highly degraded.  "We actually do  collect that                                                               
in many missing persons cases currently."                                                                                       
                                                                                                                                
CHAIR FRENCH  clarified that  the bill  doesn't place  demands on                                                               
the crime lab  to put the samples  at the front of  the queue. It                                                               
requires law enforcement agencies to  make a reasonable effort to                                                               
get  a DNA  swab from  immediate family  members and  the missing                                                               
person.                                                                                                                         
                                                                                                                                
LIEUTENANT DIAL reminded  the committee that the  state crime lab                                                               
doesn't  have the  ability  to test  mitochondrial  DNA so  those                                                               
samples are sent  out of state either to the  University of Texas                                                               
or the FBI  national crime lab. Those samples are  entered into a                                                               
national DNA database for missing persons.                                                                                      
                                                                                                                                
2:31:10 PM                                                                                                                    
CHAIR FRENCH asked if he said  that the DNA swabs for these cases                                                               
could not be tested in Alaska.                                                                                                  
                                                                                                                                
LIEUTENANT  DIAL said  that's correct.  The state  crime lab  can                                                               
only test for nuclear DNA, not mitochondrial DNA.                                                                               
                                                                                                                                
2:31:38 PM                                                                                                                    
CHAIR  FRENCH  noted  a proposed  amendment  from  the  sponsor's                                                               
office. He identified it as Amendment 1 by Senator French.                                                                      
                                                                                                                                
CHAIR  FRENCH  moved  Amendment 1  and  objected  for  discussion                                                               
purposes.                                                                                                                       
                                                                                                                                
                          AMENDMENT 1                                                                                         
                                                                                                                                
     OFFERED IN THE SENATE              BY SENATOR FRENCH                                                                       
          TO: CSSB 247(JUD)                                                                                                     
                                                                                                                                
               Page 2, line 1, following "18.60.175":                                                                           
                    Insert "and 18.65.630"                                                                                      
                                                                                                                                
               Page 2, line 16, following "is available"                                                                        
                    Insert "and permissible to disclose"                                                                        
                                                                                                                                
At ease from 2:32:35 PM to 2:32:53 PM.                                                                                      
                                                                                                                                
2:33:05 PM                                                                                                                    
MR. PETERSON  explained that the  amendment is at the  request of                                                               
the department.  It adds  reference to AS  18.65.63 in  the civil                                                               
immunity section on page 2, line 1.                                                                                             
                                                                                                                                
CHAIR FRENCH added  that the title of that  particular statute is                                                               
"Medical and Dental Records of Missing Persons."                                                                                
                                                                                                                                
MR. PETERSON  said the added language  on page 2, line  16, is an                                                               
effort to avoid HIPPA violations.                                                                                               
                                                                                                                                
CHAIR FRENCH  added that  this makes it  clear that  HIPPA trumps                                                               
Alaska statue.                                                                                                                  
                                                                                                                                
MR. PETERSON agreed.                                                                                                            
                                                                                                                                
CHAIR  FRENCH ascertained  there  were no  further questions  and                                                               
withdrew his objection  to Amendment 1. Finding  no objection, he                                                               
announced that Amendment 1 is adopted.                                                                                          
                                                                                                                                
2:35:59 PM                                                                                                                    
JOAN   WILSON,  Assistant   Attorney  General,   Civil  Division,                                                               
Department of Law, relayed that part  of her job is to advise the                                                               
Department of Health and Social  Services about HIPPA compliance.                                                               
Much of  that job is  completing the state preemption  analysis -                                                               
comparing  how the  HIPPA privacy  standards compare  with Alaska                                                               
laws, figuring out  ways for them to work  together, and pointing                                                               
it out when they don't.                                                                                                         
                                                                                                                                
MS. WILSON  clarified that AS 18.65.630  mandates disclosures and                                                               
HIPPA says that  where state or other law  requires a disclosure,                                                               
a  healthcare provider  doesn't violate  HIPPA by  complying with                                                               
the  other  law.  This  section  provides  authority  for  family                                                               
members who don't  qualify as usual next of kin  to sign a health                                                               
information release. Subsection (b)  provides law enforcement the                                                               
ability  to   do  that   when  it's   not  possible   get  family                                                               
authorization.   She  cautioned   that  when   AS  18.65.630   is                                                               
interpreted   with  HIPPA,   providers  should   know  that   the                                                               
authorization form  must also have  all the mandatory  terms that                                                               
HIPPA provides.  That will remove  any difficulty  providers have                                                               
in figuring out  whether this is a  mandatory disclosure required                                                               
by state  law or a  permissive disclosure under  an authorization                                                               
form. "I'm not really offering  any suggestions for changes to 18                                                               
65.630, but  just that there  be some kind of  legislative record                                                               
that an  authorization form provided under  these sections should                                                               
still comply  with the mandatory authorization  requirements of a                                                               
HIPPA compliant authorization form."                                                                                            
                                                                                                                                
CHAIR FRENCH  asked if she  had any  further remarks to  offer on                                                               
the bill.                                                                                                                       
                                                                                                                                
2:38:11 PM                                                                                                                    
MS. WILSON  pointed out  that the  bill has  two ways  of getting                                                               
information. First,  law enforcement  is able to  get information                                                               
from a family member and they  are not subject to HIPPA. But when                                                               
law  enforcement  makes further  reasonable  efforts,  it may  be                                                               
requesting information  directly from  health care  providers who                                                               
are subject  to privacy standards.  "It's only then  that HIPPA's                                                               
going to create any kind of  wall that someone will need to climb                                                               
over." HIPPA  does recognize public  policy needs  for protective                                                               
health information  and as  such it  has separate  exceptions for                                                               
disclosures  to law  enforcement for  purposes of  missing person                                                               
investigations. But  the section does  not permit release  of DNA                                                               
or dental  records. "Everything under  HIPPA is  disjunctive." If                                                               
you fall  under one exception you  don't have to worry  about the                                                               
other barriers so the law  enforcement barrier for DNA and dental                                                               
records  wouldn't be  applicable in  these cases  because of  the                                                               
"required  by  law"  exception and  the  "authorized  disclosure"                                                               
exception.                                                                                                                      
                                                                                                                                
CHAIR FRENCH  closed public testimony  and announced that  the CS                                                               
is before  committee for discussion.  Although he  wasn't present                                                               
for first  hearing, he  has reviewed the  minutes and  there have                                                               
been some  good explanations. Definitions  have been  added since                                                               
the committee first  heard the bill and it will  be heard next in                                                               
the Finance  Committee. Finding no further  committee discussion,                                                               
he asked for the will of the committee.                                                                                         
                                                                                                                                
2:40:24 PM                                                                                                                    
SENATOR  HUGGINS  moved to  report  CSSB  247, as  amended,  from                                                               
committee  with individual  recommendations  and attached  fiscal                                                               
note(s).                                                                                                                        
                                                                                                                                
CHAIR FRENCH  announced that without objection,  CSSB 247(JUD) is                                                               
moved from committee.                                                                                                           
                                                                                                                                
At ease from 2:40:43 PM to 2:41:51 PM`                                                                                      
                                                                                                                                

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