Legislature(2007 - 2008)BELTZ 211

01/29/2008 01:30 PM Senate LABOR & COMMERCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 183 REPEAL DEFINED CONTRIB RETIREMENT PLANS TELECONFERENCED
Heard & Held
*+ SB 196 PRESCRIPTION DATABASE TELECONFERENCED
Heard & Held
Bills Previously Heard/Scheduled
         SB 183-REPEAL DEFINED CONTRIB RETIREMENT PLANS                                                                     
                                                                                                                              
CHAIR JOHNNY ELLIS announced SB 183 to be up for consideration.                                                                 
                                                                                                                                
SENATOR KIM  ELTON, sponsor  of SB 183,  explained that  the bill                                                               
before  them  provides  statutory  authority to  hire  new  state                                                               
employees  into existing  retirement tiers  - Tier  III for  PERS                                                               
folks and  Tier II  for the  TRS folks.  The rationale  is three-                                                               
fold. He  stated that Tier  III and  Tier II give  employees much                                                               
more benefits  for essentially the  same cost as the  new defined                                                               
contribution (DC) tier.                                                                                                         
                                                                                                                                
He  said the  numbers provided  by consultants  show a  very tiny                                                               
increase in  PERS costs  and a  decrease in TRS  by going  to the                                                               
Tier III  and Tier  II plans.  They already  know that  401K type                                                               
plans earn on  an average of 1 percent less  than managed pension                                                               
plans and this  change will make it easier to  hire and keep good                                                               
public servants.  He explained  that the  better benefit  for the                                                               
same  cost accrues  largely  because the  previous  PERS and  TRS                                                               
tiers  incorporate forfeiture.  However,  under  the new  defined                                                               
contribution plan  over a  short period of  time, if  an employee                                                               
leaves, they take  not only their contribution  to the retirement                                                               
system,  but a  portion and  up to  100 percent  of the  employer                                                               
contributions as  well. So, the  employer dollars  disappear from                                                               
the  system and  don't  keep  working for  the  benefit of  those                                                               
employees who stay with the state and retire from it.                                                                           
                                                                                                                                
1:42:16 PM                                                                                                                    
SENATOR ELTON said  another not much discussed  advantage to Tier                                                               
III for PERS and  Tier II TRS is that both have  a cost of living                                                               
adjustment (COLA) for retirees who  stay in the state. He pointed                                                               
out that the  retirement economy in the State of  Alaska is about                                                               
$1.5 billion annually. A lot of  the retirees remain in the state                                                               
because of the  COLA. The defined contribution  tier doesn't have                                                               
a  COLA, he  suspected a  lot of  those retirement  dollars would                                                               
start going out  of the state as retirees leave  because there is                                                               
no financial hit to their retirement checks if they do leave.                                                                   
                                                                                                                                
1:43:45 PM                                                                                                                    
SENATOR ELTON  said they have  heard repeated testimony  that the                                                               
health  retirement account  in the  defined contribution  plan is                                                               
going  to expire  before many  of  the retirees  expire. He  also                                                               
explained that new  state employees don't have the  safety net of                                                               
social  security that  defined contribution  folks have  in other                                                               
private jurisdictions. So  there is nothing between  them and the                                                               
ground.                                                                                                                         
                                                                                                                                
1:44:49 PM                                                                                                                    
SENATOR ELTON  stated that a  good safe pension is  important for                                                               
recruitment and retention  of good state employees  and the state                                                               
is having  that challenge  right now. If  the state  keeps public                                                               
servants for only  three or four years, they get  good on the job                                                               
and then  realize they can go  to another jurisdiction and  get a                                                               
safe retirement package  - and in many cases they  can get better                                                               
pay  too. On  top of  that they  might also  have the  unintended                                                               
incentive of getting  a lump sum payment that  is pretty generous                                                               
when  they leave,  because they  are not  only getting  the money                                                               
they put  into the retirement  system back, they are  getting the                                                               
money the  employer put in  as well.  So a teacher,  for example,                                                               
might decide  after five  years that  he or  she could  make more                                                               
money  teaching some  place else  where their  retirement benefit                                                               
would  be better  and he  could leave  the state  of Alaska  with                                                               
enough  money to  make  a  down payment  on  a  nice home.  "That                                                               
really,  really  does  make  retention difficult.  And  it  is  a                                                               
problem  that we're  seeing even  now  even though  we're only  a                                                               
short way into the defined contribution plan."                                                                                  
                                                                                                                                
He said  this bill  does not change  some important  good changes                                                               
that  were made  recently to  the retirement  system; it  doesn't                                                               
change the new mandate for a  second actuary that checks the work                                                               
of  the first  actuary. It  does not  change the  requirement for                                                               
mandatory experience studies. It does  not change the recent move                                                               
that takes some elected officials  who make less than $24,000 out                                                               
of the  retirement systems. It  doesn't change the new  ARM board                                                               
structure  or the  2010 deadline  to buy  back a  defined benefit                                                               
time.                                                                                                                           
                                                                                                                                
1:48:47 PM                                                                                                                    
SENATOR STEVENS commented under  the current defined contribution                                                               
plan, if the  employee leaves the state's employment  and goes to                                                               
another  state they  can take  their employer  contribution along                                                               
with  their contribution,  but asked  if they  can still  do that                                                               
under his proposal.                                                                                                             
                                                                                                                                
SENATOR  ELTON   replied  no;   the  defined   contribution  plan                                                               
introduced a  new concept to  the state's retirement  system that                                                               
stair-stepped to  allow an  employee to keep  100 percent  of the                                                               
state's contribution  if he stays  for five years; for  less than                                                               
five years it's  a percentage of that. This bill  takes them back                                                               
to an  already existing Tier  III for PERS  and Tier II  for TRS.                                                               
One of  the reasons  the cost  is a wash  is because  under those                                                               
tiers unvested  employees are  not entitled to  any of  the money                                                               
the  employer has  put into  their retirement  system. Therefore,                                                               
those  dollars  sit  in  the  accounts  and  continue  to  accrue                                                               
benefits, but those benefits are distributed to those who stay.                                                                 
                                                                                                                                
1:49:54 PM                                                                                                                    
SENATOR BUNDE asked how much the  current deficit is for Tier III                                                               
PERS and Tier II TRS.                                                                                                           
                                                                                                                                
SENATOR ELTON  answered north  of $8 billion;  he added  that the                                                               
defined contribution  bill that was  adopted is doing  nothing to                                                               
reduce that  debt. And frankly,  he said,  going back to  Tier II                                                               
and Tier III  probably won't either. He explained  the system has                                                               
charge-backs  to  try  and reduce  the  unfunded  liability,  but                                                               
moving from defined contribution back  to the defined benefit has                                                               
no effect on how quickly it may disappear.                                                                                      
                                                                                                                                
1:50:44 PM                                                                                                                    
VINCE  BALTRAMI, President,  AFL-CIO, supported  SB 183.  He said                                                               
the  AFL-CIO represents  about 60,000  members  statewide and  is                                                               
growing  in  number.  US Department  of  Labor  (DOL)  statistics                                                               
confirmed a  net gain in  membership in  2007 of 6,000  new union                                                               
members in the state. He said  that roughly half of the AFL-CIO's                                                               
membership is  public employees in  the PERS/TRS system.  He said                                                               
he was not here  to rehash whether it was right  or wrong to have                                                               
passed SB 141, but to determine  the best course of action moving                                                               
forward for the  both in terms of cost to  the state and benefits                                                               
to its employees.                                                                                                               
                                                                                                                                
Some think  it is too  early to say  if switching to  the defined                                                               
contribution  system is  working,  but it's  true  that those  DC                                                               
employees "must  spend a lot  of time to become  expert investors                                                               
and  make all  the  right  decisions for  any  chances at  having                                                               
enough  money  to live  on  in  their retirement."  Self-directed                                                               
investment choices  have historically not  worked out as  well as                                                               
long-term  sophisticated  investment strategies  of  professional                                                               
actuaries and consultants  who work every day to  manage risk and                                                               
limit exposure.  States that have  chosen a  defined contribution                                                               
system are having trouble with them and have switched back.                                                                     
                                                                                                                                
The State  of West  Virginia, for instance,  found that  after 15                                                               
years  of  having a  defined  contribution  system that  it  cost                                                               
significantly  more than  a defined  benefit would  have and  has                                                               
since returned  to the defined  benefit system. In this  model 22                                                               
percent of  the employees had  under $73,000 in their  account at                                                               
retirement; 76  percent had  about $21,000  and on  average those                                                               
accounts had under $34,000 - and this  is for them to live off of                                                               
for  the rest  of their  lives. He  said if  you take  the higher                                                               
amount of  $73,000 and figure 10  years that is $7,300  a year or                                                               
about $10,000 less than the federal poverty level.                                                                              
                                                                                                                                
MR.  BALTRAMI said  coupled with  the  obstacles associated  with                                                               
qualifying  for  health care  in  the  new  system, there  is  no                                                               
question  these issues  must be  redressed and  he urged  them to                                                               
pass SB 183.                                                                                                                    
                                                                                                                                
SENATOR BUNDE asked if his new members were all state employees.                                                                
                                                                                                                                
MR. BALTRAMI answered no; he didn't know what the break out was.                                                                
                                                                                                                                
1:55:39 PM                                                                                                                    
ROB   COX,  President,   Public  Safety   Employees  Association,                                                               
supported SB  183. He said  people are not interested  in serving                                                               
as  police officers  these days.  They have  voluminous procedure                                                               
manuals,  possible  criminal  charges, job  security  threats  on                                                               
unfounded accusations and a court  system that doesn't take their                                                               
word without audio and video backup.                                                                                            
                                                                                                                                
It takes a  great toll when society doesn't support  them and the                                                               
Department  of  Public  Safety (DPS)  struggles  to  hire  enough                                                               
troopers.   Restoring  benefits   will  make   these  jobs   more                                                               
competitive and  the public will  be safer when public  safety is                                                               
at full strength.  He agreed that the  defined contribution plans                                                               
might actually encourage officers to shorten their service.                                                                     
                                                                                                                                
2:00:08 PM                                                                                                                    
MR. COX  said that portability  also takes away the  officers who                                                               
were trained here  - taking additional dollars out  of the state.                                                               
This  means that  Alaska will  have  to invest  more in  training                                                               
dollars than necessary to offset the loss.                                                                                      
                                                                                                                                
2:01:02 PM                                                                                                                    
JEFF   BRIGGS,   International   Association   of   Firefighters,                                                               
supported  SB 183.  He  said  he is  a  senior  captain with  the                                                               
Anchorage  Fire  Department  with  15 years  of  experience.  His                                                               
family came here in the 30s and  he has two children. He is proud                                                               
of what he does for a living and  his 13-year old son is proud of                                                               
him, too; but he has to  steer him to a different profession, one                                                               
that has a more secure retirement.                                                                                              
                                                                                                                                
Every  time he  responds to  an emergency,  he has  to weigh  the                                                               
risks versus the benefits and determine  if he is willing to risk                                                               
his life or that of the  young firefighter behind him. He said he                                                               
can't imagine raising a family and  retiring on 40 percent of his                                                               
wage and  he knows for a  fact the Anchorage fire  department has                                                               
trouble    recruiting,   training    and   retaining    paramedic                                                               
firefighters  and it's  expected to  get worse.  It is  projected                                                               
that people will begin job hunting  in their fourth year and take                                                               
their small  nest egg  with them after  they get  their five-year                                                               
vesting. The department  will become a training  ground for other                                                               
departments across the nation.                                                                                                  
                                                                                                                                
Currently Alaska  is the only  state in the nation  that mandates                                                               
its  firefighters  be  on  a  defined  contribution  system.  The                                                               
Anchorage Fire  Academy currently has  32 new recruits;  they are                                                               
not happy with the current system.                                                                                              
                                                                                                                                
MR. BRIGGS said he believes the  DC system is great for employees                                                               
who are  not making a  career out of  their current jobs;  but he                                                               
did not  think it was  an appropriate plan for  career employees.                                                               
It has  been proved over and  over how employees are  not able to                                                               
save enough  to survive if  saving is  left to them;  most aren't                                                               
even able to afford health insurance  more than a couple of years                                                               
after they retire.                                                                                                              
                                                                                                                                
2:06:04 PM                                                                                                                    
LYDIA GARCIA, Executive  Director, National Education Association                                                               
Alaska (NEA), supported SB 183.  She said, "We believe the damage                                                               
of a defined contribution plan  on Alaska's public employees will                                                               
be  staggering the  longer the  DC plan  remains in  effect." She                                                               
said that NEA  represents employees in both the PERS  and the TRS                                                               
system.                                                                                                                         
                                                                                                                                
She  explained  that  the Teacher  Retirement  System  (TRS)  was                                                               
created in 1955. It was a  needed tool then to recruit and retain                                                               
teachers in  Alaska. Over 50  years later  the need to  recruit a                                                               
quality teacher to every classroom in Alaska has not diminished.                                                                
                                                                                                                                
MS. GARCIA said  the Alaska university system  produces about 200                                                               
teachers per year, but it must  hire about 900 teachers per year.                                                               
They constantly  recruit from Lower  48. With passage of  SB 141,                                                               
Alaska  is viewed  as having  the  worst retirement  plan in  the                                                               
nation;  it  used  to  be  third.  "While  the  salary  slide  is                                                               
damaging, the  effects of becoming  the only state in  the nation                                                               
with no social  security for teachers and  a defined contribution                                                               
plan  is unimaginable."  There is  absolutely no  safety net  for                                                               
teachers  who  spend a  career  in  Alaska's classroom.  This  is                                                               
further  exacerbated  by  the  federal  pension  offset  windfall                                                               
elimination provision, another issue.                                                                                           
                                                                                                                                
She added  that retirees spent  $1.5 billion in Alaska  last year                                                               
and  about two-thirds  of public  retirees remain  in Alaska  and                                                               
contribute those  dollars to  the Alaska  economy. One  need only                                                               
look  to West  Virginia  to  see the  ill  effects  of a  defined                                                               
contribution plan  from 1991  - 2005. When  they finally  made it                                                               
back to  a defined  benefit plan they  found out  two frightening                                                               
truths.  The DC  plan  did not  save money  and  retirees had  an                                                               
average of  only $33,000 in  their accounts  after as much  as 14                                                               
years.                                                                                                                          
                                                                                                                                
She  said the  NEA  met  recently for  its  52nd annual  delegate                                                               
assembly  in Anchorage  and  they were  unanimous  in making  the                                                               
return to a defined benefit pension system a top priority.                                                                      
                                                                                                                                
2:10:48 PM                                                                                                                    
KEVIN BROOKS, Deputy  Commissioner, Department of Administration,                                                               
said  the DC  plan has  been  in effect  for only  19 months  and                                                               
during that time  the state has continued to bring  in about 4700                                                               
new employees  in 2007  and another  3100 in  2008. He  said they                                                               
need to continue watching this issue.                                                                                           
                                                                                                                                
MR. BROOKS mentioned  the biggest thing they can't  lose sight of                                                               
is  the  unfunded  liability  of $8.6  billion  for  the  pension                                                               
system.   He  reported   that   the   administration  is   taking                                                               
significant steps to pay it off in 25 years.                                                                                    
                                                                                                                                
2:13:58 PM                                                                                                                    
He explained  the good  thing about  the DC plan  is that  it was                                                               
fully funded from day one;  and the unfunded liability is totally                                                               
attributable  to the  DB  side  of the  equation.  When the  bill                                                               
passed  establishing the  DC  tier,  the administration  surveyed                                                               
public employers  and one of  the dominant things they  heard was                                                               
that they  needed budget certainty. PERS  contribution rates were                                                               
projected to go to 40 percent  for employers and the TRS rates to                                                               
60 percent and attempting to  pay those rates devastated budgets.                                                               
Those payments have now been capped  at 22 percent with the state                                                               
picking  up  the additional  amount.  Stability  was the  primary                                                               
motivator behind the DC plan and it has accomplished that.                                                                      
                                                                                                                                
He summarized that the retirement  system needs to be sustainable                                                               
and not  all DC plans  are the same.  Attempts were made  to make                                                               
the plan as  attractive as it could be. He  also pointed out that                                                               
the  state has  an  SBS  plan that  offsets  the  lack of  social                                                               
security.                                                                                                                       
                                                                                                                                
2:16:42 PM                                                                                                                    
SENATOR  BUNDE  asked  if  the  state  had  picked  up  7800  new                                                               
employees since defined contribution went into effect.                                                                          
                                                                                                                                
MR. BROOKS  replied those numbers  are new employees  enrolled in                                                               
the DC plan; they are still  bringing back old DB members as well                                                               
for a total of 12,200.                                                                                                          
                                                                                                                                
SENATOR  BUNDE asked  how many  left  and took  their money  with                                                               
them.                                                                                                                           
                                                                                                                                
MR.  BROOKS  answered that  he  would  get  that figure  for  the                                                               
committee.                                                                                                                      
                                                                                                                                
CHAIR   ELLIS  said   the  portability   was  used   to  convince                                                               
legislators it  was a good thing  and that young people  would be                                                               
attracted to  it; and it  drove him  crazy. He wanted  to attract                                                               
quality  folks and  have them  make a  career here.  The DC  plan                                                               
might serve  the individual  interest, but  it doesn't  serve the                                                               
state to  train people and have  them move away. He  asked if the                                                               
administration feels the same way  about the newly trained people                                                               
leaving.                                                                                                                        
                                                                                                                                
MR.  BROOKS replied  that it  has  been trying  to determine  the                                                               
number.  He  said  that  portability  is  a  two-way  street.  It                                                               
provides someone  coming in from  another jurisdiction to  put an                                                               
existing  401K into  our system  and use  the state's  investment                                                               
services.                                                                                                                       
                                                                                                                                
CHAIR ELLIS asked again if he would provide those numbers.                                                                      
                                                                                                                                
2:21:12 PM                                                                                                                    
SENATOR HOFFMAN  asked if he  had seen problems  with recruitment                                                               
in  some  departments   as  a  result  of  the   [DC]  plan.  The                                                               
administration  has  said  the   primary  reason  is  salaries  -                                                               
especially in the oil and gas industry.                                                                                         
                                                                                                                                
MR.  BROOKS  replied  that  the   administration  has  looked  at                                                               
recruitment    and   retention    and    it    can't   say    the                                                               
pension/retirement  system  is   the  sole  problem.  Recruitment                                                               
practices need to be looked at as  well and they are trying to be                                                               
strategic  in  recruiting  folks.  It  probably  does  have  some                                                               
impact,  but not  across the  board. Engineers  and oil  industry                                                               
people are fiercely competitive.                                                                                                
                                                                                                                                
SENATOR HOFFMAN said  when the state is  recruiting people, those                                                               
people  look at  the whole  package and  if they  are compensated                                                               
enough in salary they can give  up some in benefits. So it's hard                                                               
to evaluate.  He asked if  the administration was  monitoring the                                                               
7,000 new employees  with interviews so it could get  a handle on                                                               
why others  are leaving the state.  We don't want to  end up like                                                               
West Virginia, he said.                                                                                                         
                                                                                                                                
2:26:20 PM                                                                                                                    
MR. BROOKS  replied that  is exactly  what the  administration is                                                               
trying to do.  West Virginia had very  low employer contributions                                                               
and very little  education was provided to the  employees on what                                                               
they should  do with their  funds. He  also didn't know  what the                                                               
medical provisions of that plan were.                                                                                           
                                                                                                                                
CHAIR ELLIS  observed that  what Governor  Palin says  about good                                                               
retirement and  health benefits and retirement  with dignity seem                                                               
to be at significant odds with  the position of the department on                                                               
defined contribution. While he has  been gratified by some of the                                                               
things she  has said, it  doesn't comport fully with  the reality                                                               
of defined contribution and he worries about that in the future.                                                                
                                                                                                                                
2:28:52 PM                                                                                                                    
SENATOR  STEVENS said  they are  all  shocked by  the $8  billion                                                               
liability and  by going to the  DC system they were  assured that                                                               
will not  happen in the future.  If they go back  with this plan,                                                               
he asked, could there be a liability.                                                                                           
                                                                                                                                
MR.  BROOKS replied  that the  department  wanted to  investigate                                                               
that issue with  its actuaries and see what would  happen if this                                                               
bill was adopted.                                                                                                               
                                                                                                                                
2:30:34 PM                                                                                                                    
GARY MILLER, Retired Public Employees  of Alaska, said all of his                                                               
points had been covered.                                                                                                        
                                                                                                                                
2:30:48 PM                                                                                                                    
JIM DUNCAN, Business Manager,  Alaska State Employees Association                                                               
(ASEA), supported  all the previous  testimony saying it  had hit                                                               
all  his  major  points  of concern.  He  represents  8500  state                                                               
employees plus some  municipal employees. They have  a 20 percent                                                               
turnover/year; so he  estimated that about 2,000  - 2,500 members                                                               
are now in the DC plan (since July 1, 2006).                                                                                    
                                                                                                                                
In moving to  the DC plan, he testified on  three major concerns;                                                               
that it  would not provide  a fair and secure  retirement system;                                                               
it wouldn't give retirees access  to a sufficient retiree medical                                                               
budget;  and  it  wouldn't help  recruitment  and  retention.  He                                                               
believed all three of those were happening.                                                                                     
                                                                                                                                
2:32:15 PM                                                                                                                    
He wanted to  address a couple of points  the deputy commissioner                                                               
made; one is that the DC  plan is fully funded. He explained that                                                               
in  1996  when  the  legislature passed  a  Tier  III  retirement                                                               
system, he  didn't necessarily  agree with  all the  changes; but                                                               
the reason for  doing it was to  be sure the plan  could be fully                                                               
funded "and Tier III did  that." The real unfunded liability came                                                               
out of the Tier I and II portions  of the plan - not Tier III. He                                                               
agreed with Senator Elton who  said figures show that the defined                                                               
contribution plan  may be  just slightly  less expensive  or cost                                                               
the same as Tier III and that  returning to a Tier III plan would                                                               
provide a fully funded secure plan.                                                                                             
                                                                                                                                
He  also wanted  to clarify  that SBS  is not  part of  a defined                                                               
benefit  plan. He  said the  public employees  in this  state who                                                               
don't have social security if they  do not have a defined benefit                                                               
plan. They  are taking all  the risk  on all of  their retirement                                                               
and that's not right.                                                                                                           
                                                                                                                                
He  said he  had been  an  employer in  the past  and the  deputy                                                               
commissioner  talked about  how one  of  the goals  was to  bring                                                               
stability to the  employer, and he could  understand that desire.                                                               
But he believed  that Tier III, being a fully  funded plan, would                                                               
provide that over  time. "But to bring stability  to the employer                                                               
and shift the entire risk to  the employee I don't believe is the                                                               
correct  way  to  go  -  and  that's  exactly  what  the  defined                                                               
contribution plan  has done." He  said you  only need to  look at                                                               
what happened to  the stock market over the last  couple of weeks                                                               
to understand what  can happen to folks' retirement.  It may take                                                               
years to recover.                                                                                                               
                                                                                                                                
2:35:54 PM                                                                                                                    
He concluded  that the  administration seems to  say the  jury is                                                               
out and that they haven't really  had a chance to evaluate the DC                                                               
plan,  but  it should  have  started  doing exit  interviews  and                                                               
interviews with folks  who have just been  hired immediately, not                                                               
just  now. He  had been  the  commissioner of  the Department  of                                                               
Administration for  two and half years  and knew that it  had the                                                               
staff to  act on priorities. He  hope they would urge  the DOA to                                                               
make it  a priority to  evaluated the DC  plan and its  impact on                                                               
recruitment and retention  and evaluate it on its lack  of a good                                                               
secure retirement and health plan for retirees.                                                                                 
                                                                                                                                
He said Administrative  Order 37 was issued  recently to evaluate                                                               
recruitment and  retention issues  for state employees;  he would                                                               
have thought  a part of  that effort would  have been to  look at                                                               
this. However, he  was concerned that he received  an August 2007                                                               
newsletter from the Division of  Retirement and Benefits that had                                                               
a  list of  retirement issues  and  bills it  was evaluating  and                                                               
following. One  bill was  missing -  SB 183,  which told  him the                                                               
division had not identified it as an issue at that time.                                                                        
                                                                                                                                
2:38:24 PM                                                                                                                    
SENATOR HOFFMAN said the state  had the largest savings on health                                                               
care  under  SB  141  [that  established the  DC  plan].  He  was                                                               
inferring  that Mr.  Duncan's employees  aren't happy  with their                                                               
health plan.                                                                                                                    
                                                                                                                                
MR. DUNCAN  replied that the  employees he represents,  once they                                                               
have realized  and fully  understood the kind  of plan  they will                                                               
have at  retirement, will  not be  happy. His job  is to  be sure                                                               
that those folks  when they retire will have  a secure retirement                                                               
and have  access to health care.  He agreed that the  rising cost                                                               
of health care  is the major concern. However,  he repeated, Tier                                                               
III was not causing it; it was the solution.                                                                                    
                                                                                                                                
CHAIR   ELLIS  said   they  would   hold  SB   183  for   further                                                               
consideration.                                                                                                                  

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