Legislature(2007 - 2008)

02/19/2008 03:01 PM Senate L&C


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            SB 209-EXTEND ALASKA COMMISSION ON AGING                                                                        
3:03:02 PM                                                                                                                    
CHAIR ELLIS announced SB 209 to be up for consideration.                                                                        
                                                                                                                                
3:03:21 PM                                                                                                                    
TOM OBERMEYER,  staff to Senator  Davis, sponsor of SB  209, said                                                               
this bill extends the Alaska  Commission on Aging. The purpose of                                                               
the  Alaska Commission  on Aging  is  to improve  the quality  of                                                               
life, services  and support for  seniors as they  age. Objectives                                                               
include  helping   seniors  attain  and  maintain   personal  and                                                               
financial  independence  at the  highest  level  for as  long  as                                                               
possible  and promoting  their physical,  mental, spiritual,  and                                                               
emotional  health.  In addition,  the  commission  tries to  help                                                               
seniors remain  in their own  homes or chosen communities  in the                                                               
least restrictive settings while  keeping them connected to their                                                               
families and informed and helpful in their communities.                                                                         
                                                                                                                                
He pointed out the fiscal  note describes the fact that continued                                                               
funding  is extended  through 2016  and  the attached  Governor's                                                               
bill analysis  indicates without  this continuation,  the Section                                                               
306 AD  of the  Older Americans  Act of  1965 requires  that this                                                               
type  of agency  be  continued in  order to  make  $6 million  of                                                               
federal funding available.                                                                                                      
                                                                                                                                
MR. OBERMEYER  also noted  a brief  summary of  a booklet  of the                                                               
State Plan for Senior Services  FY 2008-2011." He also attached a                                                               
letter from the assistant secretary  for the Department of Aging,                                                               
Department of Health  and Social Services informing  them that it                                                               
had approved this four-year plan.                                                                                               
                                                                                                                                
He urged  them to  review information  on the  attached executive                                                               
summary. For instance, it says  Alaska has the highest proportion                                                               
of  baby  boomers   at  32  percent  and   that  Alaska's  senior                                                               
population is growing  faster than in almost any  other state. By                                                               
2030 the proportion of seniors over  65 will double to 13 percent                                                               
of the  population; people over 60  will make up 17  percent. The                                                               
summary also  indicates that people  in their 80s have  many more                                                               
problems   getting  around   and   their   needs  increase.   The                                                               
University's  Institute for  Social  and  Economic Research  also                                                               
says that  retired Alaskans age  60 and older  contributed almost                                                               
$1.5  billion to  the  state's economy  in  2004, primarily  from                                                               
retirement income  and health  care spending  - roughly  10 times                                                               
the total cost of state programs targeting seniors.                                                                             
                                                                                                                                
3:07:27 PM                                                                                                                    
The summary indicates  that this state plan focuses  on six goals                                                               
-   keeping   seniors   healthy,  active,   involved   in   their                                                               
communities,  insuring access  to an  integrated array  of health                                                               
and  social  supports along  the  continuum  of care,  supporting                                                               
families in their  efforts to care for loved ones  at home and in                                                               
the community, providing a range  of adequate, accessible, secure                                                               
and affordable  housing options for seniors,  supporting a stable                                                               
senior services and  health care workforce as well as  a range of                                                               
attractive  work  opportunities  for seniors  and  insuring  that                                                               
older  Alaskans  are safe from catastrophic  events and protected                                                               
from personal exploitation, neglect and abuse.                                                                                  
                                                                                                                                
For each item covered by  the plan, an annual implementation plan                                                               
will  be created  by all  interested  senior organizations,  each                                                               
committing to work on specific strategies outlined in the plan.                                                                 
                                                                                                                                
3:08:52 PM                                                                                                                    
PAT SIDMORE,  Policy Manager,  Senior and  Disabilities Services,                                                               
Department  of Health  and Social  Services (HESS),  supported SB
209.                                                                                                                            
                                                                                                                                
3:10:17 PM                                                                                                                    
DENISE DANIELLO, Executive Director,  Alaska Commission on Aging,                                                               
Department of Health  and Social Services, supported  SB 209. She                                                               
said the mission  of the commission is to ensure  the dignity and                                                               
independence of  all older  Alaskans and  to assist  them through                                                               
planning,   advocacy,   community   education   and   interagency                                                               
cooperation  to   lead  useful  and  meaningful   lives.  It  was                                                               
established in  1982 and satisfies the  federal requirement under                                                               
the Older  Americans Act for  states to have an  advisory counsel                                                               
to  the state  unit on  aging  (Department of  Health and  Social                                                               
Services) comprised of people who  are of age to receive services                                                               
under  the  Older  Americans Act.  These  services  include  home                                                               
delivered  meals,  transportation,  congregate  meals  served  at                                                               
senior centers, chore, respite, adult day services and so forth.                                                                
                                                                                                                                
She said the Commission is  responsible for formulating the state                                                               
plan for  senior services  and submitting  it to  the department.                                                               
They do this  in collaboration with about 20  other agencies that                                                               
develop  services  for  seniors.  The  Commission  also  provides                                                               
recommendations  to  the  department  and to  the  Alaska  Mental                                                               
Health  Trust Authority  concerning the  integrated comprehensive                                                               
mental  health  program regarding  the  use  of monies  from  the                                                               
Mental Health  Trust Settlement,  the income account  for persons                                                               
with Alzheimer's  disease and related  dementia, and  seniors who                                                               
suffer from  other behavioral health  conditions. They  also make                                                               
recommendations  directly to  the governor  and legislature  with                                                               
respect  to   legislation  regulations  and   appropriations  for                                                               
programs  and services  that benefit  older Alaskans.  With their                                                               
advocacy  partners  they  have supported  successful  legislation                                                               
such as  the new  senior benefits  program, establishment  of the                                                               
Office of Elder Fraud and  Assistance, strengthened the penalties                                                               
for identity  theft, added dental coverage  for Medicaid eligible                                                               
adults including doubling the number  of slots for WWAMI students                                                               
to address Alaska's prospective  physicians shortage, and secured                                                               
base  funding for  flexible long-term  supports  for people  with                                                               
Alzheimer's  disease and  related  dementia  and other  programs.                                                               
Pending passage  of this  legislation, she  plans to  continue to                                                               
advocate  for  services  that  promote  healthy  life  styles  of                                                               
Alaska's seniors.                                                                                                               
                                                                                                                                
3:14:52 PM                                                                                                                    
CHAIR ELLIS asked what the trends are for elder abuse.                                                                          
                                                                                                                                
MS. DANIELLO  answered that at  least it's starting to  be talked                                                               
about. Years ago this was a  taboo subject, but now the number of                                                               
reported cases  is increasing.  She noted in  the last  couple of                                                               
years that the Commission along  with the Division of Seniors and                                                               
Disabilities Services  advocated for increased funding  for adult                                                               
protective services to  add two staff members. One  of the trends                                                               
they  hadn't seen  in previous  years is  the reporting  of elder                                                               
mistreatment coming  from rural  areas of  Alaska. She  has heard                                                               
they  need to  enhance  reporting  because a  lot  of places  are                                                               
collecting  information regarding  elder  mistreatment and  there                                                               
isn't one centralized place to report harm.                                                                                     
                                                                                                                                
3:16:54 PM                                                                                                                    
She also explained that in  Alaska elder mistreatment looks a lot                                                               
different  than  in  other  places.  For  example,  it  might  be                                                               
somebody taking on somebody else's  subsistence fishing rights or                                                               
fishing permits.                                                                                                                
                                                                                                                                
3:17:12 PM                                                                                                                    
SENATOR STEVENS  said clearly there  are going  to be a  lot more                                                               
older Alaskans in Alaska in the future  and asked why the 65 - 74                                                               
age group  is expanding so quickly,  asking if that would  be the                                                               
baby boomers.                                                                                                                   
                                                                                                                                
MS. DANIELLO  said the  baby boomers were  born between  1946 and                                                               
1964  and aren't  on the  chart. She  said the  85-plus group  is                                                               
showing  the greatest  increase in  the senior  population -  and                                                               
that is the population most in need of services.                                                                                
                                                                                                                                
SENATOR STEVENS related that Senator  Ted Stevens remarked in his                                                               
address today that Medicare is  not solving the problem. Also, he                                                               
said when he first moved to  Kodiak years ago it didn't have many                                                               
seniors, but now it's a real  community with all ages. He thought                                                               
it was  probably in  large part  due to  what the  commission had                                                               
done.                                                                                                                           
                                                                                                                                
MS. DANIELLO  responded that she  observed that as  well; another                                                               
factor might  be that older  people in  the 1970s didn't  have as                                                               
many children  here, and more  people who have  children continue                                                               
to live here.                                                                                                                   
                                                                                                                                
3:19:40 PM                                                                                                                    
PAT DAVIDSON,  Division of Legislative  Audit, supported  SB 209.                                                               
She said  the extension comported  with her  recommendations. She                                                               
explained that  the audit  did notice  when the  commission moved                                                               
from  the  Department  of Administration  to  the  Department  of                                                               
Health and Social Services (DHSS)  it dropped the granting aspect                                                               
to focus  its efforts on  planning, education and  advocating for                                                               
senior services.  The audit noted  some statutory  language clean                                                               
up  needed  to happen  to  recognize  that change;  the  granting                                                               
should now show in statute  as a responsibility of the department                                                               
rather than the commission.                                                                                                     
                                                                                                                                
3:21:40 PM                                                                                                                    
SENATOR  DAVIS  noted  that legislation  is  going  through  both                                                               
houses to make the correction.                                                                                                  
                                                                                                                                
3:22:32 PM                                                                                                                    
CHAIR ELLIS announced the bill would  be held to make sure it was                                                               
technically correct before moving it on.                                                                                        

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