Legislature(1993 - 1994)

04/30/1994 01:50 PM House FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
                                                                               
                     HOUSE FINANCE COMMITTEE                                   
                         April 30, 1994                                        
                            1:50 P.M.                                          
                                                                               
  TAPE HFC 94 - 149, Side 1, #000 - end.                                       
  TAPE HFC 94 - 149, Side 2, #000 - #392.                                      
                                                                               
  CALL TO ORDER                                                                
                                                                               
  Co-Chair Larson  called the House  Finance Committee meeting                 
  to order at 1:50 P.M.                                                        
                                                                               
  PRESENT                                                                      
                                                                               
  Co-Chair Larson               Representative Foster                          
  Co-Chair MacLean              Representative Martin                          
  Vice-Chair Hanley             Representative Therriault                      
  Representative Brown          Representative Parnell                         
  Representative Grussendorf                                                   
                                                                               
  Representatives Navarre and Hoffman were not present for the                 
  meeting.                                                                     
                                                                               
  ALSO PRESENT                                                                 
                                                                               
  Portia  Babcock, Staff,  Senator Loren Leman;  Senator Loren                 
  Leman; Representative Brian Porter;  Dave Williams, Division                 
  of  Medical Assistance,  Department  of  Health  and  Social                 
  Services;  John Sherwood,  Division  of Medical  Assistance,                 
  Department  of  Health  and Social  Services;  Phil  Petrie,                 
  Operations  Manager,  Child   Support  Enforcement   Agency,                 
  Department  of  Revenue;   Dean  Guaneli,  Chief,  Assistant                 
  Attorney General, Criminal Division, Department of Law.                      
                                                                               
  SUMMARY                                                                      
  SB 366    An Act  relating to medical support  for children;                 
            allowing  a  member  of the  teachers'  retirement                 
            system or the public  employees' retirement system                 
            to  assign  to  a  Medicaid-qualifying  trust  the                 
            member's right to receive a  monetary benefit from                 
            the   system;  relating   to  the   effect   of  a                 
            Medicaid-qualifying trust on the eligibility of  a                 
            person for  Medicaid; relating to the  recovery of                 
            certain Medicaid payments from estates and trusts;                 
            requiring persons who receive Medicaid services to                 
            be  liable  for  sharing  in  the  cost  of  those                 
            services to the  extent allowed under federal  law                 
            and regulations;  and providing  for an  effective                 
            date.                                                              
                                                                               
                                                                               
                                1                                              
                                                                               
                                                                               
            CS SB 366 (FIN)  am (efd fld) was reported  out of                 
            Committee with a "do pass" recommendation and with                 
            fiscal  notes  by  the Department  of  Health  and                 
            Social  Services  and a  zero  fiscal note  by the                 
            Department  of  Commerce and  Economic Development                 
            dated 4/12/94.                                                     
  SJR 39    Proposing an  amendment to the Constitution of the                 
            State of Alaska  to guarantee, in addition  to the                 
            right  of  the people  to  keep and  bear  arms as                 
            approved by the voters at the time of ratification                 
            of  the state  Constitution,  that the  individual                 
            right to keep and bear arms shall not be denied or                 
            infringed by the state or  a political subdivision                 
            of the state.                                                      
                                                                               
            SJR 39  was reported out  of Committee with  a "do                 
            pass" recommendation and with a fiscal note by the                 
            Office of the  Governor dated  1/24/94 and a  zero                 
            fiscal note  by the  Department  of Public  Safety                 
            dated 2/15/94.                                                     
                                                                               
  SENATE JOINT RESOLUTION 39                                                   
                                                                               
       Proposing an amendment to the Constitution of the State                 
       of Alaska to guarantee, in addition to the right of the                 
       people to keep and bear arms  as approved by the voters                 
       at the time of ratification  of the state Constitution,                 
       that the individual  right to keep and  bear arms shall                 
       not be denied or infringed by  the state or a political                 
       subdivision of the state.                                               
                                                                               
  PORTIA BABCOCK, STAFF, SENATOR LOREN  LEMAN, spoke to SJR 39                 
  relating to an  individual's right  to keep  and bear  arms.                 
  The  resolution  would change  the  language to  Article #19                 
  guaranteeing  an individual the right to keep and bear arms.                 
  Current  law does guarantee an  individual the right to bear                 
  arms,  although  many  have  challenged  that law  and  will                 
  continue to do so.  Current language  is ambiguous, whereas,                 
  several attempts  have been  made in  past Legislature's  to                 
  clarify  the right  of  the "individual"  citizen  to own  a                 
  firearm, whether it be for  hunting, recreation, liberty, or                 
  defense of self, home, family or state.                                      
                                                                               
  Ms. Babcock added  that there is no existing  Alaska Supreme                 
  Court interpretation of that language either as assurance or                 
  prohibition  of  that  right.    There  have  been  numerous                 
  attempts to place  restrictions on law-abiding  citizens who                 
  own  firearms,  although  the   potential  for  unreasonable                 
  firearm restrictions has become likely.                                      
                                                                               
                                                                               
                                2                                              
                                                                               
                                                                               
  REPRESENTATIVE BRIAN PORTER  spoke in  support of the  House                 
  Judiciary Committee  version of  the legislation  indicating                 
  that  firearm  laws  enacted by  the  Legislature  have been                 
  reasonable and responsible and that  there is no information                 
  available to change that fact.                                               
                                                                               
  Representative Porter commented  that the amendment must  be                 
  drafted so as to use language previously interpreted  by the                 
  courts  in  past  years.    The  House  Judiciary  Committee                 
  inserted the word  "unreasonably", in order  to read:   "The                 
  individual  right  to  keep  and  bear  arms  shall  not  be                 
  unreasonably denied or infringed by the State or a political                 
  subdivision  of  the  State."    He  added  that  the   word                 
  "unreasonable"   is   found   in   both  U.S.   and   Alaska                 
  constitutions and  that for  over 200  years there  has been                 
  protection against unreasonable searches and seizures.                       
                                                                               
  Representative Parnell  questioned the amendment  to SJR  39                 
  which would change  the level of  judicial scrutiny to  laws                 
  relating to weapons.                                                         
                                                                               
  DEAN GUANELI,  CHIEF, ASSISTANT  ATTORNEY GENERAL,  CRIMINAL                 
  DIVISION,  DEPARTMENT  OF  LAW,  declared  that  the  Alaska                 
  Supreme Court uses a sliding scale of scrutiny which applies                 
  to   the  Constitution   and   state  laws   for  protection                 
  challenges.   The highest level of  scrutiny which the Court                 
  employees is always a compelling state interest.                             
                                                                               
  Mr. Guaneli  continued that  the lower  end of  the scrutiny                 
  scale would involve scrutiny by the Court  to address rights                 
  involving  a  "rational  basis"  test.    As  long  as   the                 
  Legislature has a rational reason for  the law to pass, then                 
  the  law  will  suffice  and   will  then  comply  with  the                 
  constitution.  He thought the firearm laws would fall in the                 
  lower end category and that the amendment would increase the                 
  level of scrutiny the Courts would apply to gun laws.                        
                                                                               
  Discussion followed  between Representative Parnell  and Mr.                 
  Guaneli regarding "restriction" of firearms and the rational                 
  basis of that restriction.  Representative Porter advised of                 
  the   constitutional  right   to  privacy  which   could  be                 
  considered a "compelling" reason against the law.                            
                                                                               
  Representative   Brown  asked  if   either  version  of  the                 
  legislation   would   affect    the   "concealed    weapons"                 
  legislation.  Mr.  Guaneli mentioned a number  of provisions                 
  in the  concealed weapons  bill which  could be  struck down                 
  under a  broad right to bear  arms.  Current  law requires a                 
  person to wait ninety days to  apply for a concealed weapons                 
  permit.  He felt that this amount of time could not increase                 
  the   police's   ability   to   check   a  persons   record.                 
  Additionally, law  currently requires  that a  person be  21                 
                                                                               
                                3                                              
                                                                               
                                                                               
  years of  age before  they qualify  for a concealed  weapons                 
  permit.                                                                      
                                                                               
  Representative Brown questioned if that type of  restriction                 
  would  be   permissible  under  the   "unreasonably"  denied                 
  language.    Mr.  Guaneli  disclosed  that  those  kinds  of                 
  restrictions  would  more easily  pass a  test in  the State                 
  indicating "there being a rational basis".                                   
                                                                               
  Representative Martin  MOVED to adopt Amendment  #1 deleting                 
  "unreasonably" and  the language referenced  in Section  29,                 
  the  Application of Amendments  of Section 19  of Article 1.                 
  He understood that  keeping that  language would weaken  the                 
  national intent.                                                             
                                                                               
  Representative  Foster stated that  without Amendment #1 the                 
  House Judiciary version would return  to the proposed Senate                 
  version of the legislation.  Representative Martin explained                 
  that the Senate would not be required to accept changes made                 
  to   the  House   Judiciary  version  of   the  legislation.                 
  Discussion followed clarifying the intent  of the amendment.                 
  Representative Martin MOVED TO WITHDRAW  the MOTION to adopt                 
  Amendment #1.   There being NO OBJECTION, it was so ordered.                 
                                                                               
                                                                               
  Representative Martin MOVED  to adopt the Senate  version of                 
  SJR 39.  Representative Brown OBJECTED.                                      
                                                                               
  A roll call vote was taken on the MOTION.                                    
                                                                               
       IN FAVOR:      Parnell,       Therriault,       Foster,                 
                      Grussendorf, Hanley, Martin.                             
       OPPOSED:       Brown, Larson.                                           
                                                                               
  Representatives  Navarre,  Hoffman  and  MacLean  were   not                 
  present for the vote.                                                        
                                                                               
  The MOTION PASSED (6-2).                                                     
                                                                               
  Representative  Foster  MOVED  to  report   SJR  39  out  of                 
  Committee  with  individual  recommendations  and  with  the                 
  accompanying fiscal notes.   There  being NO OBJECTIONS,  it                 
  was so ordered.                                                              
                                                                               
  SJR  39  was reported  out  of  Committee with  a  "do pass"                 
  recommendation and with a  fiscal note by the Office  of the                 
  Governor  dated  1/14/94  and  a zero  fiscal  note  by  the                 
  Department of Public Safety dated 2/01/94.                                   
                                                                               
  (Tape Change, HFC 94-149, Side 2).                                           
  SENATE BILL 366                                                              
                                                                               
                                4                                              
                                                                               
                                                                               
       "An  Act  relating  to  medical  support for  children;                 
       allowing a member of the teachers' retirement system or                 
       the public employees' retirement system  to assign to a                 
       Medicaid-qualifying trust the member's right to receive                 
       a monetary  benefit from  the system;  relating to  the                 
       effect   of   a   Medicaid-qualifying   trust  on   the                 
       eligibility of a  person for Medicaid; relating  to the                 
       recovery of certain Medicaid payments from  estates and                 
       trusts; requiring persons who receive Medicaid services                 
       to be liable for sharing in  the cost of those services                 
       to   the  extent   allowed   under   federal  law   and                 
       regulations; and providing for an effective date."                      
                                                                               
  DAVE WILLIAMS, DIVISION OF MEDICAL ASSISTANCE, DEPARTMENT OF                 
  HEALTH AND SOCIAL SERVICES, explained that under the federal                 
  Omnibus Budget Reconciliation  Act of 1993 (OBRA  93), State                 
  Medicaid programs  must implement provisions  to obtain  and                 
  enforce medical  support orders for noncustodial  parents on                 
  behalf of Medicaid-eligible children and to recover Medicaid                 
  expenditures on long term care  and related expenditures for                 
  Medicaid  recipients  age 55  or  older.   He  stressed that                 
  implementation of these provisions are necessary in order to                 
  avoid loss of federal financial  participation in the Alaska                 
  Medicaid program.                                                            
                                                                               
  SB  366 would  require the  Medicaid  program to  impose co-                 
  payments for Medicaid-funded services, to the maximum extent                 
  possible.   The provision would reduce Medicaid expenditures                 
  and shift costs to Medicaid recipients and providers.                        
                                                                               
  Discussion  followed regarding  the  implementation of  "co-                 
  payments" nominal  fees.   Mr. Williams  disclosed that  the                 
  fees  would provide  reduced Medicaid payments  for services                 
  provided.                                                                    
                                                                               
  Mr. Williams emphasized that "co-payments" would  not effect                 
  service delivery.   Representative Brown  asked if the  "co-                 
  payments" would provide  a medical  order to cover  Medicaid                 
  services.                                                                    
                                                                               
  JOHN SHERWOOD, DIVISION OF MEDICAL ASSISTANCE, DEPARTMENT OF                 
  HEALTH AND SOCIAL SERVICES, informed  the Committee that the                 
  medical support  provisions  would  parallel  other  support                 
  provisions already existing for AFDC clients extending those                 
  provisions  to  clients who  only  receive Medicaid.   Child                 
  Support Enforcement would  then be directed to  seek medical                 
  support  orders from non-custodial parents.  The legislation                 
  provides tools to enforce those orders.                                      
                                                                               
  Representative   Brown  noted   concern   for  the   already                 
  overburdened Child Support  Enforcement Agency pointing  out                 
                                                                               
                                5                                              
                                                                               
                                                                               
  the current year budget cuts.   She stressed that the agency                 
  would not be able to assume any additional obligations.                      
                                                                               
  PHIL PETRIE, OPERATIONS  MANAGER, CHILD SUPPORT  ENFORCEMENT                 
  AGENCY,  DEPARTMENT   OF   REVENUE,   responded   that   the                 
  legislation  would  place the  agency  into compliance  with                 
  federal requirements written in 1985.  He added at this time                 
  the agency completes orders  for Medicaid clients,  although                 
  recently  there  has  been  a  hearing   officer's  decision                 
  indicating  no  authority  for   that  concern  under  state                 
  statute.     Mr.   Petrie   concluded  that   Child  Support                 
  Enforcement will absorb the costs  as part of their  regular                 
  medical support.                                                             
                                                                               
  Co-Chair MacLean MOVED to report CS SB 366 (FIN) am(efd fld)                 
  out  of Committee with  individual recommendations  and with                 
  the accompanying fiscal notes.                                               
                                                                               
  Representative Brown addressed the Letter of Intent provided                 
  by the Senate Finance Committee.   The letter would override                 
  the  current  law   by  providing  the  Department   minimal                 
  flexibility in order  to waiver  the application of  policy.                 
  Mr. Williams  explained  that the  maximum extent  allowable                 
  would  cost  more  to  collect than  that  to  be  received.                 
  Representative Brown  warned that the  intent language would                 
  provide a clause  stating that it  would not cost more  than                 
  the amount anticipated to receive.                                           
                                                                               
  There being NO OBJECTION to  moving the bill from Committee,                 
  it was so ordered.                                                           
                                                                               
  There was NO MOTION TO ADOPT the Letter of Intent.                           
                                                                               
  CS SB 366  (FIN) am(efd fld)  was reported out of  Committee                 
  with "do pass" recommendation and with three fiscal notes by                 
  the  Department of  Health and  Social  Services and  a zero                 
  fiscal  note  by  the Department  of  Commerce  and Economic                 
  Development dated 4/412/94.                                                  
  ADJOURNMENT                                                                  
                                                                               
  The meeting adjourned at 3:00 P.M.                                           
                                                                               
                     HOUSE FINANCE COMMITTEE                                   
                         April 30, 1994                                        
                            1:50 P.M.                                          
                                                                               
  TAPE HFC 94 - 149, Side 1, #000 - end.                                       
  TAPE HFC 94 - 149, Side 2, #000 - #392.                                      
                                                                               
  CALL TO ORDER                                                                
                                                                               
                                                                               
                                6                                              
                                                                               
                                                                               
  Co-Chair Larson called the  House Finance Committee  meeting                 
  to order at 1:50 P.M.                                                        
                                                                               
  PRESENT                                                                      
                                                                               
  Co-Chair Larson               Representative Foster                          
  Co-Chair MacLean              Representative Martin                          
  Vice-Chair Hanley             Representative Therriault                      
  Representative Brown          Representative Parnell                         
  Representative Grussendorf                                                   
                                                                               
  Representatives Navarre and Hoffman were not present for the                 
  meeting.                                                                     
                                                                               
  ALSO PRESENT                                                                 
                                                                               
  Portia Babcock,  Staff, Senator  Loren Leman;  Senator Loren                 
  Leman; Representative Brian  Porter; Dave Williams, Division                 
  of  Medical  Assistance,  Department of  Health  and  Social                 
  Services;  John Sherwood,  Division  of Medical  Assistance,                 
  Department  of  Health  and  Social Services;  Phil  Petrie,                 
  Operations  Manager,  Child   Support  Enforcement   Agency,                 
  Department  of  Revenue;  Dean  Guaneli,  Chief,   Assistant                 
  Attorney General, Criminal Division, Department of Law.                      
                                                                               
  SUMMARY                                                                      
                                                                               
  SB 366    An Act relating  to medical support for  children;                 
            allowing a  member  of  the  teachers'  retirement                 
            system or the  public employees' retirement system                 
            to  assign  to  a  Medicaid-qualifying  trust  the                 
            member's right to receive a monetary benefit  from                 
            the   system;  relating   to  the   effect  of   a                 
            Medicaid-qualifying trust on the  eligibility of a                 
            person for Medicaid;  relating to the recovery  of                 
            certain Medicaid payments from estates and trusts;                 
            requiring persons who receive Medicaid services to                 
            be  liable  for  sharing  in  the  cost  of  those                 
            services to  the extent allowed  under federal law                 
            and regulations;  and providing  for an  effective                 
            date.                                                              
                                                                               
            CS SB 366 (FIN)  am (efd fld) was reported  out of                 
            Committee with a "do pass" recommendation and with                 
            fiscal  notes  by  the Department  of  Health  and                 
            Social  Services  and a  zero  fiscal note  by the                 
            Department  of  Commerce and  Economic Development                 
            dated 4/12/94.                                                     
                                                                               
  SJR 39    Proposing an  amendment to the Constitution of the                 
            State of Alaska  to guarantee, in addition  to the                 
            right  of  the people  to  keep and  bear  arms as                 
                                                                               
                                7                                              
                                                                               
                                                                               
            approved by the voters at the time of ratification                 
            of  the state  Constitution,  that the  individual                 
            right to keep and bear arms shall not be denied or                 
            infringed by the state or a political  subdivision                 
            of the state.                                                      
                                                                               
            SJR 39 was  reported out of  Committee with a  "do                 
            pass" recommendation and with a fiscal note by the                 
            Office of the  Governor dated  1/24/94 and a  zero                 
            fiscal  note by  the Department  of Public  Safety                 
            dated 2/15/94.                                                     
                                                                               
  SENATE JOINT RESOLUTION 39                                                   
                                                                               
       Proposing an amendment to the Constitution of the State                 
       of Alaska to guarantee, in addition to the right of the                 
       people to keep and bear arms  as approved by the voters                 
       at the time of ratification  of the state Constitution,                 
       that  the individual right to  keep and bear arms shall                 
       not be denied or infringed by  the state or a political                 
       subdivision of the state.                                               
                                                                               
  PORTIA BABCOCK,  STAFF, SENATOR LOREN LEMAN, spoke to SJR 39                 
  relating to  an individual's  right to  keep and  bear arms.                 
  The  resolution  would change  the  language to  Article #19                 
  guaranteeing an individual the right to keep and  bear arms.                 
  Current law does  guarantee an individual the right  to bear                 
  arms,  although  many  have  challenged  that law  and  will                 
  continue to do so.   Current language is ambiguous, whereas,                 
  several attempts  have been  made in  past Legislature's  to                 
  clarify  the  right of  the  "individual" citizen  to  own a                 
  firearm, whether it be for  hunting, recreation, liberty, or                 
  defense of self, home, family or state.                                      
                                                                               
  Ms.  Babcock added that there is  no existing Alaska Supreme                 
  Court interpretation of that language either as assurance or                 
  prohibition  of  that  right.    There  have  been  numerous                 
  attempts to  place restrictions on law-abiding  citizens who                 
  own  firearms,  although   the  potential  for  unreasonable                 
  firearm restrictions has become likely.                                      
                                                                               
                                                                               
  REPRESENTATIVE BRIAN PORTER  spoke in  support of the  House                 
  Judiciary Committee  version of  the legislation  indicating                 
  that  firearm  laws  enacted by  the  Legislature  have been                 
  reasonable and responsible and that  there is no information                 
  available to change that fact.                                               
                                                                               
  Representative Porter commented  that the amendment must  be                 
  drafted so  as to use language previously interpreted by the                 
  courts  in  past  years.    The  House  Judiciary  Committee                 
  inserted the word  "unreasonably", in order  to read:   "The                 
                                                                               
                                8                                              
                                                                               
                                                                               
  individual  right  to  keep  and  bear  arms  shall  not  be                 
  unreasonably denied or infringed by the State or a political                 
  subdivision  of  the  State."    He  added   that  the  word                 
  "unreasonable"   is   found   in   both   U.S.   and  Alaska                 
  constitutions  and that  for over  200 years there  has been                 
  protection against unreasonable searches and seizures.                       
                                                                               
  Representative Parnell  questioned the  amendment to SJR  39                 
  which  would change the  level of judicial  scrutiny to laws                 
  relating to weapons.                                                         
                                                                               
  DEAN  GUANELI, CHIEF,  ASSISTANT ATTORNEY  GENERAL, CRIMINAL                 
  DIVISION,  DEPARTMENT  OF  LAW,  declared  that  the  Alaska                 
  Supreme Court uses a sliding scale of scrutiny which applies                 
  to   the  Constitution   and  state   laws   for  protection                 
  challenges.  The highest  level of scrutiny which  the Court                 
  employees is always a compelling state interest.                             
                                                                               
  Mr. Guaneli  continued that  the lower  end of the  scrutiny                 
  scale would involve scrutiny by  the Court to address rights                 
  involving  a  "rational  basis"  test.    As   long  as  the                 
  Legislature has a rational reason for  the law to pass, then                 
  the  law   will  suffice  and  will  then  comply  with  the                 
  constitution.  He thought the firearm laws would fall in the                 
  lower end category and that the amendment would increase the                 
  level of scrutiny the Courts would apply to gun laws.                        
                                                                               
  Discussion followed between  Representative Parnell and  Mr.                 
  Guaneli regarding "restriction" of firearms and the rational                 
  basis of that restriction.  Representative Porter advised of                 
  the  constitutional   right  to   privacy  which   could  be                 
  considered a "compelling" reason against the law.                            
                                                                               
  Representative  Brown  asked   if  either  version   of  the                 
  legislation   would   affect    the   "concealed    weapons"                 
  legislation.  Mr.  Guaneli mentioned a number  of provisions                 
  in the  concealed weapons  bill which  could be struck  down                 
  under a broad right  to bear arms.   Current law requires  a                 
  person to wait ninety days to  apply for a concealed weapons                 
  permit.  He felt that this amount of time could not increase                 
  the  police's   ability   to   check   a   persons   record.                 
  Additionally, law  currently requires  that a  person be  21                 
  years of age  before they  qualify for  a concealed  weapons                 
  permit.                                                                      
                                                                               
  Representative Brown questioned if that type of  restriction                 
  would  be   permissible  under  the   "unreasonably"  denied                 
  language.    Mr.  Guaneli  disclosed  that  those  kinds  of                 
  restrictions would  more easily  pass  a test  in the  State                 
  indicating "there being a rational basis".                                   
                                                                               
  Representative Martin  MOVED to adopt Amendment  #1 deleting                 
                                                                               
                                9                                              
                                                                               
                                                                               
  "unreasonably" and  the language  referenced in Section  29,                 
  the Application  of Amendments of  Section 19 of  Article 1.                 
  He understood that  keeping that  language would weaken  the                 
  national intent.                                                             
                                                                               
  Representative Foster stated  that without Amendment  #1 the                 
  House Judiciary version would return  to the proposed Senate                 
  version of the legislation.  Representative Martin explained                 
  that the Senate would not be required to accept changes made                 
  to  the   House  Judiciary   version  of   the  legislation.                 
  Discussion followed clarifying the intent of the  amendment.                 
  Representative Martin MOVED TO WITHDRAW  the MOTION to adopt                 
  Amendment #1.   There being NO OBJECTION, it was so ordered.                 
                                                                               
                                                                               
  Representative Martin MOVED  to adopt the Senate  version of                 
  SJR 39.  Representative Brown OBJECTED.                                      
                                                                               
  A roll call vote was taken on the MOTION.                                    
                                                                               
       IN FAVOR:      Parnell,       Therriault,       Foster,                 
                      Grussendorf, Hanley, Martin.                             
       OPPOSED:       Brown, Larson.                                           
                                                                               
  Representatives  Navarre,  Hoffman  and   MacLean  were  not                 
  present for the vote.                                                        
                                                                               
  The MOTION PASSED (6-2).                                                     
                                                                               
  Representative  Foster  MOVED  to  report   SJR  39  out  of                 
  Committee  with  individual  recommendations  and  with  the                 
  accompanying fiscal notes.   There  being NO OBJECTIONS,  it                 
  was so ordered.                                                              
                                                                               
  SJR  39  was reported  out  of  Committee with  a  "do pass"                 
  recommendation and with a  fiscal note by the Office  of the                 
  Governor  dated  1/14/94 and  a  zero  fiscal  note  by  the                 
  Department of Public Safety dated 2/01/94.                                   
                                                                               
  (Tape Change, HFC 94-149, Side 2).                                           
                                                                               
  SENATE BILL 366                                                              
                                                                               
       "An  Act  relating  to  medical  support for  children;                 
       allowing a member of the teachers' retirement system or                 
       the public employees' retirement system  to assign to a                 
       Medicaid-qualifying trust the member's right to receive                 
       a monetary  benefit from  the system;  relating to  the                 
       effect   of   a   Medicaid-qualifying   trust  on   the                 
       eligibility of a  person for Medicaid; relating  to the                 
       recovery of certain Medicaid payments from  estates and                 
       trusts; requiring persons who receive Medicaid services                 
                                                                               
                               10                                              
                                                                               
                                                                               
       to be liable for sharing in  the cost of those services                 
       to  the   extent   allowed  under   federal   law   and                 
       regulations; and providing for an effective date."                      
                                                                               
  DAVE WILLIAMS, DIVISION OF MEDICAL ASSISTANCE, DEPARTMENT OF                 
  HEALTH AND SOCIAL SERVICES, explained that under the federal                 
  Omnibus Budget Reconciliation  Act of 1993 (OBRA  93), State                 
  Medicaid programs  must implement  provisions to obtain  and                 
  enforce  medical support orders  for noncustodial parents on                 
  behalf of Medicaid-eligible children and to recover Medicaid                 
  expenditures on long term care  and related expenditures for                 
  Medicaid recipients  age  55 or  older.   He  stressed  that                 
  implementation of these provisions are necessary in order to                 
  avoid loss of federal financial  participation in the Alaska                 
  Medicaid program.                                                            
                                                                               
  SB  366 would  require  the Medicaid  program to  impose co-                 
  payments for Medicaid-funded services, to the maximum extent                 
  possible.  The provision  would reduce Medicaid expenditures                 
  and shift costs to Medicaid recipients and providers.                        
                                                                               
  Discussion  followed  regarding the  implementation  of "co-                 
  payments" nominal  fees.   Mr. Williams  disclosed that  the                 
  fees would  provide reduced  Medicaid payments  for services                 
  provided.                                                                    
                                                                               
  Mr.  Williams emphasized that "co-payments" would not effect                 
  service delivery.   Representative Brown  asked if the  "co-                 
  payments" would provide  a medical  order to cover  Medicaid                 
  services.                                                                    
                                                                               
  JOHN SHERWOOD, DIVISION OF MEDICAL ASSISTANCE, DEPARTMENT OF                 
  HEALTH AND SOCIAL SERVICES, informed  the Committee that the                 
  medical  support  provisions  would  parallel other  support                 
  provisions already existing for AFDC clients extending those                 
  provisions  to  clients who  only  receive Medicaid.   Child                 
  Support Enforcement would  then be directed to  seek medical                 
  support orders from non-custodial  parents.  The legislation                 
  provides tools to enforce those orders.                                      
                                                                               
  Representative   Brown  noted   concern   for  the   already                 
  overburdened Child  Support Enforcement Agency  pointing out                 
  the current year budget cuts.   She stressed that the agency                 
  would not be able to assume any additional obligations.                      
                                                                               
  PHIL PETRIE, OPERATIONS  MANAGER, CHILD SUPPORT  ENFORCEMENT                 
  AGENCY,  DEPARTMENT   OF   REVENUE,   responded   that   the                 
  legislation  would  place the  agency  into compliance  with                 
  federal requirements written in 1985.  He added at this time                 
  the agency completes orders  for Medicaid clients,  although                 
  recently  there  has  been  a  hearing   officer's  decision                 
  indicating  no  authority  for   that  concern  under  state                 
                                                                               
                               11                                              
                                                                               
                                                                               
  statute.     Mr.   Petrie  concluded   that   Child  Support                 
  Enforcement will absorb  the costs as part  of their regular                 
  medical support.                                                             
                                                                               
  Co-Chair MacLean MOVED to report CS SB 366 (FIN) am(efd fld)                 
  out  of Committee  with individual recommendations  and with                 
  the accompanying fiscal notes.                                               
                                                                               
  Representative Brown addressed the Letter of Intent provided                 
  by the Senate  Finance Committee.  The letter would override                 
  the  current   law  by  providing   the  Department  minimal                 
  flexibility in order  to waiver  the application of  policy.                 
  Mr. Williams  explained that  the  maximum extent  allowable                 
  would  cost more  to  collect  than  that  to  be  received.                 
  Representative Brown warned that  the intent language  would                 
  provide a clause  stating that it  would not cost more  than                 
  the amount anticipated to receive.                                           
                                                                               
  There being NO  OBJECTION to moving the bill from Committee,                 
  it was so ordered.                                                           
                                                                               
  There was NO MOTION TO ADOPT the Letter of Intent.                           
                                                                               
  CS SB 366  (FIN) am(efd fld)  was reported out of  Committee                 
  with "do pass" recommendation and with three fiscal notes by                 
  the  Department of  Health  and Social  Services and  a zero                 
  fiscal  note  by  the Department  of  Commerce  and Economic                 
  Development dated 4/412/94.                                                  
                                                                               
  ADJOURNMENT                                                                  
                                                                               
  The meeting adjourned at 3:00 P.M.                                           
                                                                               
                                                                               
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