Legislature(1995 - 1996)

04/28/1995 08:37 AM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
           HOUSE HEALTH, EDUCATION AND SOCIAL SERVICES                         
                       STANDING COMMITTEE                                      
                         April 28, 1995                                        
                           8:37 a.m.                                           
                                                                               
                                                                               
 MEMBERS PRESENT                                                               
                                                                               
 Representative Cynthia Toohey, Co-Chair                                       
 Representative Con Bunde, Co-Chair                                            
 Representative Gary Davis                                                     
 Representative Caren Robinson                                                 
 Representative Tom Brice                                                      
                                                                               
 MEMBERS ABSENT                                                                
                                                                               
 Representative Al Vezey                                                       
 Representative Norman Rokeberg                                                
                                                                               
 COMMITTEE CALENDAR                                                            
                                                                               
 CONFIRMATION HEARINGS:Alaska Mental Health Trust Authority                   
 Board of Trustees.                                                            
                                                                               
 CSSB 117(HES):  "An Act establishing a statewide independent living           
                 council and clarifying its relationship with                  
                 existing agencies; and providing for an effective             
                 date."                                                        
                                                                               
                 PASSED OUT OF COMMITTEE                                       
                                                                               
 WITNESS REGISTER                                                              
                                                                               
 JOHN PUGH, Dean of Education                                                  
 Liberal Arts and Sciences                                                     
 University of Alaska Southeast                                                
 1011 D. Street                                                                
 Juneau, AK  99801                                                             
 Telephone:  (907) 465-6531                                                    
 POSITION STATEMENT: Confirmation hearing candidate.                           
                                                                               
 NELSON PAGE, Managing Shareholder                                             
 Law Firm of Burr, Pease & Kurtz                                               
 810 "N" Street                                                                
 Anchorage, AK  99501                                                          
 Telephone:  (907) 346-2667                                                    
 POSITION STATEMENT: Confirmation hearing candidate.                           
                                                                               
 TOM HAWKINS, Senior Vice-president/Chief Operating Officer                    
 Bristol Bay Native Corporation                                                
 1820 East 24th Avenue                                                         
 Anchorage, AK  99508                                                          
 Telephone:  (907) 278-3602                                                    
 POSITION STATEMENT: Confirmation hearing candidate.                           
                                                                               
 JOHN MALONE                                                                   
 Malone & Co., Inc.                                                            
 P.O. Box 1032                                                                 
 Bethel, AK  99559                                                             
 Telephone:  (907) 543-2902                                                    
 POSITION STATEMENT: Confirmation hearing candidate.                           
                                                                               
 EVELYN TUCKER                                                                 
 112 Beaufort Circle                                                           
 Anchorage, AK  99515                                                          
 Telephone:  (907) 345-6107                                                    
 POSITION STATEMENT: Confirmation hearing candidate.                           
                                                                               
 STAN RIDGEWAY, Deputy Director                                                
 Division of Vocational Rehabilitation                                         
 Department of Education                                                       
 801 W. 10th Street, Suite 200                                                 
 Juneau, AK  99801-1894                                                        
 Telephone:  (907) 465-6932                                                    
 POSITION STATEMENT: Testified in support of SB 117.                           
                                                                               
 PREVIOUS ACTION                                                               
                                                                               
 BILL:  SB 117                                                               
 SHORT TITLE: STATEWIDE INDEPENDENT LIVING COUNCIL                             
 SPONSOR(S): SENATOR(S) HALFORD                                                
                                                                               
 JRN-DATE     JRN-PG               ACTION                                      
 03/08/95       538    (S)   READ THE FIRST TIME - REFERRAL(S)                 
 03/08/95       538    (S)   HES, FIN                                          
 03/20/95              (S)   HES AT 09:00 AM BUTROVICH ROOM 205                
 03/20/95              (S)   MINUTE(HES)                                       
 03/21/95       720    (S)   HES RPT  CS  3DP 2NR   SAME TITLE                 
 03/21/95       721    (S)   FISCAL NOTE (DOE)                                 
 04/06/95              (S)   FIN AT 09:00 AM SENATE FINANCE 532                
 04/11/95              (S)   FIN AT 09:00 AM SENATE FINANCE 532                
 04/11/95              (S)   FIN AT 02:30 PM SENATE FINANCE 532                
 04/12/95       995    (S)   FIN RPT  4DP (HES)CS                              
 04/12/95       996    (S)   PREVIOUS FN (DOE)                                 
 04/12/95              (S)   FIN AT 09:00 AM SENATE FINANCE 532                
 04/13/95              (S)   RLS AT 01:15 PM FAHRENKAMP RM 203                 
 04/18/95      1059    (S)   RULES TO CALENDAR  4/18/95                        
 04/18/95      1068    (S)   READ THE SECOND TIME                              
 04/18/95      1068    (S)   HES  CS ADOPTED UNAN CONSENT                      
 04/18/95      1068    (S)   ADVANCED TO THIRD READING UNAN                    
                             CONSENT                                           
 04/18/95      1068    (S)   READ THE THIRD TIME  CSSB 117(HES)                
 04/18/95      1069    (S)   PASSED Y18 N1 E1                                  
 04/18/95      1069    (S)   EFFECTIVE DATE(S) SAME AS PASSAGE                 
 04/18/95      1069    (S)   KELLY  NOTICE OF RECONSIDERATION                  
 04/19/95      1089    (S)   HELD ON RECONSIDERATION TO 4/20                   
 04/20/95      1125    (S)   RECONSIDERATION NOT TAKEN UP                      
 04/20/95      1127    (S)   TRANSMITTED TO (H)                                
 04/21/95      1418    (H)   READ THE FIRST TIME - REFERRAL(S)                 
 04/21/95      1418    (H)   HES, FINANCE                                      
 04/28/95      1629    (H)   HES RPT  3DP 2NR                                  
 04/28/95      1630    (H)   DP: ROBINSON, TOOHEY, BRICE                       
 04/28/95      1630    (H)   NR: G.DAVIS, BUNDE                                
 04/28/95      1630    (H)   SENATE FISCAL NOTE (DOE) 3/21/95                  
 04/28/95              (H)   HES AT 08:30 AM CAPITOL 106                       
                                                                               
                                                                               
 ACTION NARRATIVE                                                              
                                                                               
 TAPE 95-45, SIDE A                                                            
 Number 000                                                                    
                                                                               
 CO-CHAIR CON BUNDE called the meeting of the House Health,                    
 Education and Social Services standing committee to order at 8:37             
 a.m.  Present at the call to order were Representatives Bunde,                
 Toohey, Brice and Davis.  A quorum was present to conduct business.           
 Co-Chair Bunde read the calendar and announced the order of the               
 bills.                                                                        
                                                                               
 CONFIRMATION HEARINGS:  ALASKA MENTAL HEALTH TRUST AUTHORITY BOARD          
                         OF TRUSTEES                                         
                                                                               
 Number 105                                                                    
                                                                               
 JOHN PUGH, Dean of Education, Liberal Arts and Sciences, University           
 of Alaska Southeast, said his background is in the area of                    
 psychiatric social work.  He has a master's in psychiatric                    
 education and social work.  His career working in mental health               
 clinics began in the U.S. Air Force.  He continued to work in that            
 area and in youth corrections after leaving the Air Force.   He               
 then began to work in administrative areas within the Department of           
 Health and Social Services (DHSS).                                            
                                                                               
 MR. PUGH said he is very interested in the services to mental                 
 health beneficiaries.  He feels the experience he has had over the            
 years will be a benefit in developing a comprehensive integrated              
 mental health plan, and will assist in studying how to best respond           
 to the income account for the mental health beneficiaries.                    
                                                                               
 MR. PUGH said his vision for the board is that this authority has             
 an opportunity to bring together a broad number of services within            
 the DHSS and the Attorney General's Office within the Department of           
 Corrections to try to serve the beneficiaries.  It is a great                 
 opportunity to serve with the board.  He thinks there are many ways           
 to make service delivery better.                                              
                                                                               
 Number 278                                                                    
                                                                               
 CO-CHAIR BUNDE announced that Representative Robinson joined the              
 meeting at 8:40 a.m.                                                          
                                                                               
 Number 338                                                                    
                                                                               
 NELSON PAGE, Managing Shareholder, Law Firm of Burr, Pease & Kurtz,           
 testified via teleconference that he got involved in mental health            
 issues on a personal level.  His wife was working at the neonatal             
 intensive care unit at Providence Hospital in Anchorage when she              
 came across a problem which was a very serious and expensive one              
 for the state of Alaska.  She discovered that there were no ways to           
 deliver services to infants who lived in rural areas but who had              
 very intense medical needs that required they be in a hospital                
 setting.                                                                      
                                                                               
 MR. PAGE said this problem was primary because there was no way to            
 care for these children outside of the hospital.  Mr. Page and his            
 wife took in one of the small children from a village in Southwest            
 Alaska as a foster son.  They cared for him and created a program             
 designed to bridge the gap between the need for intense medical               
 care and the need for people to get back to their families and                
 villages.                                                                     
                                                                               
 MR. PAGE said as a result of that experience, he has continued to             
 try to create programs to help people get out of hospitals and into           
 more natural settings.  He got involved in the whole issue of what            
 services were available and how they were delivered.  He spent                
 several years on the Mental Health Board with some of the other               
 candidates in this confirmation hearing.  All those individuals               
 worked very hard to try and solve the mental health lands                     
 litigation.                                                                   
                                                                               
 MR. PAGE said his vision for the Trust Authority has many facets.             
 He wants the board to become a canvas, or a place where                       
 imaginations can roam to create ways of delivering mental health              
 services in the state to match the state's needs.  He also would              
 like the board to make some of those hard decisions, providing the            
 legislature with a comprehensive budget each year.                            
                                                                               
 MR. PAGE said he felt the board members want to present the                   
 legislature with a budget that is realistic.  The board also has a            
 role to play in the enhancement of the coordination of the                    
 comprehensive mental health plan.  That will be an area in which              
 the board can create efficiencies and produce a better mental                 
 health program, hopefully the best in the country.  The board can             
 do this by making sure it meets the needs of the people.                      
                                                                               
 Number 562                                                                    
                                                                               
 REPRESENTATIVE CAREN ROBINSON said she has heard a rumor that the             
 board has made a decision to move the executive director position             
 to the Anchorage office.  She was curious if that was true, and if            
 so, why that would be, considering the Administration and the                 
 legislature is in Juneau.  The real importance of having the                  
 executive director in Juneau is for those reasons.                            
                                                                               
 MR. PAGE answered that the Trust Board, in its first meeting, did             
 make a decision that it would focus its staff in Anchorage.  That             
 decision has been made.  The reasons for it are many.  One of them            
 is that there is a responsibility to deal not just with the                   
 Administration and what goes on centrally in Juneau in terms of the           
 legislative process.  There is also a responsibility to monitor and           
 work with the mental health trust lands through the Department of             
 Natural Resources that is headquartered in Anchorage.                         
                                                                               
 MR. PAGE said the board has an opportunity with the resources that            
 have been granted as part of the trust.  The opportunity is to                
 really generate a lot of activity on land that has been pretty                
 inactive for many years.  The board felt it was very important to             
 be close to the mental health trust lands.  The board was also                
 aware of the fact that many constituent groups and other planning             
 bodies the board needs to work with are located in Anchorage.                 
                                                                               
 Number 685                                                                    
                                                                               
 MR. PAGE added that the board was also concerned about making sure            
 the Trust Authority was accessible throughout the state.  That was            
 also a consideration in making a decision to focus in Anchorage.              
 He noted that the board very clearly understands that much of what            
 the board does relates to what is going on in Juneau.  Exactly how            
 the board will be dealing with the issue of the work that needs to            
 be done in Juneau, and how board members will represent themselves            
 and their constituents in the legislature and with the                        
 Administration is something the board is still trying to make                 
 decisions about.                                                              
                                                                               
 MR. PAGE said the board does expect to have an ongoing presence in            
 Juneau.                                                                       
                                                                               
 Number 738                                                                    
                                                                               
 REPRESENTATIVE ROBINSON requested that the board rethink that                 
 decision. She has seen problems arise with other boards and                   
 commissions because they are not located in Juneau.  The                      
 legislature forgets about them.  The facts are that the                       
 commissioner of DHSS is in Juneau, as well as the commissioner of             
 the Department of Natural Resources (DNR).  All the mental health             
 staff is in Juneau also.  She is very concerned about the amount of           
 money and time spent on board members who have to fly to Juneau and           
 spend the whole session.                                                      
                                                                               
 REPRESENTATIVE ROBINSON noted that it is not just with this board,            
 she has seen this happen with others.  The board ends up paying for           
 their executive directors to live in a hotel for the 120 days that            
 the legislature is in Juneau.  She asked Mr. Page to realize how              
 that decision is going to impact what the board is going to be                
 requesting.                                                                   
                                                                               
 MR. PAGE appreciated that concern, and Representative Robinson is             
 not the first person to raise that concern.  Therefore, it is an              
 issue that will be reinvestigated.                                            
                                                                               
 Number 830                                                                    
                                                                               
 CO-CHAIR TOOHEY commented that if Mr. Page had said the executive             
 director's position was going to be in Juneau, she would have                 
 suggested that it be relocated to Anchorage.  She does not think              
 there will be that much interaction with the legislature.  There              
 are people in Juneau who are on the board that can be appointed as            
 liaisons.  She is very happy the position is located in Anchorage,            
 for economic and work reasons.                                                
                                                                               
 Number 910                                                                    
                                                                               
 TOM HAWKINS, Senior Vice President/Chief Operating Officer, Bristol           
 Bay Native Corporation, testified via teleconference from Anchorage           
 that he has a collection of job experiences primarily in the area             
 of natural resources for both the public and private sector.  He              
 looks forward to serving on the Mental Health Board.  The job is an           
 important one.  Although the challenges seem daunting in the early            
 months of the existence of the board, there are wonderful                     
 opportunities to focus and provide the efficient delivery of a                
 broad range of mental health services while effectively managing              
 the money, resources and assets of the trust in a way that serves             
 the beneficiaries.                                                            
                                                                               
 CO-CHAIR TOOHEY asked if she and Mr. Hawkins have met, and he said            
 they met during her campaign.  She asked if Mr. Hawkins was pro- or           
 anti-development, and he said he was pro-development.                         
                                                                               
 Number 1010                                                                   
                                                                               
 JOHN MALONE, Malone & Co., Inc., testified via teleconference that            
 he first became involved in the concerns of the mentally ill and              
 mentally disabled during his tour as a state trooper in the 1960s.            
 One of his first involvements was an investigation of the Alaska              
 Psychiatric Institute immediately after it was opened.  Thereafter,           
 Mr. Malone spent several years in the Aleutians and in Western                
 Alaska.  He has made several contacts with residents of psychiatric           
 hospitals.                                                                    
                                                                               
 MR. MALONE said during that period, he helped develop a nonprofit             
 corporation, Bethel Community Services, and also started the first            
 mental health program in this region.  Later he also helped begin             
 the first program in the region for those with developmental                  
 disabilities.  He has been affiliated with those organizations on             
 and off for about 20 years, as a direct provider, board member and            
 chairman of the board.                                                        
                                                                               
 MR. MALONE has been involved with the issues of the board ever                
 since former Governor Cowper originally filed a case in 1982.                 
 Later he was involved as a five-year member of the Alaska Mental              
 Health Board, when Chapter 48, the original settlement, was passed            
 by the legislature.                                                           
                                                                               
 MR. MALONE said most recently, he was representing the coalition of           
 beneficiary groups and the successful resolution of issues.  He               
 feels extremely privileged to have this opportunity to further the            
 settlement and the implementation of the settlement in this manner            
 through the Trust Authority.  He thinks the Trust Authority is                
 probably the finest achievement for a public purpose that the state           
 has arrived at in the settlement.                                             
                                                                               
 Number 1181                                                                   
                                                                               
 EVELYN TUCKER testified via teleconference that it was about 1985             
 or 1986 that she was meeting with other Alaskan Natives who were              
 becoming aware of the number of suicides in the Native communities.           
 At that time, she was serving on a Cook Inlet Region, Inc. (CIRI)             
 nonprofit board.  The suicide and accident rate was very high among           
 Native young people, aged 20 to 30.  There was a lot of drinking              
 and driving, and a lot of substance abuse.  She was following the             
 mental health litigation, and thought there might be some resources           
 that would make a difference in the Native community.                         
                                                                               
 MS. TUCKER said she subsequently applied for the first Mental                 
 Health Board under what she thought was a settlement that turned              
 out to be the first of several settlements.  At one point, she                
 served two terms for the Mental Health Board, and served two years            
 as chair.                                                                     
                                                                               
 Number 1248                                                                   
                                                                               
 MS. TUCKER began to think about becoming a candidate for the Trust            
 Authority, and she felt her experience with setting up the first              
 Mental Health Board would be very useful to the authority.  She was           
 attracted to the challenges and opportunities of the settlement.              
 She primarily is concerned with her fiduciary responsibilities to             
 the beneficiaries of the trust.                                               
                                                                               
 Number 1349                                                                   
                                                                               
 CO-CHAIR BUNDE thanked all those who testified, and read the                  
 following statement, "This does not reflect an intent by any member           
 to vote for or against these individuals during any further                   
 sessions for the purpose of confirmation."                                    
                                                                               
 SB 117 -  STATEWIDE INDEPENDENT LIVING COUNCIL                              
                                                                               
 Number 1414                                                                   
                                                                               
 STAN RIDGEWAY, Deputy Director, Division of Vocational                        
 Rehabilitation, Department of Education, said this bill was                   
 introduced at the request of the Department of Education by Senator           
 Halford.  In order for Alaska to continue to receive federal funds            
 for independent living, the state must establish in statute a                 
 Statewide Independent Living Council (SILC).  There has been a                
 council functioning for the last year and a half, but last year               
 there were questions raised about the legality of the council.                
 Former Governor Hickel had to reappoint a council so it could get             
 federal funds in October.                                                     
                                                                               
 MR. RIDGEWAY stated that SB 117 establishes the council in statute.           
 There is a fiscal note of $142,000 that is already in the budget              
 and is being spent by the council.  This enables the state to                 
 receive about $900,000 in federal money.  There is $602,000 in                
 state money that has been going to the independent living centers             
 in Alaska, and there is a $39,000 match to that.                              
                                                                               
 MR. RIDGEWAY said the council that is established spends about 9              
 percent of this money on operations.  That is the $142,000 fiscal             
 note.                                                                         
                                                                               
 Number 1475                                                                   
                                                                               
 CO-CHAIR TOOHEY noted that Mr. Ridgeway had said the $142,000 is              
 already in the budget.                                                        
                                                                               
 MR. RIDGEWAY said that was correct.                                           
                                                                               
 CO-CHAIR TOOHEY asked if there will be a reappropriation of money             
 the next year.                                                                
                                                                               
 MR. RIDGEWAY said yes, there would be.  It is a part of the roughly           
 $1 million that is already appropriated from federal and state                
 money.                                                                        
                                                                               
 Number 1499                                                                   
                                                                               
 REPRESENTATIVE ROBINSON asked if the SILC was located within the              
 DHSS.                                                                         
                                                                               
 MR. RIDGEWAY said no, actually the SILC is located within the                 
 Department of Education.  The language in the bill exempts it from            
 that, and places it in the Department of Education.                           
                                                                               
 Number 1517                                                                   
                                                                               
 REPRESENTATIVE DAVIS asked if the SILC was considered to be a part            
 of the Human Resources Investment Council (HRIC).  He noted that              
 the SILC was not included in the HRIC as far as the merger of                 
 councils.                                                                     
                                                                               
 MR. RIDGEWAY said Representative Davis was correct.  On a federal             
 and state level, vocational rehabilitation has been mentioned in              
 the HRIC, but it has been exempted.                                           
                                                                               
 CO-CHAIR BUNDE closed public testimony and asked for the wish of              
 the committee.                                                                
                                                                               
 REPRESENTATIVE ROBINSON moved CSSB 117(HES) with attached backup              
 documents, accompanying fiscal notes, and individual                          
 recommendations.  There were no objections, and the bill passed               
 from the House Health, Education and Social Services Committee.               
                                                                               
 ADJOURNMENT                                                                   
                                                                               
 CO-CHAIR BUNDE adjourned the meeting at 9:05 a.m.                             
                                                                               
                                                                               

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