Legislature(2001 - 2002)

03/13/2001 04:02 PM HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
          HOUSE HEALTH, EDUCATION AND SOCIAL SERVICES                                                                         
                       STANDING COMMITTEE                                                                                     
                         March 13, 2001                                                                                         
                           4:02 p.m.                                                                                            
                                                                                                                                
                                                                                                                              
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Fred Dyson, Chair                                                                                                
Representative Peggy Wilson, Vice Chair                                                                                         
Representative John Coghill                                                                                                     
Representative Gary Stevens                                                                                                     
Representative Vic Kohring                                                                                                      
Representative Sharon Cissna                                                                                                    
Representative Reggie Joule                                                                                                     
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE CONCURRENT RESOLUTION NO. 7                                                                                               
Relating to  proclaiming April 2001  as Sexual  Assault Awareness                                                               
Month.                                                                                                                          
                                                                                                                              
     - MOVED CSHCR 7(HES) OUT OF COMMITTEE                                                                                      
                                                                                                                                
SPONSOR SUBSTITUTE FOR HOUSE BILL NO. 76                                                                                        
"An  Act  authorizing  the  commissioner  of  health  and  social                                                               
services  to   provide  for  the   design  and   construction  of                                                               
psychiatric  treatment facilities  to replace  the facilities  of                                                               
the Alaska Psychiatric Institute."                                                                                              
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
SPONSOR SUBSTITUTE FOR HOUSE BILL NO. 77                                                                                        
"An   Act  relating   to  appropriations   for  the   design  and                                                               
construction  of a  replacement  facility or  facilities for  the                                                               
Alaska  Psychiatric  Institute  and  for a  grant  to  study  the                                                               
feasibility of  locating certain health  programs at the  site of                                                               
the Alaska Psychiatric Institute;  and providing for an effective                                                               
date."                                                                                                                          
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
HOUSE BILL NO. 130                                                                                                              
"An   Act   relating  to   the   issuance   of  certificates   of                                                               
participation  to  finance  demolition  of all  or  part  of  the                                                               
existing facility  known as the Alaska  Psychiatric Institute and                                                               
construction  of  a  new  facility  to be  known  as  the  Alaska                                                               
Psychiatric Institute;  giving notice of and  approving the entry                                                               
into, and  the issuance  of certificates  of participation  in, a                                                               
lease-purchase agreement  for demolition  of all  or part  of the                                                               
existing facility  known as the Alaska  Psychiatric Institute and                                                               
construction  of  a  new  facility  to be  known  as  the  Alaska                                                               
Psychiatric Institute; and providing for an effective date."                                                                    
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
PREVIOUS ACTION                                                                                                               
                                                                                                                                
BILL: HCR 7                                                                                                                   
SHORT TITLE:APRIL 2001 SEXUAL ASSAULT AWARENESS MONTH                                                                           
SPONSOR(S): REPRESENTATIVE(S)MEYER                                                                                              
                                                                                                                                
Jrn-Date   Jrn-Page                     Action                                                                                  
02/23/01     0409       (H)        READ THE FIRST TIME -                                                                        
                                   REFERRALS                                                                                    
02/23/01     0409       (H)        HES                                                                                          
03/13/01                (H)        HES AT 3:00 PM CAPITOL 106                                                                   
                                                                                                                                
BILL: HB 76                                                                                                                   
SHORT TITLE:NEW FACILITIES FOR API                                                                                              
SPONSOR(S): REPRESENTATIVE(S)ROKEBERG                                                                                           
                                                                                                                                
Jrn-Date   Jrn-Page                     Action                                                                                  
01/19/01     0128       (H)        READ THE FIRST TIME -                                                                        
                                   REFERRALS                                                                                    
01/19/01     0128       (H)        HES, FIN                                                                                     
02/14/01     0316       (H)        SPONSOR SUBSTITUTE INTRODUCED                                                                
02/14/01     0316       (H)        READ THE FIRST TIME -                                                                        
                                   REFERRALS                                                                                    
02/14/01     0316       (H)        HES, FIN                                                                                     
02/14/01     0316       (H)        REFERRED TO HES                                                                              
03/13/01                (H)        HES AT 3:00 PM CAPITOL 106                                                                   
                                                                                                                                
BILL: HB 77                                                                                                                   
SHORT TITLE:APPROP: REPLACEMENT OF API                                                                                          
SPONSOR(S): REPRESENTATIVE(S)ROKEBERG                                                                                           
                                                                                                                                
Jrn-Date   Jrn-Page                     Action                                                                                  
01/19/01     0129       (H)        READ THE FIRST TIME -                                                                        
                                   REFERRALS                                                                                    
01/19/01     0129       (H)        HES, FIN                                                                                     
02/14/01     0317       (H)        SPONSOR SUBSTITUTE INTRODUCED                                                                
02/14/01     0317       (H)        READ THE FIRST TIME -                                                                        
                                   REFERRALS                                                                                    
02/14/01     0317       (H)        HES, FIN                                                                                     
02/14/01     0317       (H)        REFERRED TO HES                                                                              
03/13/01                (H)        HES AT 3:00 PM CAPITOL 106                                                                   
                                                                                                                                
BILL: HB 130                                                                                                                  
SHORT TITLE:C.O.P.S FOR API DEMOLITION/CONSTRUCTION                                                                             
SPONSOR(S): RLS BY REQUEST OF THE GOVERNOR                                                                                      
                                                                                                                                
Jrn-Date   Jrn-Page                     Action                                                                                  
02/16/01     0344       (H)        READ THE FIRST TIME -                                                                        
                                   REFERRALS                                                                                    
02/16/01     0345       (H)        HES, FIN                                                                                     
02/16/01     0345       (H)        FN1: (REV)                                                                                   
02/16/01     0345       (H)        GOVERNOR'S TRANSMITTAL LETTER                                                                
02/16/01     0345       (H)        REFERRED TO HES                                                                              
03/13/01                (H)        HES AT 3:00 PM CAPITOL 106                                                                   
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
REPRESENTATIVE KEVIN MEYER                                                                                                      
Alaska State Legislature                                                                                                        
Capitol Building, Room 110                                                                                                      
Juneau, Alaska 99801                                                                                                            
POSITION STATEMENT:  Sponsor of HCR 7.                                                                                          
                                                                                                                                
LAUREE HUGONIN, Director                                                                                                        
Alaska Network on Domestic Violence and Sexual Assault                                                                          
130 Seward Street                                                                                                               
Juneau, Alaska 99801                                                                                                            
POSITION STATEMENT:  Testified in support of HCR 7.                                                                             
                                                                                                                                
REPRESENTATIVE NORMAN ROKEBERG                                                                                                  
Alaska State Legislature                                                                                                        
Capitol Building, Room 118                                                                                                      
Juneau, Alaska 99801                                                                                                            
POSITION STATEMENT:  Testified as sponsor of SSHB 76 and SSHB                                                                   
77.                                                                                                                             
                                                                                                                                
RANDALL BURNS, Director                                                                                                         
Alaska Psychiatric Institute                                                                                                    
Division of Mental Health & Developmental Disabilities                                                                          
Department of Health & Social Services                                                                                          
2900 Providence Drive                                                                                                           
Anchorage, Alaska 99508                                                                                                         
POSITION STATEMENT:  Testified on HB 130.                                                                                       
                                                                                                                                
JERRY WATKINS, Engineer/Architect                                                                                               
Construction & Operations                                                                                                       
Department of Transportation & Public Facilities                                                                                
PO Box 196900                                                                                                                   
Anchorage, Alaska 99519                                                                                                         
POSITION STATEMENT:  Answered questions on HB 130.                                                                              
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
TAPE 01-27, SIDE A                                                                                                              
Number 0001                                                                                                                     
                                                                                                                                
CHAIR FRED  DYSON called the  House Health, Education  and Social                                                               
Services  Standing  Committee  meeting  to  order  at  4:02  p.m.                                                               
Members present at the call  to order were Representatives Dyson,                                                               
Coghill, Stevens,  and Cissna.  Representatives  Wilson, Kohring,                                                               
and Joule joined the meeting as it was in progress.                                                                             
                                                                                                                                
HCR 7-APRIL 2001 SEXUAL ASSAULT AWARENESS MONTH                                                                               
                                                                                                                                
CHAIR DYSON announced  that the first order of  business would be                                                               
HOUSE CONCURRENT RESOLUTION NO.  7, Relating to proclaiming April                                                               
2001 as  Sexual Assault Awareness  Month. [Before  the committee,                                                               
although  not  formally  adopted,  was  Version  F  (22-LS0620\F,                                                               
Utermohle, 2/28/01.]                                                                                                            
                                                                                                                                
Number 0045                                                                                                                     
                                                                                                                                
REPRESENTATIVE KEVIN MEYER, Alaska  State Legislature, sponsor of                                                               
HCR 7,  came forth and  stated that he and  Representative Guess,                                                               
cosponsor,  thought  that  a resolution  format  would  help  the                                                               
public to  be more  aware of  the sexual  assaults that  occur in                                                               
Alaska.    He said  HCR  7  recognizes  the need  for  awareness,                                                               
prevention,  and   education  concerning  sexual  assault.     By                                                               
observing    [Sexual   Assault    Awareness   Month],    schools,                                                               
communities,    organizations,    individuals,   agencies,    and                                                               
businesses  are  encouraged  to  educate and  work  in  order  to                                                               
increase  the public's  awareness of  sexual assaults  in Alaska.                                                               
He stated  that sexual  assault is  one of  the most  violent and                                                               
underreported crimes in  Alaska and that statistics  paint a grim                                                               
picture  for  the state.    The  occurrences  of rape  have  been                                                               
increasing over  the past year,  and Alaska [experiences  a rate]                                                               
two times  higher than  the national average.   He  stressed that                                                               
sexual assault  affects not  only the lives  of the  victims, but                                                               
also the families, friends, and communities of the victim.                                                                      
                                                                                                                                
Number 0170                                                                                                                     
                                                                                                                                
REPRESENTATIVE  MEYER  stated  that  HCR 7  also  recognizes  and                                                               
appreciates  the  dedicated  staff and  volunteers  that  provide                                                               
victims the support and advocacy  needed to cope with the trauma.                                                               
He concluded  that it  is necessary to  work together  to prevent                                                               
sexual assault  and make a  statement that sexual assault  is not                                                               
acceptable.                                                                                                                     
                                                                                                                                
Number 0229                                                                                                                     
                                                                                                                                
REPRESENTATIVE CISSNA stated  that HCR 7 is very  important.  She                                                               
said  it  is interesting,  having  served  on the  Public  Safety                                                               
Finance Subcommittee for  the last three years,  that the hardest                                                               
thing to get  level funding for has been the  Council on Domestic                                                               
Violence and Sexual Assault.                                                                                                    
                                                                                                                                
REPRESENTATIVE MEYER  remarked that  funding is  hard to  get for                                                               
anything.  By  bringing this forth as a resolution,  the issue is                                                               
given a  little more exposure  than if  it were just  a citation.                                                               
He recognized  that there are a  lot of good groups  helping with                                                               
this cause  such as the  Council on Domestic Violence  and Sexual                                                               
Assault, and STAR (Standing Together Against Rape).                                                                             
                                                                                                                                
Number 0418                                                                                                                     
                                                                                                                                
LAUREE  HUGONIN, Director,  Alaska Network  on Domestic  Violence                                                               
and Sexual  Assault, came forth to  testify in support of  HCR 7.                                                               
She  stated that  April  is marked  as  sexual assault  awareness                                                               
month in many states across the  nation.  She said she encourages                                                               
people to  participate in  the Take Back  the Night  marches that                                                               
will be ongoing and the  candlelight ceremonies, which are forums                                                               
for  victims to  speak  about what  has happened  to  them.   She                                                               
concluded that to  be present and witness these  testimonies is a                                                               
powerful and encouraging thing.                                                                                                 
                                                                                                                                
CHAIR DYSON inquired  as to the number of males  that are victims                                                               
of sexual assault in Alaska.                                                                                                    
                                                                                                                                
MS.  HUGONIN  replied  that  according  to  national  statistics,                                                               
before the age  of 18 one in six boys  will be sexually assaulted                                                               
and one  in four girls.   She noted that  the number is  based on                                                               
what   is   reported  through   the   FBI   (Federal  Bureau   of                                                               
Investigation), which she understands  is an underreporting.  She                                                               
added  that there  are adult  male victims,  but Alaska  does not                                                               
keep statistics primarily on gender.                                                                                            
                                                                                                                                
Number 0557                                                                                                                     
                                                                                                                                
CHAIR DYSON  remarked that  he finds most  of his  colleagues are                                                               
unaware of how  many boys are sexually assaulted  and molested in                                                               
Alaska.   He made  a motion  to adopt  a conceptual  amendment on                                                               
page  1, after  line  7 [of  version  F] to  read:   "whereas  40                                                               
percent  of  child  sexual  assaults  reported  to  Alaska  child                                                               
advocacy  centers  are males,  and  male  rapes  in prison  is  a                                                               
significant or  profound problem". There being  no objection, the                                                               
conceptual amendment was adopted.                                                                                               
                                                                                                                                
REPRESENTATIVE MEYER remarked that  he, Representative Guess, and                                                               
Representative Croft  serve on  the Board  or Directors  of STAR,                                                               
which advocates for women as well as men.                                                                                       
                                                                                                                                
Number 0670                                                                                                                     
                                                                                                                                
REPRESENTATIVE JOULE made a motion to  move HCR 7 [version F, 22-                                                               
LS0620\F,  Utermohle, 2/28/01],  as amended,  from the  committee                                                               
with individual  recommendations and attached zero  fiscal notes.                                                               
There  being no  objection,  CSHCR 7(HES)  moved  from the  House                                                               
Health, Education and Social Services Standing Committee.                                                                       
                                                                                                                                
HB 76-NEW FACILITIES FOR API                                                                                                  
HB 77-APPROP: REPLACEMENT OF API                                                                                              
                                                                                                                                
Number 0750                                                                                                                     
                                                                                                                                
CHAIR  DYSON  announced the  committee  would  hear testimony  on                                                               
SPONSOR SUBSTITUTE  FOR HOUSE  BILL NO.  76, "An  Act authorizing                                                               
the commissioner  of health  and social  services to  provide for                                                               
the design  and construction of psychiatric  treatment facilities                                                               
to replace  the facilities of the  Alaska Psychiatric Institute,"                                                               
and SPONSOR  SUBSTITUTE FOR HOUSE  BILL NO. 77, "An  Act relating                                                               
to  appropriations   for  the  design   and  construction   of  a                                                               
replacement  facility or  facilities for  the Alaska  Psychiatric                                                               
Institute and  for a grant  to study the feasibility  of locating                                                               
certain health  programs at  the site  of the  Alaska Psychiatric                                                               
Institute; and providing for an effective date."                                                                                
                                                                                                                                
Number 0815                                                                                                                     
                                                                                                                                
REPRESENTATIVE  NORMAN ROKEBERG,  Alaska State  Legislature, came                                                               
forth as sponsor of SSHB 76 and  SSHB 77.  He stated that this is                                                               
a  very  important  issue that  faces  Alaska,  particularly  the                                                               
people  of Anchorage.   He  said he  understands the  priority to                                                               
replace the  API (Alaska Psychiatric Institute)  facility, and he                                                               
became interested when the deal  with Charter North fell through.                                                               
He  stated that  he introduced  this legislation  to discuss  not                                                               
only the  replacement of the  API facility but also  the addition                                                               
of what  had historically  been a  wing for  forensic psychiatric                                                               
use.                                                                                                                            
                                                                                                                                
REPRESENTATIVE  ROKEBERG mentioned  that  it was  brought to  his                                                               
attention   that  University   or   Alaska   Anchorage  and   the                                                               
Municipality of  Anchorage had some preliminary  discussion about                                                               
co-locating some of  their facilities with land in the  area.  He                                                               
remarked  that since  real  estate  is "dear"  in  that area,  it                                                               
becomes  an  important issue  about  what  the highest  and  best                                                               
values  are for  property in  that particular  neighborhood.   He                                                               
added   that  there   have  been   historic  conversations   with                                                               
Providence  Hospital,  Providence   Medical  Center,  and  Alaska                                                               
Regional  Hospital  regarding whether  they  had  an interest  in                                                               
participating [jointly  in a combined facility]  in the Anchorage                                                               
Area.                                                                                                                           
                                                                                                                                
Number 1035                                                                                                                     
                                                                                                                                
REPRESENTATIVE ROKEBERG stated  that right now there  is the Mike                                                               
Module unit in an Anchorage  correctional facility where the most                                                               
seriously mentally  ill patients in the  state are kept.   In the                                                               
Hiland  Mountain Correctional  Center  (for women)  there are  19                                                               
beds in a unit  called Michelle Module.  The Taku  unit is a ten-                                                               
bed unit  in API primarily  for the psychological  evaluations of                                                               
those who  are incompetent  to stand  trial under  Title 12.   He                                                               
added that there is a  Palmer special-needs facility with 18 beds                                                               
for those who have one year or  less to serve [in prison] and the                                                               
Spring  Creek Correction  Center's Echo  Module has  65 beds  for                                                               
chronically mentally  ill offenders who  are serving one  year or                                                               
more  [in  prison].     He  remarked  that   in  total,  Alaska's                                                               
correctional  system has  140  beds for  those  that need  mental                                                               
health treatment.   He expressed that  he thinks it is  a "crying                                                               
shame"  that  prisoners  who  need  mental  treatment  have  been                                                               
neglected.   He  remarked that  with  "time served"  many of  the                                                               
prisoners in Alaska,  almost invariably, will be back  out on the                                                               
street, so it is important to get them treatment.                                                                               
                                                                                                                                
REPRESENTATIVE ROKEBERG  stated that the  issues that need  to be                                                               
looked  at are:   the  location of  this particular  institution,                                                               
what's the highest and best use  of the available land, the scope                                                               
of the  institution, the  number of beds,  the design,  the cost,                                                               
and the financing.   He remarked that the governor  has a similar                                                               
bill  that  calls  for  the  appropriations  to  make  up  what's                                                               
currently   available,  and   that  recommends   certificates  of                                                               
participation, which add an ongoing  lease payment on the part of                                                               
the state in the general fund  every year.  He added that another                                                               
issue is the demolition cost of the existing structure.                                                                         
                                                                                                                                
[HB 76 and HB 77 were held over.]                                                                                               
                                                                                                                                
HB 130-C.O.P.S FOR API DEMOLITION/CONSTRUCTION                                                                                
                                                                                                                                
The committee's attention  was turned to HOUSE BILL  NO. 130, "An                                                               
Act relating to the issuance  of certificates of participation to                                                               
finance demolition of all or  part of the existing facility known                                                               
as the  Alaska Psychiatric  Institute and  construction of  a new                                                               
facility to be known as  the Alaska Psychiatric Institute; giving                                                               
notice  of and  approving the  entry  into, and  the issuance  of                                                               
certificates of participation in,  a lease-purchase agreement for                                                               
demolition of all  or part of the existing facility  known as the                                                               
Alaska Psychiatric  Institute and construction of  a new facility                                                               
to be  known as the  Alaska Psychiatric Institute;  and providing                                                               
for an effective date."                                                                                                         
                                                                                                                                
Number 1431                                                                                                                     
                                                                                                                                
RANDALL  BURNS,  Director,  Alaska Psychiatric  Institute  (API),                                                               
Division   of  Mental   Health   &  Developmental   Disabilities,                                                               
Department  of Health  & Social  Services (DHSS),  came forth  to                                                               
testify on HB  130.  He stated  that the problem is  that API has                                                               
reached  the end  of its  useful life.   It  contains sprayed  on                                                               
asbestos, which  has fallen  onto the  ceiling tiles  and between                                                               
the  walls.   He  said  the utilities  are  very  high [in  cost]                                                               
because  of the  inefficiencies of  the old  [mechanical support]                                                               
systems.   The roof  is in  need of repair,  with an  estimate of                                                               
$650,000  plus costs  for the  Department of  Transportation [and                                                               
Public Facilities].   He stated that another problem  is that API                                                               
doesn't meet seismic codes.   Furthermore, it was not designed as                                                               
a hospital, and  its physical layout is not  conducive to patient                                                               
care and treatment.   It was built in 1962,  during the Cold War,                                                               
as a  [medical-surgery] hospital.   He added  that looking  for a                                                               
replacement  has  been a  problem  since  1988.   He  noted  that                                                               
studies have  concluded that it  would be cheaper to  construct a                                                               
new facility than to abate  the asbestos [situation] and make the                                                               
renovations necessary.  MR. Burns  said [DHSS] is very interested                                                               
in finding a resolution to these problems.                                                                                      
                                                                                                                                
Number 1657                                                                                                                     
                                                                                                                                
MR. BURNS explained that the  legislature in 1991, 1992, and 1993                                                               
gave a  total of $6.1  million for the  design and planning  of a                                                               
new hospital.   This was to be a $65  million, 114-bed facility -                                                               
90 beds for  civil patients and 24 beds for  forensic beds run by                                                               
the Department of Corrections.   However, he said, because Alaska                                                               
was in  a statewide recession  in 1994, an appropriation  bill of                                                               
only $22.8 million  was created, putting a limit of  72 beds.  He                                                               
stated that in 1996  API went out to bid, but  the bids that came                                                               
in were millions of dollars short  of the construction costs.  At                                                               
that point, API withdrew the project.                                                                                           
                                                                                                                                
Number 1734                                                                                                                     
                                                                                                                                
MR.  BURNS stated  that  [DHSS], with  the  Alaska Mental  Health                                                               
Trust Authority  (AMHTA) and the  Mental Health Board,  looked at                                                               
three options:   going ahead  with the idea of  building, looking                                                               
at purchasing,  or looking at  partnering with  another hospital.                                                               
He said that  [API] did "hook up" with  Providence [Hospital], as                                                               
one of those three options, and  spent a whole year talking about                                                               
a joint hospital.   He remarked that a basic  floor plan, budget,                                                               
and draft  report were  produced.  The  only difficulty  was that                                                               
Providence  [Hospital] wanted  to build  [the joint  facility] on                                                               
land to the east of its  existing hospital, which is owned by the                                                               
university.   He stated  that API  approached the  [AMHTA], which                                                               
offered the  possibility of doing a  land swap with its  land and                                                               
the university's.   Unfortunately, he explained,  that turned out                                                               
to  be too  complex, and  in late  1998 [API]  withdrew from  the                                                               
idea.                                                                                                                           
                                                                                                                                
MR. BURNS continued,  stating that API then  looked at purchasing                                                               
a  replacement facility.    He said  Charter  [North] offered  to                                                               
build an addition  onto its hospital and sell [API]  one bed more                                                               
than half  of the facility.   Alaska Psychiatric  Institute would                                                               
then jointly operate that hospital.   By the end on 1998 [Charter                                                               
North]  offered   the  entire   hospital.     Alaska  Psychiatric                                                               
Institute,  starting   in  the  spring  of   1999,  entered  into                                                               
intensive negotiations,  which took  over a year  and a  half and                                                               
become complicated when Charter [North]  went bankrupt.  He added                                                               
that,  ultimately,  the  major drawback  was  the  neighborhood's                                                               
objection  and  Anchorage's   planning  and  zoning  commission's                                                               
unanimous findings  that it would  not approve [API's]  moving to                                                               
that  location  because there  would  be  forensic patients,  not                                                               
guilty-by-reason-of-insanity patients,  the wards are  locked and                                                               
the  patients  are there  involuntarily.    He remarked  that  in                                                               
December of last year [API] backed out of that deal.                                                                            
                                                                                                                                
Number 1877                                                                                                                     
                                                                                                                                
MR. BURNS  stated that the answer  is to build the  facility that                                                               
had  been  planned.   He  remarked  that  this could  happen  now                                                               
because  [AMHTA]  recently  conveyed   to  [DHSS]  certain  [API]                                                               
parcels  of  land  for  this  purpose.    [He  indicated  to  the                                                               
committee,   through  a   slide  presentation   and  accompanying                                                               
handout, the layout of parcels A, B,  C, D, and E.]  He explained                                                               
that [AMHTA] is willing to convey  to [DHSS] parcels B, C, and D,                                                               
and  wants to  develop  parcels  A and  E.    The university  and                                                               
Providence  Hospital  are  interested  in  any  land  nearby  for                                                               
development.                                                                                                                    
                                                                                                                                
CHAIR  DYSON asked  whether  the new  [facility]  would be  built                                                               
after the old one is demolished.                                                                                                
                                                                                                                                
Number 1965                                                                                                                     
                                                                                                                                
MR.  BURNS  answered   that  it  is  "phased."     He  continued,                                                               
explaining  that  building  [API]  on  this  parcel  makes  sense                                                               
because  it  is   zoned  for  this  use.     [Alaska  Psychiatric                                                               
Institute] is  a well-accepted institution  in this area  and the                                                               
neighborhood has actually  grown up around it.   He remarked that                                                               
[API]  is also  a  teaching hospital,  so it  makes  sense to  be                                                               
located  near Anchorage's  institution for  higher learning.   He                                                               
stated  that  [API]  needs  to  be  located  near  an  acute-care                                                               
hospital  because  many of  the  patients  need to  be  medically                                                               
cleared before they can be admitted  to [API]; also, if there are                                                               
medical emergencies,  the patients need  to get to a  hospital as                                                               
quickly as  possible.  He  said the university  community council                                                               
and  its  residents  have  been  very  supportive  of  API.    He                                                               
mentioned that the  Alaska Native Medical Center  has stated that                                                               
it has just  completed its ten-year plan and has  no intention of                                                               
building additional psychiatric beds  for its hospital; therefore                                                               
it  will be  relying on  [API] for  at least  another ten  years.                                                               
Most  important,   Mr.  Burns  said,  the   planning  and  zoning                                                               
commission,  in its  resolution turning  down [API's]  request to                                                               
relocate, said it thought [API] should stay where it is.                                                                        
                                                                                                                                
MR.  BURNS  stated  that  building the  facility  that  had  been                                                               
planned  would be  done  through  certificates of  participation,                                                               
which would  fund both the  construction of the hospital  and the                                                               
demolition of "old" API.   He explained that HB 130  and SB 96 do                                                               
the following:   build the hospital that was planned  in 1996 and                                                               
reaffirmed  in 1998,  build a  hospital to  accommodate 54  to 72                                                               
beds,  and  construct  to the  additional  capacity,  given  [the                                                               
state's] current need for inpatient mental health treatment.                                                                    
                                                                                                                                
Number 2090                                                                                                                     
                                                                                                                                
CHAIR DYSON asked what his sense  is of the need for the forensic                                                               
beds.                                                                                                                           
                                                                                                                                
MR.  BURNS answered  that  he  believes it  is  necessary to  not                                                               
proceed and complicate this project  with the question of whether                                                               
or not  the neighborhood would  accept a significant  addition of                                                               
forensic beds  to this hospital.   In the current  hospital there                                                               
are  ten beds,  but those  individuals, for  the most  part, have                                                               
just been accused of a crime  and are being evaluated as to their                                                               
competency to stand trial.  He  clarified that there is nobody in                                                               
the  hospital that  has been  found guilty.   Five  patients have                                                               
been  found not  guilty by  reason of  insanity, and  there is  a                                                               
group that  comes through the hospital  regularly for evaluations                                                               
through a court order.                                                                                                          
                                                                                                                                
CHAIR DYSON asked  if those [patients] are in  secure portions of                                                               
the facility.                                                                                                                   
                                                                                                                                
MR. BURNS  replied that all of  the units are locked,  but [these                                                               
patients] are in a more secure unit than any of the others.                                                                     
                                                                                                                                
CHAIR DYSON asked if the neighborhood knows this.                                                                               
                                                                                                                                
MR. BURNS  responded that [the  neighborhood] is used to  it, but                                                               
have  commented that  they are  concerned about  the addition  of                                                               
forensic beds.                                                                                                                  
                                                                                                                                
Number 2213                                                                                                                     
                                                                                                                                
CHAIR DYSON  asked if it  is advantageous  for the state  to have                                                               
the incarcerated mental health patients in a single facility.                                                                   
                                                                                                                                
MR.  BURNS  replied  that  from  a mental  health  and  a  health                                                               
perspective,  a  prison  environment  is  not  conducive  to  the                                                               
treatment of mentally ill individuals.                                                                                          
                                                                                                                                
Number 2270                                                                                                                     
                                                                                                                                
REPRESENTATIVE   JOULE  remarked   that  major   maintenance  and                                                               
replacement   of  the   Department   of   Education  [and   Early                                                               
Development]  go  through  a  priority  listing,  particular  for                                                               
schools.   He asked Jerry  Watkins if there  is such a  thing for                                                               
public  facilities, where  by state-owned  property is  looked at                                                               
and the maintenance and replacement needs are ranked.                                                                           
                                                                                                                                
JERRY  WATKINS,  Engineer/Architect, Construction  &  Operations,                                                               
Department  of Transportation  and  Public Facilities,  responded                                                               
that he thinks Representative Joule is talking about a long-                                                                    
range  plan for  public  facility renewal  and  replacement.   He                                                               
stated  that  he does  not  believe  one  exists, but  there  are                                                               
efforts going on to address that problem.                                                                                       
                                                                                                                                
MR.  BURNS  continued,  stating  that  HB 130  and  SB  96  would                                                               
maintain  the gym  and the  storage beneath  it and  demolish the                                                               
rest.   He  stated  that one  of the  reasons  the demolition  is                                                               
important is  it would  open up  property for  other development.                                                               
He  said  the total  cost  is  $58,750,000 for  construction  and                                                               
demolition.   There is $22.2 million  in the bank because  of the                                                               
money remaining from the [API]  project and an appropriation from                                                               
AMHTA.   He  clarified  that  $36.5 million  is  remaining to  be                                                               
raised  through  certification  of   participation  in  a  lease-                                                               
purchase agreement.                                                                                                             
                                                                                                                                
TAPE 01-27, SIDE B                                                                                                              
                                                                                                                                
MR  BURNS continued,  stating that  since  there are  significant                                                               
funds,  [certifications of  participation]  would actually  lower                                                               
the  lease payments  to the  state.   He  added that  ultimately,                                                               
[DHSS] would be paying $3.7 million  annually for 15 years and at                                                               
the end of that time would own the facility.                                                                                    
                                                                                                                                
Number 2325                                                                                                                     
                                                                                                                                
MR.  BURNS  explained that  the  total  construction cost,  after                                                               
adding the  "change order  reserve," additional  architecture and                                                               
engineering   consultants,  administration   fees,  and   overall                                                               
contingency, is  $48 million.  He  added that there is  also cost                                                               
for  demolition   and  relocation   of  patients;   therefore,  t                                                               
deducting what  is in  the bank,  the total  cost that  [DHSS] is                                                               
financing is $36,550,000.                                                                                                       
                                                                                                                                
MR. BURNS stated that in  comparison to other projects in Alaska,                                                               
API's construction  cost, at $36  million is $.5 million  per bed                                                               
and $357  a square foot.   Elmendorf's  was $1.4 million  per bed                                                               
and  $363 a  square foot;  Bassett  Army Hospital's  was $385  [a                                                               
square  foot];,  and  Alaska Native  Medical  Center's  was  $1.1                                                               
million per bed and $441 per square foot.                                                                                       
                                                                                                                                
[Mr. Burns offered  a slide presentation to the  committee of the                                                               
API site layout.]                                                                                                               
                                                                                                                                
Number 2247                                                                                                                     
                                                                                                                                
MR. BURNS  stated that  there are two  other aspects  besides the                                                               
replacement  [of   the  "old"   API].     One  is   that  private                                                               
alternatives to API hospitalization  have been developed in order                                                               
to increase  the ability of  the private sector to  support these                                                               
patients in  the community.   The other  aspect is  improving the                                                               
quality of care at API.                                                                                                         
                                                                                                                                
MR. BURNS  remarked that one  of the major problems  in Anchorage                                                               
is the  difficulty in knowing where  to bring a person  who needs                                                               
treatment.    Therefore,  [DHSS]  is  working  on  a  project  in                                                               
conjunction with  Providence Hospital, through federal  funds, to                                                               
build  a  space  accommodating  a  single point  of  entry.    He                                                               
explained   that  decisions   would  be   made  there   regarding                                                               
appropriate treatment  and then  the person would  be transferred                                                               
to another facility.                                                                                                            
                                                                                                                                
Number 2127                                                                                                                     
                                                                                                                                
MR. BURNS  stated that  for those reasons,  API is  still needed.                                                               
He  remarked  that  API  is  a core  service  of  government  and                                                               
provides services that  private providers cannot or  will not do.                                                               
He said patients  who exceed local private  treatment options and                                                               
people in  communities where  inpatient treatment  is nonexistent                                                               
would come to API.                                                                                                              
                                                                                                                                
MR. BURNS concluded  that [DHSS is before  the committee] because                                                               
[personnel] feel  they have tried  a variety of options  but none                                                               
of them have worked.                                                                                                            
                                                                                                                                
[HB 130 was held over.]                                                                                                         
                                                                                                                                
Number 2044                                                                                                                     
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health, Education and Social  Services Standing Committee meeting                                                               
was adjourned at 5:00 p.m.                                                                                                      
                                                                                                                                

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