Legislature(1999 - 2000)
03/04/1999 03:02 PM House HES
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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
HOUSE HEALTH, EDUCATION AND SOCIAL
SERVICES STANDING COMMITTEE
March 4, 1999
3:02 p.m.
MEMBERS PRESENT
Representative Fred Dyson, Co-Chair
Representative John Coghill, Co-Chair
Representative Jim Whitaker
Representative Joe Green
Representative Carl Morgan
Representative Tom Brice
Representative Allen Kemplen
MEMBERS ABSENT
All members present
OTHER HOUSE MEMBERS PRESENT
Representative Gene Therriault
COMMITTEE CALENDAR
* HOUSE JOINT RESOLUTION NO. 13
Relating to using oil spill settlement funds to create an endowment
for the sciences at the University of Alaska.
MOVED HJR 13 OUT OF COMMITTEE
* SPONSOR SUBSTITUTE FOR HOUSE BILL NO. 72
"An Act relating to the provision of services for persons with
handicaps; substituting, in the chapter relating to the rights of
persons with handicaps and programs for the benefit of persons with
handicaps, references to 'disabilities' for references to
'handicaps'; correcting references in that chapter in certain
definitions; and correcting in that chapter a reference to an act
under which federal financial support is provided for the support
of education of the handicapped."
- HEARD AND HELD
(* First public hearing)
PREVIOUS ACTION
BILL: HJR 13
SHORT TITLE: UNIVERSITY ENDOWMENT FOR RESEARCH
SPONSOR(S): REPRESENTATIVES(S) THERRIAULT, Davies, Whitaker,
Mulder, Harris
Jrn-Date Jrn-Page Action
2/08/99 162 (H) READ THE FIRST TIME - REFERRAL(S)
2/08/99 163 (H) HES, FINANCE
2/10/99 203 (H) COSPONSOR(S): HARRIS
3/04/99 (H) HES AT 3:00 PM CAPITOL 106
BILL: HB 72
SHORT TITLE: PERSONS WITH DISABILITIES
SPONSOR(S): REPRESENTATIVES(S) BRICE, Croft
Jrn-Date Jrn-Page Action
1/29/99 102 (H) READ THE FIRST TIME - REFERRAL(S)
1/29/99 103 (H) HES, FINANCE
2/01/99 122 (H) COSPONSOR(S): CROFT
2/17/99 236 (H) SPONSOR SUBSTITUTE
INTRODUCED-REFERRALS
2/17/99 236 (H) READ THE FIRST TIME - REFERRAL(S)
2/17/99 237 (H) HES, FIN
3/04/99 (H) HES AT 3:00 PM CAPITOL 106
WITNESS REGISTER
WILDA RODMAN, Legislative Administrative Assistant
for Representative Gene Therriault
Alaska State Legislature
Capitol Building, Room 511
Juneau, Alaska 99801
Telephone: (907) 465-2812
POSITION STATEMENT: Presented HJR 13.
MOLLY MCCAMMON, Executive Director
Exxon Valdez Oil Spill Trustee Council
645 G Street
Anchorage, Alaska 99517
Telephone: (907) 278-8012
POSITION STATEMENT: Testified on HJR 13.
SUSAN DRATHMAN, Coordinator
The Pride Program
Community Mental Health Center
4938 Ben Walters Lane
Homer, Alaska 99603
Telephone: (907) 235-7701
POSITION STATEMENT: Testified in support of HB 72.
DAVID MALTMAN, Executive Director
Governor's Council on Disabilities and Special Education
Office of the Commissioner
Department of Health and Social Services
P.O. Box 240249
Anchorage, Alaska 99524
Telephone: (907) 269-8990
POSITION STATEMENT: Testified in support of HB 72.
EMILY ENNIS, Executive Director
Fairbanks Resource Agency
805 Airport Way, Suite 1
Fairbanks, Alaska 99701
Telephone: (907) 456-8901
POSITION STATEMENT: Testified in support of HB 72.
ELAINE HAMRICK
Member, Key Coalition
10250 Jamestown Number 11
Anchorage, Alaska 99507
Telephone: (907) 522-1097
POSITION STATEMENT: Testified in support of HB 72.
SCOT WHEAT
P. O. Box 2353
Homer, Alaska 99603
Telephone: (907) 235-6840
POSITION STATEMENT: Testified in support of HB 72.
DIANA RAY
Hope Community Resources
P. O. Box 33045
Juneau, Alaska 99803
Telephone: (907) 789-2118
POSITION STATEMENT: Testified in support of HB 72.
KARL BRIMNER, Director
Division of Mental Health and Developmental Disabilities
Department of Health and Social Services
P. O. Box 110620
Juneau, Alaska 99811
Telephone: (907) 465-3370
POSITION STATEMENT: Provided information on HB 72.
CONNIE ANDERSON, Program Administrator
Developmental Disabilities Program
Division of Mental Health and Developmental Disabilities
Department of Health and Social Services
P. O. Box 110620
Juneau, Alaska 99811
Telephone: (907) 465-3370
POSITION STATEMENT: Provided information on HB 72.
ACTION NARRATIVE
TAPE 99-15, SIDE A
Number 0001
CO-CHAIRMAN COGHILL called the House Health, Education and Social
Services Standing Committee meeting to order at 3:02 p.m. Members
present at the call to order were Representatives Dyson, Coghill,
Morgan, Brice and Kemplen. Representatives Whitaker and Green
joined the meeting at 3:08 p.m. and 3:10 p.m. respectively.
HJR 13 - UNIVERSITY ENDOWMENT FOR RESEARCH
Number 0050
CO-CHAIRMAN COGHILL announced the first order of business as House
Joint Resolution No. 13, Relating to using oil spill settlement
funds to create an endowment for the sciences at the University of
Alaska.
Number 0068
WILDA RODMAN, Legislative Administrative Assistant for
Representative Gene Therriault, Alaska State Legislature read the
sponsor statement:
House Joint Resolution 13, is related to using oil spill
settlement funds to create a long-term research and monitoring
endowment. It supports the recent action of the Exxon Valdez
Oil Spill Trustees to create a long-term research and
monitoring endowment using $115 million of the expected
reserve.
The Exxon Valdez Oil Spill (EVOS) Trustee Council allocates
money obtained from settlement of the Exxon Valdez spill
litigation. Over the years EVOS funds have largely been used
to purchase land for habitat preservation, and have been
lacking in the area of research. I believe this has left a
critical gap in our understanding of this spill and how to
respond in the future. Endowing scientific chairs at the
University will help increase available baseline data, enhance
the biological resources of the northern Gulf of Alaska, and
significantly improve spill-related technology. For example,
it is widely understood that many aspects of the Exxon Valdez
oil spill response, such as high-pressure washing of beaches
and rock washing, may have caused more long-term harm than
benefit. We also need to know if types of marine ecosystems
are extra sensitive to certain cleanup activities, and if so,
how we should respond to a spill in those areas.
An endowment of this nature will fulfill the intent of the
Exxon Valdez oil settlement and the mission of the Trustee
Council, which is to restore, rehabilitate, replace, enhance,
or acquire equivalent resources and services in the oil spill
region.
MS. RODMAN noted they have a proposed committee substitute because
of recent actions taken by the Trustee Council on Monday.
Number 0242
REPRESENTATIVE BRICE moved to adopt the proposed committee
substitute (CS) for HJR 13, 1-LS0314\H, Ford, 3/4/99, as a work
draft. There being no objection, Version H was before the
committee.
CO-CHAIRMAN COGHILL accepted the motion.
Number 0385
MS. RODMAN referred to the memo attached to the CS in the packets
that explains all the changes. The original [bill] urged the
Trustees to create an endowment through the University of Alaska.
On Monday the EVOS Trustees voted to use $115 million of the
reserve for a research and monitoring program which is similar
enough to what the sponsors wanted that they changed the resolution
to now support that action. It would no longer be through the
University of Alaska. In addition to that, they encouraged the
Trustee Council to use a portion of that $115 million to establish
endowed chairs at the University.
MS. RODMAN went on to say there is an issue with the way that the
funds are invested. Currently the Department of Justice requires
that the funds be deposited into a court registry, which can only
be invested in the U.S. Treasury. The Trustee Council, as part of
this resolution, wants to ask the U. S. Congressional delegation to
amend federal legislation so that they can move it out of the Court
Registry Investment System and into a different kind of fund where
it could be invested more aggressively.
CO-CHAIRMAN COGHILL asked who would have control of this.
MS. RODMAN said Molly McCammon can answer that better. Currently
the monies are in a non-expendable fund. When they are authorized
for expenditure, they are moved into either a federal fund or an
Alaska fund. The Alaska fund is called the Exxon Valdez Oil
Settlement Trust and is expendable. The EVOS Trustee Council wants
to set up a non-expendable fund that is similar to that and would
be invested like the retirement system funds.
Number 0583
MOLLY MCCAMMON, Executive Director, Exxon Valdez Oil Spill Trustee
Council, testified via teleconference from Anchorage. She
confirmed what Ms. Rodman said. Under federal law these funds have
to be left within the U.S. Treasury so they can only be affected in
treasury bills. The Trustees believe this seriously limits their
potential in creating a long-term research endowment and research
fund. In order to maximize their investment potential, the EVOS
Trustees are seeking congressional authorization to move the funds
from the treasury to invest them in other accounts that are
controlled by prudent management.
Number 0679
REPRESENTATIVE KEMPLEN asked if there was any discussion at the
Trustee Council meeting of the concept of using these funds to
endow chairs at the University of Alaska.
MS. MCCAMMON answered they did not specifically bring up the issue
of endowed chairs at the Monday meeting. The action was strictly
to establish a long-term fund for research, but there has been
support expressed for endowed chairs. Most of the public comment
has been in favor of a competitive research program. The plan is
to develop the long-term plan and then see if an endowed chair fits
into those goals. At this point there hasn't been any action taken
on it.
REPRESENTATIVE KEMPLEN asked if there was a percentage breakdown
between the categories of research, monitoring and general
restoration.
Number 0812
MS. MCCAMMON answered no that they all fit together. These are the
main categories established through the settlement itself in 1991.
There would be two on-going programs. One would be the long-term
planning of what goes on with ocean currents, ocean temperatures
and the things seen over a decade, and the other would be research
to answer a multitude of questions about the marine environment.
Number 0893
MS. RODMAN gave the committee information from the University on
exactly how the endowed chairs work. Usually a minimum of $2
million is managed and invested by the University of Alaska
Foundation and would be deposited into the pooled endowment fund.
The interest is expected to raise approximately $100,000 per year
which would pay the salary and some support for the endowed
position. The subject for the research area would be dictated by
EVOS but the University would have discretion on who it hires to
fill the position. EVOS could be as specific as it wanted on the
area of research.
CO-CHAIRMAN COGHILL asked when would they want the transfer to
happen.
Number 0975
MS. MCCAMMON said they would like the authority as soon as possible
to get the funds in a better investment climate. They hope to have
more than $115 million dollars in 2002 for the research fund. In
the two years since the process started, the Trustees believe a
minimum of $17 million in unearned interest has been lost. As soon
as this is accomplished, they will have more options in the future.
REPRESENTATIVE KEMPLEN asked if the University could hire someone
for the $100,000 that is generated per year.
MS. RODMAN said Ann Ringstad at the University said the $100,000
covers salary, benefits and some support.
MS. MCCAMMON added that some of the top researchers already receive
over $120,000 in salary and benefits; but to attract top faculty,
they would want to have more than $100,000 per year.
Number 1078
REPRESENTATIVE KEMPLEN asked if the resolution addresses a minimum
level for an endowment to attract a quality person.
MS. RODMAN answered no that it simply urges the establishment of
endowed chairs. She emphasized that it is a minimum of $2 million
to generate the $100,000.
Number 1158
REPRESENTATIVE BRICE moved House CS for HJR 13 with individual
recommendations and zero fiscal note.
HB 72 - PERSONS WITH DISABILITIES
Number 1185
CO-CHAIRMAN COGHILL announced the next order of business as Sponsor
Substitute for House Bill No. 72, "An Act relating to the provision
of services for persons with handicaps; substituting, in the
chapter relating to the rights of persons with handicaps and
programs for the benefit of persons with handicaps, references to
'disabilities' for references to 'handicaps'; correcting references
in that chapter in certain definitions; and correcting in that
chapter a reference to an act under which federal financial support
is provided for the support of education of the handicapped." Co-
Chairman Coghill called on Representative Brice to present the
bill.
Number 1200
REPRESENTATIVE BRICE said the State of Alaska, following federal
trends, eliminated institutional care for disabled citizens.
Harborview Development Center in Valdez has been closed and people
have moved back in the communities. The problem has been that the
community services have been inadequately funded. Currently there
are about 700 people on the waitlist. HB 72 implements a concrete
time line by which people with disabilities will receive services;
it removes the funding barriers so the Department of Health and
Social Services (DHSS) can administer the community-based care
program at an appropriate financial level; and revises the sections
in the statutes that say "handicap" to say "disability". Currently
the people on the waitlist in crisis get service, but people who
have a fairly stable living situation may wait six months to six
years before they are eligible for services.
CO-CHAIRMAN DYSON asked for an explanation of "it removes the
barriers for funding."
REPRESENTATIVE BRICE answered that the statute currently says the
DHSS will provide the programs the legislature funds. The DHSS has
never asked for full funding, therefore the legislature never fully
funded the program so there has always been a waitlist. This bill
says the DHSS will provide those services so at least the DHSS will
be required to ask the legislature for adequate funding.
CO-CHAIRMAN DYSON asked what would happen if the legislative
appropriation in a given year is not sufficient to get the level of
care to qualified people within time guidelines in this bill.
REPRESENTATIVE BRICE answered there would be no provision of
service.
CO-CHAIRMAN DYSON said he thought a case could be made that this
would mandate that the time people wait for service be followed and
the legislature could be under court order to take the funds from
other sources to put the amount of resources necessary to meet the
time guidelines in this bill.
REPRESENTATIVE BRICE said that is probably an accurate statement
although he believes that it would work much the same way as
Medicaid/Medicare. There have been many court cases where people
with disabilities have sued for service and regardless of what the
state statute said, the courts have awarded in their favor because
of the length of time people are being left without services. The
concern is that there is no plan to eliminate the waitlist, and HB
72 at least gets an enumeration of who is on the waitlist.
Number 1518
CO-CHAIRMAN DYSON said he would be wholeheartedly in favor of HB 72
if it mandated that DHSS put forth in the budget request the
resources required. The fact that the language that says that the
services are subject to the appropriation have been deleted makes
him uneasy.
REPRESENTATIVE KEMPLEN said there is still discretionary authority
given to the DHSS. The use of "may" is an important distinction on
lines 5 and 7. If the mandatory language were there then he could
understand the reservations. This legislation simplifies the
statutes and still allows the discretionary ability of the DHSS; it
doesn't mandate anything.
CO-CHAIRMAN DYSON said with the permissive "may" there, the DHSS
can provide services directly or through contractors, but he
doesn't read it that there is the option of not providing services.
REPRESENTATIVE BRICE said the idea is that the DHSS may provide the
services themselves or contract them out. HB 72 starts addressing
the needs of the people on the waitlist to focus on what is needed.
SUSAN DRATHMAN, Coordinator, The Pride Program, Community Mental
Health Center testified via teleconference from Homer and said she
supports the elimination of the waitlist. In Homer there are about
12 people who have no services at all, several have been on the
waitlist four or five years, some placements will expire in May and
they can't make any plans. The waitlist is detrimental and some
people who do receive services are under funded.
Number 1989
DAVID MALTMAN, Executive Director, Governor's Council on
Disabilities and Special Education testified in support of HB 72.
The Governor's Council's role in this is to plan, evaluate and then
promote services that benefit people with developmental
disabilities. He provided an article from the National Conference
of State Legislatures for the packets. The article gives an idea
of what legislative peers are experiencing in other states.
MR. MALTMAN reported that on July 1, 1998 there were 787 people
waiting for services. Through serving about 250 people, 180 moved
away or didn't need services any longer, the list today is 690.
The point is some people have been served throughout the year and
the waitlist has been reduced. Factors that cause the waitlist to
grow include demographics, about 2 out of 100 people are
developmentally disabled; students who finish special education
programs may need minimal vocational support or meaningful day
activities; and elderly parents who may need some services for
their adult children.
MR. MALTMAN asked for support for HB 72 for three reasons: it
emphasizes the on-going need to develop a long-term approach to
serving people with developmental disabilities; it provide a
mechanism for the state to move eligible people into services; and
it replaces archaic and out-dated offensive language.
Number 2251
EMILY ENNIS, Executive Director, Fairbanks Resource Agency, Member,
Key Coalition came forward to testify in support of HB 72. She
informed the committee of the needs of developmentally disabled
people so they could better understand those needs. In order for
those people to maintain a life as normal as possible, they require
community services. About 11,000 of people in Alaska are
developmentally disabled and about 2,200 of those are receiving
services. Around 700 are waiting for services and while they wait
their families could go into crisis. The waitlist significantly
impacts lives of Alaskans with disabilities and their families.
TAPE 99-15, Side B
Number 2372
MS. ENNIS said that the waitlist has grown because the scope of
eligibility was broadened, but the money was not there to pay for
the growth. As a reminder, she said the state funded Harborview
Development Center about 30 years for $7 million a year of which
$3.5 million came from general funds. Those people are now being
served in the communities and the needs are the same. There needs
to be a long-term future plan that may include a bigger price tag
than has been addressed, and it needs to be faced. She
wholeheartedly supports HB 72 as do the members of the Key
Coalition she represents.
Number 2241
ELAINE HAMRICK came forward to testify as a mother of a child with
multiple disabilities, as a member of the Key Coalition and for
families on the waitlist. Although there will always be those who
abuse the system, in her experience the families needing services
ask for very little; not even what they need. After her daughter
was born, she started working in the developmental disability field
to help other families. She has first-hand experience putting
together support for families in crisis and is surprised at how
little they ask for. As a member of Key Coalition, she is
concerned with the high fiscal note. She would like an accounting
of the fiscal note, a copy of the waitlist to compare it with local
service providers and to give feedback.
REPRESENTATIVE BRICE agreed that the fiscal note raises some
substantial questions, but he can work with the DHSS on it. He
would like to see a copy of the waitlist without the confidential
information and the requested services of those individuals.
MS. HAMRICK repeated her wholehearted support of this bill.
Number 1938
SCOT WHEAT affiliated with National Alliance for the Mentally Ill
(NAMI) and public member on Alaska Psychiatric Institute (API)
Board, testified via teleconference from Homer. The parallels
between the phase out of Harborview and downsizing of API is
important to him. He wants to see community implementation of
services that keep people out of institutions and in the least
restrictive environment. He believes it is relatively inexpensive
to provide services in the community. The waitlist is tragic and
unacceptable and he would like to see it eliminated or at least
reduced. He believes that the language that talks about reducing
the time on a waitlist year by year is a real important provision.
Number 1850
BRIAN BENNETT testified via teleconference from Homer as a father
of a developmentally disabled son. Although his son's condition is
considered undiagnosed, several specialists believe he was injured
by an immunization shot during the first year of his life. He
offered his story as a reminder that having a developmentally
disabled child could happen to anyone from an illness or injury.
MR. BENNETT said his family is doing OK with the respite care and
funding for specialized equipment they have received. He believes
that an increase in funding for the developmentally disabled will
actually save money for the State of Alaska in the long term. He
thinks if families receive support, they are more likely to remain
a family and people considering foster care may be more likely to
accept difficult responsibilities with necessary support.
Comparing the $3,000 to $6,000 per year of support needed by these
families to the $80,000 to $120,000 per year for institutional
care, it makes sense to fully fund support services for the
developmentally disabled. He served on the Site Review of the
Community Mental Health Center and The Pride Program in Homer, and
was amazed at the tremendous positive impact that the services for
the developmentally disabled have on the clients and their
families. He added that there are many other families out there at
or near crisis who need support services.
DIANA RAY came forward to testify from Hope Community Resources, a
provider of developmentally disabled services in the state. She
emphasized that the services are not a luxury but are literally for
the survival of the family. The divorce rate for families with
children with disabilities ranges from 72 percent to four out of
five because of the stresses. When families receive services, some
of the stresses are relieved. Another consideration is there are
over 1,000 individuals employed through DD [developmentally
disabled] funds throughout the state and this is an investment for
the entire State of Alaska.
MS. RAY expressed concerns about the fiscal note. She explained
the waiver system which the federal government developed. The
federal government years ago fully supported putting people into
institutions. They regulated it, and the cost became enormous,
which is one of the reasons Alaska closed Harborview. If a person
qualified for a level of care as they would receive in an
institution, they wouldn't have to go to the institution, but the
federal government would participate in the funding of the services
in the community. The state receives a 59.8 percent match from the
federal government for people on waivers, which eases the State's
burden.
MS. RAY said she agreed with the numbers in the fiscal note for the
Division of Medical Assistance. One assumption made is only 60
percent of individuals who are developmentally disabled would
qualify for a waiver, but in her experience that the number is
around 75 to 80 percent. She believes that there are some faulty
assumptions with the general fund piece of the fiscal note. It
assumes that all 1,000 people that DHSS is proposing to serve need
a full set of services. Many people on the waitlist only need
respite care that would cost around $3,000; some only need gainful
employment or a meaningful day activity, which would be less than
the $37,000 proposed by DHSS.
MS. RAY agreed that families will ask for only what they need. She
noted that not everyone on the waitlist needs services now but in
a few years. She is concerned about the implementation date and
the date for serving 1,000 within six months. She made a point to
refer to "people" not a "program." In reference to the language
about the DHSS providing services, she thought it left the door
open for the DHSS to open an institution. She thinks that the
private sector can provide the services much more economically with
oversight from the division. She urged the committee to look at
that language.
Number 1280
KARL BRIMNER, Director, Division of Mental Health and Developmental
Disabilities, Department of Health and Social Services, informed
the committee that the Division has been involved in an assessment
of the waitlist. He said the assessment piece has been completed
but the data hasn't been analyzed yet. They don't have all the
information available today, but he will get it to the committee
members as soon as it is available. He confirmed the statistics of
earlier testimony. It is his hope that the Division will be able
to provide services to the 140 without services in this fiscal
year.
REPRESENTATIVE GREEN expressed his concern with the fiscal note and
said there is either an insurmountable problem ahead or there is a
problem with the math.
MR. BRIMNER said when the Division of Medical Assistance (DMA)
estimated the per service cost, they reflected about $37,000 for a
person on a waiver; roughly 60 percent of that would be covered by
the federal government. Based on recent information, there are
increased costs per waivers at this point. The actual figures per
cost on waivers reflect a higher amount so this shows a
conservative amount of cost per service for anyone on a waiver.
When the DMA estimated the cost per service, they estimated them at
a full range of services even though some people don't require a
full range of services. It is very difficult to predict how many
services someone will need in the future. The fact that providers
have not realized the cost differentials they have experienced over
the years, they are losing key staff and that is a real cost
factor. The figures can be reworked and he will be happy to work
with Representative Brice on that.
Number 717
CO-CHAIRMAN DYSON referred to page 3, line 4 of HB 72 and asked
what Mr. Brimner thought the deletion of the words in brackets
would mean.
MR. BRIMNER says he thinks it creates a possibility of an
entitlement for services.
CO-CHAIRMAN DYSON asked if the DHSS is publicizing the waitlist and
the services being provided.
MR. BRIMNER said they will be able to report a complete array of
information once the analysis is completed. They want to share the
information with the public, providers and consumers.
CO-CHAIRMAN DYSON asked how and when will that information be made
available.
Number 0391
CONNIE ANDERSON, Program Administrator, Developmental Disabilities
Program, Division of Mental Health and Developmental Disabilities,
Department of Health and Social Services said she hopes to have the
data in a draft format by the end of the month.
CO-CHAIRMAN DYSON suggested that this information be available on
the Governor's web site on a monthly basis. He asked that they
think about that and give feedback about that suggestion.
REPRESENTATIVE BRICE said the DHSS did an accounting and
enumeration of the waitlist about a year ago and presented it to
the budget subcommittee. The real fiscal note is who is on the
waitlist, how long they have been on it and what services they
need.
Number 0150
REPRESENTATIVE WHITAKER said it is important that they have
information they can trust so they can make a reasonable decision,
and he requests on future fiscal notes that they reflect reality.
REPRESENTATIVE GREEN asked for feedback before they revisit this
bill.
Number 0052
REPRESENTATIVE BRICE would like a follow up hearing to review that
information and have further discussion.
CO-CHAIRMAN DYSON suggested that he and Co-Chairman Coghill ask the
Department of Law to review the deletion on page 3, line 4 and 5 to
see if that does expose them to an entitlement to full funding.
[HB 72 was held over]
ADJOURNMENT
Number 0001
CO-CHAIRMAN COGHILL adjourned the House Health, Education and
Social Services Standing Committee meeting at 4:40 p.m.
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