Legislature(2003 - 2004)
05/08/2003 03:14 PM House HES
| Audio | Topic |
|---|
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
ALASKA STATE LEGISLATURE
HOUSE HEALTH, EDUCATION AND SOCIAL SERVICES
STANDING COMMITTEE
May 8, 2003
3:14 p.m.
MEMBERS PRESENT
Representative Peggy Wilson, Chair
Representative Carl Gatto, Vice Chair
Representative Paul Seaton
Representative Kelly Wolf
Representative Sharon Cissna
MEMBERS ABSENT
Representative John Coghill
Representative Mary Kapsner
OTHER LEGISLATORS PRESENT
Senator Fred Dyson
COMMITTEE CALENDAR
CONFIRMATION HEARING
University of Alaska, Board of Regents
David Parks - Anchorage
- CONFIRMATION(S) ADVANCED
CS FOR SENATE BILL NO. 157(HES)
"An Act relating to inpatient psychiatric services for persons
who are under 21 years of age and are either eligible for
medical assistance or are in the custody of the Department of
Health and Social Services."
- MOVED CSSB 157(HES) OUT OF COMMITTEE
HOUSE BILL NO. 292
"An Act relating to information and services available to
pregnant women and other persons; and ensuring informed consent
before an abortion may be performed, except in cases of medical
emergency."
- HEARD & HELD
PREVIOUS ACTION
BILL: SB 157
SHORT TITLE:INPATIENT PSYCHIATRIC SERVICES
SPONSOR(S): SENATOR(S) GREEN
Jrn-Date Jrn-Page Action
03/26/03 0592 (S) READ THE FIRST TIME -
REFERRALS
03/26/03 0592 (S) HES, FIN
04/09/03 (S) HES AT 1:30 PM BUTROVICH 205
04/09/03 (S) Moved CSSB 157(HES) Out of
Committee
04/09/03 (S) MINUTE(HES)
04/10/03 0781 (S) HES RPT CS 3DP 2NR SAME TITLE
04/10/03 0781 (S) DP: DYSON, GREEN, WILKEN;
04/10/03 0781 (S) NR: GUESS, DAVIS
04/10/03 0781 (S) FN1: ZERO(HSS)
04/25/03 0966 (S) FIN RPT CS(HES) 5DP 2NR
04/25/03 0967 (S) DP: GREEN, WILKEN, TAYLOR,
BUNDE,
04/25/03 0967 (S) STEVENS B; NR: HOFFMAN, OLSON
04/25/03 0967 (S) FN1: ZERO(HSS)
04/25/03 (S) FIN AT 9:00 AM SENATE FINANCE
532
04/25/03 (S) Moved Out of Committee
04/25/03 (S) MINUTE(FIN)
04/29/03 1028 (S) RULES TO CALENDAR 4/29/2003
04/29/03 1028 (S) READ THE SECOND TIME
04/29/03 1028 (S) HES CS ADOPTED UNAN CONSENT
04/29/03 1028 (S) ADVANCED TO THIRD READING
4/30 CALENDAR
04/30/03 1051 (S) READ THE THIRD TIME CSSB
157(HES)
04/30/03 1052 (S) PASSED Y17 N- E1 A2
04/30/03 1059 (S) TRANSMITTED TO (H)
04/30/03 1059 (S) VERSION: CSSB 157(HES)
05/01/03 1228 (H) READ THE FIRST TIME -
REFERRALS
05/01/03 1228 (H) HES, FIN
05/08/03 (H) HES AT 3:00 PM CAPITOL 106
BILL: HB 292
SHORT TITLE:ABORTION: INFORMED CONSENT; INFORMATION
SPONSOR(S): REPRESENTATIVE(S)DAHLSTROM
Jrn-Date Jrn-Page Action
04/30/03 1202 (H) READ THE FIRST TIME -
REFERRALS
04/30/03 1202 (H) HES, JUD
05/06/03 (H) HES AT 3:00 PM CAPITOL 106
05/06/03 (H) Heard & Held
MINUTE(HES)
05/08/03 (H) HES AT 3:00 PM CAPITOL 106
WITNESS REGISTER
SENATOR LYDA GREEN
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: As sponsor of SB 157, explained the purpose
of the bill and answered questions from the members.
KATHY CRONEN, Regional Vice President
Universal Health Services and
North Star Behavioral Health System
Anchorage, Alaska
POSITION STATEMENT: Testified in support of SB 157 and answered
questions from committee members.
REPRESENTATIVE NANCY DAHLSTROM
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: As sponsor of HB 292, spoke to the
amendments of the bill and answered questions from the members.
JOHN SHERWOOD, Unit Manager
Division of Medical Assistance
Department of Health and Social Services
Juneau, Alaska
POSITION STATEMENT: Testified on HB 292 and responded to
questions from the committee.
MYRNA GARDNER
Juneau, Alaska
POSITION STATEMENT: Testified in opposition to HB 292, and
answered questions from the committee.
BOB JOHNSON, M.D.
Kodiak, Alaska
POSITION STATEMENT: Testified via teleconference in opposition
to HB 292.
GENENEIVA PEARSON
Kodiak, Alaska
POSITION STATEMENT: Testified via teleconference in opposition
to HB 292.
KAREN VOSBURGH, Executive Director
Alaska Right to Life
Palmer, Alaska
POSITION STATEMENT: Testified via teleconference in support of
HB 292.
ACTION NARRATIVE
TAPE 03-41, SIDE A
Number 0001
CHAIR PEGGY WILSON called the House Health, Education and Social
Services Standing Committee meeting to order at 3:14 p.m.
Representatives Wilson, Gatto, Seaton, and Cissna were present
at the call to order. Representative Wolf arrived as the
meeting was in progress.
CONFIRMATION HEARING
University of Alaska, Board of Regents
Number 0086
CHAIR WILSON announced that the first order of business would be
the confirmation hearing for David Parks, Appointee to the
University of Alaska Board of Regents. She told the committee
that Mr. Parks was selected by the student body and appointed by
the governor to fill the student seat on the Board of Regents.
Unfortunately, Mr. Parks is in Spain until May 24 and is not
available to be interviewed by the House Health, Education and
Social Services Standing Committee. Chair Wilson pointed out
that the members have his resume in their packets. The
University of Alaska has asked the committee to approve Mr.
Parks and forward his name to the joint session for
confirmation. Wendy Redman is available from the university to
answer any questions the members might have. Chair Wilson told
the committee that the committee packet includes a letter from
Ms. Redman, and information about student representatives'
selection process.
REPRESENTATIVE SEATON commented that Mr. Parks' resume is very
impressive and that the process in selecting the student
representative looks fair.
Number 0142
REPRESENTATIVE SEATON made a motion to advance the confirmation
of David Parks, Appointee to the University of Alaska Board of
Regents, to the joint session for consideration. There being no
objection, the confirmation of David Parks was advanced.
SB 157-INPATIENT PSYCHIATRIC SERVICES
CHAIR WILSON announced that the next order of business would be
CS FOR SENATE BILL NO. 157(HES), "An Act relating to inpatient
psychiatric services for persons who are under 21 years of age
and are either eligible for medical assistance or are in the
custody of the Department of Health and Social Services."
Number 0243
SENATOR LYDA GREEN, Alaska State Legislature, as sponsor of SB
157, explained the purpose of the bill and answered questions
from the members. She told the committee that SB 157 addresses
the need and concern about psychiatric facilities for juveniles.
Too many juveniles need services at psychiatric facilities, and
currently there is a tendency to send these children out of
state. Senator Green said it is her desire to place greater
emphasis on determining if there is a place in state for these
students where they can remain closer to their homes and
parents, and allow them to reassimilate into the community when
the time comes. Having treatment in state would allow for
assistance to the families and other auxiliary needs that might
be required when a child requires psychiatric services.
SENATOR GREEN pointed out the key provisions on the sponsor
statement, which says that the Department of Health and Social
Services will not grant assistance or pay for inpatient
psychiatric care for children under the age of 21 who are placed
in an out-of-state facility unless adequate services are
unavailable in the state. The department will evaluate the
types of services available in state and subsequently transfer
these students back to Alaska when a room becomes available,
unless the transfer would be detrimental to the student's
health, therapeutic relationship, or clinical needs. This bill
would also encourage those who provide these services to create
local facilities so these kids can stay at home.
Number 0410
SENATOR GREEN told the committee that the bill identifies two
classes of individuals. Section 1 primarily deals with Medicaid
recipients "in custody and non-custody." Sections 2 and 3 deal
with kids who are in state custody. For a child is who is on
Medicaid there is one standard, and for a child who is in the
custody of the state there is another standard. She said she
believes that the review process should be consistent. State
regulation currently mandates the review process and sets up a
review team. It is a fairly rigorous system, and a variety of
people are required to examine, review, and determine what is in
the best interest of the child. It is not an arbitrary
decision. Nor should it be. There are many steps that are
taken before a child is determined to be institution bound.
Some of these include foster care, special care, medical
treatment, and group therapy. There are many steps, including
assistance for the family and the child, to work through before
institutionalization is determined necessary. These provisions
are part of the legislation.
Number 0508
CHAIR WILSON commented that the state has already gone through
several steps and that those options have already been
implemented before this point [institutionalization] is reached.
SENATOR GREEN replied that there is an inpatient disciplinary
team that would parallel, for example, an individual education
program (IEP) that is designed for student education. They
review and determine what is needed, what must be done, and what
cannot be allowed to happen. The team would assist in
determining what is the best treatment for that child.
Number 0576
REPRESENTATIVE CISSNA commented that this bill addresses the
numbers of youth who have been sent out of state relatively
recently, as in the last ten years. She asked whether the
Alaska Youth Initiative (AYI) program relates to any of this.
Number 0626
SENATOR GREEN responded that AYI is an in-state option.
REPRESENTATIVE CISSNA commented that AYI was historically an
extraordinarily successful in-state option and it is tragic that
it is not available. She said she is concerned about the
language in the fiscal note [under Analysis] where it says that
"this bill addresses the perception that our mental health and
residential treatment service system relies too heavily on out-
of-state placement". Representative Cissna said that those who
have been deeply involved in the issue concerning kids' suddenly
being transferred out-of-state do not share the perception that
it is a fact. She asked Senator Green to comment on this point.
Number 0684
SENATOR GREEN replied that she could not speak to the fiscal
note or the language, but she said that there has been an
incredible increase, probably an anomaly, since the advent of
Denali KidCare. Children are being transferred outside of
Alaska without the interdisciplinary team focused as fully as
would be desired.
REPRESENTATIVE CISSNA asked if this is being for paid by
Medicaid funds.
SENATOR GREEN responded that is correct. Medicaid funding needs
to be tightened up as well. This legislation will determine the
appropriate way of handling these issues.
SENATOR GREEN noted that Representative Seaton was leaving the
hearing and before he went she wanted to address a question that
he asked her staff about this legislation. She told the
committee that Medicaid determines how much will be paid for
treatment. If a request is made for something that is more
expensive, for example, treatment that requires that the student
stay here versus sending the student out of state, Medicaid
determines the rate. Senator Green reiterated that Alaska does
not have any control over the rate.
Number 0804
KATHY CRONEN, Regional Vice President, Universal Health Services
(UHS), testified in support of SB 157, and answered questions
from committee members. She told the committee that UHS
[recently acquired] North Star Behavioral Health System ("North
Star"). Prior to her current position she was the chief
executive officer (CEO) at North Star for the past 18 years.
She said she has been involved daily with/in decisions related
to sending kids outside of Alaska to treatment centers in the
Lower 48 states. Currently there are 300 to 400 Alaskan
children in residential treatment centers in the Lower 48. This
has devastating long-term impacts on these children, on the
families, and ultimately on our state. Last year the House and
Senate unanimously passed SCR 21. This bill [SB 157] is a
formalization of that resolution to complete the good work the
legislature started last year. Mental health treatment and
follow-up care should be done close to home, she said.
Coordination between the residential treatment provider and the
ongoing outpatient treatment provider is essential. Ms. Cronen
reiterated that it needs to be done in close proximity.
Treatment should involve families because the family's treatment
is critical to children's long-term success. Family treatment
that is delivered over the telephone is just not as effective as
treatment that is done face-to-face.
Number 0923
MS. CRONEN told the committee that the legislature's support of
this bill will encourage providers like North Star, Providence,
or any long-term treatment provider to expand the number of beds
because there will be a commitment to keep kids in state.
Valuable Medicaid dollars are currently being sent to the Lower
48, and the state is losing jobs. If North Star were to expand
beds in Alaska to meet the needs of the number of kids that are
outside, there would be an additional 400 jobs created. This is
good public policy, she said. It is good for the kids'
treatment; it is good for families; it keeps Medicaid dollars in
state; and it creates jobs. Ms. Cronen said it is a win for
everyone, and she encouraged the members to support the bill.
Number 0949
REPRESENTATIVE GATTO said that he would like to discuss the
fiscal note for the record. He pointed out that if the state
sends kids outside of Alaska, the state has to pay for their
education; if the state keeps the kids here at home, the state
pays for their education. He said he does not know which is
more or less expensive. He asked how the legislature knows
which is more expensive, since the fiscal note says zero?
MS. CRONEN responded that she can provide some firsthand
experience because she is responsible for the UHS facility in
Provo, Utah. She said that 30 percent of the student population
in that facility is Alaskan kids. The price at Provo Canyon
School is less than the price here, but it does not include
transportation, nor does it take into consideration the
treatment outcome of the kids. The costs can be slightly lower,
but when adding in the costs of transportation and education the
price is comparable. She said she believes the department
agrees because it has provided a zero fiscal note.
Number 1027
REPRESENTATIVE GATTO said that he has had discussions about
prisoner transfers to out-of-state facilities where a number of
factors are evaluated including the cost, transportation, and
the opinion that there is a better result if the prisoners are
kept at home. Is there any evidence that kids that stay in
Alaska do better than those sent out of state?
CHAIR WILSON responded that all the members have to do is think
about how they would feel if it was their child being sent out
of state. Would anyone want his/her child to get treatment
where the parent could not take part? She said she thinks it is
important to look at this legislation as a policy issue, and not
look at the finances. She said she believes it is better for
the kids and the families to have interaction, go through
treatment together, and try to work things out. She pointed out
that in some instances, parents do not even have the money to go
see the kids. Chair Wilson asked the committee to look at this
legislation in that light.
Number 1093
SENATOR GREEN pointed to this year's supplemental budget wherein
there was approximately [$366,000] to [$400,000] supplemental
request for educational fees for out-of-state facilities. She
told the committee that there was $663,000 in fiscal year 2002
(FY 02) and it is expected to be $866,000 to $870,000 for FY 03.
The average cost is $5,160 per student for an average of 78.5
education days. Education costs charged by facilities range
from $38 per day to $102 per day in some of these facilities.
So if the $102 rate is multiplied by the required 180 school
days, one can make the leap very quickly that it is multiples of
what the state is providing for the education of Alaska's
children in state. The proposal is $500,000 for FY 04, but with
the continuing increase of children going out of state, that
number will continue to rise and certainly will be more than
this year's authorized and supplemental budget of $900,000.
Number 1179
REPRESENTATIVE CISSNA commented that she served on the Finance
Subcommittee on Education in 1999 when this issue was looked at.
At that time it was more expensive per child partly because the
school district absorbed the students in Alaska, but in cases
where they are sent Outside, the money must be sent out. She
said she was shocked at that time.
REPRESENTATIVE GATTO asked how many of the children that are
sent Outside are returned.
MS. CRONEN responded that she believes that is a clinical
decision based on where the kids are in treatment and if they
are eligible to be returned.
REPRESENTATIVE GATTO commented that there are some cases where
it is better to take the child away from the family.
MS. CRONEN replied that it is not just the families that the
kids need to be attached to. There are many people in
communities that kids respond to, for instance, their teachers,
school counselor, pastor or minister, or a neighbor. It is
important to keep kids connected to the healthy people in their
lives. She said if it is not their families, and unfortunately
oftentimes it is not, then it is important to make sure it is
someone in their local community.
Number 1313
SENATOR GREEN asked the members to look at page 2, paragraph
(b), on line 3, where it says:
"The department shall, on a monthly basis, evaluate
what types of services are available in the state for
inpatient psychiatric care"
SENATOR GREEN said on the same page and paragraph on line 11 it
says that the transfer cannot be detrimental to the person's
health. If that were the case, the student would not be
transferred. For example, if there is an established
therapeutic relationship or a clinical need for the student to
be Outside, then the student would not be transferred. There
would be a complete review. She told the committee the other
factor that needs to be considered in all of this is that there
is space available in Alaska.
Number 1359
REPRESENTATIVE WOLF moved to report CSSB 157(HES) out of
committee with individual recommendations and the accompanying
fiscal notes. There being no objection, CSSB 157(HES) was
reported out of the House Health, Education and Social Services
Standing Committee.
The committee took a brief at-ease from 3:40 p.m. to 3:41 p.m.
HB 292-ABORTION: INFORMED CONSENT; INFORMATION
CHAIR WILSON announced that the final order of business would be
HOUSE BILL NO. 292, "An Act relating to information and services
available to pregnant women and other persons; and ensuring
informed consent before an abortion may be performed, except in
cases of medical emergency."
CHAIR WILSON told the members that while there are members of
the public that would like to testify on the bill, she will be
taking up the amendments to the bill, as the amendments may
address some of the public's concerns.
Number 1438
REPRESENTATIVE SEATON asked Representative Dahlstrom, sponsor of
HB 292, if she is in agreement with the amendments he is
proposing before the committee.
Number 1464
REPRESENTATIVE NANCY DAHLSTROM, Alaska State Legislature, as
sponsor of HB 292, spoke to the amendments of the bill and
answered questions from the members. In response to
Representative Seaton question, she responded that she is in
agreement with the amendments.
Number 1518
REPRESENTATIVE SEATON moved to adopt Amendment 1, which read
[original punctuation provided]:
Page 1, line 9,
After "professional conduct" delete the words
in a critical area of practice
Page 1, line 13,
After "on the Internet" insert the words
that is reviewed and approved by the State Medical
Board and
Page 2, lines 1 and 2,
After "private choices" delete
between permanent and life affecting alternatives
Page 2, line 3,
After "information site" insert the words
that is reviewed and approved by the State Medical
Board
Page 2, lines 8 through 10,
Delete all material
Page 2, line 19,
After "agencies" delete
and and insert ,
Page 2, line 21
After "(B)" insert
agencies, services,
Page 2, line 22
After "and services" insert
and
Page 2, 23,
Create a new sub-section that shall read
{C} agencies, services, clinics and facilities
designed to assist or provide contraceptive options
and counseling;
Page 2, line 30,
After "abortions services;" insert
and the circumstantial criteria for the availability
of medical assistance benefits for contraception;
Page 3, line 12,
After "objective nonjudgmental, and" insert
that is reviewed and approved by the State Medical
Board and
Page 3, line 1,
After "information that" insert
is reviewed and approved by the State Medical Board
and
Page 3, line 20
After "unbiased information" insert
that is reviewed and approved by the State Medical
Board
Page 3, line 24,
Create a new sub-section that shall read
(9) contains objective, unbiased and
comprehensive information that is reviewed and
approved by the State Medical Board on different types
of available contraceptive choices and the medical
risk and possible complications commonly associated
with each method as well as the possible psychological
effects that have been associated with using
contraceptives.
Page 5, line 16,
Delete
at least 24 hours before the abortion procedure,
Page 6, line 16,
After "this section" insert
that do not violate the woman's privacy by including
her name or any another [other] identifying
information.
Page 6, line 23,
After "whether the" insert
unidentified
Number 1523
REPRESENTATIVE CISSNA objected to the motion.
CHAIR WILSON told the committee that she would like to
individually discuss each change to the bill.
REPRESENTATIVE SEATON said on page 1, line 9, after the words
"professional conduct", delete the words "in critical area of
practice." He pointed out that the State of Alaska regulates
all of those professional standards of conduct.
CHAIR WILSON asked Representative Seaton to clarify whether
those words are in existing statute.
REPRESENTATIVE SEATON responded that this is a new bill [new
law].
REPRESENTATIVE SEATON said that [on page one] line 13, after the
words "on the Internet", insert the words "that is reviewed and
approved by the State Medical Board and". This language is
inserted so that there is a standard for scientific and unbiased
information.
REPRESENTATIVE SEATON said that on page 2, lines 1 and 2, after
the words "private choices", delete the words "between permanent
and life affecting alternatives".
REPRESENTATIVE SEATON said that on [page 2] line 3, after the
words "information site", insert the words "that is reviewed and
approved by the State Medical Board". Representative Seaton
asked if he could make a change to that amendment. He said that
he wants to make sure the same wording is used as that in the
previous section. So instead of the wording "after information
site", it will be "after information site on the Internet", and
then insert the words "that is reviewed and approved by the
State Medical Board".
Number 1710
CHAIR WILSON commented that this is amending the amendment. She
said on page 2, line 3, of the amendment, after the words
"information site", she will insert the words "on the Internet".
CHAIR WILSON asked if there was any objection to amending the
amendment. There being no objection, she announced that the
amendment to Amendment 1 was adopted.
REPRESENTATIVE SEATON said that on page 2, lines 8-10 would be
deleted.
Number 1735
REPRESENTATIVE WOLF asked what is the purpose of that amendment.
REPRESENTATIVE SEATON replied that the information is out of
context with the other findings. He said there has been
considerable testimony on both sides of the issue, and the
purpose is to show that there are findings on this and not to
try to weight the bill one way or another.
Number 1798
REPRESENTATIVE SEATON said that on page 2, line 19, after the
word "agencies", delete the word "and" and insert ",".
REPRESENTATIVE SEATON said the next change is on page 2, line
19, after the word "services", insert the following: ", clinics
and facilities".
REPRESENTATIVE SEATON said on page 2, line 21, after "(B)",
insert "agencies, services,".
REPRESENTATIVE SEATON said on page 2, line 22, after the words
"and services", insert the word "and".
REPRESENTATIVE SEATON said on page 2, line 23, a new subsection
will be created that will read as follows: "(C) agencies,
services, clinics and facilities designed to assist or provide
contraceptive options and counseling;".
Number 1869
REPRESENTATIVE COGHILL asked for clarification on this language.
Is this wording an effort to address organizations like Planned
Parenthood?
REPRESENTATIVE SEATON replied that is correct. It would cover
Planned Parenthood or other organizations that may need to be
covered.
REPRESENTATIVE SEATON said on page 2, line 30, after the words
"abortions services;", insert the following language: "and the
circumstantial criteria for the availability of medical
assistance benefits for contraception;".
CHAIR WILSON pointed out that a word was added that is not on
the amendment document provided to the committee. The word
"and" was added.
REPRESENTATIVE SEATON responded that it was an error in reading
the amendment. He had not intended to add anything to the
amendment.
Number 1938
REPRESENTATIVE SEATON said on page 3, line 12, after the words
"objective, nonjudgmental, and", insert the following language:
"that is reviewed and approved by the State Medical Board and".
REPRESENTATIVE SEATON commented that this language is to ensure
that the information that is portrayed is scientific, accurate,
and consistent throughout the bill.
CHAIR WILSON asked about the next portion of the amendment
because the numbering appears to go back up to line 1.
REPRESENTATIVE SEATON responded that is a typographical error.
It should have read page 3, line 15 [not line 1].
REPRESENTATIVE SEATON said on page 3, line 15, after the words
"information that", insert "that is reviewed and approved by the
State Medical Board and".
Number 2039
CHAIR WILSON moved to adopt a conceptual amendment to change the
wording from page 3, line "1" to read page 3, line "15". There
being no objection, she announced that the amendment to
Amendment 1 was adopted.
REPRESENTATIVE SEATON said on page 3, line 20, after the words
"unbiased information", insert the words "that is reviewed and
approved by the State Medical Board".
REPRESENTATIVE SEATON said on page 3, line 24, a new subsection
is created which reads: "(9) contains objective, unbiased and
comprehensive information that is reviewed and approved by the
State Medical board on different types of available
contraceptive choices and the medical risk and possible
complications commonly associated with each method as well as
the possible psychological effects that have been associated
with using contraceptives."
CHAIR WILSON commented that this subsection is information
related to pregnancy and pregnancy alternatives that the
department shall maintain on the Internet in printable form.
Number 2130
REPRESENTATIVE GATTO said that the previous sentence should end
in "; and" to make it accurate.
CHAIR WILSON moved to amend the amendment on page 3, line 23, by
deleting the "." and insert ";". There being no objection, the
amendment to Amendment 1 was adopted.
Number 2172
REPRESENTATIVE COGHILL asked for some discussion on the new
subsection where it provides for the State Medical Board's
approval of the information. The bill also allows for the
Department of Health and Social Services, Division of Public
Health to review this information. He asked if the purpose of
the amendment is to have two reviews of the language.
REPRESENTATIVE SEATON responded that the information will be
created by the department and reviewed by the State Medical
Board.
REPRESENTATIVE COGHILL asked if anyone has talked with the State
Medical Board on this. He said he is curious whether this
complies with its scope of authority. He suggested that should
be explored.
Number 2253
REPRESENTATIVE SEATON said on page 5, line 16, the words "at
least 24 hours before the abortion procedure," are deleted.
CHAIR WILSON commented that this would delete the required 24-
hour waiting period.
REPRESENTATIVE SEATON responded that is correct.
Number 2270
REPRESENTATIVE COGHILL asked Representative Seaton what the
rationale is behind this change.
REPRESENTATIVE SEATON commented that the testimony heard in an
earlier hearing is that the waiting period would vastly increase
the cost and delay other patients from receiving medical
services because of the limited number of appointments
available.
Number 2272
REPRESENTATIVE DAHLSTROM told the committee that in speaking
with Senator Dyson, who is the cosponsor of the companion bill
in the other body [SB 30], they are comfortable with shortening
the time period to address some of the issues the medical
community has expressed. However, they do believe there needs
to be a waiting period, contemplation period, or an absorption-
of-information period. Representative Dahlstrom said she does
not support taking any time limit out of the bill.
Number 2304
REPRESENTATIVE COGHILL commented that this will be a two-day
process from the time of contact. There are early-term
abortions that could happen on the first day. The further along
in pregnancy, the more time is required. Removing this language
creates some pressure in making the decision for those who have
early-term pregnancies, and in his view this is an informed-
consent issue. One size does not fit all for the time limit.
There needs to be more work done in this section of the bill, he
concluded.
REPRESENTATIVE SEATON responded that he has no objection to a
contemplation time. He said he believes to force someone who
has come in from the Bush to overnight an extra night creates a
hardship. As long as the contemplation time is short enough so
that the patient could have the procedure during the same
appointment, it would be helpful.
Number 2374
REPRESENTATIVE DAHLSTROM commented that when the amendments
being presented by Representative Seaton are complete, she has
an amendment that she would like to present to the committee
that addresses some of the issues being discussed today and some
of the issues raised in Dr. Murphy's testimony yesterday. She
stated that most of the women have the abortion scheduled a few
weeks ahead of time. If there were a printable signature page
on the web site, that would address this issue.
TAPE 03-41, SIDE B
REPRESENTATIVE COGHILL said he does not want to slow down the
discussion of these amendments.
REPRESENTATIVE SEATON said on page 5, line 16, after the words
"this section", insert the following: "that do not violate the
woman's privacy by including her name or any other identifying
information."
REPRESENTATIVE SEATON said on page 6, line 23, after the words
"whether the", insert the word "unidentified".
REPRESENTATIVE SEATON said that the purpose of this change is to
ensure that these reports are kept confidential and do not
contain any identifying information. This language assures that
the law follows the federal guidelines.
Number 2314
REPRESENTATIVE DAHLSTROM said she is comfortable with all of the
changes with the exception of the one on page 5, line 16, which
deletes the 24-hour waiting period.
CHAIR WILSON suggested that the committee accept Amendment 1
with the agreement that there will be a change in the language
to address Representative Dahlstrom's concern about the removal
of the 24-hour waiting period. There being no objection, she
announced that Amendment 1 was adopted.
REPRESENTATIVE SEATON brought attention to Amendment 2, labeled
23-LS0867\H.1, Lauterbach, 5/7/03, which read:
Page 4, line 24, following "woman":
Insert "and the pregnant woman's estate, and only
to the pregnant woman and the pregnant woman's
estate,"
Following "damages":
Insert "caused by the violation"
CHAIR WILSON labeled the foregoing Amendment 2. She asked
Representative Seaton to explain it.
REPRESENTATIVE SEATON told the committee that the purpose of
Amendment 2 is to ensure that it is clear that the woman and her
estate are the entities that would be entitled to this
presumptive information. This is to demonstrate a rebuttable
presumption and that this accrues to a woman and her estate and
not a third party. For example, Greenpeace, Right to Life, a
church, or someone not involved would not be able to come in and
assert for the woman, and get this information.
Number 2184
REPRESENTATIVE GATTO said he believes there needs to be a
sponsor statement and a sectional analysis on this bill. Since
there are so many amendments [changes] all at one time, he asked
if there is a summary of what the amendments accomplish.
REPRESENTATIVE COGHILL commented that he was trying to follow
the rationale on this amendment. He said he is concerned
whether this is legal.
REPRESENTATIVE SEATON responded that the Legislative Legal and
Research Services drafted this language to make sure the
amendment is correct. This change is only to prevent a third
party from filing a lawsuit on someone's behalf that is not the
woman or her estate.
Number 2113
REPRESENTATIVE COGHILL removed his objection to the amendment.
REPRESENTATIVE DAHLSTROM asked if the Legislative Legal and
Research Services talked about parental consent being involved.
REPRESENTATIVE SEATON said that they did not talk about that.
But he said he assumes it is the person who has consent and the
interested parties. This could be researched further by
Legislative Legal and Research Services to ensure that situation
is covered.
REPRESENTATIVE DAHLSTROM responded that she will follow up on
that issue.
REPRESENTATIVE COGHILL reiterated that he has removed his
objection.
Number 2045
CHAIR WILSON said that without objection, Amendment 2 was
adopted.
REPRESENTATIVE SEATON responded to Representative Gatto's
request for a sponsor statement on the amendments by saying that
this is a very complex bill and it could be a very controversial
subject. The intent of these amendments is to take as much of
the emotional fabric out of the bill so that it will have broad
support. This can be accomplished by inserting scientific
evidence, review of that evidence, and assurance that it does
not restrict a woman's right to access information and does not
remove confidentiality from medical procedure; then there can be
broad support for this bill. Representative Seaton summarized
his statement by saying his intent is to aid the sponsor in
getting a bill that can have broad support.
Number 1990
REPRESENTATIVE COGHILL commented that he agrees with a lot of
what Representative Seaton says; however, he is not a scholar on
the amendments that were presented. He reiterated his concern
that the Department of Health and Social Services already
provides many brochures on a variety of health and women's
issues. None of them, to his knowledge, need to be reviewed by
the State Medical Board before they are provided to the public.
He wonders if this bill is starting a precedent and wonders if
that is what the legislature wants to do. He told the committee
that at this point he is not prepared to agree to that. He said
he would like to take that portion out of the bill.
CHAIR WILSON asked if the Department of Health and Social
Services is available to address this question.
CHAIR WILSON told the committee that because of the many changes
to the bill, she is inclined to hold the bill and have the
committee review the committee substitute. She asked the
sponsor and other members of the committee what their thoughts
are on this.
REPRESENTATIVE DAHLSTROM responded that she would be fine with
that. She said she does have a question for the department.
She said she knows the department makes many publications
available to the public. For example, the department provides
brochures about fetal alcohol syndrome and informational flyers
about smoking while pregnant. She would like to know if those
brochures are reviewed by the State Medical Board or if the
department has full control over those publications.
Number 1860
JOHN SHERWOOD, Unit Manager, Division of Medical Assistance,
Department of Health and Social Services, testified on HB 292
and responded to questions from the committee. He said he
cannot claim to be familiar with all of the brochures and
pamphlets that the department provides; however, he wanted the
committee to be aware that this information comes from a variety
of sources. Some things are written in-house, and some things
are provided to the department by different federal agencies
that are in the business of providing this information in
supporting states. He said he is not aware of anything going to
the State Medical Board or some other in-state board for
approval, but there could be some instance when that has
occurred that he is not aware of.
Number 1837
REPRESENTATIVE COGHILL commented that the question is how to
verify scientifically appropriate and accurate information.
Within the department's scope of work there must be instances
when a variety of different brochures or pamphlets must be
verified for accuracy. Does the department have a process where
the information is examined for accuracy, scientifically
accurate, and et cetera?
MR. SHERWOOD stated that is not within his particular scope of
work; however, he assumes the Division of Public Health medical
professionals would review the information and determine that it
is accurate before it would be disseminated. He said he is
comfortable making that statement.
Number 1797
REPRESENTATIVE COGHILL commented that last year the committee
talked about this issue with the head of the Division of Public
Health. The director had very firm views on this issue and
assured the committee that the division could craft
scientifically accurate information. The doctors who are hired
to work in the Division of Public Health are quite capable, he
said. Representative Coghill said that is his reason for
bringing this question to the committee. Representative Coghill
agreed with Chair Wilson's idea about holding the bill so that a
few phone calls could be made to confirm and clarify some
information. He said he is interested in seeing this
legislation pass.
Number 1750
REPRESENTATIVE CISSNA commented that she has several questions,
some of which will be handled in the House Judiciary Standing
Committee. Her concern is that this bill would appear to be
creating obstacles to abortion, which is unconstitutional. She
asked if this bill is affected by the new HIPAA [Health
Insurance Portability and Accountability Act] rules that have to
do with confidentiality. Some people she has talked to say
these rules are much more complicated than the state
understands.
CHAIR WILSON stated that she will request that the Department of
Health and Social Services look into that question before
Tuesday, when the bill will be heard again.
REPRESENTATIVE CISSNA said that those that have been waiting to
testify on line may contribute things that the committee has not
thought of.
CHAIR WILSON announced that she will be closing the discussions
soon. However, once the committee substitute is available, the
committee will send a copy of it to anyone in the committee room
or on line who would like to see it. She apologized to anyone
who has been waiting to testify, but said she believes the
amendments have changed the bill significantly and it is likely
many of the public questions have been addressed in those
changes. Chair Wilson said public testimony will be taken on
Tuesday.
CHAIR WILSON said copies will be sent to the members prior to
the next meeting. If any members wish to offer amendments, she
asked that they talk with the sponsor and provide a copy of
proposed amendments prior to the meeting.
Number 1604
REPRESENTATIVE CISSNA pointed out that some of the people who
wish to testify could have come to meetings twice, taken time
off of work, or arranged for babysitters, all in an effort to
testify.
Number 1593
CHAIR WILSON agreed with Representative Cissna. She asked if
there is anyone on line who would find it difficult to return to
the hearing on Tuesday.
Number 1571
MYRNA GARDNER, testified in opposition to HB 292 and answered
questions from the committee. She questioned that the intent of
the bill is to provide an unbiased information web site for
women. She offered her belief that in the state of Alaska,
according to the Denali Commission, Internet technology, which
is revolutionizing communication in urban areas of Alaska, is
nonexistent in rural Alaska. The services are not there and the
cost is astronomical to residents, so they do not have it
available. She asked who this information would benefit. Ms.
Gardner told the committee the language in the bill indicates
that it is to be unbiased and should provide alternative options
to abortion, but in subsection 2(a) and subsection 6, this
language is not unbiased. She said this section describes the
fetal development of an unborn child from fertilization to full
term, including photographs. This bill is designed to scold
women and to intimidate them, she said. She stated that she
believes this bill says woman are not competent or capable
enough to make this decision on their own or that women are not
intelligent enough to go out there, get information, and make
that decision rationally with their family, preacher, or
physician. Ms. Gardner said these are the reasons why the
legislature wants to mandate legislation to create a web site
and force physicians to prove that they have given their
patients this information.
MS. GARDNER said that 20 years ago or more, people did not talk
about abortions. Women did not have a lot of choices and they
surely did not have people they could speak to. Now there are a
lot of services out there. The information is on television,
radio, and in the print media. [Abortion] is not an issue that
is not spoken of or a procedure that people are unaware of.
Everyone knows about it. Ms. Gardner pointed out that the
situation has changed. This is another reason why she believes
the State of Alaska does not believe these women are competent
enough to make this decision on their own. She said she
respects the sponsor's intent to make sure there is information
out there, but that can be achieved by contributing to
organizations that do that. She said she does not believe it is
necessary to provide a state regulation [law].
MS. GARDNER said that she has a question about the bill on page
4, line 27, where it talks about "a preponderance of the
evidence that a person gave to a woman a written copy of the
material maintained on the Internet." She reported that
according to the new HIPAA law, no information regarding a
person's medical records is to be given to anyone without
written consent. This bill does not even pay any respect to
that law and would violate it, she suggested. She stated the
law [HIPAA] is only as good as its enforcement. The only way a
doctor can prove compliance is by having some state employee go
to the doctor and ask him/her to prove compliance. How is the
information validated? It means someone is looking at private
medical records, which violates their privacy. Ms. Gardner said
this bill is not the answer and asked the committee to not let
this bill pass.
Number 1300
REPRESENTATIVE GATTO asked what her affiliations are with
respect to this issue.
MS. GARDNER responded that she has no affiliations and is
speaking only for herself as an active registered voter.
REPRESENTATIVE CISSNA commented that the average citizen usually
does not come in and testify. Usually it is someone
representing a group. She asked how sophisticated the women are
who seek abortions in her circle.
MS. GARDNER replied that the people she knows are almost
overwhelmed with the technology today. This issue is sensitive,
personal, and private. Because of the political sensitivity to
this issue, there is a great deal of print media available. She
has had family members and friends who have talked about
abortion. Now sex education is taught to children. Most women
are high school graduates and can research an issue; it is not
like 50 years ago when women did not know what to do. She said
women are competent and capable of making decisions now.
Number 1172
REPRESENTATIVE GATTO said if the amount of information is
overwhelming, and the women are competent and capable, then why
are there so many teen pregnancies at the high school level.
Number 1136
MS. GARDNER responded that it is not just women's fault, but she
agrees that women should take protection, and so should men.
She said she does not have an answer to Representative Gatto's
question.
REPRESENTATIVE SEATON commented that Representative Gatto's
question is a good one. There were a rash of pregnancies in
Homer for several years; and those girls wanted to get pregnant
because it was the thing to do at the time, he surmised. It
astounds him and others. They were having babies in high school
and these were not accidents. It was the rage for a while. Why
some make these choices is confounding to us, he said.
REPRESENTATIVE CISSNA said that a recent report showed that
births to teens shows Alaska behind the national average. At
one time Alaska led the nation, but that turned around. Alaska
is doing better.
REPRESENTATIVE GATTO pointed out the contradiction in
information: Ms. Gardner said that Alaska's women are
overwhelmed with information, but earlier she said in the Bush
there is not good access to information. He said he actually
believes that there is good access in the Bush because Alaska is
the most Internet-connected state in the country and it is
available. He commented that Ms. Gardner is one of the few
people he has heard say that the problem is too much
information.
MS. GARDNER said that the common citizen does not have access to
the Internet in the Bush. The cost to use the Internet is
expensive; however, there is television, radio, and the printed
word. She believes this bill still says women are not competent
to make this decision. She disagrees with this assumption, she
told members. This bill is not about new information, but old
and biased information, and about saying women are not capable.
REPRESENTATIVE GATTO responded that he does not think women are
not capable. He said that if someone goes to a store and buys
anything, there are labels that go on and on and on; that does
not mean that the storeowner or the manufacturer thinks the
consumer is incompetent and therefore has to be told a lot of
information. It is simply another source of information. He
asked whether Ms. Gardner would object to a label on a can that
specifies what vitamins are contained in it, for example, that
milk has vitamin D, and therefore it implies that the consumer
is incompetent to find this information himself or herself and
thus would be insulted it is on a milk container.
Number 0874
MS. GARDNER said she would not find that insulting. She said
she believes knowledge is powerful. But what this bill is
saying is that it is mandatory that the physician prove that
beyond a preponderance of the evidence he/she has given this
specific information to the patient before the procedure can be
done. Ms. Gardner stated that this is not additional
information; it is mandatory. If this bill said this web site
is available to be helpful, she said she would say thank you,
but this is mandatory.
Number 0770
BOB JOHNSON, M.D., testified via teleconference in opposition to
HB 292. He told the committee that during his last ten years of
medical practice he performed approximately 70 abortions per
year for a total of 700 abortions. He said he is thoroughly
familiar with the procedure, the risks, and the results. He
told the committee he is retired and has nothing to gain by
promoting abortion. He commented that Senator Dyson's testimony
before the committee cautioned the members to note that there
will not be any reference to the term "unborn child" by those
opposing the bill. Dr. Johnson said this clearly indicates his
bias with respect to abortion and his obvious conflict of
interest. He said he thought this was to be a hearing and not a
discussion of the bill and testimony of the committee in favor
of the bill, and it soon became apparent that it was. Because
of this, only two individuals were able to testify that
afternoon, he complained. Some of those who were not able to
testify were not able to come this afternoon.
DR. JOHNSON told the committee his purpose for testifying is to
see that obstacles are not placed in front of women who for
multiple reasons feel they need an abortion. Each of his
patients was provided with options available to them in addition
to an abortion. Each was told as much as she wanted to know
about the procedure, risks, and outcome. Each was scheduled for
a follow-up visit two weeks after the procedure. He said his
finding supports Dr. Murphy's findings. He said that the
committee made a big fuss about her use of the term "termination
of pregnancy", which he suspects was her attempt to be sensitive
to patients' feelings about the term "abortion" because those
who are in favor of a right to life have made it a nasty word.
DR. JOHNSON told the committee that his findings show that the
risks are considerably less than what some are led to believe by
those who oppose abortion. For instance, only two of his
patients experienced post-abortion depression requiring
treatment, and both of these patients recovered. Dr. Johnson
said this is less than the incidence of postpartum depression.
None of his patients lost enough blood to require a transfusion,
two of his patients had post-abortion infections that responded
promptly to treatment, and those that so desired went on to have
normal pregnancies. He said he saw no fertility problems
associated with abortion. He told the committee that he does
not believe politicians have any business telling patients what
they must know, in spite of what advice they receive or from
whom. It is an insult to the intelligence of women who, in his
opinion, know exactly what they want to know and if encouraged
will make sure their physician tells them.
Number 0560
DR. JOHNSON asked if the committee really thinks physicians are
not familiar with their responsibility to explain the options,
risks, benefits, and details of any treatment. This legislation
places more obstacles in the path of those who need an abortion.
This legislation, along with much inaccurate publicity,
complicates the decision and tends to make women who elect to
have an abortion feel guilty. He said he thinks the occasional
suicide he has heard mentioned is a direct result of this
[inaccurate publicity]. Dr. Johnson asked the committee, on
behalf of women who cannot raise a child, for any reason, to
reject this legislation and any similar legislation.
Number 0520
GENENEIVA PEARSON testified via teleconference in opposition to
HB 292. She told the committee that she listened to Dr.
Murphy's testimony and believes that physicians are taking care
of the concerns the committee has. Ms. Pearson said that if the
committee believed legislation was necessary, Dr. Murphy's
testimony should make it clear that the bill is not necessary.
Government should not interfere with a relationship between
physician and patient. She said that the women who complained
to Representative Dahlstrom about their choices need to take
responsibility and not blame someone else for their actions.
Number 0401
KAREN VOSBURGH, Executive Director, Alaska Right to Life,
testified via teleconference in support of HB 292. She told the
committee that she represents not only herself, but also the
50,000 people in their database. Ms. Vosburgh said that it is a
fact that abortion leads to physical and psychological damages
to women. Abortionist do not like to call it a child, but that
is exactly what it is. The description of the pre-born baby is
relevant to a woman's decision about abortion. To claim that
this information does not pertain directly to the abortion
procedure is to deny any possibility that a second human being
is involved. Women deserve to know exactly what is being
removed before they make that decision. The doctor, nurse, or
counselor who protects the woman seeking the abortion from the
facts to keep them from anxiety or guilt, has made a moral
decision on the woman's behalf, she said, and that is completely
unacceptable.
Number 0318
MS. VOSBURGH said everyone has heard the reference of the pre-
born baby as tissue or some term that would not give any
humanity to the baby within it. Abortionists say they fully
inform their patients before committing the abortions; however,
Ms. Vosburgh told members, nearly 80 percent of the women
surveyed by the Elliot Institute said that they were actively
misinformed by their counselors prior to their abortion. In
every one of the thousands of cases documented, a full
explanation and possible risks of complications were not given
by abortion providers. When questions were asked, answers about
risks were understated, misconstrued, or avoided. Rather than
addressing risks, alternatives, fetal development, the abortion
counseling consisted of birth control techniques. This is
precisely why there needs to be informed-consent laws. Women
have the right to know, and a lot of them are not getting the
information. Women rely on their doctors for accurate
information, and they are not getting it, she asserted. That
does not apply across the board, but in all the research she has
done, it applied to a great percentage of women. It is very
necessary that women have this knowledge. Ms. Vosburgh pointed
out that those providing the counseling have a huge conflict of
interest, considering that they receive payment for "committing"
abortions on those they counsel.
Number 0212
MS. VOSBURGH told the committee of an example in Red River
Abortion Clinic, where she said a counselor provided the
following false statements to her clients:
Anti-abortion activists say having an abortion
increases the risk of developing breast cancer and
endangers future childbearing. None of these claims
are supported by medical research or established
medical organizations.
MS. VOSBURGH stated that this abortionist should not be passing
out information like this. If this person were to research the
evidence about breast cancer, future childbearing complications,
and a huge psychological impact that most women have, she would
not be providing this information. The hormonal disruption that
occurs when a woman's pregnancy is artificially interrupted
leaves the breast with an abnormally high number of cells
vulnerable to cancer, she told members. The first study done on
abortion as a risk factor for breast cancer was published in
1971. That report showed that abortion appears to cause
substantial increase and risk of subsequent breast cancer.
Almost two decades later, 15 or 14 American studies bear out
this early warning. But to this day, women are not informed
about this significant health threat. She told the committee it
is time for the American people to decide for themselves whether
the evidence warrants disclosure. It is time the women in
Alaska get protection because the abortionists providing the
services are not informing them. She told the committee she has
a lot more information and will send it on to the committee.
Number 0090
REPRESENTATIVE GATTO announced that Chair Wilson had left the
meeting and that he will be chairing the meeting. He asked if
anyone else on line would like to testify. [There was no
response.]
TAPE 03-42, SIDE A
REPRESENTATIVE CISSNA commented that those wishing to testify
via teleconference often need a few minutes before they can be
heard.
REPRESENTATIVE GATTO announced that Chair Wilson had returned to
the meeting.
Number 0031
CHAIR WILSON asked Representative Dahlstrom to summarize any
further statement she might have on HB 292.
REPRESENTATIVE DAHLSTROM commented that the information Ms.
Vosburgh provided in testimony is in the bill packets. She
thanked those that testified and said that it takes a lot of
courage to talk about sensitive issues. Representative
Dahlstrom said there are comments made in testimony by Ms.
Gardner that bother her and she wants to address those. Ms.
Gardner had said this bill states that women are not competent.
Representative Dahlstrom said she absolutely does not believe
that is the case. She said she operates on the true feeling
that information is power and it does not matter what it is,
whether it was the example given previously about reading labels
in the grocery store, or staying current on all types of medical
information, health information, the best way to build a home,
or any area where there is an effort to gain as much information
as possible. Representative Dahlstrom stated for the record
that it is absolutely untrue that her intent in filing this bill
was based on her belief that women are not competent.
Number 0186
REPRESENTATIVE DAHLSTROM told the committee that she had an
opportunity to speak with a woman who had an abortion 30 years
ago. It just came up in a conversation. The woman told her
that it almost destroyed her life and that she had years and
years of counseling. She said she does not know the particulars
on this, but that this is a woman who has been dealing with this
for a long time. As a previous testifier [Ms. Pearson] said,
individuals must be responsible for their actions and there are
consequences for every action that is taken in life. That is
why it is extremely important that there is as much information
as possible, so that all women can have this information.
Representative Dahlstrom told the committee of a woman who is
very close to her, who had an abortion and her comments were,
"Why can't this be like when I go to the store and I buy
something and I decide I don't want it and I go back to the
store and I return it and it is done." Buyer's remorse is a
simple thing that is experienced by many individuals. For
something that is so critical that affects women's bodies and
affects them for a very long period of time, erring on the side
of caution cannot be bad in any way, shape, or form.
REPRESENTATIVE DAHLSTROM addressed the comments and facts that
were stated earlier from a publication Representative Cissna
has. She said she is interested in looking at those facts. She
agreed that Alaska used to be the number-one state in the nation
in teenage pregnancies, unwed pregnancies, and unwanted
pregnancies. While the numbers are down, her personal belief is
that a big reason that those numbers are down is due to the many
abortions that are taking care of those pregnancies. She said
that she does not have the numbers in front of her now, but will
have them available for the next hearing. She recalled that the
numbers were very alarming and that they listed the number of
abortions performed on young women between the ages of 12 and
15, 15 and 17, and then 18 and above. It was broken down by
inside the Municipality of Anchorage and outside the
Municipality of Anchorage.
Number 0438
REPRESENTATIVE DAHLSTROM said that she goes back to the thought
that information is power. If a woman has made that very
personal choice, she will respect that choice. She said that in
her life when there are very important decisions to make,
information provided to her helps her make the best decision
possible. People all deal with the consequences of our actions.
The intent of this legislation is to provide information so that
when people make choices, they are informed, and they know
exactly what they are doing. Then they can move on with their
life and have a happy productive life.
Number 0501
REPRESENTATIVE CISSNA responded that she agrees with
Representative Dahlstrom's testimony that one can never get
enough information and she supports that effort. However, since
many of the people who probably are seeking this procedure are
people well over 35 years old, why include the requirement to
check to see if they did their homework. These people are
individuals who have done all the things expected in being
responsible adults.
Number 0560
REPRESENTATIVE DAHLSTROM replied that she is 45 years old, and
has been through many experiences in life. However, she
continues to be amazed at all the things she does not know, and
all the things that she has not experienced because these
situations have not been a part of her personal life.
Representative Dahlstrom said as she learns and becomes aware of
other experiences, it makes her a better person, and it makes
her more accepting of other people. Understanding different
circumstances helps to shape who she is because she gains that
information. When someone is over 21, he/she is responsible for
certain things; for example, most people by the time they are in
their 30s or 40s have purchased a home. The intent of this bill
is not to state that someone is not able to make a good
decision, but maybe it is the first time that person has had to
make this decision.
CHAIR WILSON announced that will be the end of testimony on HB
292 until next week. [HB 292 was held over.]
ADJOURNMENT
Number 0702
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.
| Document Name | Date/Time | Subjects |
|---|