Legislature(2023 - 2024)DAVIS 106

04/25/2023 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:04:12 PM Start
03:06:04 PM Confirmation Hearings Board of Dental Examiners
03:15:05 PM SJR10
03:22:23 PM HB127
03:59:10 PM HB89
04:38:16 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Consideration of Governor’s Appointees: TELECONFERENCED
Board of Dental Examiners - Jonathan Woller
+= SJR 10 MEDICARE REIMBURSEMENT TELECONFERENCED
Moved SJR 10 Out of Committee
-- Public Testimony --
+= HB 127 HOME AND COMMUNITY-BASED WAIVER SERVICES TELECONFERENCED
Moved HB 127 Out of Committee
-- Public Testimony --
+= HB 89 DAY CARE ASSIST./CHILD CARE GRANT PROGRAM TELECONFERENCED
Moved CSHB 89(HSS) Out of Committee
-- Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                         April 25, 2023                                                                                         
                           3:04 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Mike Prax, Chair                                                                                                 
Representative Justin Ruffridge, Vice Chair                                                                                     
Representative CJ McCormick                                                                                                     
Representative Dan Saddler                                                                                                      
Representative Jesse Sumner                                                                                                     
Representative Zack Fields                                                                                                      
Representative Genevieve Mina                                                                                                   
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION HEARING(S):                                                                                                        
                                                                                                                                
Board of Dental Examiners                                                                                                     
                                                                                                                                
     Jonathan Woller - Fairbanks                                                                                                
                                                                                                                                
     - CONFIRMATION(S) ADVANCED                                                                                                 
                                                                                                                                
SENATE JOINT RESOLUTION NO. 10                                                                                                  
Encouraging Alaska's Congressional delegation and the federal                                                                   
government to raise Medicare reimbursement rates to meet the                                                                    
actual cost of care for the state's senior citizens.                                                                            
                                                                                                                                
     - MOVED SJR 10 OUT OF COMMITTEE                                                                                            
                                                                                                                                
HOUSE BILL NO. 127                                                                                                              
"An Act relating to home- and community-based services under the                                                                
medical assistance program; and providing for an effective                                                                      
date."                                                                                                                          
                                                                                                                                
     - MOVED HB 127 OUT OF COMMITTEE                                                                                            
                                                                                                                                
HOUSE BILL NO. 89                                                                                                               
"An Act relating to the day care assistance program and the                                                                     
child care grant program; and providing for an effective date."                                                                 
                                                                                                                                
     - MOVED CSHB 89(HSS) OUT OF COMMITTEE                                                                                      
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SJR 10                                                                                                                  
SHORT TITLE: MEDICARE REIMBURSEMENT                                                                                             
SPONSOR(s): SENATOR(s) GIESSEL                                                                                                  
                                                                                                                                
03/13/23       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/13/23       (S)       HSS                                                                                                    
03/30/23       (S)       HSS AT 3:30 PM BUTROVICH 205                                                                           
03/30/23       (S)       Moved SJR 10 Out of Committee                                                                          
03/30/23       (S)       MINUTE(HSS)                                                                                            
03/31/23       (S)       HSS RPT 4DP 1NR                                                                                        
03/31/23       (S)       DP: WILSON, TOBIN, DUNBAR, GIESSEL                                                                     
03/31/23       (S)       NR: KAUFMAN                                                                                            
04/11/23       (S)       TRANSMITTED TO (H)                                                                                     
04/11/23       (S)       VERSION: SJR 10                                                                                        
04/12/23       (H)       READ THE FIRST TIME - REFERRALS                                                                        
04/12/23       (H)       HSS                                                                                                    
04/20/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
04/20/23       (H)       Heard & Held                                                                                           
04/20/23       (H)       MINUTE(HSS)                                                                                            
04/25/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
                                                                                                                                
BILL: HB 127                                                                                                                  
SHORT TITLE: HOME AND COMMUNITY-BASED WAIVER SERVICES                                                                           
SPONSOR(s): REPRESENTATIVE(s) MINA                                                                                              
                                                                                                                                
03/22/23       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/22/23       (H)       HSS, L&C                                                                                               
04/18/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
04/18/23       (H)       Heard & Held                                                                                           
04/18/23       (H)       MINUTE(HSS)                                                                                            
04/25/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
                                                                                                                                
BILL: HB  89                                                                                                                  
SHORT TITLE: DAY CARE ASSIST./CHILD CARE GRANT PROGRAM                                                                          
SPONSOR(s): REPRESENTATIVE(s) COULOMBE                                                                                          
                                                                                                                                
02/27/23       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/27/23       (H)       HSS, FIN                                                                                               
03/14/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
03/14/23       (H)       Heard & Held                                                                                           
03/14/23       (H)       MINUTE(HSS)                                                                                            
04/25/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
JONATHAN WOLLER, DMD, Appointee                                                                                                 
Board of Dental Examiners                                                                                                       
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT:  Testified as appointee to the Board of                                                                   
Dental Examiners.                                                                                                               
                                                                                                                                
SENATOR CATHY GIESSEL                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  As prime sponsor, introduced SJR 10.                                                                     
                                                                                                                                
REINA YOUNG, representing self                                                                                                  
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT:  Testified in support of HB 127.                                                                          
                                                                                                                                
KATHERINE CRONLUND, representing self                                                                                           
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 127.                                                                          
                                                                                                                                
WENDY MENZE, representing self                                                                                                  
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified in support of HB 127.                                                                          
                                                                                                                                
JANET JOHNSON, representing self                                                                                                
Cordova, Alaska                                                                                                                 
POSITION STATEMENT:  Testified in support of HB 127.                                                                          
                                                                                                                                
MARIE GOMEZ, representing self                                                                                                  
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 127.                                                                          
                                                                                                                                
REPRESENTATIVE JULIE COULOMBE                                                                                                   
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  As prime sponsor, presented HB 89 and                                                                    
answered questions.                                                                                                             
                                                                                                                                
BLUE SHIBLER, Executive Director                                                                                                
Southeast Alaska Association for the Education of Young Children                                                                
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified during the hearing in support of                                                               
HB 89.                                                                                                                          
                                                                                                                                
KRISTEN CARPENTER, Executive Director                                                                                           
Prince William Sound Economic Development District                                                                              
Cordova, Alaska                                                                                                                 
POSITION STATEMENT:   Testified during the hearing  in support of                                                             
HB 89.                                                                                                                          
                                                                                                                                
CHRISTINA HULQUIST, Program Officer                                                                                             
Child Care Program Office                                                                                                       
Division of Public Assistance                                                                                                   
Department of Health                                                                                                            
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Answered questions  during the hearing on HB
89.                                                                                                                             
                                                                                                                                
HEATHER CARPENTER, Health Care Policy Advisor                                                                                   
Office of the Commissioner                                                                                                      
Department of Health                                                                                                            
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Made comments  and answered questions during                                                             
the hearing on HB 89.                                                                                                           
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:04:12 PM                                                                                                                    
                                                                                                                                
CHAIR  MIKE PRAX  called  the House  Health  and Social  Services                                                             
Standing   Committee    meeting   to    order   at    3:04   p.m.                                                               
Representatives  Saddler, Sumner,  Fields,  Mina,  and Prax  were                                                               
present  at the  call to  order.   Representatives Ruffridge  and                                                               
McCormick arrived as the meeting was in progress.                                                                               
                                                                                                                                
^CONFIRMATION HEARINGS BOARD OF DENTAL EXAMINERS                                                                                
        CONFIRMATION HEARINGS BOARD OF DENTAL EXAMINERS                                                                     
                                                                                                                                
3:06:04 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that the first  order of business would be a                                                               
confirmation hearing on the governor's  appointee to the Board of                                                               
Dental Examiners.                                                                                                               
                                                                                                                                
3:06:14 PM                                                                                                                    
                                                                                                                                
JONATHAN  WOLLER,  DMD,  Appointee, Board  of  Dental  Examiners,                                                               
stated that he was born and  raised in Fairbanks.  He stated that                                                               
he  is  in private  practice  with  his  father,  who is  also  a                                                               
dentist.   He began his first  term on the board  four years ago,                                                               
and he has been asked to serve another four years.                                                                              
                                                                                                                                
3:07:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER  thanked  Dr.  Woller  and  requested  an                                                               
explanation of the board's duties.                                                                                              
                                                                                                                                
DR. WOLLER stated  that the board adopts  regulations and carries                                                               
out  the application  of  laws  which apply  to  the practice  of                                                               
dentistry.   He  stated the  board is  responsible for  reviewing                                                               
potential  malpractice  or  illegal  acts  committed  by  license                                                               
holders,    providing   disciplinary    action   against    these                                                               
individuals.     He  stated  that  the   board  meets  quarterly,                                                               
reviewing and  issuing licenses for dentists,  dental hygienists,                                                               
and dental assistants.                                                                                                          
                                                                                                                                
3:08:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER questioned  the most interesting situation                                                               
he came across during his first term.                                                                                           
                                                                                                                                
DR.  WOLLER  responded that  it  was  the "hoverboard"  incident;                                                               
however,   considering   everything   behind  the   scenes,   the                                                               
hoverboard  was the  least concerning  part.   He  stated that  a                                                               
dentist in Alaska  had posted on social media  a tooth extraction                                                               
performed  while  riding  a  hoverboard.   He  stated  that  this                                                               
dentist was convicted of "a whole host" of violations.                                                                          
                                                                                                                                
3:09:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER  questioned  issues  the  board  will  be                                                               
dealing with during the next term.                                                                                              
                                                                                                                                
DR. WOLLER responded  that since the COVID-19  pandemic there has                                                               
been a  shift in dentistry  in Alaska.   He stated  that patients                                                               
were  used in  dental  exams,  but since  the  pandemic this  has                                                               
stopped,  and the  board is  pursuing mannequin-based  licensure.                                                               
He stated that  currently it takes six to eight  months after the                                                               
application has been received before  full licensure is approved.                                                               
The board  is working  on issuing  probationary licenses  so work                                                               
can begin within 30 days after submitting the application.                                                                      
                                                                                                                                
DR.  WOLLER, in  response to  a follow-up  question, stated  that                                                               
Alaska  has  a  deficiency  in   the  dental  hygiene  workforce;                                                               
however, the state is well served  by its number of dentists.  He                                                               
stated that  about a third of  the hygienists in the  nation left                                                               
their jobs during the pandemic.                                                                                                 
                                                                                                                                
3:12:34 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease at 3:12 p.m.                                                                                 
                                                                                                                                
3:12:56 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX opened  public testimony.   After  ascertaining there                                                               
was no one who wished to testify, he closed public testimony.                                                                   
                                                                                                                                
CHAIR  PRAX stated  that  the House  Health  and Social  Services                                                               
Standing  Committee  has  reviewed  the  qualifications  for  the                                                               
governor's appointee  and recommends  that the following  name be                                                               
forwarded  to  a  joint  session  for  consideration:    Jonathan                                                               
Woller, appointee to the Board  of Dental Examiners.  He reminded                                                               
the committee  that this does  not reflect  intent by any  of the                                                               
members  to  vote  for  or against  this  individual  during  any                                                               
further sessions for the purposes of confirmation.                                                                              
                                                                                                                                
3:13:48 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 3:13 p.m. to 3:12 p.m.                                                                       
                                                                                                                                
                 SJR 10-MEDICARE REIMBURSEMENT                                                                              
                                                                                                                                
3:15:05 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  announced that  the next order  of business  would be                                                               
SENATE   JOINT   RESOLUTION    NO.   10,   Encouraging   Alaska's                                                               
Congressional  delegation and  the  federal  government to  raise                                                               
Medicare reimbursement rates to meet  the actual cost of care for                                                               
the state's senior citizens.                                                                                                    
                                                                                                                                
3:15:29 PM                                                                                                                    
                                                                                                                                
SENATOR  CATHY  GIESSEL,  Alaska   State  Legislature,  as  prime                                                               
sponsor,  introduced  SJR  10.   She  stated  that  the  proposed                                                               
resolution would  be an appeal  to the United States  Congress to                                                               
increase the reimbursement rates  for Medicare, because providers                                                               
cannot "make  ends meet" with the  current Medicare reimbursement                                                               
rates.                                                                                                                          
                                                                                                                                
3:16:03 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX   opened  public   testimony  on   SJR  10.     After                                                               
ascertaining there  was no one  who wished to testify,  he closed                                                               
public testimony.                                                                                                               
                                                                                                                                
3:16:58 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER  stated  that he  supports  the  proposed                                                               
resolution.   He  stated that  he has  heard from  physicians and                                                               
patients about  the inadequate Medicare reimbursement  rates.  He                                                               
questioned whether rates  would be increased by the  state or the                                                               
federal government.                                                                                                             
                                                                                                                                
SENATOR GIESSEL  responded that the  rates are determined  by the                                                               
federal program;  therefore, the state  has no jurisdiction.   In                                                               
response to a  series of follow-up questions, she  began that the                                                               
determination  is a  nationwide  policy decision  by the  federal                                                               
government, and  it is not made  on a state-by-state basis.   She                                                               
continued that  if the federal  government approves  the measure,                                                               
then more  health care providers  in the  state would be  able to                                                               
afford to see  Medicare beneficiaries.  She  added that currently                                                               
when seniors  reach the  age of 65,  their primary  care provider                                                               
often will tell  them accepting Medicare is not  affordable.  She                                                               
pointed out that  hundreds of seniors lost  providers when Alaska                                                               
Regional  Hospital in  Anchorage  closed its  clinic because  the                                                               
Medicare  reimbursement was  so  low, and  it  could not  attract                                                               
enough staff to  continue to operate the facility.   She answered                                                               
that providers are not obligated  to accept patients covered only                                                               
by Medicare.   She explained that when  healthcare providers sign                                                               
up to be Medicare providers, they accept the reimbursement rate.                                                                
                                                                                                                                
3:19:56 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE moved to report  SJR 10 out of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
notes.  There being no objection,  SJR 10 was reported out of the                                                               
House Health and Social Services Standing Committee.                                                                            
                                                                                                                                
3:20:24 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 3:20 p.m. to 3:22 p.m.                                                                       
                                                                                                                                
        HB 127-HOME AND COMMUNITY-BASED WAIVER SERVICES                                                                     
                                                                                                                                
3:22:23 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  announced that  the next order  of business  would be                                                               
HOUSE  BILL NO.  127, "An  Act relating  to home-  and community-                                                               
based  services   under  the  medical  assistance   program;  and                                                               
providing for an effective date."                                                                                               
                                                                                                                                
3:22:50 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA, as  prime  sponsor, explained  that HB  127                                                               
would  allow  Medicaid  reimbursements  for  legally  responsible                                                               
individuals who  provide care  services to  family members.   She                                                               
stated that  to qualify  the individuals would  need to  become a                                                               
personal care  assistant and be hired  by an agency.   She stated                                                               
that currently this  is prohibited by state law, but  it has been                                                               
a  pandemic-related  flexibility  allowed   by  the  Centers  for                                                               
Medicaid and Medicare Services.                                                                                                 
                                                                                                                                
3:23:37 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX opened public testimony on HB 127.                                                                                   
                                                                                                                                
3:24:12 PM                                                                                                                    
                                                                                                                                
REINA YOUNG, representing  self, testified in support  of HB 127.                                                               
She stated that she has six  children, four of which have special                                                               
needs.   She stated that there  are not enough care  providers in                                                               
the state,  so she provides  care services to her  children while                                                               
also working a  job outside of the home.   The other option would                                                               
be placing  her children outside  of the  home.  She  shared that                                                               
she  provides her  children with  social and  emotional learning,                                                               
life skills  learning, education, and  personal care, all  on one                                                               
parent's income.   She argued that  HB 127 would help  her family                                                               
and many  others to be  more financially independent,  as parents                                                               
would not  have to rely  on welfare programs, and  families could                                                               
stay together.                                                                                                                  
                                                                                                                                
3:26:55 PM                                                                                                                    
                                                                                                                                
KATHERINE CRONLUND,  representing self,  testified in  support of                                                               
HB 127.   She shared that she  works at a local company  and is a                                                               
direct service provider for her  two children with special needs.                                                               
She  stated that  one in  five  Americans has  a disability,  but                                                               
every scenario is  different.  She stated that  her children have                                                               
qualified for  the support  waiver for the  last five  years, and                                                               
within  this  time  they  have  had  seven  different  providers;                                                               
however, the  providers were unable  to accommodate  the family's                                                               
schedule with speech  and occupational therapy.   She stated that                                                               
her  family had  gone months  without providers.   She  explained                                                               
that during the COVID-19 pandemic  her work hours were shortened,                                                               
which was financially  hard, but this ensured she was  able to be                                                               
there for her  children.  She explained that  many children learn                                                               
with  simple   instruction,  but   her  children   need  constant                                                               
repetition of  tasks and  reminders.   She added  that this  is a                                                               
full-time  job, and  she has  developed coping  mechanisms.   She                                                               
stated  that  under  her  care  the  children  have  made  "great                                                               
improvements."  Working at home  has given her the flexibility to                                                               
work around their  schedules and needs.  She  stated that in-home                                                               
care  for  children  with  special needs  helps  them  to  become                                                               
independent and functioning members  of society.  Allowing family                                                               
members to  receive pay  as care  givers relieves  constant worry                                                               
and stress.   She argued that the program would  not only benefit                                                               
children with  special needs, but  it would benefit the  state in                                                               
the long  term.   She asked  for the  committee's support  for HB
127.                                                                                                                            
                                                                                                                                
3:31:46 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  commented on the  testifier's dedication.                                                               
He  questioned  whether  she  has had  any  training  in  applied                                                               
behavioral analysis (ABA).                                                                                                      
                                                                                                                                
MS. CRONLUND responded that she  has not had any formal training,                                                               
but  she  has   researched  and  joined  support   groups.    She                                                               
referenced her background and real-life  experience and said that                                                               
if  something  does  not  work,  she  reaches  out  to  different                                                               
resources and uses the ABA approach.                                                                                            
                                                                                                                                
REPRESENTATIVE  SADDLER encouraged  Ms. Cronlund  to contact  the                                                               
Governor's  Council on  Disabilities and  Special Education.   He                                                               
said this is  a clearinghouse of information  about ABA therapies                                                               
and treatments.                                                                                                                 
                                                                                                                                
3:34:02 PM                                                                                                                    
                                                                                                                                
WENDY MENZE, representing  self, testified in support  of HB 127.                                                               
She shared  that she has lived  in Juneau for 20  years and takes                                                               
care of her adult daughter,  who suffered cardiac arrest in 2020.                                                               
She stated  that her daughter had  spent two months in  a medical                                                               
center  in  Seattle, and  now  she  is completely  immobile,  has                                                               
limited  verbal communication,  and spends  most of  her time  in                                                               
bed.   She  explained her  daughter's  husband was  unable to  be                                                               
there as  support; therefore, her daughter's  young children also                                                               
live with  her and her husband.   Because there are  no available                                                               
caregivers  in  Juneau,  for  the past  2-plus  years  they  have                                                               
provided  care.    She  had  inquired  about  receiving  pay  for                                                               
providing in-home care  but was told that the state  could not do                                                               
this;  however, as  of January  2022 she  has been  getting paid.                                                               
She stated that financially she and  her husband are able to take                                                               
care of themselves, but the extra  money helps pay for things she                                                               
cannot afford and things for  the grandchildren.  She stated that                                                               
it would be a burden if the  current pay were revoked.  She urged                                                               
support for HB 127.                                                                                                             
                                                                                                                                
3:39:07 PM                                                                                                                    
                                                                                                                                
JANET  JOHNSON, representing  self,  testified in  support of  HB
127.   She  shared  that her  23-year-old  daughter has  multiple                                                               
disabilities  and  now  lives  in  Anchorage.    She  stated  her                                                               
daughter does  not seem  severely affected  because she  has been                                                               
given "incredible care"  during her life; however,  she does need                                                               
a great deal  of assistance.  She stated that  while her daughter                                                               
lived  at home  in Cordova,  the family  went almost  two decades                                                               
without any care  givers.  Because they live remote,  her son was                                                               
allowed to  provide care and be  paid.  She stated  that this had                                                               
"saved them,"  and now  her daughter is  thriving because  of the                                                               
family care.   She stated that she is "self-trained"  to care for                                                               
her  daughter   and  considers  herself  a   professional.    She                                                               
reiterated  that because  families can  give extra  complex care,                                                               
they can  be "great" caregivers.   She urged support for  HB 127,                                                               
as  it would  strengthen a  family's ability  to provide  care to                                                               
their loved ones.                                                                                                               
                                                                                                                                
3:45:33 PM                                                                                                                    
                                                                                                                                
MS. JOHNSON,  in response to Chair  Prax, stated that all  of her                                                               
training had been "on the job."                                                                                                 
                                                                                                                                
3:46:04 PM                                                                                                                    
                                                                                                                                
MS. JOHNSON,  in response  to Chair  Saddler, stated  that before                                                               
the COVID-19 pandemic  the agency had separated  care into levels                                                               
with different  pay rates; however,  because of the  pandemic her                                                               
son was  paid $14  per hour  for a 40-hour  workweek.   She added                                                               
that this "helped immensely."  She  stated that it takes work and                                                               
actual  physical  activity,  because   it  is  not  always  about                                                               
learning and speaking.  In  response to a follow-up question, she                                                               
stated that care  hours had been authorized;  however, her family                                                               
went for  20 years without  finding staff.   She stated  that her                                                               
daughter is "complicated," and staff did not last long.                                                                         
                                                                                                                                
REPRESENTATIVE SADDLER remarked that caring  for a loved one with                                                               
disabilities is  "a 24/7 job,"  and this provision  would provide                                                               
pay for  only 40 hours per  week.  He expressed  the opinion that                                                               
it will  not fully compensate  individuals for all the  hours put                                                               
in, but at least it is something.                                                                                               
                                                                                                                                
MS. JOHNSON responded in agreement.                                                                                             
                                                                                                                                
3:49:54 PM                                                                                                                    
                                                                                                                                
MARIE GOMEZ, representing  self, testified in support  of HB 127.                                                               
She shared that  she has lived in Anchorage since  2015 and is an                                                               
unpaid caregiver.   She stated that she began taking  care of her                                                               
mother  in 2018,  and it  is  challenging because  she gets  very                                                               
little sleep.   She explained that the only help  she receives is                                                               
a nurse who comes  two days a week.  She  relies on the community                                                               
and church for  basic needs; however, receiving pay  for the care                                                               
would  change their  lives, as  now they  live in  poverty.   She                                                               
stated that  she is  "happy with  what we  have," but  prices are                                                               
going  up,  and  they  are  living off  of  her  mother's  social                                                               
security income.   She stated that with more money  they could be                                                               
eating healthier  foods.  She  concluded that  families receiving                                                               
pay for providing care would help elders live their best lives.                                                                 
                                                                                                                                
3:55:53 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX,  after ascertaining  that there was  no one  else who                                                               
wished to testify, closed public testimony on HB 127.                                                                           
                                                                                                                                
3:56:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER thanked  the bill sponsor, as  HB 127 would                                                               
have a substantial, positive impact on many people in the state.                                                                
                                                                                                                                
3:56:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE moved to report  HB 127 out of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
notes.  There being no objection,  HB 127 was reported out of the                                                               
Health and Social Services Standing Committee.                                                                                  
                                                                                                                                
3:57:14 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 3:57 p.m. to 3:59 p.m.                                                                       
                                                                                                                                
        HB 89-DAY CARE ASSIST./CHILD CARE GRANT PROGRAM                                                                     
                                                                                                                                
[Contains discussion of HB 46.]                                                                                                 
                                                                                                                                
3:59:10 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  announced that the  final order of business  would be                                                               
HOUSE BILL  NO. 89, "An Act  relating to the day  care assistance                                                               
program and  the child care  grant program; and providing  for an                                                               
effective date."                                                                                                                
                                                                                                                                
3:59:32 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  JULIE  COULOMBE,  Alaska  State  Legislature,  as                                                               
prime sponsor, presented HB 89.   She explained that the proposed                                                               
legislation is based on child  care reform and the best practices                                                               
developed  in other  states.   She  continued  that the  proposed                                                               
legislation  would   help  families  return  to   the  workforce,                                                               
stimulate economic growth  by filling jobs, ensure  safe care for                                                               
children,  and prepare  children  to enter  the public  education                                                               
system.    The  legislation  would align  the  subsidy  level  to                                                               
reflect  the  actual  cost  of  care,  expanding  the  number  of                                                               
families who can afford child  care, thus strengthening the child                                                               
care system.  She stated that  the Department of Health (DOH) has                                                               
started a  survey to  determine the  actual cost  of care.   From                                                               
conversations with  legislators, she expressed  the understanding                                                               
there is  some resistance for  subsidies because  "parents should                                                               
be  home  with their  children."    She  argued that  things  are                                                               
different  now.   She explained  that  when she  and her  husband                                                               
raised  their children,  she  was  able to  stay  home while  her                                                               
husband worked.   Now single-parent  homes range from  27 percent                                                               
up  to 56  percent, depending  on the  community.   She continued                                                               
that  single  parents  needing  to work  have  a  difficult  time                                                               
finding child  care, and two-parent families,  where both parents                                                               
must work, are  also having a difficult time.   She expressed the                                                               
opinion  that having  a  parent in  the home  would  be the  best                                                               
scenario, but things are not the  same as they were 30 years ago.                                                               
She explained  that in the  past communities would  come together                                                               
and  family members  would watch  children.   She suggested  that                                                               
this still  happens, but  it would not  fix the  current problem,                                                               
and more needs to happen to address the crisis.                                                                                 
                                                                                                                                
REPRESENTATIVE COULOMBE,  referencing the labor  shortage, stated                                                               
that HB 89 is a workforce  bill, as it would help parents reenter                                                               
the  labor  market.    From   her  background  in  business,  she                                                               
expressed the  understanding that  child care facilities  are not                                                               
viable  business models.   She  explained that  the money  coming                                                               
into child  care facilities  is not  the actual  cost to  run the                                                               
business, so there needs to be  a subsidy.  She stated that there                                                               
are  differences  of  opinions whether  [child  care  facilities]                                                               
should  be  [considered  as part  of]  business,  government,  or                                                               
community.   She maintained  that investing in  child care  is an                                                               
investment in  children, and,  as a business  model, the  cost of                                                               
top-quality  child care  will never  be  affordable to  families.                                                               
She argued that good child care  would have to be subsidized, and                                                               
the proposed legislation  would help move toward  the actual cost                                                               
of care,  aligning this with the  need.  On a  personal note, she                                                               
said, she is  putting forth the legislation because  she is "pro-                                                               
life."  She voiced  the challenge for others to look  at HB 89 as                                                               
a  "pro-life bill."    She expressed  the  opinion that  abortion                                                               
happens because  of economic reasons.   She said, "If I  can help                                                               
save a  child and  help a woman  to know she's  going to  get the                                                               
help she needs  once a child is  born; I am going  to do whatever                                                               
it takes for that to happen."                                                                                                   
                                                                                                                                
4:04:53 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX opened public testimony on HB 89.                                                                                    
                                                                                                                                
4:05:12 PM                                                                                                                    
                                                                                                                                
BLUE  SHIBLER, Executive  Director, Southeast  Alaska Association                                                               
for the Education  of Young Children, testified in  support of HB
89.   She  stated that  the  non-profit agency  has been  serving                                                               
Southeast Alaska for four decades.   She thanked the bill sponsor                                                               
and committee for supporting Alaska's  families.  She stated that                                                               
HB 89 would  address the affordability component in  the issue of                                                               
child care  in Alaska.   She pointed  out that most  people think                                                               
child care is just for  young children; however, licensed care is                                                               
also needed  for students before and  after school.  The  cost of                                                               
this  care can  be  just as  expensive as  the  care for  younger                                                               
children.  She stated that last  year the agency had been able to                                                               
provide help  for more  than 20  families in  Juneau who  did not                                                               
qualify for  assistance and could  not afford to pay  for school-                                                               
age  child care.   She  gave examples  of the  diverse makeup  of                                                               
these  families,  which  included  single  mothers,  grandparents                                                               
caring  for  grandchildren,  and situations  where  both  parents                                                               
worked and were  not home after school.  She  stated that support                                                               
would make child  care more affordable for  working families, and                                                               
parents would be able to make better choices for their children.                                                                
                                                                                                                                
4:08:41 PM                                                                                                                    
                                                                                                                                
KRISTEN  CARPENTER,  Executive  Director,  Prince  William  Sound                                                               
Economic  Development District,  testified in  support of  HB 89.                                                               
She thanked the committee members.   She echoed the comments made                                                               
about  the importance  of increasing  the affordability  of child                                                               
care.  She  stated that her agency has  been questioning families                                                               
in the  area about  their needs, and  the resounding  issues have                                                               
been  housing and  the affordability  and  availability of  child                                                               
care.    She  stated  that   increasing  income  eligibility  for                                                               
assistance  would help  parents afford  child care,  while making                                                               
child  care more  available  would enable  parents  to enter  the                                                               
workforce.    She added  that  this  would  also help  the  local                                                               
economy.                                                                                                                        
                                                                                                                                
4:11:30 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX, after  ascertaining that there was no  one who wished                                                               
to testify, closed public testimony on HB 89.                                                                                   
                                                                                                                                
4:11:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS  moved to  adopt  Amendment  1 to  HB  89,                                                               
labeled 33-LS0518\A.2, Bergerud, 3/20/23, which read as follows:                                                                
                                                                                                                                
     Page 2, following line 8:                                                                                                  
     Insert a new bill section to read:                                                                                         
        "* Sec. 2. AS 47.25.041 is amended to read:                                                                         
          Sec. 47.25.041. Contributions by parent or                                                                          
     guardian. The  department shall  develop a  sliding fee                                                                  
     scale  [BASED ON  THE FACTORS  LISTED IN  AS 47.25.031]                                                                    
     for   purposes  of   determining  the   amount  to   be                                                                    
     contributed by  the parent or  guardian for  child care                                                                    
     based  on the  factors listed  in AS 47.25.031  and the                                                                
     actual  average   cost  of  providing  child   care  as                                                                
     determined  under  AS 47.25.071(c)   at  the  day  care                                                                
     facility  chosen  by  the   parent  or  guardian  under                                                                
     AS 47.25.051(a).  The  contribution  of the  parent  or                                                                
     guardian shall be paid to the day care facility."                                                                          
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
     Page 2, line 22:                                                                                                           
          Delete "sec. 2"                                                                                                       
          Insert "sec. 3"                                                                                                       
                                                                                                                                
     Page 2, line 29:                                                                                                           
          Delete "sec. 2"                                                                                                       
          Insert "sec. 3"                                                                                                       
                                                                                                                                
REPRESENTATIVE SADDLER objected for the purpose of discussion.                                                                  
                                                                                                                                
4:11:48 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS stated  that all four of  the amendments he                                                               
is offering  are in coordination  with the bill sponsor  and have                                                               
been  reviewed  by  DOH.     He  thanked  the  bill  sponsor  and                                                               
department for  their hard work.   He explained that  Amendment 1                                                               
would  put  in statute  a  sliding  fee scale,  expanding  income                                                               
eligibility.   Families  at  the higher  end  of the  eligibility                                                               
spectrum  would  have a  lower  percentage  of their  care  costs                                                               
covered.  He  advised that this would  "stretch" dollars further,                                                               
helping more families.   He noted that DOH already  has a sliding                                                               
scale  for eligible  families,  so this  would  be codifying  and                                                               
supporting an existing practice.                                                                                                
                                                                                                                                
4:13:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   COULOMBE   referenced  Representative   Sumner's                                                               
comments  made   during  the  first   hearing  on   the  proposed                                                               
legislation.   She stated  that the  comments contributed  to the                                                               
amendment.  She stated that  Amendment 1 would help parents whose                                                               
increased income affected their eligibility  for child care.  She                                                               
stated that this  would help these parents from  "falling off the                                                               
cliff."                                                                                                                         
                                                                                                                                
4:13:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  withdrew his  objection.  There  being no                                                               
further objection, Amendment 1 was adopted.                                                                                     
                                                                                                                                
4:13:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  moved to  adopt Amendment 2  to HB  89, as                                                               
amended, labeled 33-LS0518\A.3, Bergerud,  3/16/23, which read as                                                               
follows:                                                                                                                        
                                                                                                                                
     Page 1, lines 11 - 12:                                                                                                     
          Delete "300 percent of the federal poverty line"                                                                  
          Insert "105 percent of the median household                                                                       
     income"                                                                                                                
                                                                                                                                
REPRESENTATIVE SADDLER objected for the purpose of discussion.                                                                  
                                                                                                                                
4:13:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS  stated   that  the  proposed  legislation                                                               
should be  consistent with federal  regulations, and  Amendment 2                                                               
would change the measure for  assistance from the federal poverty                                                               
line to the median household income.                                                                                            
                                                                                                                                
4:14:56 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  withdrew his  objection.  There  being no                                                               
further objection, Amendment 2 was adopted.                                                                                     
                                                                                                                                
4:15:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  moved to  adopt Amendment 3  to HB  89, as                                                               
amended, labeled 33-LS0518\A.4,  Wallace/Bergerud, 4/01/23.  [Due                                                               
to  its length,  Amendment  3 can  be  found at  the  end of  the                                                               
minutes for HB 89.]                                                                                                             
                                                                                                                                
REPRESENTATIVE SADDLER objected for the purpose of discussion.                                                                  
                                                                                                                                
REPRESENTATIVE FIELDS stated that Amendment  3 would provide a 50                                                               
percent tax credit  under the education tax  credit structure for                                                               
corporations  which   make  investments  in  child   care.    The                                                               
investment  could  be  a  capital  investment  or  an  investment                                                               
through stipends for  employees.  He stated  that this suggestion                                                               
came  from Representatives  Ruffridge  and Sumner  in a  previous                                                               
committee concerning HB 46.  He  stated that, if the amendment is                                                               
adopted, this  element from HB 46  would be used, as  HB 89 would                                                               
be the "best vehicle" to advance  the provision to the floor.  He                                                               
stated  that the  commissioner  has also  discussed  the idea  of                                                               
supporting the private  sector in making investments.   Given the                                                               
state's limited resources,  he voiced the opinion  that the state                                                               
cannot do this alone.                                                                                                           
                                                                                                                                
4:16:19 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER  pointed  out that  the  amendment  would                                                               
triple the allowable cap for  business contributions.  Concerning                                                               
the fiscal  impacts, he questioned  the amount of  money involved                                                               
in the education tax credit.                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS responded  that in  terms of  changing the                                                               
cap  and applying  it to  child care,  DOH has  provided a  chart                                                               
which shows the cost to be  "modest."  In response to a follow-up                                                               
question, he  explained that the  amendment was  previously added                                                               
to HB 46;  therefore, the fiscal note is attached  to HB 46, with                                                               
the  identifier: CSHB046(L&C)-DOR-Tax-03.03.23.   He  stated that                                                               
the chart  indicated that raising  the annual credit limit  to $3                                                               
million would  cost $800,000 for  fiscal year 2025 (FY  25), $1.6                                                               
million for  FY 26, $1.6 million  for FY 27, and  $800,000 for FY                                                               
28.  He  said, "Extending the repeal ... also  has a cost impact;                                                               
although,  I   would  note   there  is   a  separate   bill  from                                                               
Representative  Ruffridge that  is going  to extend  this anyway.                                                               
So  ... that's  not really  going to  be impacted  by whether  we                                                               
adopt this amendment, or not."                                                                                                  
                                                                                                                                
4:18:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SUMNER  expressed   the  understanding  that  the                                                               
education tax credit  was once $5 million;  therefore, $3 million                                                               
would be almost splitting this amount.                                                                                          
                                                                                                                                
4:18:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE  explained  that  the  House  Education                                                               
Standing Committee  heard HB  46 last week,  and he  related that                                                               
for the last two fiscal years,  the total credit claimed had been                                                               
between $2 million  and $5 million against the  current tax paid.                                                               
He  noted the  significant reduction  in past  years.   He stated                                                               
that the total  credit claimed has never gone over  $9 million in                                                               
the past  10 years, as  it has averaged  around $4 million  to $6                                                               
million per year.                                                                                                               
                                                                                                                                
4:19:47 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  withdrew his  objection.  There  being no                                                               
further objection, Amendment 3 was adopted.                                                                                     
                                                                                                                                
4:20:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  moved to  adopt Amendment 4  to HB  89, as                                                               
amended, labeled 33-LS0518\A.5,  Wallace/Bergerud, 3/29/23, which                                                               
read as follows:                                                                                                                
                                                                                                                                
     Page 2, following line 15:                                                                                                 
          Insert a new bill section to read:                                                                                    
        "* Sec. 3.  AS 47.25.071 is amended by  adding a new                                                                
     subsection to read:                                                                                                        
          (i)  In addition to the grants provided in (a)                                                                        
     and (d)  of this  section, the department  may, subject                                                                    
     to appropriations  for that purpose, provide  grants to                                                                    
     the highest  performing and highest quality  child care                                                                    
     facilities  in  the  state.   The  department  may  use                                                                    
     quality recognition  and improvement system  metrics to                                                                    
     determine  the highest  performing and  highest quality                                                                    
     child care facilities in the  state. To receive a grant                                                                    
     under this subsection, the child  care facility must be                                                                    
     currently  licensed   under  AS 47.32   and  applicable                                                                    
     municipal licensing requirements."                                                                                         
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
     Page 2, line 25:                                                                                                           
          Delete "This Act takes"                                                                                               
          Insert "Sections 1 and 2 of this Act take"                                                                            
                                                                                                                                
     Page 3, line 4:                                                                                                            
          Delete "this Act takes effect, it takes"                                                                              
          Insert "secs. 1 and 2 of this Act take effect,                                                                        
     they take"                                                                                                                 
                                                                                                                                
CHAIR PRAX objected for the purpose of discussion.                                                                              
                                                                                                                                
4:20:20 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS   commented  that  child  care   has  been                                                               
discussed in diverse  states across the country.   He stated that                                                               
many  of  these  "best  practices" were  discussed  at  the  Hunt                                                               
Institute's workshop  on child care, including  the suggestion of                                                               
aligning grants to support quality  in child care facilities.  He                                                               
stated that currently  there are some systems  to encourage child                                                               
care quality, but  child care grants are not  used to incentivize                                                               
this.  Concerning DOH's ability  to provide grants to support the                                                               
highest quality  child care facilities  in the state,  he pointed                                                               
out  that the  language  "may"  is used  in  the  amendment.   He                                                               
expressed the  understanding that  this language would  allow DOH                                                               
to  choose  to   provide  more  child  care   assistance  to  the                                                               
facilities which achieve  a higher degree of quality.   He stated                                                               
that  facilities   currently  have  a  posted   notification,  or                                                               
sticker,  indicating their  level in  the quality-rating  system.                                                               
He suggested  that it  would make sense  to encourage  and reward                                                               
facilities that work  to achieve a higher degree of  quality.  He                                                               
stated  that  the  amendment would  not  increase  costs,  rather                                                               
resources would be used more efficiently.                                                                                       
                                                                                                                                
4:22:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  stated that Amendment 4  would enable DOH                                                               
to  use  a  quality  recognition  and  improvement  system.    He                                                               
questioned  the  definition  of   "highest  performing"  and  the                                                               
elements used to judge this.                                                                                                    
                                                                                                                                
4:22:59 PM                                                                                                                    
                                                                                                                                
CHRISTINA HULQUIST,  Program Officer, Child Care  Program Office,                                                               
Division of Public Assistance, Department  of Health, stated that                                                               
the department supports  the Learn and Grow program.   She stated                                                               
that  this  program  is  a   voluntary  quality  recognition  and                                                               
improvement system.   It consists  of requirements which  have to                                                               
be met  in order to reach  the different levels of  quality.  She                                                               
offered to follow up to the  committee with a description of each                                                               
level.                                                                                                                          
                                                                                                                                
REPRESENTATIVE FIELDS,  with additional information,  stated that                                                               
"quality" includes  the facility's level of  safety, instruction,                                                               
social  interaction,  and  other  elements  which  help  children                                                               
succeed as they enter school.                                                                                                   
                                                                                                                                
4:24:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SADDLER  questioned   the  parameters   used  to                                                               
evaluate the performance of facilities.                                                                                         
                                                                                                                                
MS. HULQUIST reiterated  that Learn and Grow  is Alaska's quality                                                               
recognition  and improvement  system, and  child care  facilities                                                               
choose  to  participate.   She  explained  that two  levels  have                                                               
currently  been  established,  with the  remaining  levels  still                                                               
being developed.   To  be included in  the system  the facilities                                                               
would  need to  be  licensed and  have professional  development.                                                               
She stated  that there is  also a program which  helps facilities                                                               
succeed.  She explained that  [high quality care] includes social                                                               
and  emotional support,  evaluations,  and assessment  curriculum                                                               
for children.   She reiterated  that she  would follow up  with a                                                               
written description explaining in more  detail the Learn and Grow                                                               
system.                                                                                                                         
                                                                                                                                
MS.  HULQUIST, in  response to  a series  of questions,  answered                                                               
that  there  are  about  200  child  care  providers  voluntarily                                                               
participating in the  Learn and Grow program.   She answered that                                                               
the  200  providers  participating  would be  out  of  about  450                                                               
licensed child care providers in  the state.  Concerning how many                                                               
of the  200 providers  would be eligible  for grants,  she stated                                                               
that because of  the use of the language "may"  in the amendment,                                                               
this  would need  to  be  interpreted.   She  explained that  any                                                               
facility participating in the Learn  and Grow program could begin                                                               
in  the first  two levels.   In  reference to  the range  of high                                                               
quality,  she   said  the  system   contains  five   levels,  and                                                               
eligibility for  grants is  still being  determined.   She stated                                                               
that  participating in  the  system would  represent  a level  of                                                               
quality.                                                                                                                        
                                                                                                                                
REPRESENTATIVE SADDLER,  with a follow-up comment,  expressed the                                                               
assumption that  the fifth  level would be  the highest,  and the                                                               
grants  would be  preserved for  these  programs.   He said,  "If                                                               
everyone is  special, no one is  special," and there would  be no                                                               
quality difference if every program is the highest.                                                                             
                                                                                                                                
4:29:38 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX  withdrew his  objection.    There being  no  further                                                               
objection, Amendment 4 was adopted.                                                                                             
                                                                                                                                
4:30:49 PM                                                                                                                    
                                                                                                                                
HEATHER  CARPENTER, Health  Care  Policy Advisor,  Office of  the                                                               
Commissioner,  Department of  Health, raised  the awareness  that                                                               
the  governor has  issued  an administrative  order  to create  a                                                               
child  care task  force.   She stated  that the  task force  will                                                               
address  the same  issues  HB 89  would  address, which  includes                                                               
Representative Saddler's  line of  questioning.  She  stated this                                                               
includes the  options for  the definition  of "high  quality" and                                                               
stabilizing child care in the  state.  She informed the committee                                                               
that DOH has been given the task  by the governor to come up with                                                               
options to stabilize the sector.   She stated that the department                                                               
will  work with  child  care  providers and  report  back to  the                                                               
legislature.   In  response to  Chair Prax,  she stated  that the                                                               
date the report  will be ready is not definite,  as work needs to                                                               
be done quickly.                                                                                                                
                                                                                                                                
4:31:56 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  questioned the source of  funding for the                                                               
grants in Amendment 4.                                                                                                          
                                                                                                                                
MS. CARPENTER  responded that the  federal government  provides a                                                               
block  grant from  the Administration  of Children  and Families,                                                               
which would cover the grants, as  well as the subsidy to parents.                                                               
She  reminded the  committee of  the "three  levers," which  are:                                                               
adding  to grants,  stabilizing the  rates and  subsidies parents                                                               
are  paying, and  addressing the  market rate  the department  is                                                               
paying.                                                                                                                         
                                                                                                                                
REPRESENTATIVE  SADDLER  expressed  the  understanding  that  the                                                               
federal block grant could go  toward direct grants to parents and                                                               
child care centers.  He questioned  the third way grants would be                                                               
addressed.                                                                                                                      
                                                                                                                                
MS.  CARPENTER  responded  that the  third  option  concerns  the                                                               
market rate.   She  explained that this  relates to  DOH's market                                                               
survey, and the actual rate of reimbursement by the department.                                                                 
                                                                                                                                
REPRESENTATIVE SADDLER expressed the  hope that parents would not                                                               
be shorted in the effort to support child care centers.                                                                         
                                                                                                                                
4:33:49 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE moved  to report HB 89,  as amended, out                                                               
of   committee   with    individual   recommendations   and   the                                                               
accompanying  fiscal  notes.   There  being  no  objection,  CSHB
89(HSS)  was  reported out  of  the  Health and  Social  Services                                                               
Standing Committee.                                                                                                             
                                                                                                                                
[Amendment 3, labeled 33-LS0518\A.4, Wallace/Bergerud, 4/01/23,                                                                 
adopted by the committee, was placed here because of its                                                                        
length]:                                                                                                                        
                                                                                                                                
     Page 1, line 1:                                                                                                            
          Following "Act":                                                                                                    
          Insert "relating to education tax credits for                                                                       
     certain payments  and contributions for child  care and                                                                  
     child care  facilities; relating  to the  insurance tax                                                                  
     education credit, the income  tax education credit, the                                                                  
     oil or gas producer  education credit, the property tax                                                                  
     education   credit,  the   mining  business   education                                                                  
     credit,  the fisheries  business education  credit, and                                                                  
     the fisheries resource landing tax education credit;"                                                                    
          Following "program;":                                                                                               
          Insert "providing for an effective date by                                                                          
     amending the effective date of  secs. 1, 2, and 21, ch.                                                                  
     61, SLA 2014;"                                                                                                           
                                                                                                                                
     Page 1, following line 3:                                                                                                  
          Insert new bill sections to read:                                                                                     
        "* Section 1. AS 21.96.070(a) is amended to read:                                                                   
          (a)  A taxpayer is allowed a credit against the                                                                       
     tax   due  under   AS 21.09.210  or   AS 21.66.110  for                                                                    
     [CONTRIBUTIONS OF CASH OR EQUIPMENT ACCEPTED]                                                                              
               (1)  contributions of cash or equipment                                                                      
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by an  Alaska university foundation or  by a nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association;                                                                                                 
               (2)  contributions of cash or equipment                                                                      
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)    contributions  of  cash  or  equipment                                                                
     accepted  for vocational  education courses,  programs,                                                                
     and   facilities   by   a   state-operated   vocational                                                                    
     technical education and training school;                                                                                   
               (4)    contributions  of  cash  or  equipment                                                                
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association;                                                                                                               
               (5)    contributions  of  cash  or  equipment                                                                
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state; [AND]                                                                                
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government;                                                                                 
               (7)   expenditures  made to  operate a  child                                                                
     care  facility in  the state  for the  children of  the                                                                
     taxpayer's employees;                                                                                                  
               (8)    contributions  of  cash  or  equipment                                                                
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one or more children of the taxpayer's employees; and                                                                  
               (9)    a  payment   to  an  employee  of  the                                                                
     taxpayer  made  by  the taxpayer  for  the  purpose  of                                                                
     offsetting the employee's child  care costs incurred in                                                                
     the state.                                                                                                             
        * Sec. 2. AS 21.96.070(d) is amended to read:                                                                         
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis  for a credit claimed under                                                                    
     another provision of this title; and                                                                                       
               (2)   when  combined with  contributions that                                                                    
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 43.20.014,    AS 43.55.019,                                                                    
     AS 43.56.018,     AS 43.65.018,    AS 43.75.018,     or                                                                    
     AS 43.77.045,  result in  the total  amount of  credits                                                                    
     exceeding $3,000,000  [$1,000,000]; if the  taxpayer is                                                                
     a member of an affiliated  group, then the total amount                                                                    
     of credits  may not exceed $3,000,000  [$1,000,000] for                                                                
     the  affiliated group;  in this  paragraph, "affiliated                                                                    
     group" has the meaning given in AS 43.20.145.                                                                              
        * Sec.  3. AS 21.96.070 is  amended by adding  a new                                                                  
     subsection to read:                                                                                                        
          (g)  Beginning January 1, 2030, and every five                                                                        
     years   thereafter,  the   Department   of  Labor   and                                                                    
     Workforce Development shall adjust  the dollar limit on                                                                    
     credits under (d) of this  section for inflation, using                                                                    
     100  percent  of the  change  over  the preceding  five                                                                    
     calendar  years in  the Consumer  Price  Index for  all                                                                    
     urban  consumers  for  urban Alaska,  compiled  by  the                                                                    
     Bureau  of Labor  Statistics, United  States Department                                                                    
     of Labor.                                                                                                                  
        * Sec. 4. AS 43.20.014(a) is amended to read:                                                                         
          (a)  A taxpayer is allowed a credit against the                                                                       
     tax due  under this chapter for  [CONTRIBUTIONS OF CASH                                                                    
     OR EQUIPMENT ACCEPTED FOR]                                                                                                 
               (1)  contributions of cash or equipment                                                                      
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by  an Alaska  university foundation,  by a  nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association,  or by  a public  or private                                                                    
     nonprofit elementary or secondary school in the state;                                                                     
               (2)  contributions of cash or equipment                                                                      
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)  contributions of cash or equipment                                                                      
     accepted  for vocational  education courses,  programs,                                                                
     equipment,   and   facilities   by   a   state-operated                                                                    
     vocational technical  education and training  school, a                                                                    
     nonprofit  regional training  center recognized  by the                                                                    
     Department of  Labor and Workforce Development,  and an                                                                    
     apprenticeship program in the  state that is registered                                                                    
     with  the United  States Department  of Labor  under 29                                                                    
     U.S.C. 50 - 50b (National Apprenticeship Act);                                                                             
               (4)  contributions of cash or equipment                                                                      
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association  or  by  a   public  or  private  nonprofit                                                                    
     elementary or secondary school in the state;                                                                               
               (5)  contributions of cash or equipment                                                                      
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state;                                                                                      
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government;                                                                                     
               (7)    contributions  of  cash  or  equipment                                                                
     accepted  for the  Alaska  higher education  investment                                                                
     fund under AS 37.14.750;                                                                                                   
               (8)    contributions  of  cash  or  equipment                                                                
     accepted  for  funding  a   scholarship  awarded  by  a                                                                
     nonprofit  organization  to  a dual-credit  student  to                                                                    
     defray the cost of  a dual-credit course, including the                                                                    
     cost of                                                                                                                    
               (A)  tuition and textbooks;                                                                                      
               (B)   registration, course,  and programmatic                                                                    
     student fees;                                                                                                              
               (C)     on-campus  room  and  board   at  the                                                                    
     postsecondary  institution in  the state  that provides                                                                    
     the dual-credit course;                                                                                                    
               (D)    transportation  costs to  and  from  a                                                                    
     residential  school  approved   by  the  Department  of                                                                    
     Education and  Early Development under  AS 14.16.200 or                                                                    
     the  postsecondary school  in the  state that  provides                                                                    
     the dual-credit course; and                                                                                                
               (E)      other    related   educational   and                                                                    
     programmatic costs;                                                                                                        
               (9)    contributions  of  cash  or  equipment                                                                
     accepted for constructing,  operating, or maintaining a                                                                
     residential  housing facility  by a  residential school                                                                    
     in the  state approved  by the Department  of Education                                                                    
     and Early Development under AS 14.16.200;                                                                                  
               (10)    contributions  of cash  or  equipment                                                                
     accepted for  childhood early learning  and development                                                                
     programs  and educational  support  to childhood  early                                                                    
     learning  and   development  programs  provided   by  a                                                                    
     nonprofit  corporation  organized   under  AS 10.20,  a                                                                    
     tribal entity,  or a school  district in the  state, by                                                                    
     the Department  of Education and Early  Development, or                                                                    
     through a state grant;                                                                                                     
               (11)    contributions  of cash  or  equipment                                                                
     accepted  for  science,  technology,  engineering,  and                                                                
     math  programs  provided by  a  nonprofit  agency or  a                                                                    
     school district  for school staff  and for  students in                                                                    
     grades kindergarten through 12 in the state; [AND]                                                                         
               (12)    contributions  of cash  or  equipment                                                                
     accepted for the operation  of a nonprofit organization                                                                
     dedicated to  providing educational  opportunities that                                                                    
     promote the  legacy of public service  contributions to                                                                    
     the state  and perpetuate ongoing  educational programs                                                                    
     that  foster  public   service  leadership  for  future                                                                    
     generations of residents of the state;                                                                                 
               (13)   expenditures made  to operate  a child                                                                
     care  facility in  the state  for the  children of  the                                                                
     taxpayer's employees;                                                                                                  
               (14)    contributions  of cash  or  equipment                                                                
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one or more children of the taxpayer's employees; and                                                                  
               (15)    a  payment  to  an  employee  of  the                                                                
     taxpayer  made  by  the taxpayer  for  the  purpose  of                                                                
     offsetting the employee's child  care costs incurred in                                                                
     the state.                                                                                                             
        * Sec. 5. AS 43.20.014(d) is amended to read:                                                                         
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis  for a credit claimed under                                                                    
     another provision of this title;                                                                                           
               (2)  also be allowed  as a deduction under 26                                                                    
     U.S.C.  170 against  the tax  imposed by  this chapter;                                                                    
     and                                                                                                                        
               (3)   when  combined with  contributions that                                                                    
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 21.96.070,    AS 43.55.019,                                                                    
     AS 43.56.018,     AS 43.65.018,    AS 43.75.018,     or                                                                    
     AS 43.77.045,  result in  the total  amount of  credits                                                                    
     exceeding $3,000,000  [$1,000,000]; if the  taxpayer is                                                                
     a member of an affiliated  group, then the total amount                                                                    
     of credits  may not exceed $3,000,000  [$1,000,000] for                                                                
     the  affiliated group;  in this  paragraph, "affiliated                                                                    
     group" has the meaning given in AS 43.20.145.                                                                              
        * Sec.  6. AS 43.20.014 is  amended by adding  a new                                                                  
     subsection to read:                                                                                                        
          (h)  Beginning January 1, 2030, and every five                                                                        
     years   thereafter,  the   Department   of  Labor   and                                                                    
     Workforce Development shall adjust  the dollar limit on                                                                    
     credits under (d) of this  section for inflation, using                                                                    
     100  percent  of the  change  over  the preceding  five                                                                    
     calendar  years in  the Consumer  Price  Index for  all                                                                    
     urban  consumers  for  urban Alaska,  compiled  by  the                                                                    
     Bureau  of Labor  Statistics, United  States Department                                                                    
     of Labor.                                                                                                                
        * Sec. 7. AS 43.55.019(a) is amended to read:                                                                         
          (a)  A producer of oil or gas is allowed a credit                                                                     
     against   the  tax   levied   by  AS 43.55.011(e)   for                                                                    
     [CONTRIBUTIONS OF CASH OR EQUIPMENT ACCEPTED FOR]                                                                          
               (1)    contributions  of  cash  or  equipment                                                                
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by an  Alaska university foundation or  by a nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association;                                                                                                 
               (2)    contributions  of  cash  or  equipment                                                                
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)    contributions  of  cash  or  equipment                                                                
     accepted  for vocational  education courses,  programs,                                                                
     equipment,   and   facilities   by   a   state-operated                                                                    
     vocational technical  education and training  school, a                                                                    
     nonprofit  regional training  center recognized  by the                                                                    
     Department of  Labor and Workforce Development,  and an                                                                    
     apprenticeship program in the  state that is registered                                                                    
     with  the United  States Department  of Labor  under 29                                                                    
     U.S.C. 50 - 50b (National Apprenticeship Act);                                                                             
               (4)    contributions  of  cash  or  equipment                                                                
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association;                                                                                                               
               (5)    contributions  of  cash  or  equipment                                                                
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state;                                                                                      
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government; [AND]                                                                               
               (7)    contributions  of  cash  or  equipment                                                                
     accepted  for the  Alaska  higher education  investment                                                                
     fund under AS 37.14.750;                                                                                               
               (8)  expenditures made to operate a child                                                                    
     care  facility in  the state  for the  children of  the                                                                
     producer's employees;                                                                                                  
               (9)  contributions of cash or equipment                                                                      
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one or more children of the producer's employees; and                                                                  
               (10)  a payment to an employee of the                                                                        
     producer  made  by  the producer  for  the  purpose  of                                                                
     offsetting the employee's child  care costs incurred in                                                                
     the state.                                                                                                             
        * Sec. 8. AS 43.55.019(d) is amended to read:                                                                         
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis for a credit claimed under                                                                     
     another provision of this title; and                                                                                       
               (2)  when combined with contributions that                                                                       
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 21.96.070,    AS 43.20.014,                                                                    
     AS 43.56.018,     AS 43.65.018,    AS 43.75.018,     or                                                                    
     AS 43.77.045,  result in  the total  amount of  credits                                                                    
     exceeding $3,000,000  [$1,000,000]; if the  taxpayer is                                                                
     a member of an affiliated  group, then the total amount                                                                    
     of credits  may not exceed $3,000,000  [$1,000,000] for                                                                
     the  affiliated group;  in this  paragraph, "affiliated                                                                    
     group" has the meaning given in AS 43.20.145.                                                                              
        * Sec.  9. AS 43.55.019 is  amended by adding  a new                                                                  
     subsection to read:                                                                                                        
          (i)  Beginning January 1, 2030, and every five                                                                        
     years   thereafter,  the   Department   of  Labor   and                                                                    
     Workforce Development shall adjust  the limit under (d)                                                                    
     of  this section  for inflation,  using 100  percent of                                                                    
     the change  over the preceding  five calendar  years in                                                                    
     the Consumer  Price Index for  all urban  consumers for                                                                    
     urban  Alaska,   compiled  by   the  Bureau   of  Labor                                                                    
     Statistics, United States Department of Labor.                                                                             
        * Sec. 10. AS 43.56.018(a) is amended to read:                                                                        
          (a)  The owner of property taxable under this                                                                         
     chapter is allowed  a credit against the  tax due under                                                                    
     this chapter  for [CONTRIBUTIONS  OF CASH  OR EQUIPMENT                                                                    
     ACCEPTED FOR]                                                                                                              
               (1)  contributions of cash or equipment                                                                      
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by an  Alaska university foundation or  by a nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association;                                                                                                 
               (2)    contributions  of  cash  or  equipment                                                                
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)    contributions  of  cash  or  equipment                                                                
     accepted  for vocational  education courses,  programs,                                                                
     and   facilities   by   a   state-operated   vocational                                                                    
     technical education and training school;                                                                                   
               (4)    contributions  of  cash  or  equipment                                                                
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association;                                                                                                               
               (5)    contributions  of  cash  or  equipment                                                                
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state;                                                                                      
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government; [AND]                                                                               
               (7)    contributions  of  cash  or  equipment                                                                
     accepted  for the  Alaska  higher education  investment                                                                
     fund under AS 37.14.750;                                                                                               
               (8)   expenditures  made to  operate a  child                                                                
     care  facility in  the state  for the  children of  the                                                                
     property owner's employees;                                                                                            
               (9)    contributions  of  cash  or  equipment                                                                
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one   or  more   children  of   the  property   owner's                                                                
     employees; and                                                                                                         
               (10)    a  payment  to  an  employee  of  the                                                                
     property owner  made by  the owner  for the  purpose of                                                                
     offsetting the employee's child  care costs incurred in                                                                
     the state.                                                                                                             
        * Sec. 11. AS 43.56.018(d) is amended to read:                                                                        
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis  for a credit claimed under                                                                    
     another provision of this title; and                                                                                       
               (2)  when combined with contributions that                                                                       
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 21.96.070,    AS 43.20.014,                                                                    
     AS 43.55.019,     AS 43.65.018,    AS 43.75.018,     or                                                                    
     AS 43.77.045,  result in  the total  amount of  credits                                                                    
     exceeding $3,000,000  [$1,000,000]; if the  taxpayer is                                                                
     a member of an affiliated  group, then the total amount                                                                    
     of credits  may not exceed $3,000,000  [$1,000,000] for                                                                
     the  affiliated group;  in this  paragraph, "affiliated                                                                    
     group" has the meaning given in AS 43.20.145.                                                                              
        * Sec. 12.  AS 43.56.018 is amended by  adding a new                                                                  
     subsection to read:                                                                                                        
          (h)  Beginning January 1, 2030, and every five                                                                        
     years  thereafter,  the  department  shall  adjust  the                                                                    
     dollar limit on  credits under (d) of  this section for                                                                    
     inflation,  using 100  percent of  the change  over the                                                                    
     preceding  five calendar  years in  the Consumer  Price                                                                    
     Index  for  all  urban   consumers  for  urban  Alaska,                                                                    
     compiled  by the  Bureau  of  Labor Statistics,  United                                                                    
     States Department of Labor.                                                                                                
        * Sec. 13. AS 43.65.018(a) is amended to read:                                                                        
          (a)  A person engaged in the business of mining                                                                       
     in the  state is allowed  a credit against the  tax due                                                                    
     under  this  chapter  for  [CONTRIBUTIONS  OF  CASH  OR                                                                    
     EQUIPMENT ACCEPTED FOR]                                                                                                    
               (1)  contributions of cash or equipment                                                                      
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by  an Alaska  university foundation,  by a  nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association,  or by  a public  or private                                                                    
     nonprofit elementary or secondary school in the state;                                                                     
               (2)  contributions of cash or equipment                                                                      
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)  contributions of cash or equipment                                                                      
     accepted  for vocational  education courses,  programs,                                                                
     and   facilities  by   a  state-   operated  vocational                                                                    
     technical education and training school;                                                                                   
               (4)  contributions of cash or equipment                                                                      
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association  or  by  a   public  or  private  nonprofit                                                                    
     elementary or secondary school in the state;                                                                               
               (5)    contributions  of  cash  or  equipment                                                                
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state;                                                                                      
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government;                                                                                     
               (7)    contributions  of  cash  or  equipment                                                                
     accepted  for the  Alaska  higher education  investment                                                                
     fund under AS 37.14.750;                                                                                                   
               (8)    contributions  of  cash  or  equipment                                                                
     accepted  for  funding  a   scholarship  awarded  by  a                                                                
     nonprofit  organization  to  a dual-credit  student  to                                                                    
     defray the cost of  a dual-credit course, including the                                                                    
     cost of                                                                                                                    
               (A)  tuition and textbooks;                                                                                      
               (B)   registration, course,  and programmatic                                                                    
     student fees;                                                                                                              
               (C)     on-campus  room  and  board   at  the                                                                    
     postsecondary  institution in  the state  that provides                                                                    
     the dual-credit course;                                                                                                    
               (D)    transportation  costs to  and  from  a                                                                    
     residential  school  approved   by  the  Department  of                                                                    
     Education and  Early Development under  AS 14.16.200 or                                                                    
     the  postsecondary school  in the  state that  provides                                                                    
     the dual-credit course; and                                                                                                
               (E)      other    related   educational   and                                                                    
     programmatic costs;                                                                                                        
               (9)    contributions  of  cash  or  equipment                                                                
     accepted for constructing,  operating, or maintaining a                                                                
     residential  housing facility  by a  residential school                                                                    
     approved  by  the  Department of  Education  and  Early                                                                    
     Development under AS 14.16.200;                                                                                            
               (10)    contributions  of cash  or  equipment                                                                
     accepted for  childhood early learning  and development                                                                
     programs  and educational  support  to childhood  early                                                                    
     learning  and   development  programs  provided   by  a                                                                    
     nonprofit  corporation  organized   under  AS 10.20,  a                                                                    
     tribal entity,  or a school  district in the  state, by                                                                    
     the Department  of Education and Early  Development, or                                                                    
     through a state grant;                                                                                                     
               (11)    contributions  of cash  or  equipment                                                                
     accepted  for  science,  technology,  engineering,  and                                                                
     math  programs  provided by  a  nonprofit  agency or  a                                                                    
     school district  for school staff  and for  students in                                                                    
     grades kindergarten through 12 in the state; [AND]                                                                         
               (12)    contributions  of cash  or  equipment                                                                
     accepted for the operation  of a nonprofit organization                                                                
     dedicated to  providing educational  opportunities that                                                                    
     promote the  legacy of public service  contributions to                                                                    
     the state  and perpetuate ongoing  educational programs                                                                    
     that  foster  public   service  leadership  for  future                                                                    
     generations of residents of the state;                                                                                 
               (13)   expenditures made  to operate  a child                                                                
     care  facility in  the state  for the  children of  the                                                                
     person's employees;                                                                                                    
               (14)    contributions  of cash  or  equipment                                                                
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one or more children of the person's employees; and                                                                    
               (15)    a  payment  to  an  employee  of  the                                                                
     person's business  made by the  person for  the purpose                                                                
     of offsetting the employee's  child care costs incurred                                                                
     in the state.                                                                                                          
        * Sec. 14. AS 43.65.018(d) is amended to read:                                                                        
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis  for a credit claimed under                                                                    
     another provision of this title; and                                                                                       
               (2)   when  combined with  contributions that                                                                    
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 21.96.070,    AS 43.20.014,                                                                    
     AS 43.55.019,     AS 43.56.018,    AS 43.75.018,     or                                                                    
     AS 43.77.045,  result  in  the   total  amount  of  the                                                                    
     credits  exceeding  $3,000,000   [$1,000,000];  if  the                                                                
     taxpayer is a  member of an affiliated  group, then the                                                                    
     total  amount  of  credits may  not  exceed  $3,000,000                                                                
     [$1,000,000]   for  the   affiliated  group;   in  this                                                                    
     paragraph, "affiliated group" has  the meaning given in                                                                    
     AS 43.20.145.                                                                                                              
        * Sec. 15.  AS 43.65.018 is amended by  adding a new                                                                  
     subsection to read:                                                                                                        
          (h)  Beginning January 1, 2030, and every five                                                                        
     years  thereafter,  the  department  shall  adjust  the                                                                    
     dollar limit on  credits under (d) of  this section for                                                                    
     inflation,  using 100  percent of  the change  over the                                                                    
     preceding  five calendar  years in  the Consumer  Price                                                                    
     Index  for  all  urban   consumers  for  urban  Alaska,                                                                    
     compiled  by the  Bureau  of  Labor Statistics,  United                                                                    
     States Department of Labor.                                                                                                
        * Sec. 16. AS 43.75.018(a) is amended to read:                                                                        
          (a)  A person engaged in a fisheries business is                                                                      
     allowed  a  credit  against  the  tax  due  under  this                                                                    
     chapter  for   [CONTRIBUTIONS  OF  CASH   OR  EQUIPMENT                                                                    
     ACCEPTED FOR]                                                                                                              
               (1)    contributions  of  cash  or  equipment                                                                
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by  an Alaska  university foundation,  by a  nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association,  or by  a public  or private                                                                    
     nonprofit elementary or secondary school in the state;                                                                     
               (2)    contributions  of  cash  or  equipment                                                                
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)    contributions  of  cash  or  equipment                                                                
     accepted  for vocational  education courses,  programs,                                                                
     and   facilities   by   a   state-operated   vocational                                                                    
     technical education and training school;                                                                                   
               (4)    contributions  of  cash  or  equipment                                                                
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association  or  by  a   public  or  private  nonprofit                                                                    
     elementary or secondary school in the state;                                                                               
               (5)    contributions  of  cash  or  equipment                                                                
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state;                                                                                      
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government;                                                                                     
               (7)    contributions  of  cash  or  equipment                                                                
     accepted  for the  Alaska  higher education  investment                                                                
     fund under AS 37.14.750;                                                                                                   
               (8)    contributions  of  cash  or  equipment                                                                
     accepted  for  funding  a   scholarship  awarded  by  a                                                                
     nonprofit  organization  to  a dual-credit  student  to                                                                    
     defray the cost of  a dual-credit course, including the                                                                    
     cost of                                                                                                                    
               (A)  tuition and textbooks;                                                                                      
               (B)   registration, course,  and programmatic                                                                    
     student fees;                                                                                                              
               (C)     on-campus  room  and  board   at  the                                                                    
     postsecondary  institution in  the state  that provides                                                                    
     the dual-credit course;                                                                                                    
               (D)    transportation  costs to  and  from  a                                                                    
     residential  school  approved   by  the  Department  of                                                                    
     Education and  Early Development under  AS 14.16.200 or                                                                    
     the  postsecondary school  in the  state that  provides                                                                    
     the dual-credit course; and                                                                                                
               (E)      other    related   educational   and                                                                    
     programmatic costs;                                                                                                        
               (9)    contributions  of  cash  or  equipment                                                                
     accepted for constructing,  operating, or maintaining a                                                                
     residential  housing facility  by a  residential school                                                                    
     approved  by  the  Department of  Education  and  Early                                                                    
     Development under AS 14.16.200;                                                                                            
               (10)    contributions  of cash  or  equipment                                                                
     accepted for  childhood early learning  and development                                                                
     programs  and educational  support  to childhood  early                                                                    
     learning  and   development  programs  provided   by  a                                                                    
     nonprofit  corporation  organized   under  AS 10.20,  a                                                                    
     tribal entity,  or a school  district in the  state, by                                                                    
     the Department  of Education and Early  Development, or                                                                    
     through a state grant;                                                                                                     
               (11)    contributions  of cash  or  equipment                                                                
     accepted  for  science,  technology,  engineering,  and                                                                
     math  programs  provided by  a  nonprofit  agency or  a                                                                    
     school district  for school staff  and for  students in                                                                    
     grades kindergarten through 12 in the state; [AND]                                                                         
               (12)    contributions  of cash  or  equipment                                                                
     accepted for the operation  of a nonprofit organization                                                                
     dedicated to  providing educational  opportunities that                                                                    
     promote the  legacy of public service  contributions to                                                                    
     the state  and perpetuate ongoing  educational programs                                                                    
     that  foster  public   service  leadership  for  future                                                                    
     generations of residents of the state;                                                                                 
               (13)   expenditures made  to operate  a child                                                                
     care  facility in  the state  for the  children of  the                                                                
     person's employees;                                                                                                    
               (14)  contributions of cash or equipment                                                                     
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one or more children of the person's employees; and                                                                    
               (15)  a payment to an employee of the                                                                        
     person's business  made by the  person for  the purpose                                                                
     of offsetting the employee's  child care costs incurred                                                                
     in the state.                                                                                                          
        * Sec. 17. AS 43.75.018(d) is amended to read:                                                                        
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis for a credit claimed under                                                                     
     another provision of this title; and                                                                                       
               (2)  when combined with contributions that                                                                       
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 21.96.070,    AS 43.20.014,                                                                    
     AS 43.55.019,     AS 43.56.018,    AS 43.65.018,     or                                                                    
     AS 43.77.045,  result  in  the   total  amount  of  the                                                                    
     credits  exceeding  $3,000,000   [$1,000,000];  if  the                                                                
     taxpayer is a  member of an affiliated  group, then the                                                                    
     total  amount  of  credits may  not  exceed  $3,000,000                                                                
     [$1,000,000]   for  the   affiliated  group;   in  this                                                                    
     paragraph, "affiliated group" has  the meaning given in                                                                    
     AS 43.20.145.                                                                                                              
        * Sec. 18.  AS 43.75.018 is amended by  adding a new                                                                  
     subsection to read:                                                                                                        
          (h)  Beginning January 1, 2030, and every five                                                                        
     years   thereafter,  the   Department   of  Labor   and                                                                    
     Workforce Development shall adjust  the dollar limit on                                                                    
     credits under (d) of this  section for inflation, using                                                                    
     100  percent  of the  change  over  the preceding  five                                                                    
     calendar  years in  the Consumer  Price  Index for  all                                                                    
     urban  consumers  for  urban Alaska,  compiled  by  the                                                                    
     Bureau  of Labor  Statistics, United  States Department                                                                    
     of Labor.                                                                                                                  
        * Sec. 19. AS 43.77.045(a) is amended to read:                                                                        
          (a)  A person engaged in a floating fisheries                                                                         
     business is allowed a credit  against the tax due under                                                                    
     this chapter  for [CONTRIBUTIONS  OF CASH  OR EQUIPMENT                                                                    
     ACCEPTED FOR]                                                                                                              
               (1)  contributions of cash or equipment                                                                      
     accepted   for   direct  instruction,   research,   and                                                                
     educational  support  purposes, including  library  and                                                                    
     museum  acquisitions, and  contributions to  endowment,                                                                    
     by  an Alaska  university foundation,  by a  nonprofit,                                                                    
     public  or   private,  Alaska  two-year   or  four-year                                                                    
     college   accredited   by   a  national   or   regional                                                                    
     accreditation association,  or by  a public  or private                                                                    
     nonprofit elementary or secondary school in the state;                                                                     
               (2)    contributions  of  cash  or  equipment                                                                
     accepted   for   secondary  school   level   vocational                                                                
     education  courses,  programs,   and  facilities  by  a                                                                    
     school district in the state;                                                                                              
               (3)    contributions  of  cash  or  equipment                                                                
     accepted  for vocational  education courses,  programs,                                                                
     and   facilities   by   a   state-operated   vocational                                                                    
     technical education and training school;                                                                                   
               (4)    contributions  of  cash  or  equipment                                                                
     accepted  for  a facility  by  a  nonprofit, public  or                                                                
     private,   Alaska   two-year   or   four-year   college                                                                    
     accredited  by  a  national or  regional  accreditation                                                                    
     association  or  by  a   public  or  private  nonprofit                                                                    
     elementary or secondary school in the state;                                                                               
               (5)    contributions  of  cash  or  equipment                                                                
     accepted  for   Alaska  Native  cultural   or  heritage                                                                
     programs and  educational support,  including mentoring                                                                    
     and  tutoring,  provided  by  a  nonprofit  agency  for                                                                    
     public school staff and for  students who are in grades                                                                    
     kindergarten through 12 in the state;                                                                                      
               (6)    contributions  of  cash  or  equipment                                                                
     accepted for  education, research,  rehabilitation, and                                                                
     facilities  by an  institution that  is located  in the                                                                    
     state  and  that  qualifies   as  a  coastal  ecosystem                                                                    
     learning center  under the Coastal  America Partnership                                                                    
     established by the federal government;                                                                                     
               (7)    contributions  of  cash  or  equipment                                                                
     accepted  for the  Alaska  higher education  investment                                                                
     fund under AS 37.14.750;                                                                                                   
               (8)    contributions  of  cash  or  equipment                                                                
     accepted  for  funding  a   scholarship  awarded  by  a                                                                
     nonprofit  organization  to  a dual-credit  student  to                                                                    
     defray the cost of  a dual-credit course, including the                                                                    
     cost of                                                                                                                    
               (A)  tuition and textbooks;                                                                                      
               (B)   registration, course,  and programmatic                                                                    
     student fees;                                                                                                              
               (C)     on-campus  room  and  board   at  the                                                                    
     postsecondary  institution in  the state  that provides                                                                    
     the dual-credit course;                                                                                                    
               (D)    transportation  costs to  and  from  a                                                                    
     residential  school  approved   by  the  Department  of                                                                    
     Education and  Early Development under  AS 14.16.200 or                                                                    
     the  postsecondary school  in the  state that  provides                                                                    
     the dual-credit course; and                                                                                                
               (E)      other    related   educational   and                                                                    
     programmatic costs;                                                                                                        
               (9)    contributions  of  cash  or  equipment                                                                
     accepted for constructing,  operating, or maintaining a                                                                
     residential  housing facility  by a  residential school                                                                    
     approved  by  the  Department of  Education  and  Early                                                                    
     Development under AS 14.16.200;                                                                                            
               (10)    contributions  of cash  or  equipment                                                                
     accepted for  childhood early learning  and development                                                                
     programs  and educational  support  to childhood  early                                                                    
     learning  and   development  programs  provided   by  a                                                                    
     nonprofit  corporation  organized   under  AS 10.20,  a                                                                    
     tribal entity,  or a school  district in the  state, by                                                                    
     the Department  of Education and Early  Development, or                                                                    
     through a state grant;                                                                                                     
               (11)    contributions  of cash  or  equipment                                                                
     accepted  for  science,  technology,  engineering,  and                                                                
     math  programs  provided by  a  nonprofit  agency or  a                                                                    
     school district  for school staff  and for  students in                                                                    
     grades kindergarten through 12 in the state; [AND]                                                                         
               (12)    contributions  of cash  or  equipment                                                                
     accepted for the operation  of a nonprofit organization                                                                
     dedicated to  providing educational  opportunities that                                                                    
     promote the  legacy of public service  contributions to                                                                    
     the state  and perpetuate ongoing  educational programs                                                                    
     that  foster  public   service  leadership  for  future                                                                    
     generations of residents of the state;                                                                                 
               (13)   expenditures made  to operate  a child                                                                
     care  facility in  the state  for the  children of  the                                                                
     person's employees;                                                                                                    
               (14)    contributions  of cash  or  equipment                                                                
     accepted  by  a  child  care   facility  in  the  state                                                                
     operated  by a  nonprofit corporation  and attended  by                                                                
     one or more children of the person's employees; and                                                                    
               (15)    a  payment  to  an  employee  of  the                                                                
     person's business  made by the  person for  the purpose                                                                
     of offsetting the employee's  child care costs incurred                                                                
     in the state.                                                                                                          
        * Sec. 20. AS 43.77.045(d) is amended to read:                                                                        
          (d)  A contribution claimed as a credit under                                                                         
     this section may not                                                                                                       
               (1)  be the basis  for a credit claimed under                                                                    
     another provision of this title; and                                                                                       
               (2)   when  combined with  contributions that                                                                    
     are the  basis for credits taken  during the taxpayer's                                                                    
     tax    year     under    AS 21.96.070,    AS 43.20.014,                                                                    
     AS 43.55.019,     AS 43.56.018,    AS 43.65.018,     or                                                                    
     AS 43.75.018,  result  in  the   total  amount  of  the                                                                    
     credits  exceeding  $3,000,000   [$1,000,000];  if  the                                                                
     taxpayer is a  member of an affiliated  group, then the                                                                    
     total  amount  of  credits may  not  exceed  $3,000,000                                                                
     [$1,000,000]   for  the   affiliated  group;   in  this                                                                    
     paragraph, "affiliated group" has  the meaning given in                                                                    
     AS 43.20.145.                                                                                                              
        * Sec. 21.  AS 43.77.045 is amended by  adding a new                                                                  
     subsection to read:                                                                                                        
          (g)  Beginning January 1, 2030, and every five                                                                        
     years   thereafter,  the   Department   of  Labor   and                                                                    
     Workforce Development shall adjust  the dollar limit on                                                                    
     credits under (d) of this  section for inflation, using                                                                    
     100  percent  of the  change  over  the preceding  five                                                                    
     calendar  years in  the Consumer  Price  Index for  all                                                                    
     urban  consumers  for  urban Alaska,  compiled  by  the                                                                    
     Bureau  of Labor  Statistics, United  States Department                                                                    
     of Labor."                                                                                                                 
                                                                                                                                
     Page 1, line 4:                                                                                                            
          Delete "Section 1"                                                                                                  
          Insert "Sec. 22"                                                                                                    
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
     Page 2, line 19, following "implement":                                                                                    
          Insert "secs. 22 and 23 of"                                                                                           
                                                                                                                                
     Page 2, line 21:                                                                                                           
          Delete "sec. 1"                                                                                                       
          Insert "sec. 22"                                                                                                      
                                                                                                                                
     Page 2, line 22:                                                                                                           
          Delete "sec. 2"                                                                                                       
          Insert "sec. 23"                                                                                                      
                                                                                                                                
     Page 2, line 25:                                                                                                           
          Delete "This Act takes"                                                                                               
          Insert "Sections 22 and 23 of this Act take"                                                                          
                                                                                                                                
     Page 2, line 28:                                                                                                           
          Delete "sec. 1"                                                                                                       
          Insert "sec. 22"                                                                                                      
                                                                                                                                
     Page 2, line 29:                                                                                                           
          Delete "sec. 2"                                                                                                       
          Insert "sec. 23"                                                                                                      
                                                                                                                                
     Page 3, following line 3:                                                                                                  
          Insert new bill sections to read:                                                                                     
        "* Sec. 26. Section 37, ch. 61, SLA 2014, as                                                                        
     amended by sec. 40, ch. 101, SLA 2018, is amended to                                                                       
     read:                                                                                                                      
          Sec. 37. Sections 1, 2, and 21, ch. 61, SLA 2014,                                                                 
     [OF THIS ACT] take effect January 1, 2028 [2025].                                                                      
         * Sec. 27. Section 26 of this Act takes effect                                                                       
     immediately under AS 01.10.070(c)."                                                                                        
                                                                                                                                
     Renumber the following bill section accordingly.                                                                           
                                                                                                                                
     Page 3, line 4:                                                                                                            
          Delete "If this Act takes effect, it takes"                                                                           
          Insert "If secs. 22 and 23 of this Act take                                                                           
     effect, they take"                                                                                                         
                                                                                                                                
     Page 3, following line 6:                                                                                                  
          Insert a new bill section to read                                                                                     
       "* Sec. 29. Except as provided in secs. 27 and 28                                                                    
     of this Act, this Act takes effect January 1, 2024."                                                                       
                                                                                                                                
4:34:25 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 4:34 p.m. to 4:38 p.m.                                                                       
                                                                                                                                
4:38:16 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no further business before the committee, the House                                                                 
Health and Social Services Standing Committee meeting was                                                                       
adjourned at 4:38 p.m.                                                                                                          

Document Name Date/Time Subjects
HB 89 Amendment 3 A.4.pdf HHSS 4/25/2023 3:00:00 PM
HB 89
HB 89 Amendment 4 A.5.pdf HHSS 4/25/2023 3:00:00 PM
HB 89
HB 89 Amendment 5 A.6.pdf HHSS 4/25/2023 3:00:00 PM
HB 89
HB 89 Amendment 1 A.2.pdf HHSS 4/25/2023 3:00:00 PM
HB 89
HB 89 Amendment 2 A.3.pdf HHSS 4/25/2023 3:00:00 PM
HB 89
3.13.23 Jonathon Woller Dental Examiners Application_Redacted.pdf HHSS 4/25/2023 3:00:00 PM
Governer's Appointee