Legislature(2023 - 2024)DAVIS 106

03/05/2024 03:00 PM House HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ SSCR 2 DISAPPROVE EO 125 TELECONFERENCED
CONSIDERED
-- Public Testimony --
+= HB 343 SCHOOL DISTRICT MEDICAL ASSISTANCE TELECONFERENCED
Moved HB 343 Out of Committee
+= HB 344 MEDICAL ASSIST. DEMONSTRATION PROJECTS TELECONFERENCED
Moved HB 344 Out of Committee
+= HB 371 MEDICAL REVIEW ORGANIZATIONS TELECONFERENCED
Moved HB 371 Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 196 FOOD STAMP PROGRAM ELIGIBILTY TELECONFERENCED
Moved HB 196 Out of Committee
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                         March 5, 2024                                                                                          
                           3:03 p.m.                                                                                            
                                                                                                                                
                             DRAFT                                                                                            
                                                                                                                                
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                                                                                                            
                                                                                                                                
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
                                                                                                                                
3:03:42 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX called  the House Health and  Social Services Standing                                                               
Committee meeting to order at  3:03 p.m.  Representatives Sumner,                                                               
Fields, Saddler,  Mina, Ruffridge, and  Prax were present  at the                                                               
call to order.   Representative McCormick arrived  as the meeting                                                               
was in progress.                                                                                                                
                                                                                                                                
                                                                                                                                
3:06:24 PM                                                                                                                    
CHAIR PRAX announced that the first order of business would be                                                                  
HB 343.                                                                                                                         
                                                                                                                                
3:07:31 PM                                                                                                                    
                                                                                                                                
}EMILY RICCI* Deputy Commissioner, Department of Health* City &                                                                 
State* {                                                                                                                        
                                                                                                                                
REPRESENTATIVE SADDLER question re the fiscal note                                                                              
                                                                                                                                
RICCI                                                                                                                           
                                                                                                                                
REPRESENTATIVE SADDLER note                                                                                                     
                                                                                                                                
3:09:11 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX request of parents                                                                                                   
                                                                                                                                
}LEAH VAN KIRK* Health Care Policy Advisor, DOH* City & State* {                                                                
re parent permission.                                                                                                           
                                                                                                                                
CHAIR PRAX                                                                                                                      
                                                                                                                                
REPRESENTATIVE RUFFRIDGE move 343 out of committee                                                                              
                                                                                                                                
no objection so moved out                                                                                                       
                                                                                                                                
                                                                                                                                
3:10:27 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from * to *.                                                                                      
                                                                                                                                
3:13:16 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
3:13:18 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that the next order of business would be hb                                                                
344                                                                                                                             
                                                                                                                                
                                                                                                                                
3:13:52 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
}EMILY RICCI*  Deputy Commissioner, Department of  Health* City &                                                               
State* {                                                                                                                        
re Medicaid  reform bill allow  1115 demonstration.  how  can the                                                               
needs be  taken care  of within the  medicaid.   community acute.                                                               
authority to id and work towards                                                                                                
                                                                                                                                
3:15:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA question  about  the housing  and  ..   1115                                                               
assists with stable housing ?                                                                                                   
                                                                                                                                
RICCI - working  with national groups to see what  we can benefit                                                               
from that                                                                                                                       
                                                                                                                                
REPRESENTATIVE MINA  curious abuot opportunity.   Individuals who                                                               
have worked with re-entry.  How does it work for waiver & CMS.                                                                  
                                                                                                                                
RICCI the 1115 is  a tool.  the existing language  in the bill is                                                               
meant  to  address  the  re-entry  issue.    caveat.    may  have                                                               
statutory authority, but budgetary comes from legis                                                                             
                                                                                                                                
REPRESENTATIVE MINA to  clarify:  what is  the difference between                                                               
re-entry provision and the                                                                                                      
                                                                                                                                
3:19:54 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX when might we expect to see the application                                                                          
                                                                                                                                
RICCI  first  need  contractor   for  the  waiver  and  technical                                                               
requirements  with  the  feds.   anticipate  much  community  and                                                               
tribal discussion.  must be developed with stakeholders                                                                         
                                                                                                                                
CHAIR PRAX will we see funding request next year?                                                                               
                                                                                                                                
RICCI unknown                                                                                                                   
                                                                                                                                
REPRESENTATIVE RUFFRIDGE move HB 344 with recs etc and amends                                                                   
                                                                                                                                
CHAIR PRAX moves from committee                                                                                                 
                                                                                                                                
                                                                                                                                
3:22:28 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from * to *.                                                                                      
                                                                                                                                
                                                                                                                                
3:24:54 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that the next order of business would be HB
371                                                                                                                             
                                                                                                                                
}JUSTIN RUFFRIDGE* Alaska State Representative* City & State* {                                                                 
would update older language.  more clear and usable.                                                                            
                                                                                                                                
3:26:48 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX what is the rationale.  clarify                                                                                      
                                                                                                                                
REPRESENTATIVE RUFFRIDGE re who makes the decision and timliness                                                                
re quarterly meeting agenda                                                                                                     
                                                                                                                                
CHAIR PRAX do the med review have any                                                                                           
                                                                                                                                
REPRESENTATIVE RUFFRIDGE bring recs to entities.  adjust the way                                                                
we do things                                                                                                                    
                                                                                                                                
3:29:07 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE move                                                                                                   
                                                                                                                                
REPRESENTATIVE SUMNER object                                                                                                    
and withdraw                                                                                                                    
                                                                                                                                
CHAIR PRAX seeing no othyer HB 371 moves from committee                                                                         
                                                                                                                                
                                                                                                                                
3:29:52 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from * to *.                                                                                      
                                                                                                                                
3:33:24 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
3:33:27 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that the next order of business would be                                                                   
sscr 2                                                                                                                          
                                                                                                                                
                                                                                                                                
3:34:18 PM                                                                                                                    
                                                                                                                                
invited testimony                                                                                                               
                                                                                                                                
}HEIDI  HEDBERG*  Commissioner,  Department  of  Health*  City  &                                                               
State* {                                                                                                                        
re EMS advisory board.  explained purpose                                                                                       
                                                                                                                                
3:35:57 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX for  clarification.   currently  how are  individuals                                                               
chosen.                                                                                                                         
                                                                                                                                
3:36:35 PM                                                                                                                    
                                                                                                                                
HEIDI answered                                                                                                                  
                                                                                                                                
CHAIR PRAX asked how and what                                                                                                   
                                                                                                                                
HEIDI explained who is not represented.                                                                                         
                                                                                                                                
CHAIR PRAX changes in regulations?                                                                                              
                                                                                                                                
HEIDI answered                                                                                                                  
                                                                                                                                
3:38:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA question on timeline                                                                                        
                                                                                                                                
HEIDI answered re when goes into effect                                                                                         
                                                                                                                                
3:38:53 PM                                                                                                                    
                                                                                                                                
}GENE WISEMAN* Section Chief,  Rural Community Health, Department                                                               
of Health* City & State* {                                                                                                      
ems  is  one  of  his  units.    highlights  the  nimbleness  and                                                               
representation.   within the department  would be able  to expand                                                               
and contract as needed.                                                                                                         
                                                                                                                                
CHAIR PRAX has  there been much public  participation in hearings                                                               
re this EO and accumus.  again ref'd  back to the 70's and how it                                                               
was good for the time, but changes are not reflective of todays.                                                                
                                                                                                                                
CHAIR PRAX still public notificaiton?                                                                                           
                                                                                                                                
WISE  yes                                                                                                                       
                                                                                                                                
3:42:16 PM                                                                                                                    
                                                                                                                                
public testimony                                                                                                                
                                                                                                                                
3:43:04 PM                                                                                                                    
                                                                                                                                
closed public test                                                                                                              
                                                                                                                                
CHAIR PRAX explained                                                                                                            
                                                                                                                                
REPRESENTATIVE SADDLER what if we do not pass sscr                                                                              
                                                                                                                                
REPRESENTATIVE FIELDS answer                                                                                                    
                                                                                                                                
3:44:24 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER what if we do not pass?  does it mean                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS we can vote                                                                                               
                                                                                                                                
REPRESENTATIVE SADDLER                                                                                                          
                                                                                                                                
3:44:41 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX                                                                                                                      
                                                                                                                                
3:44:58 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from * to *.                                                                                      
                                                                                                                                
3:45:24 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX hmmm                                                                                                                 
                                                                                                                                
                                                                                                                                
hhss reviewed sscr2 and sends to full to                                                                                        
                                                                                                                                
                                                                                                                                
at                                                                                                                              
                                                                                                                                
3:46:28 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
3:46:30 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that the final order of business would be                                                                  
HB 196.                                                                                                                         
                                                                                                                                
3:47:07 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA reviewed the bill and the goal of the bill.                                                                 
food security.  broad base.  poverty level.  waive.  brink of                                                                   
elegibility.  15 letters of support.                                                                                            
                                                                                                                                
3:49:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER estimation of number.                                                                                    
                                                                                                                                
}KATY GIORGIO* Staff to Rep. Mina* City & State* {                                                                              
ref'd congressional budget office.                                                                                              
                                                                                                                                
REPRESENTATIVE SADDLER re individuals vs families                                                                               
                                                                                                                                
3:50:41 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
REPRESENTATIVE MINA                                                                                                             
                                                                                                                                
3:50:57 PM                                                                                                                    
                                                                                                                                
}DEB ETHERIDGE* Director, Division of Public Assistance* City &                                                                 
State* {                                                                                                                        
responded to                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER reiterated                                                                                               
                                                                                                                                
DEB CAN GET                                                                                                                     
                                                                                                                                
REPRESENTATIVE SADDLER how do populations change                                                                                
                                                                                                                                
DEB CAN GET                                                                                                                     
                                                                                                                                
3:52:24 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX how sudccessful is this                                                                                              
                                                                                                                                
DEB answered better results for working toward self-sufficiency.                                                                
Divisions re TANFF                                                                                                              
                                                                                                                                
CHAIR PRAX question re TANF and eligibility                                                                                     
                                                                                                                                
DEB 5 year and age of child                                                                                                     
                                                                                                                                
3:54:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER                                                                                                          
                                                                                                                                
DEB will get back                                                                                                               
                                                                                                                                
3:55:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA  followup re efficacy with  references.  BBCE                                                               
encourages  work.   households  with  high  expenses.   a  single                                                               
mother  of  2  children can  lose.    the  fed  rules can  be  so                                                               
stringent for SNAP.  additional commentary.  commentary                                                                         
promoting self-sufficiency.  regarding too much savings, and ...                                                                
other note:  working to address food insecurity.  This helps fix                                                                
an administrative ...                                                                                                           
                                                                                                                                
CHAIR PRAX re report                                                                                                            
                                                                                                                                
3:59:33 PM                                                                                                                    
                                                                                                                                
hb                                                                                                                              
                                                                                                                                
3:59:51 PM                                                                                                                    
                                                                                                                                
public testimony?                                                                                                               
                                                                                                                                
4:00:16 PM                                                                                                                    
                                                                                                                                
move                                                                                                                            
                                                                                                                                
4:00:27 PM                                                                                                                    
                                                                                                                                
back on record                                                                                                                  
                                                                                                                                
4:00:46 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE move hb 196 from committee                                                                             
                                                                                                                                
CHAIR PRAX no objections moved out                                                                                              
                                                                                                                                
                                                                                                                                
4:01:19 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no further business before the committee, the *                                                                     
meeting was adjourned at 4:02.                                                                                                  

Document Name Date/Time Subjects
HB 344 Support Letters 3.2.24.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 J Pistotnik Letter of Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 AK Municipal League Testimony.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 ACEH Letter of Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 ANHB Letter of Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 Food Bank of Alaska Testimony.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 LOS - Moda Health .pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 McCoy Testimony.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 343 AASB Testimony.pdf HHSS 3/5/2024 3:00:00 PM
HB 343
EO 125 Testimony.pdf HHSS 3/5/2024 3:00:00 PM
EO 125
SSCR 2
HB 343 AHHA Letter of Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 343
HB 344 LOS Polaris House.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 MCDR Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 Matsu Health Foundation Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 Providence Supports.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 Catholic Social Services Support.pdf HHSS 3/5/2024 3:00:00 PM
HB 344
HB 344 Support-AFPC.pdf HHSS 3/5/2024 3:00:00 PM
HB 344