Legislature(2021 - 2022)DAVIS 106

02/10/2022 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:17:23 PM Start
03:18:13 PM Overview: Executive Order 121: Dhss Reorganization
03:33:33 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Delayed to 3:15 pm --
+ Overview: Executive Order 121: DHSS TELECONFERENCED
Reorganization
-- Testimony <Invitation Only> --
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                       February 10, 2022                                                                                        
                           3:17 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Liz Snyder, Co-Chair                                                                                             
Representative Tiffany Zulkosky, Co-Chair                                                                                       
Representative Zack Fields                                                                                                      
Representative Ken McCarty                                                                                                      
Representative Mike Prax                                                                                                        
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Ivy Spohnholz                                                                                                    
Representative Christopher Kurka                                                                                                
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
OVERVIEW: EXECUTIVE ORDER 121: DHSS REORGANIZATION                                                                              
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
ADAM CRUM, Commissioner                                                                                                         
Department of Health and Social Services                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions during the overview on                                                                
Executive Order 121.                                                                                                            
                                                                                                                                
SYLVAN ROBB, Assistant Commissioner                                                                                             
Department of Health and Social Services                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Responded to questions during the overview                                                               
on Executive Order 121.                                                                                                         
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:17:23 PM                                                                                                                    
                                                                                                                                
CO-CHAIR LIZ SNYDER  called the House Health  and Social Services                                                             
Standing   Committee    meeting   to    order   at    3:17   p.m.                                                               
Representatives Snyder, Zulkosky, Fields,  McCarty, and Prax were                                                               
present at the call to order.                                                                                                   
                                                                                                                                
^OVERVIEW: Executive Order 121: DHSS Reorganization                                                                             
       OVERVIEW: Executive Order 121: DHSS Reorganization                                                                   
                                                                                                                              
3:18:13 PM                                                                                                                    
                                                                                                                                
CO-CHAIR SNYDER announced  that the only order  of business would                                                               
be an Overview of Executive Order 121:  DHSS Reorganization.                                                                    
                                                                                                                                
3:19:49 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS asked whether  the Department of Health and                                                               
Social Services had filled the  childcare program office director                                                               
position.                                                                                                                       
                                                                                                                                
3:20:05 PM                                                                                                                    
                                                                                                                                
ADAM  CRUM,   Commissioner,  Department  of  Health   and  Social                                                               
Services  (DHSS),  responded  that  the opening  was  posted  and                                                               
recruitment is ongoing.                                                                                                         
                                                                                                                                
REPRESENTATIVE  FIELDS   commented  on  the  importance   of  the                                                               
childcare sector  and noted the difficulty  in recruitment during                                                               
the pandemic.   He  asked Commissioner  Crum about  wage premiums                                                               
dispersed by the System for Early Education Development (SEED).                                                                 
                                                                                                                                
COMMISSIONER  CRUM   asked  whether  Representative   Fields  was                                                               
referring to  "thread," which he  noted has  been a partner.   He                                                               
said  that he  would have  to get  back to  Representative Fields                                                               
with more specific information.                                                                                                 
                                                                                                                                
3:21:40 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  FIELDS   shared  his   understanding  that   there  are                                                               
outstanding funds,  and he said he  would appreciate Commissioner                                                               
Crum's examination of the remaining funds.                                                                                      
                                                                                                                                
3:22:47 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  ZULKOSKY  asked  Commissioner  Crum  whether  the                                                               
department is assessing the ancillary  costs of the transition as                                                               
they relate to non-personnel costs.                                                                                             
                                                                                                                                
COMMISSIONER CRUM deferred to Sylvan Robb.                                                                                      
                                                                                                                                
3:24:01 PM                                                                                                                    
                                                                                                                                
SYLVAN  ROBB, Assistant  Commissioner, Department  of Health  and                                                               
Social Services, responded that the  department is in the process                                                               
of going through that.   There may be some additional outstanding                                                               
costs related to information technology  (IT).  There are several                                                               
applications  that  the  department  uses, and  most  are  easily                                                               
attributable to each department, but  there are some systems that                                                               
are shared that possibly necessitate additional licensing.                                                                      
                                                                                                                                
3:25:06 PM                                                                                                                    
                                                                                                                                
CO-CHAIR   ZULKOSKY  asked   what  the   timeline  is   for  that                                                               
assessment.                                                                                                                     
                                                                                                                                
MS. ROBB  responded that  IT is anticipated  to have  the longest                                                               
"runway."   She  explained that  there are  some elements  of the                                                               
process  of IT  that are  quite enmeshed,  such as  data centers.                                                               
She  voiced  her belief  that  some  of  the  work would  not  be                                                               
completed by July 1 and that  the department will assess what the                                                               
cost implications of the split will be.                                                                                         
                                                                                                                                
3:26:12 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  SNYDER   noted  the  composition  of   the  boards  was                                                               
addressed  in the  reworking of  Executive Order  (EO) 121.   She                                                               
asked if  the testifiers could  speak to the decision  process of                                                               
selecting each commissioner.                                                                                                    
                                                                                                                                
3:27:44 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  CRUM responded  that  the Department  of Law  (DOL)                                                               
looked at  the ways in which  the functions would align  with the                                                               
existing boards.                                                                                                                
                                                                                                                                
3:28:31 PM                                                                                                                    
                                                                                                                                
CO-CHAIR SNYDER  asked about the  process of  creating agreements                                                               
and memorandums and the time involved in doing so.                                                                              
                                                                                                                                
MS.  ROBB  responded that  there  are  no costs  associated  with                                                               
creating the agreements beyond labor  hours.  She remarked on the                                                               
Health Insurance Portability and Accountability Act (HIPAA).                                                                    
                                                                                                                                
CO-CHAIR SNYDER proffered there is  a template for the agreement;                                                               
the  entire  department  is  covered   by  the  Health  Insurance                                                               
Portability and Accountability Act (HIPAA).                                                                                     
                                                                                                                                
3:30:39 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  CRUM said  the department  does not  see the  steps                                                               
required as  being a hurdle  but rather  just "a changing  of the                                                               
letterhead" and "getting new signatures."                                                                                       
                                                                                                                                
CO-CHAIR SNYDER  asked if  it requires  approvals at  the federal                                                               
level.                                                                                                                          
                                                                                                                                
COMMISSIONER CRUM answered no.                                                                                                  
                                                                                                                                
3:31:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MCCARTY  noted that  there may be  two departments                                                               
doing  similar things  and having  similar clientele.   He  asked                                                               
whether return  on investment  (ROI) would  be required  for each                                                               
situation  or  whether it  could  be  just  one ROI  through  the                                                               
memorandum of understanding (MOU).                                                                                              
                                                                                                                                
COMMISSIONER  CRUM responded  that the  MOUs for  the departments                                                               
would not require ROIs.                                                                                                         
                                                                                                                                
REPRESENTATIVE MCCARTY asked whether  there's a plan for informed                                                               
consent so that clients would know that this is happening.                                                                      
                                                                                                                                
COMMISSIONER   CRUM  said   he  would   confirm  in   writing  to                                                               
Representative McCarty.                                                                                                         
                                                                                                                                
3:33:33 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 3:33 p.m.                                                                                                          

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