05/12/2003 03:25 PM House JUD
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+ teleconferenced
= bill was previously heard/scheduled
ALASKA STATE LEGISLATURE
HOUSE JUDICIARY STANDING COMMITTEE
May 12, 2003
3:25 p.m.
MEMBERS PRESENT
Representative Lesil McGuire, Chair
Representative Jim Holm
Representative Dan Ogg
Representative Ralph Samuels
Representative Les Gara
Representative Max Gruenberg
MEMBERS ABSENT
Representative Tom Anderson, Vice Chair
COMMITTEE CALENDAR
CS FOR SENATE JOINT RESOLUTION NO. 5(STA)
Urging the President of the United States and the Congress to
act to ensure that federal agencies do not retain records
relating to lawful purchase or ownership of firearms gathered
through the Brady Handgun Bill instant check system.
- MOVED CSSJR 5(STA) OUT OF COMMITTEE
CONFIRMATION HEARINGS
Select Committee on Legislative Ethics
Marianne Koch Stillner - Juneau
- CONFIRMATION ADVANCED
CS FOR SENATE BILL NO. 98(TRA)
"An Act relating to civil liability for boat owners and to civil
liability for guest passengers on an aircraft or watercraft; and
providing for an effective date."
- MOVED HCS CSSB 98(JUD) OUT OF COMMITTEE
CS FOR SPONSOR SUBSTITUTE FOR SENATE BILL NO. 41(FIN)
"An Act relating to medical care and crimes relating to medical
care, including medical care and crimes relating to the medical
assistance program, catastrophic illness assistance, and medical
assistance for chronic and acute medical conditions."
- HEARD AND HELD
HOUSE BILL NO. 303
"An Act relating to youth courts and to the recommended use of
criminal fines to fund the activities of youth courts; and
relating to accounting for criminal fines."
- MOVED HB 303 OUT OF COMMITTEE
CS FOR SENATE BILL NO. 64(JUD)
"An Act relating to a requirement that certain consumer
reporting agencies provide individuals with certain information
without charge."
- SCHEDULED BUT NOT HEARD
HOUSE JOINT RESOLUTION NO. 4
Proposing an amendment to the Constitution of the State of
Alaska relating to the duration of a regular session.
- SCHEDULED BUT NOT HEARD
CS FOR SENATE BILL NO. 160(HES)
"An Act relating to civil liability for use or attempted use of
an automated external defibrillator; and providing for an
effective date."
- BILL HEARING POSTPONED TO 5/13/03
HOUSE JOINT RESOLUTION NO. 9
Proposing amendments to the Constitution of the State of Alaska
relating to an appropriation limit and a spending limit.
- BILL HEARING POSTPONED TO 5/14/03
PREVIOUS ACTION
BILL: SJR 5
SHORT TITLE:DESTROY BRADY BILL RECORDS
SPONSOR(S): SENATOR(S) WAGONER
Jrn-Date Jrn-Page Action
01/12/03 (S) PERMANENTLY FILED 8/25/03
01/21/03 0014 (S) READ THE FIRST TIME -
REFERRALS
01/21/03 0014 (S) STA, JUD
02/11/03 (S) STA AT 3:30 PM BELTZ 211
02/11/03 (S) Moved CSSJR 5(STA) Out of
Committee
02/11/03 (S) MINUTE(STA)
02/12/03 0170 (S) STA RPT CS 4DP 1NR SAME TITLE
02/12/03 0170 (S) DP: TAYLOR, COWDERY, DYSON,
GUESS;
02/12/03 0170 (S) NR: HOFFMAN
02/12/03 0170 (S) FN1: ZERO(LEG)
03/12/03 (S) JUD AT 1:30 PM BELTZ 211
03/12/03 (S) Moved CSSJR 5(STA) Out of
Committee
MINUTE(JUD)
03/13/03 0490 (S) JUD RPT CS(STA) 5DP
03/13/03 0490 (S) DP: SEEKINS, ELLIS, FRENCH,
03/13/03 0490 (S) OGAN, THERRIAULT
03/13/03 0491 (S) FN1: ZERO(LEG)
03/31/03 0646 (S) RULES TO CALENDAR 3/31/2003
03/31/03 0646 (S) READ THE SECOND TIME
03/31/03 0646 (S) STA CS ADOPTED UNAN CONSENT
03/31/03 0646 (S) COSPONSOR(S): TAYLOR, OGAN,
COWDERY,
03/31/03 0646 (S) WILKEN, GREEN, STEVENS G,
DAVIS,
03/31/03 0646 (S) STEVENS B, SEEKINS, BUNDE
03/31/03 0646 (S) ADVANCED TO THIRD READING
UNAN CONSENT
03/31/03 0647 (S) READ THE THIRD TIME CSSJR
5(STA)
03/31/03 0647 (S) PASSED Y17 N- E3
03/31/03 0648 (S) TRANSMITTED TO (H)
03/31/03 0648 (S) VERSION: CSSJR 5(STA)
04/02/03 0728 (H) READ THE FIRST TIME -
REFERRALS
04/02/03 0728 (H) STA, JUD
04/02/03 0751 (H) CROSS SPONSOR(S): CROFT
04/10/03 (H) STA AT 9:00 AM CAPITOL 102
04/10/03 (H) Moved Out of Committee
MINUTE(STA)
04/11/03 0932 (H) STA RPT 2DP 3NR
04/11/03 0932 (H) DP: SEATON, LYNN; NR:
GRUENBERG,
04/11/03 0932 (H) HOLM, WEYHRAUCH
04/11/03 0932 (H) FN1: ZERO(LEG)
05/07/03 (H) JUD AT 1:00 PM CAPITOL 120
05/07/03 (H) <Bill Hearing Postponed to
Sat. 5/10>
05/10/03 (H) JUD AT 9:00 AM CAPITOL 120
05/10/03 (H) -- Meeting Canceled --
05/12/03 (H) JUD AT 1:00 PM CAPITOL 120
BILL: SB 98
SHORT TITLE:LIABILITY: PLANE AND BOAT PASSENGERS
SPONSOR(S): SENATOR(S) BUNDE
Jrn-Date Jrn-Page Action
03/04/03 0333 (S) READ THE FIRST TIME -
REFERRALS
03/04/03 0334 (S) TRA, JUD
03/28/03 0616 (S) COSPONSOR(S): WILKEN,
SEEKINS,
03/28/03 0616 (S) COWDERY, OGAN
04/08/03 (S) TRA AT 1:30 PM BUTROVICH 205
04/08/03 (S) Moved CSSB 98(TRA) Out of
Committee
MINUTE(TRA)
04/09/03 0762 (S) TRA RPT CS 3DP 2NR NEW TITLE
04/09/03 0763 (S) DP: COWDERY, OLSON, WAGONER;
04/09/03 0763 (S) NR: LINCOLN, THERRIAULT
04/09/03 0763 (S) FN1: ZERO(LAW)
04/23/03 (S) JUD AT 1:00 PM BELTZ 211
04/23/03 (S) Heard & Held
04/23/03 (S) MINUTE(JUD)
04/25/03 (S) JUD AT 1:00 PM BELTZ 211
04/25/03 (S) Moved CSSB 98(TRA) Out of
Committee
MINUTE(JUD)
04/25/03 0965 (S) JUD RPT CS(TRA) 2DP 1NR
04/25/03 0965 (S) DP: SEEKINS, OGAN; NR: FRENCH
04/25/03 0965 (S) FN1: ZERO(LAW)
04/30/03 1050 (S) RULES TO CALENDAR 4/30/2003
04/30/03 1050 (S) READ THE SECOND TIME
04/30/03 1050 (S) TRA CS ADOPTED UNAN CONSENT
04/30/03 1050 (S) ADVANCED TO THIRD READING 5/1
CALENDAR
05/01/03 1081 (S) READ THE THIRD TIME CSSB
98(TRA)
05/01/03 1081 (S) RETURN TO SECOND FOR AM 1
UNAN CONSENT
05/01/03 1081 (S) AM NO 1 OFFERED AND WITHDRAWN
05/01/03 1082 (S) AUTOMATICALLY IN THIRD
READING
05/01/03 1082 (S) MOTIONS TO ABSTAIN FROM
VOTING
05/01/03 1082 (S) CHAIR DENIED MOTIONS
05/01/03 1082 (S) RULING OF CHAIR CHALLENGED
05/01/03 1083 (S) RULING OF CHAIR UPHELD Y16 N3
E1
05/01/03 1083 (S) PASSED Y14 N5 E1
05/01/03 1083 (S) EFFECTIVE DATE(S) SAME AS
PASSAGE
05/01/03 1083 (S) TAYLOR NOTICE OF
RECONSIDERATION
05/02/03 1111 (S) RECON TAKEN UP - IN THIRD
READING
05/02/03 1112 (S) PASSED ON RECONSIDERATION Y14
N5 E1
05/02/03 1112 (S) EFFECTIVE DATE(S) SAME AS
PASSAGE
05/02/03 1113 (S) TRANSMITTED TO (H)
05/02/03 1113 (S) VERSION: CSSB 98(TRA)
05/05/03 1305 (H) READ THE FIRST TIME -
REFERRALS
05/05/03 1305 (H) JUD
05/05/03 1333 (H) CROSS SPONSOR(S): MCGUIRE
05/09/03 (H) JUD AT 1:00 PM CAPITOL 120
05/09/03 (H) Scheduled But Not Heard
05/12/03 (H) JUD AT 1:00 PM CAPITOL 120
BILL: SB 41
SHORT TITLE:MEDICAID COSTS AND CRIMES
SPONSOR(S): SENATOR(S) GREEN
Jrn-Date Jrn-Page Action
01/29/03 0074 (S) READ THE FIRST TIME -
REFERRALS
01/29/03 0074 (S) HES, JUD, FIN
02/10/03 0152 (S) COSPONSOR(S): TAYLOR, DYSON,
STEVENS B,
02/10/03 0152 (S) OGAN, COWDERY, SEEKINS,
WAGONER
02/26/03 0273 (S) SPONSOR SUBSTITUTE
INTRODUCED-REFERRALS
02/26/03 0273 (S) HES, JUD, FIN
02/26/03 (S) HES AT 1:30 PM BUTROVICH 205
02/26/03 (S) Heard & Held
02/26/03 (S) MINUTE(HES)
03/03/03 0323 (S) COSPONSOR(S): WILKEN
03/12/03 (S) HES AT 1:30 PM BUTROVICH 205
03/12/03 (S) Moved CSSSSB 41(HES) Out of
Committee
03/12/03 (S) MINUTE(HES)
03/13/03 0489 (S) HES RPT CS 3DP 1NR SAME TITLE
03/13/03 0489 (S) DP: DYSON, GREEN, WILKEN; NR:
DAVIS
03/18/03 0533 (S) FN1: (HSS)
04/11/03 (S) JUD AT 1:30 PM BELTZ 211
04/11/03 (S) <Bill Hearing Postponed to
4/14/03>
04/14/03 (S) JUD AT 1:00 PM BELTZ 211
04/14/03 (S) Moved CSSB 41(JUD) Out of
Committee
MINUTE(JUD)
04/15/03 0857 (S) JUD RPT CS 5DP NEW TITLE
04/15/03 0857 (S) DP: SEEKINS, ELLIS, FRENCH,
04/15/03 0857 (S) OGAN, THERRIAULT
04/15/03 0857 (S) FN1: (HSS)
04/15/03 (S) FIN AT 9:00 AM SENATE FINANCE
532
04/15/03 (S) Moved CSSB 41(FIN) Out of
Committee
MINUTE(FIN)
04/16/03 0871 (S) FIN RPT CS 4DP 2NR NEW TITLE
04/16/03 0871 (S) DP: GREEN, WILKEN, TAYLOR,
STEVENS B;
04/16/03 0871 (S) NR: HOFFMAN, OLSON
04/16/03 0871 (S) FN1: (HSS)
04/22/03 0919 (S) RULES TO CALENDAR 4/22/2003
04/22/03 0919 (S) READ THE SECOND TIME
04/22/03 0920 (S) FIN CS ADOPTED UNAN CONSENT
04/22/03 0920 (S) ADVANCED TO THIRD READING
UNAN CONSENT
04/22/03 0920 (S) READ THE THIRD TIME CSSSSB
41(FIN)
04/22/03 0920 (S) PASSED Y20 N-
04/22/03 0923 (S) TRANSMITTED TO (H)
04/22/03 0923 (S) VERSION: CSSSSB 41(FIN)
04/23/03 1064 (H) READ THE FIRST TIME -
REFERRALS
04/23/03 1064 (H) JUD, FIN
05/07/03 (H) JUD AT 1:00 PM CAPITOL 120
05/07/03 (H) <Bill Hearing Postponed to
Sat. 5/10>
05/10/03 (H) JUD AT 9:00 AM CAPITOL 120
05/10/03 (H) -- Meeting Canceled --
05/12/03 (H) JUD AT 1:00 PM CAPITOL 120
BILL: HB 303
SHORT TITLE:USE CRIMINAL FINES FOR YOUTH COURTS
SPONSOR(S): REPRESENTATIVE(S)OGG
Jrn-Date Jrn-Page Action
05/07/03 1415 (H) READ THE FIRST TIME -
REFERRALS
05/07/03 1415 (H) JUD, FIN
05/08/03 1480 (H) COSPONSOR(S): GARA, MASEK
05/12/03 (H) JUD AT 1:00 PM CAPITOL 120
WITNESS REGISTER
SENATOR TOM WAGONER
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Sponsor of SJR 5.
Marianne Koch Stillner, Appointee
Select Committee on Legislative Ethics
Juneau, Alaska
POSITION STATEMENT: Testified as appointee to the Select
Committee on Legislative Ethics.
SENATOR CON BUNDE
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Sponsor of SB 98.
KAREN McCARTHY, Staff
to Senator Con Bunde
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Assisted with the presentation of SB 98 by
responding to questions.
SENATOR LYDA GREEN
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Sponsor of SSSB 41.
DONALD R. KITCHEN, Assistant Attorney General
Medicaid Provider Fraud
Office of Special Prosecutions & Appeals
Criminal Division, Department of Law (DOL)
Anchorage, Alaska
POSITION STATEMENT: Responded to questions during discussion of
SSSB 41.
STEPHEN BRANCHFLOWER, Director
Office of Victims' Rights (OVR)
Alaska State Legislature
Anchorage, Alaska
POSITION STATEMENT: Responded to questions during discussion of
SSSB 41 and noted that he'd sent in written testimony.
ANNE CARPENETI, Assistant Attorney General
Legal Services Section-Juneau
Criminal Division
Department of Law (DOL)
Juneau, Alaska
POSITION STATEMENT: Responded to a question during discussion
of SSSB 41.
CLIFF STONE, Staff
to Representative Dan Ogg
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Presented HB 303 on behalf of
Representative Ogg, sponsor.
LISA ALBERT-KONECKY, Program Coordinator
Mat-Su Youth Court (MSYC)
Wasilla, Alaska
POSITION STATEMENT: During discussion of HB 303, provided some
of the Mat-Su Youth Court's statistics and asked that the
committee support the bill.
VIRGINIA ESPENSHADE, Director
Kenai Peninsula Youth Court
Homer, Alaska
POSITION STATEMENT: During discussion of HB 303, provided
information on youth courts and said she appreciates the
committee's support of the bill.
WESTON EILER, Chair
Alaska Youth Court Sustainability Coalition
Juneau, Alaska
POSITION STATEMENT: During discussion of HB 303, provided
information on youth courts and thanked the committee for its
support of the bill.
DOUG WOOLIVER, Administrative Attorney
Administrative Staff
Office of the Administrative Director
Alaska Court System (ACS)
Anchorage, Alaska
POSITION STATEMENT: During discussion of HB 303, relayed that
the ACS supports HB 303 and the concept of youth courts, and
responded to questions.
ACTION NARRATIVE
TAPE 03-60, SIDE A
Number 0001
CHAIR LESIL McGUIRE called the House Judiciary Standing
Committee meeting to order at 3:25 p.m. Representatives
McGuire, Holm, Ogg, Samuels, Gara, and Gruenberg were present at
the call to order.
SJR 5 - DESTROY BRADY BILL RECORDS
Number 0032
CHAIR McGUIRE announced that the first order of business would
be CS FOR SENATE JOINT RESOLUTION NO. 5(STA), Urging the
President of the United States and the Congress to act to ensure
that federal agencies do not retain records relating to lawful
purchase or ownership of firearms gathered through the Brady
Handgun Bill instant check system.
Number 0084
SENATOR TOM WAGONER, Alaska State Legislature, sponsor, said
that the United States Congress passed the Brady Handgun
Violence Prevention Act ("Brady Handgun Bill") in 1993 to
"promote gun safety and reduce gun violence." To do this, he
relayed, the Act established a "national instant criminal
background check system" (NICBCS) to keep firearms out of the
hands of criminals; at that time, it was clear that the NICBCS
was not to be used by the government as a way to monitor
legitimate firearm ownership by law-abiding citizens. If an
individual is approved for purchasing a firearm, 18 U.S.C.
922(t)(2)(C) states: "destroy all records of the system with
respect to the call (other than the identifying number and the
date the number was assigned) and all records of the system
relating to the person or the transfer."
SENATOR WAGONER said that the administration interpreted this
language such that it allows agencies to retain these records
for 180 days for audit purposes only. He opined that this
interpretation is in violation of both the spirit and letter of
the original Brady Handgun Bill. He asked members to join him
in sending a message to the nation's capitol.
Number 0225
REPRESENTATIVE SAMUELS moved to report CSSJR 5(STA) out of
committee with individual recommendations and the accompanying
zero fiscal note. There being no objection, CSSJR 5(STA) was
reported from the House Judiciary Standing Committee.
CONFIRMATION HEARINGS
Select Committee on Legislative Ethics
Number 0262
CHAIR McGUIRE announced that the committee would next consider
the appointment of Marianne Koch Stillner to the Select
Committee on Legislative Ethics. She asked Ms. Stillner why she
wished to serve on the Select Committee on Legislative Ethics.
Number 0280
MARIANNE KOCH STILLNER, Appointee, Select Committee on
Legislative Ethics, said she feels like she has a responsibility
as a citizen to donate her energy and abilities to a broader
purpose. She relayed that when Justice Walter Carpeneti asked
her to consider serving on the Select Committee on Legislative
Ethics, she became intrigued by that possibility, and that after
discussing the matter further with Chief Justice Dana Fabe and
Joyce Anderson, Ethics Committee Administrator, she became
excited about the prospect of becoming involved. She said that
she enjoys thinking in grey areas and the challenges of solving
puzzles. She added that she believes she can make an objective
contribution.
REPRESENTATIVE GARA pointed out that one of the most important
and hardest duties of those serving on the Select Committee on
Legislative Ethics is that of objectively considering sanctions
against a legislator whom they like. He asked Ms. Stillner what
she could do to assure him that she would be willing to find
against a legislator she likes if the facts bear out that that
legislator did something in violation of the ethics statutes.
MS. STILLNER first relayed that she does not know any
legislators, and then that she has been in other, similar
situations at work wherein she has had to confront individuals
whom she likes about certain issues. She said that she tries to
be as objective and as emotionally neutral as possible in those
situations.
REPRESENTATIVE GRUENBERG, after referring to some of the items
in Ms. Stillner's resume, surmised that she would be well suited
to serve on the Select Committee on Legislative Ethics.
MS. STILLNER said that she is looking forward to the experience.
CHAIR McGUIRE thanked Ms. Stillner for her willingness to serve
on the Select Committee on Legislative Ethics.
Number 0500
REPRESENTATIVE GRUENBERG made a motion to advance from committee
the nomination of Marianne Koch Stillner as appointee to the
Select Committee on Legislative Ethics. There being no
objection, the confirmation was advanced from the House
Judiciary Standing Committee.
SB 98 - LIABILITY: PLANE AND BOAT PASSENGERS
Number 0542
CHAIR McGUIRE announced that the next order of business would be
CS FOR SENATE BILL NO. 98(TRA), "An Act relating to civil
liability for boat owners and to civil liability for guest
passengers on an aircraft or watercraft; and providing for an
effective date."
Number 0570
SENATOR CON BUNDE, Alaska State Legislator, sponsor, said:
Alaska has a lot of wonderful and unique
[opportunities], scenic wonders that, if we are able
to share them, certainly [are magnified] ... for those
that are doing the sharing. And those that haven't
had a chance to see them, really, I think, have some
of their experiences diminished. There are
opportunities when someone says, "Gee, ... [it's] a
beautiful day; I'd love to go for a boat ride with
you." Or you might say, "It's really a pretty
experience to see 'X, Y, or Z'; jump in - I'll take
you for a ride in the airplane." Or, it has been
mentioned to me, you're in one place and someone says,
"Hey, I really need to get back to town; could I catch
a ride with you?"
And as a good neighbor, you would say yes to ... those
prior situations; ... so I call this a "good neighbor"
bill. It's an opportunity to share, a chance to
access Alaska out-of-doors with neighbors,
acquaintances, strangers. It's an opportunity [to]
provide useful service to our friends and neighbors
without putting all our financial resources in
jeopardy. Thousands of Alaskans own planes and boats,
and share the enjoyment of these with friends and
neighbors. [Senate Bill 98] is designed to clarify
that people who accept an invitation to a boat or
plane trip, or ask for an invitation to a boat or
plane trip, also accept some of the inherent risks
that [are] involved in accessing our out-of-doors.
SENATOR BUNDE went on to say:
[Senate Bill 98] provides that if a passenger is
injured due to the inherent risk of a noncommercial -
please let me stress noncommercial - boating or flying
trip, he or she may not sue the owner or operator past
the limits of their liability insurance. And if the
owner and/or operator has no insurance and ...
notifies the ... potential passenger prior to them
boarding the boat or aircraft, in that case, the
passenger doesn't have a cause of action at all - may
not sue. For example, you're out for the day in your
boat, you hit a rogue wave, something that you could
not have foreseen, your friend falls, breaks an arm.
Number 0759
Current law allows that friend to sue you and, as you
have a boat or an aircraft, you're assumed to have
deep pockets and may be a target for suits more than
in other situations. If that rogue wave is a result
of an inherent risk, not your negligence, not your
gross negligence, not your carelessness, not your
intentional misconduct, then this bill would protect
you and your family's assets. Alaska's statutes
recognize that those who participate in some
activities must take responsibility for those inherent
risks. Already existing in state law are limitations
... regarding inherent risk [related] to private
runway maintenance, zoos, unimproved land, and the ski
safety Act that passed not too long ago.
[Senate Bill 98] does not absolve owners from their
responsibility to maintain and operate their equipment
in a safe and prudent manner. It does not protect
those who engage or operate their boat or plane in
reckless or ... grossly negligent manners, or who
engage in intentional misconduct. [Senate Bill 98]
only applies to private owners, not to boats or
aircraft that are used commercially. This bill is
endorsed by the Alaska Airmen's Association, the
Alaska [Boating] Association, the Personal Watercraft
Club of Alaska [PWCA], the Knik Canoers and Kayakers,
and there's a host of individuals who own boats and
aircraft that are, I believe, also in your packet [as
stating support].
SENATOR BUNDE concluded:
Number 0855
They support this bill because they're deeply
concerned about rising costs of insurance and the
challenge of ... a society that seems to be, in some
cases, unwilling to accept their personal
responsibility and look at an accident as a potential
for a substantial financial windfall. They support
this because of, currently, our inabilities to protect
their homes, their retirement, and other significant
assets of their family. Therefore, I respectfully
submit to you SB 98 for your consideration, and would
be available for questions.
REPRESENTATIVE GRUENBERG referred to Section 3 and Section 5 of
SB 98 and to the sectional analysis regarding those sections,
and said that he is a little bit confused about the interplay of
those items. He asked what Section 3 does and what Section 5
relates to.
SENATOR BUNDE indicated that because language in Section 3
contains similar language to what is contained in Sec. 9,
Chapter 28, SLA 2000, Section 5 makes reference to it.
REPRESENTATIVE GRUENBERG asked what the practical implication of
that is.
SENATOR BUNDE said that it is simply "bill drafters' language,"
and that the current Alaska boating safety law has a sunset
provision. Section 5 recognizes, but does not repeal, the
sunset provision contained in that law.
REPRESENTATIVE GRUENBERG surmised, then, that Section 5 is
simply conforming language.
SENATOR BUNDE agreed.
REPRESENTATIVE GARA asked for more information.
Number 1092
KAREN McCARTHY, Staff to Senator Con Bunde, Alaska State
Legislature, said:
As I understand the convoluted way they had to go
about the Alaska boating safety Act, first they had to
put all of the statute in place, and then they had to
put it in place again in order to sunset it. And the
way they did it was that at the end of that bill, they
referred to various sections of that bill that would
be sunsetted. And so that's why [language in] Section
1 and Section 3 [of SB 98] are identical, but the
sunset reference in Section 5 only refers to Section
3. I'm not sure that that's any clearer than when we
started.
REPRESENTATIVE GARA said that he is a little uncomfortable with
what Legislative Legal and Research Services "is doing on this
one."
MS. McCARTHY responded:
I had the same conversation with the bill drafter, and
... because the Alaska boating safety Act had a
liability section in it, the bill drafter felt it was
appropriate to reference that in this bill. And
because of the way that bill was written, we had to do
it this way. It's uncomfortable and it's kludgy, but
that's the way it had to be done.
REPRESENTATIVE GARA replied:
If there is somebody who has an action under the
former version of the Act, the Act that's in place
right now, this changes their rights. Even if we're
not intending it to, it does. ... If somebody sued ...
- let's look at page 2, line 27, ... under this former
version of the statute, which is [Sec. 9, Chapter 28,
SLA 2000 - if] somebody has an action under that law,
we're now changing the law retroactively.
CHAIR McGUIRE pointed out, however, that SB 98 has an
applicability provision, which says, "This Act Applies to causes
of action that accrue on or after the effective date of the
applicable section of the Act." She surmised that this is a
critical part of SB 98.
REPRESENTATIVE GRUENBERG suggested that the language on page 2,
line 28, of SB 98, which reads, "Sec. 9. AS 05.25.040 is
repealed and reenacted to read:" is not the normal way a simple
addition to statute is drafted.
MS. McCARTHY pointed out, however, that language on page 2, line
27, does say, "* Sec. 3. Section 9, ch. 28, SLA 2000 is amended
to read:". She indicated that the language on line 27 is simply
how that portion of Sec. 9, Chapter 28, SLA 2000, reads.
REPRESENTATIVE GARA suggested that the committee consider
amending SB 98 so as to clarify that the bill only applies to
causes of action that arise in the future.
SENATOR BUNDE said he has no objections to such a change.
CHAIR McGUIRE said such a change seems reasonable.
Number 1344
REPRESENTATIVE GARA made a motion to adopt Conceptual Amendment
1, to add "only" to page 3, line 12, after "applies". There
being no objection, Conceptual Amendment 1 was adopted.
REPRESENTATIVE GARA, noting that he takes people on his raft all
the time, declared a potential conflict of interest. He
referred to Senator Bunde's example of an unforeseen wave
causing the death or injury of a passenger, and said that he
disagreed that the owner and/or operator could be sued under
current law. If it is really an unforeseen circumstance, there
could not be a lawsuit because there is no liability in such
circumstances. Of SB 98 overall, he remarked:
We're taking away rights to people with valid claims
by saying we're just trying to stop the frivolous
ones, but I wish we could sort of tailor our bills to
just apply to the frivolous ones rather than to the
valid ones too. So here, we're taking away the right
for somebody to sue for negligence, just in case
somebody filed a frivolous suit. That's just a
comment. I will probably ... vote in favor of this
bill if I make sure I understand it correctly. So let
me go through ... [the] three understandings I have,
and just tell me if I'm correct about this. ... We're
only ... changing the liability rules for
noncommercial users. Right?
SENATOR BUNDE said that is correct.
REPRESENTATIVE GARA then said:
Even if you are a noncommercial boat or aircraft owner
and you take somebody out and you do have liability
insurance, you're still liable up to the limits of the
liability insurance. Is that correct?
SENATOR BUNDE said that is correct, adding that he himself
carries liability insurance because there are accidents that
could occur involving someone other than a passenger or
property. He suggested that it is prohibitively expensive to
carry maximum, or sufficient, liability coverage; at least for
aircraft, it would have to be $1 million per seat. Surely the
issue of the waiver will come up, he surmised, noting that there
have been a number discussions on this issue in the past. He
noted that someone else's rights cannot be suborned; thus,
although someone could sign a waiver beforehand, the waiver does
not bind surviving family members.
REPRESENTATIVE GARA then referred to page 2, lines 21-26. He
said: "[Subparagraph] (B) says [that] if you're a recreational
user and you fail to get a waiver, then you don't enjoy the
liability limitation."
SENATOR BUNDE confirmed this.
REPRESENTATIVE GARA said he thinks that the distinction between
commercial and noncommercial users is a good one and is glad
that SB 98 is limited to noncommercial operators, and that it is
wise to allow someone to recover up to the limit of an
operator's liability insurance. He said he did not have any big
objections to the bill anymore.
Number 1636
REPRESENTATIVE SAMUELS moved to report CSSB 98(TRA), as amended,
out of committee with individual recommendations and the
accompanying zero fiscal note. There being no objection, HCS
CSSB 98(JUD) was reported from the House Judiciary Standing
Committee.
SB 41 - MEDICAID COSTS AND CRIMES
Number 1640
CHAIR McGUIRE announced that the next order of business would be
CS FOR SPONSOR SUBSTITUTE FOR SENATE BILL NO. 41(FIN), "An Act
relating to medical care and crimes relating to medical care,
including medical care and crimes relating to the medical
assistance program, catastrophic illness assistance, and medical
assistance for chronic and acute medical conditions."
Number 1667
SENATOR LYDA GREEN, Alaska State Legislature, sponsor, indicated
that after the sponsor statement for SSSB 41 was prepared, a
"Medicaid audit" was conducted by the Division of Legislative
Audit. She relayed that one of the audit's recommendations was
that the director of the Division of Medical Assistance (DMA)
should provide for a full-time, ongoing service provider audit
function. Another of the audit's recommendations was that the
legislature should consider adopting specific criminal statutes
related to Medicaid fraud in order to enhance the effectiveness
of the Medicaid Fraud Control Unit (MFCU). She said that these
two points of that audit are encompassed in SSSB 41, and that
SSSB 41 has been included in the governor's "crime package
legislation."
SENATOR GREEN said that the cost of the Medicaid program in
Alaska has increased an average of 20 percent per year since
1999, growing the program from $396 million in 1999, to $936
million in 2004 - a total increase of $540 million over five
years. Were this increase due only to an increase in clients
that qualify for Medicaid and/or an increase in federal
requirements, it would be [acceptable]. However, according to
research, there is a 7-percent waste factor in Alaska's Medicaid
program. Additionally, she relayed, there are nationwide
estimates of 5 to 20 percent fraud in both Medicaid and
Medicare. With regard to Alaska's Medicaid program, she said,
even a 5, 6, or 7 percent fraud rate can translate into 10 to 20
percent of nearly a $1 billion budget.
SENATOR GREEN suggested that that money would be better spent on
the people who actually need medical assistance. She made
mention of a letter dated May 12, 2003, from Steve Branchflower,
current director of the Office of Victims' Rights (OVR) and
former director of the Alaska Medicaid Fraud Control Unit. She
relayed that on page [2] of that letter, Mr. Branchflower wrote
[original punctuation provided]:
Alaska is the only state that has no specific health
care criminal theft statutes on the books. As a
result, prosecutors must use non-specific criminal
statutes to prosecute healthcare professionals who
operate in a highly technical field and are able to
mount expensive and well-financed (and often
successful) defenses. Consequently, the record shows
that there have been very few prosecutions-far less
than one would expect-given the hundreds of million of
dollars which flow through Alaska's Medicaid program
each year to less than 10,000 participating Medicaid
providers.
Number 1863
SENATOR GREEN recommended that members read the entire letter,
adding that it contains a lot of great information that points
out the need for some major reforms. Included in SSSB 41 is a
requirement that the Department of Health and Social Services
(DHSS) hire an outside auditor who will begin doing a regular
audit process on billings and claims that come into the Medicaid
program. There are also requirements that the DHSS follow up on
those claims that are not prosecuted in court, and that the
"entire system be much more aggressive and in tune with the
purpose of the program, [which] is to provide the most medical
assistance possible to the people who need it," she added.
SENATOR GREEN went on to say:
While we were doing the earlier writing of the bill,
we found that the language actually pertained to
providers; we'd unknowingly left out the recipients.
And the recipient group was meeting here in Juneau,
and they went to the department and they said, "We
think recipients ought to be included; we know people
who are abusing the system, and we want them
included." And although that dollar cost is far less,
the integrity of the program, as far as they were
concerned, was jeopardized .... And so we have
[added] the language to include recipients as well
....
And ..., based on the amount of harm done by the
illegal claim, the incorrect process, there's a
penalty that's invoked ... If you look on to page 4,
... line 23, ... it talks about the class B felony, if
[the claim] pertains to anything over $25,000, and it
goes on through the different steps and it replicates
... similar penalties for other actions that are
comparable. ... One of the things that also came of
this is ... language that says the legislature
requires the department to do the annual audit, and it
is at a percentage that is .75 percent of all enrolled
providers with there being no less than an annual 75
audits being done regularly, which [is] fairly
aggressive ....
Number 2001
SENATOR GREEN continued:
There are many providers on the books who are not
large users of Medicaid, so the total number could be
somewhat misleading, but this would keep it in [an]
area where ... we would have a good cross section of
all providers who would be subject to audit and ...
who would be being checked. ... There's quite a bit of
recovery after a successful lawsuit. You may have
read about the one in Anchorage last year [and/or] the
one in Fairbanks last year. And there were several
hundred thousand dollars recovered from those, from
[doctors] who were doing some illegal prescribing and
assisting patients in ... selling drugs on the street.
And they were sort of bringing the money back in and
getting new prescriptions and going back and kind of
had a pretty good deal going, actually.
And [this is] very harmful to our system. But the
unfortunate part [is that they] were not able to
prosecute on Medicaid fraud; they had to prosecute
based on the crime they were committing that was
parallel or coincidental to the Medicaid fraud. And
certainly Steve Branchflower in his letter lays that
out very clearly and far better than I. But the ...
money that would be brought in under ... successful
prosecutions, ... [if SSSB 41 is approved by the
legislature], will go back into funding the audits.
... The department as well ... [as] myself have been
concerned with some comments that these audits take
too long [and] people don't get back to the person
being audited, and [so] we have fully funded an
additional audit position in our operating budget this
year.
Number 2073
SENATOR GREEN concluded:
The audit firm being hired is going to have an
additional function from this point forward; they will
not only do the initial audit and find the suspected
files, they will begin the investigation as well,
freeing up our Medicaid auditors to do more of the
prosecutorial work. And so we're saying that we think
it's appropriate for this money to be available for
appropriation to fund that function, and to certainly
not keep anyone being audited in a delay status or ...
[have it go] on in an unprofessional manner. The
department has agreed that this is a concern to them
and they intend to see these go more quickly.
There are always, I assume, ... going to be people who
choose to do things other than [by] the book, and we
have complaints about people who will say, "This audit
impacted me unfairly," but I find it very difficult
that anyone could sit here and say that they think
it's not appropriate for us to criminalize something
that is so [incredibly expensive] for this state. And
we ... - [along with] the Department of Law, the
Department of Health and Social Services, and Steve
Branchflower with the Office of Victims' Rights - ...
worked many, many, many hours on bringing this to this
condition; all have agreed that this will work for the
purposes of each of the departments concerned. And
with that, I welcome any questions.
CHAIR McGUIRE turned attention to a document entitled "DMA notes
on ASMA SB 41 comments," and indicated that this document makes
reference to letters that were sent by the Alaska State Medical
Association (ASMA). She said that she has heard complaints from
doctors who still treat Medicaid patients that audits invade
patients' privacy. She posited that some could argue that since
Medicaid patients are receiving a state-funded service, there is
a compelling state interest to access these records during a
fraud investigation. However, there is a concern that in some
of these audits, the information that has been requested goes
above and beyond that Medicaid patient's record and into his/her
family members' records and into the records of other, similarly
situated patients. She surmised, though, that the latter might
be done to determine whether a specific treatment is the normal
way to treat a patient with a like condition. Chair McGuire
said she had concerns about this issue and asked Senator Green
whether anyone has yet addressed the legal aspects of it,
particularly in light of Alaskans' constitutionally guaranteed
right of privacy.
Number 2273
SENATOR GREEN indicated that the department might be better able
to address that issue. She added that issues of privacy change,
both for providers and for recipients, when someone arranges to
have another entity pay for services, although this doesn't mean
that it would be proper to make such records available to the
public. She opined that the state does have the right to
validate claims and charges. And although she has never seen a
Medicaid audit conducted, she said, one of the things that
happens often is that in a class of provider, the auditors do
look for similar irregularities, for example, pertaining to a
particular [doctor], a particular clinic, or a particular
[patient]. She remarked that it is understandable that once
some person or entity comes under suspicion, the investigation
would ramp up and, thus, the scope of information being sought
would be expanded.
CHAIR McGUIRE indicated that she still has concerns about this
issue. She pointed out that in some cases, at issue is the
conduct of the physician, rather than that of the patient. She
then noted that another issue that has been raised by the Alaska
State Medical Association is that when there are questions
regarding which treatment codes to use, Medicaid officials have
been less than helpful. She remarked that the DMA's response to
this concern, located in the aforementioned document, is very
convoluted. So to hold someone criminally liable for legitimate
errors in coding is unfair, especially considering that Medicaid
officials do not provide adequate responses to questions.
TAPE 03-60, SIDE B
Number 2385
CHAIR McGUIRE continued, "If we're going to raise the bar and
apply criminal sanctions, I think we ought to be giving the
medical community as many tools as we possibly can to make a
good-faith effort to follow the rules and treat the patients
appropriately."
SENATOR GREEN mentioned that she thought there are currently
some changes to the coding system occurring at the federal
level, adding that these changes may alleviate some of the
ASMA's concerns. She noted, however, that DMA's written
response to this concern includes the statement, "It is expected
that providers deliver and bill for services in the same manner
as they serve the general public." Therefore, she opined, they
should be using the same code for both types of patients; it
should not have to be a puzzle that has to be figured out.
CHAIR McGUIRE offered that even as far as serving the general
public, the coding system is currently quite a quagmire. She
added, "A good physician will try to assign the billing code
that will offer their patient the best mode of treatment and the
best possibility of coverage, all within the realm of truth."
For example, a physical examination can be [coded] different
ways.
REPRESENTATIVE SAMUELS asked what happens to the privacy issue
when audits are performed by private entities; for example, an
audit performed by an insurance company.
CHAIR McGUIRE said her concerns pertain to doctor-patient
confidentiality in general.
SENATOR GREEN said that the forms which providers are having
patients sign allow information to be shared with insurance
companies - those entities that are being asked to pay for the
service. She said she assumes that this is also the case with
Medicaid; the payor has the right to know that the service has
been provided and that it is the appropriate service. Once a
patient has asked a third party to pay for all or part of the
service, the patient is in a different category.
Number 2247
CHAIR McGUIRE said she did not disagree with that point, but
added:
Where my questions on the privacy issue go to are the
ancillary folks that get involved when an audit is
conducted. And those are the patient's relatives that
may be treated by the same practitioner - ... these
are experiences that come from the medical community -
or possibly even an unrelated patient ... [who] is not
a Medicaid recipient that is receiving care under a
similar category. So those are the folks I'm
concerned about.
REPRESENTATIVE GARA said that he likes the bill and the concept,
and he understands the motivation behind the bill. He said that
he wanted to be sure that the cost of the extra audits is going
to be justified by extra recoveries. He then broached the idea
of letting the attorney general's office bring a civil case -
somewhat akin to what is done under the unfair trade practices
Act - such that if there is Medicaid fraud, the state would be
entitled to recover the overcharge, it's investigation costs,
it's [attorney] fees, and a penalty. Because there are proof
problems in criminal cases that don't apply in civil cases, a
conceptual amendment that provides for a very simple cost-
recovery action by the attorney general's office might be a good
idea, he suggested.
Number 2147
SENATOR GREEN said that in the audit process, as the
[independent] audit firm checks the Medicaid records and goes
through claims and billings, if something raises a red flag,
those with the biggest red flags are prosecutable whereas those
with smaller red flags or yellow flags go back to the department
to deal with. The department then goes through an "interoffice"
process of reevaluating the case, asking for more information,
substantiating billings, and speaking to the parties involved.
She posited that this latter process probably takes place all
the time.
SENATOR GREEN predicted that doing as Representative Gara
suggested wouldn't be necessary, because under what is proposed
via SSSB 41, the DOL and the DHSS will be required to
communicate with each other regarding potential fraud
situations. She noted that those who are found to have violated
the provisions of the Medicaid program are removed from that
program for a period of time. She recommended asking the
departments for their view regarding Representative Gara's
suggestion of providing for a civil remedy.
Number 2046
DONALD R. KITCHEN, Assistant Attorney General, Medicaid Provider
Fraud, Office of Special Prosecutions & Appeals, Criminal
Division, Department of Law (DOL), on that issue, said:
I think what [Representative Gara is] talking about is
essentially a civil false-claims action that is
permissible in the federal system. And I did not
include it when we were working with Mr. Branchflower
and other folks in getting this started, only because
I thought it was probably a bit too ambitious for the
first time around. But certainly, investigative
costs, our costs, and penalties are [appropriately
recovered] in the federal system when these same kinds
of suits are brought. And it would, I believe, cover
probably what's considered a middle ground that does
not get moneys recovered, and that is where the
provider gets money they're not entitled to and DMA
doesn't go after them administratively when they
could. So, I think a civil false-claims action, as
requested, is a good idea; I don't know if we can
hammer it out this late, but I would certainly be
willing to try.
REPRESENTATIVE GARA said that his worry is that under the
existing remedies, if all that can be recovered are court rule
costs, those don't include investigative costs. Is there a
statute that provides for the recovery of investigative costs?
MR. KITCHEN said that he had not thought about including the
recovery of investigative costs in the version that's before the
committee.
REPRESENTATIVE GARA suggested that Mr. Sniffen from the Fair
Business Practice Section, Civil Division (Anchorage),
Department of Law, could probably help Mr. Kitchen draft such a
provision in a short period time. He asked Senator Green
whether she would be interested in exploring such an addition.
SENATOR GREEN said, "I don't have any problem with it; I don't
know enough about it to speak to it." She suggested asking Mr.
Branchflower for his opinion on this issue.
Number 1951
STEPHEN BRANCHFLOWER, Director, Office of Victims' Rights (OVR),
Alaska State Legislature, said that there are federal
regulations that every state that accepts federal funding to pay
for the Medicaid program has to agree to, and that when he was
the Director of the Medicaid Fraud Control Unit, that unit
handled both civil and criminal matters. Most of the money that
was recovered during his tenure - almost $3 million - was
recovered civilly, he explained. He opined that the federal
false claim statutes are good, but added that he would prefer
for the bill to go forward, "in the interest of at least loading
the guns of the prosecutors ... for this year," and then revisit
it at a later time.
REPRESENTATIVE GARA indicated that he would ask the attorney
general's office to work on an amendment that Senator Green and
other interested parties could look at before the bill goes to
the House floor; if the amendment is acceptable to everyone, it
could then be offered on the House floor.
CHAIR McGUIRE said that although what Representative Gara is
proposing seems reasonable, she did not want to hold the bill up
too long.
MR. KITCHEN indicated that he might be able to come up with
appropriate language within a couple of days.
REPRESENTATIVE GARA relayed that what he is interested in is a
provision that would allow for the recovery, in full, of
investigation costs, attorney fees for overcharges, and
penalties similar to what is provided for in the unfair trade
practices Act.
SENATOR GREEN noted that SSSB 41 also has a House Finance
Committee referral, and suggested that perhaps an amendment to
that effect could be added in that committee.
CHAIR McGUIRE relayed that in addition to Mr. Kitchen and Mr.
Branchflower, representatives from the Department of Health and
Social Services were also available to answer questions.
Number 1721
REPRESENTATIVE GRUENBERG mentioned that language on page 3,
lines 24-25, is similar to language on page 7, line 31, through
page 8, line [2]. He said he is concerned that there aren't
statutory standards for the protection of patients' privacy, and
suggested that staff should also work on such a language change.
He then turned attention to language on page 4, lines 18-19,
which would make it a crime to knowingly destroy a medical
assistance record. He suggested that it would be unreasonable
to expect providers to keep all such records indefinitely and,
therefore, there ought to be a stipulation that such records
could be destroyed after a certain period of time.
MR. BRANCHFLOWER, on the issue of patients' privacy, said:
Keep in mind that ... the Medicaid program reimburses
[providers] before and, in most cases, in the absence
of any proof by the provider that the service has
actually been rendered. And so it's only after the
fact, through audits, and sometimes many months and
even years after the fact, that an effort is made to
reconcile the billings with the medical charts. And
that, of course, gets into the question of privacy.
Now, on the provider's side, ... when a doctor wishes
to become involved with Medicaid, they have to fill
out a form that's called a ... provider enrollment
form. And essentially that form is a contract between
the provider and the state, and one of the terms in
this contract is that the provider has to abide by all
the federal regulations; the whole Medicaid program is
driven largely by federal regulations. And one of
those provisions is to open the person's records, the
provider's records, to auditors ....
On the other side of the equation, on the patient's
side, all of the people, all of the recipients for
Medicaid benefits, are eligible as a result of their
indigency. And what happens is, when a person wants
to obtain Medicaid benefits, they go down to the
public assistance office and they fill out the forms,
and ... the forms address not only Medicaid
eligibility, but also eligibility for public
assistance, food stamps, and so forth. And there is a
waiver there, [a] prospective waiver, that they sign
as a condition of eligibility.
Number 1527
So, between the provider enrollment agreement form and
the recipient's prospective waiver, all of the
concerns that you have expressed are taken care of.
Essentially, they specifically agree in writing to ...
waive the doctor-patient privilege. And in terms of
third persons' getting swept up, sometimes what
happens is that - and I would say it happens more
frequently than not - when a case comes to the
attention of the Medicaid Fraud [Control] Unit and
there is reason to believe that there's some criminal
conduct that may have transpired, ... the prosecutors
will take their evidence before a judge and seek the
issuance of the search warrant; [a] search warrant, of
course, is only issued upon probable cause, so there
has to be evidence ... sufficient for the issuance.
MR. BRANCHFLOWER continued:
And they typically go into a provider's office and
they will seize the entire patient population in terms
of the files, and usually this is hundreds and
hundreds of files. And what happens is that the
auditor that works within the Medicaid Fraud [Control]
Unit will take each patient file and attempt to
reconcile the billings for that provider, not only
with the ... Medicaid billings but also [with regard
to] the private payor, the cash payor, the insurance
payors, and so forth.
The reason [for doing this] is that there is
essentially a law that says that the provider cannot
charge the State of Alaska more money than ... non-
Medicaid patients. And so these are all ...
circumstantial threads of fraud that can be ultimately
incorporated into a charging document. So even as to
third persons, even as to non-Medicaid patients, those
records are only obtained after some judge passes
judgment on the existence of probable cause. And so I
think there is already in place a system to protect
the privacy of all of the parties who are involved in
this issue.
Number 1428
CHAIR McGUIRE asked Mr. Branchflower to describe exactly what
purportedly guarantees the privacy of [non-Medicaid] patients.
REPRESENTATIVE GRUENBERG asked whether a search warrant has to
be obtained in all cases.
MR. BRANCHFLOWER replied:
Unless there is a specific waiver from the non-
Medicaid patient, yes. I don't know of any other way
of obtaining a medical charge for a non-Medicaid
patient ... unless the person agrees to ... them
obtaining it. ... The doctor-patient privilege, with
respect to non-Medicaid patients, is something that is
already a matter of law in the [Alaska] Rules of
Evidence. Plus there are provisions for maintaining
the confidentiality of the persons who are non-
Medicaid patients. And it's been my experience ...
that when we file charging documents, which ... are
public records, we ... preserve the identity of the
patients by using their initials in very much the same
way we do with sexual assault victims ....
And of course the facts that give rise to the charge
are stated in those pleadings, but there's usually, in
my experience, nothing about the statement of facts
that would disclose the identity of the patients
themselves. Now, it may come to pass that as the case
moves through a trial, that it will be necessary to
subpoena patients who are not Medicaid patients; in
that case, appropriate steps can be taken to preserve
that person's privacy, and that will be up to the
trial judge. There are rules in place to take care of
that.
REPRESENTATIVE GRUENBERG asked what privacy right the patient,
whether Medicaid or non-Medicaid, has from the investigator.
Number 1278
MR. BRANCHFLOWER reiterated that the Medicaid patient has
prospectively waived his/her right to privacy, adding that most
of the investigator's work focuses on the conduct of the
provider rather than the recipient, although there are many
examples of recipient fraud. Because of the resources required
to investigate Medicaid fraud cases, however, investigator's
choose to "get the biggest bang for the buck" by going after the
provider's records. So when recipients are being interviewed,
they are asked whether services were actually rendered as
billed.
REPRESENTATIVE GRUENBERG noted, however, that in looking through
individual patient files, investigators have access to very
private information.
MR. BRANCHFLOWER acknowledged that investigators do have access
to medical records and the information that relates to the
treatment that was claimed to have been provided. He argued,
however, that auditors, even when just looking at information
from a financial standpoint, are also bound by federal
confidentiality regulations.
REPRESENTATIVE GRUENBERG said he would feel more comfortable if
there was language in SSSB 41 that said due care must be taken,
in the course of the investigation, to preserve the patient's
privacy. He asked that staff work on such language with the
sponsor. He then returned to the issue of destroying medical
assistance records, and asked that a provision be included that
would allow a provider to destroy such records after a certain
period of time.
MR. BRANCHFLOWER offered that the answer to that issue lies with
the fact that before a person can be subject to prosecution for
any of the actions listed on page 4, lines 18-19, it has to be
proven that the person acted with the requisite culpable mental
state, which is knowingly. He acknowledged that providers do
eventually destroy records as a matter of course, and opined
that they would be protected from prosecution because they would
not be doing it with the intent of advancing fraud of the
Medicaid program. He relayed that it would be acceptable if
some sort of affirmative defense or exclusion were added that
would allow for the destruction of such records if done for a
legitimate reason.
MR. KITCHEN noted that the "Medicaid rules" require providers to
keep such records for seven years. He assured the committee
that the DOL would never prosecute providers for not keeping
records that the Medicaid program no longer required them to
keep.
Number 0981
ANNE CARPENETI, Assistant Attorney General, Legal Services
Section-Juneau, Criminal Division, Department of Law (DOL),
after noting that the language on page 4, lines 18-19, was taken
from the statutes pertaining to the crime of tampering with
public records in the second degree, suggested that the phrase
"knowing that the person lacks the authority to do so" could be
added after "record" in order to address Representative
Gruenberg's concern.
REPRESENTATIVE GRUENBERG expressed a willingness to offer such
language as an amendment.
MR. KITCHEN suggested, alternatively, that adding the phrase
"except as otherwise permitted by law" would accomplish the same
thing without creating the problem of having to prove who told
whom to destroy the medical assistance records.
REPRESENTATIVE GRUENBERG indicated that he preferred Mr.
Kitchen's suggestion instead.
REPRESENTATIVE GARA objected, and said:
Then you'll have the situation of somebody who removes
or impairs the legibility or the availability of a
record: a secretary, who doesn't know the law, who
does so by mistake, or does so because their boss
wants them just to deal with records somehow, and all
of a sudden they'll have committed a crime.
REPRESENTATIVE HOLM said no.
CHAIR McGUIRE pointed out that knowingly is the culpable mental
state.
Number 0839
REPRESENTATIVE GARA argued, however:
But ... when you crumble up a record, you're knowingly
crumbling up the record. The real question is, do you
know that you're breaking [the] law or do you know
that you're ... intentionally trying to deprive
somebody of a record? But just knowingly impairing
the legibility, [well] that's just crumbling up a
record without any bad intent. The question is, do
you have any bad intent? And that part is actually
throughout this ... page 4. We're not very careful in
limiting these criminal sanctions to people who have
bad intent; we're just limiting them to people who
know the physical process that they're going through,
of throwing out a record or destroying a record, but
they could just be trying to thin out a file for their
boss .... And so I've got an overall concern here.
MR. BRANCHFLOWER said that perhaps the solution would be to
stipulate a specific timeframe, for example, 10 years after the
preparation of the document. That way, providers could simply
look at the date on the document.
REPRESENTATIVE GRUENBERG suggested that staff work on this issue
before the bill's next hearing.
CHAIR McGUIRE agreed to that suggestion and instructed committee
staff to focus on the issues of patients' privacy and the
destruction of the medical assistance records.
REPRESENTATIVE HOLM asked why the fiscal note did not reflect
the potential savings.
SENATOR GREEN indicated that the fiscal notes for SSSB 41 focus
on the cost to the state.
REPRESENTATIVE GARA said that he wants SSSB 41 to be limited to
intentionally fraudulent conduct.
MR. BRANCHFLOWER posited that all of the issues the committee
has concerns with could be resolved by working on the bill
overnight.
[SSSB 41 was held over.]
HB 303 - USE CRIMINAL FINES FOR YOUTH COURTS
Number 0548
CHAIR McGUIRE announced that the final order of business would
be HOUSE BILL NO. 303, "An Act relating to youth courts and to
the recommended use of criminal fines to fund the activities of
youth courts; and relating to accounting for criminal fines."
Number 0492
CLIFF STONE, Staff to Representative Dan Ogg, Alaska State
Legislature, presented HB 303 on behalf of Representative Ogg,
sponsor. He paraphrased from the sponsor statement, which in
part read [original punctuation provided]:
The foremost concern facing Youth Courts in the State
of Alaska is funding. These programs are dependent on
the Juvenile Accountability Incentive Block Grant
(JAIBG), a federal grant administered through the
Division of Juvenile Justice. The current federal
budget for FY04 does not include any funding for the
JAIBG.
This bill would separately account for fines that have
been imposed under the Sentencing and Probation
statutes. The legislature may then appropriate a
prescribed percentage of those fines that have been
collected to the Youth Courts.
The permissive "may" and the inclusion of the final
sentence of the bill had been found by the Alaska
Supreme Court to not constitute unconstitutional
dedicated funds because the legislature continues to
be able to appropriate money as it sees fit.
MR. STONE, in conclusion, indicated that a portion of the funds
for the Council on Domestic Violence and Sexual Assault (CDVSA)
is acquired in a manner similar to what is being proposed by HB
303 for youth court funding.
Number 0351
LISA ALBERT-KONECKY, Program Coordinator, Mat-Su Youth Court
(MSYC), said that she has worked with juvenile offenders in
Alaska for over 17 years. She continued:
I'd like to state that youth courts around the state
are doing an important job for Alaska. Because of
limited funds for state probation-officer positions,
the state cannot address juvenile [crime] in its
earliest stage. Youth courts have taken a burden off
the shoulders of local JPOs [juvenile probation
officers], who can now concentrate on the more serious
juvenile offenders. Currently, the Mat-Su Youth Court
handles 25 percent of the juvenile offenders in the
[Matanuska-Susitna] Mat-Su valley. Our recidivism
rate has stayed under 9 percent and was 7.5 percent
for last year.
Other significant statistics include: our student
members have put in over 19,000 hours of service to
their community in the Mat-Su Youth Court since
program inception, [and] our students average 104
hours each during their involvement in the program.
The program also has taken on first-time "minor
consuming" cited teens, [and] since starting this
project, we have dealt with 108 of those cases, and
those involved possession or consumption of alcohol.
... With an annual growth of rate of 7 percent, the
Mat-Su valley needs all the resources we can possibly
get to address our community needs. Please support
House Bill 303. Thank you very much for your support.
CHAIR McGUIRE predicted that there would be a tremendous amount
of support for HB 303 from the House Judiciary Standing
Committee. She thanked Ms. Albert-Konecky and the student MSYC
members for their work.
REPRESENTATIVE HOLM asked what the recidivism rate was prior to
the MSYC's establishment.
MS. ALBERT-KONECKY indicated that she did not have that
information.
Number 0201
REPRESENTATIVE HOLM said that it is difficult for him to approve
of a program without any empirical data showing that that
program serves a purpose.
MS. ALBERT-KONECKY relayed that she'd formerly worked at
McLaughlin Youth Center, which had a recidivism rate of around
50 percent.
CHAIR McGUIRE remarked that one of the points of the program is
the recognition that youth are going to commit crimes and,
therefore, there has to be some societal mechanism for dealing
with those crimes. She offered her belief that youth courts
serve a portion of the community, and that judgment by a
youthful offender's peers has a greater effect than judgment by
adults. She said that she has seen the youth court program "do
miracles," adding, "I think this program is amazing."
MR. STONE, in an effort to allay Representative Holm's concern,
said that a 2002 study done by the Urban Institute's Justice
Policy Center gathered information from four states - Alaska,
Arizona, Maryland, and Missouri. He said that according to this
study, Alaska has only a 6-percent recidivism rate, whereas the
"normal system" has a 23-percent recidivism rate.
TAPE 03-61, SIDE A
Number 0001
MR. STONE mentioned that all of the youth that participate in
youth court programs are advocates of these programs.
REPRESENTATIVE SAMUELS said that he agrees with the bill, and
that he was involved with the Anchorage Youth Court. He offered
his belief that often, before the youth court was established,
nothing happened to youthful offenders because of the volume of
cases in the regular system.
REPRESENTATIVE GARA said that he is big supporter of youth
courts, but acknowledged that the statistics before the
committee are not particularly useful. He predicted, though,
that the aforementioned study probably does show that the
recidivism rate does go down in a particular area when a youth
court is established in that area. He said he is wondering
whether expanding the role of youth courts would allow them to
deal effectively with more offenders than they are currently.
REPRESENTATIVE OGG said that he'd been involved with Kodiak Teen
Court, and indicated that there is a danger of a youth court not
having a sufficient number of youths involved in it to meet its
needs if a program expands too much. Before a youth court
expands, he remarked, it has to have sufficient volunteers.
Number 0352
VIRGINIA ESPENSHADE, Director, Kenai Peninsula Youth Court
(KPYC), said that HB 303 is a great bill and she appreciates the
committee's support of it. She relayed that the Urban
Institute's study was specific to the Anchorage Youth Court;
however, many of the 15-17 youth courts in Alaska are modeled
after the Anchorage Youth Court. She remarked that the
Anchorage Youth Court is unique in the country in that it
accepts "not guilty" pleas. She urged the committee to read the
Urban Institute's study, which compares the recidivism rate of
youth courts with that of the regular court system for similar
offenses.
MS. ESPENSHADE predicted that if youth courts had more funding,
it would directly impact the timeliness with which cases can be
addressed, and would allow youth courts to become better
equipped to follow up and monitor sentence compliance. She said
that one of the main theories behind youth courts is a quick,
timely, appropriate, peer-based response. She surmised that all
youth courts are being "taxed to the limit," particularly with
the addition of "minor consuming alcohol" cases. She relayed
that the Kenai Peninsula Youth Court runs two programs, one in
Homer and one in Kenai, and offered that two of the great things
about all youth courts is that they are community-based and that
the theory behind them appears to work in any kind of community.
CHAIR McGUIRE said she appreciates Ms. Espenshade's hard work on
behalf of the KPYC and thanked her for her testimony.
Number 0491
WESTON EILER, Chair, Alaska Youth Court Sustainability
Coalition, thanked the committee for hearing and supporting HB
303, and said he is a "member" of the Juneau Youth Court and has
been so for the past three years. He then went on to say that
youth courts also provide benefits to youth in general. There
are approximately 1,000 youth court advocates around Alaska, in
17 different youth courts "from Ketchikan to Kotzebue," he
added. Youth courts, in addition to being a positive
alternative to the juvenile justice system, allow youth an
opportunity to help their peers, get training in the "basic
fundamentals of law in civil society" and in courtroom
procedure, and receive mentoring by attorneys and judges. Youth
courts empower youth to make a difference in their communities.
CHAIR McGUIRE thanked Mr. Eiler for his work with youth courts.
Number 0621
DOUG WOOLIVER, Administrative Attorney, Administrative Staff,
Office of the Administrative Director, Alaska Court System
(ACS), said that the ACS supports HB 303 and the concept of
youth courts. The ACS is a big advocate of youth courts and
sees a lot of their benefits, he added, noting that Chief
Justice Dana Fabe mentioned youth courts in her "State of the
Judiciary" address to the legislature.
REPRESENTATIVE GARA asked whether youth courts would benefit
from more funding. He said that he would like to see the ACS
request more funding for that purpose.
MR. WOOLIVER explained that aside from providing youth courts
with courtrooms and mentors, the ACS is not officially
affiliated with youth courts. He suggested that the best ones
to answer the question of whether more funding would be helpful
would be the youth courts themselves, since they knew their
backlog better than he.
REPRESENTATIVE GARA asked who submits the budget request for
youth courts.
REPRESENTATIVE OGG said that youth courts are funded by federal
grants and various nonprofit organizations.
REPRESENTATIVE GRUENBERG asked what entity would be responsible
for seeing that youth courts get the funding provided by HB 303,
should it pass.
REPRESENTATIVE OGG suggested that those funds would be
distributed by the "granting agencies" that currently distribute
funds for youth courts.
CHAIR McGUIRE posited that that aspect of the legislation would
be addressed in the House Finance Committee.
Number 0839
REPRESENTATIVE GARA moved to report HB 303 out of committee with
individual recommendations and the accompanying fiscal zero
note. There being no objection, HB 303 was reported from the
House Judiciary Standing Committee.
ADJOURNMENT
Number 0874
The House Judiciary Standing Committee was [recessed] at 5:15
p.m. to a call of the chair. [The meeting never was
reconvened.]
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