04/21/2001 09:03 AM House STA
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+ teleconferenced
= bill was previously heard/scheduled
ALASKA STATE LEGISLATURE
HOUSE STATE AFFAIRS STANDING COMMITTEE
April 21, 2001
9:03 a.m.
MEMBERS PRESENT
Representative John Coghill, Chair
Representative Jeannette James
Representative Hugh Fate
Representative Gary Stevens
Representative Harry Crawford
Representative Joe Hayes
Representative Peggy Wilson
MEMBERS ABSENT
All members present
COMMITTEE CALENDAR
HOUSE BILL NO. 88
"An Act changing the name of the Alaska Pioneers' Home to the
Alaska Pioneers' and Veterans' Home and of the Alaska Pioneers'
Homes Advisory Board to the Alaska Pioneers' and Veterans' Home
Advisory Board; relating to services for veterans in the home;
relating to the advisory board for the home; making other
amendments to the statutes relating to the home; making
conforming amendments to other statutes; and providing for an
effective date."
- HEARD AND HELD
HOUSE BILL NO. 87
"An Act establishing the Alaska Veterans Advisory Council; and
providing for an effective date."
- SCHEDULED BUT NOT HEARD
PREVIOUS ACTION
BILL: HB 88
SHORT TITLE:PIONEERS' AND VETERANS' HOME/ADVISORY BD
SPONSOR(S): RLS BY REQUEST OF THE GOVERNOR
Jrn-Date Jrn-Page Action
01/24/01 0155 (H) READ THE FIRST TIME -
REFERRALS
01/24/01 0155 (H) MLV, STA, FIN
01/24/01 0156 (H) FN1: ZERO(ADM)
01/24/01 0156 (H) GOVERNOR'S TRANSMITTAL LETTER
03/20/01 (H) MLV AT 3:30 PM CAPITOL 120
03/20/01 (H) Heard & Held
MINUTE(MLV)
03/27/01 (H) MLV AT 5:00 PM CAPITOL 120
03/27/01 (H) Moved Out of Committee
MINUTE(MLV)
03/29/01 0772 (H) MLV RPT 5DP 1NR
03/29/01 0772 (H) DP: HAYES, MURKOWSKI, GREEN,
CISSNA,
03/29/01 0772 (H) CHENAULT; NR: KOTT
03/29/01 0772 (H) FN2: (ADM)
03/29/01 0772 (H) REFERRED TO STATE AFFAIRS
04/21/01 (H) STA AT 9:00 AM CAPITOL 102
WITNESS REGISTER
JIM DUNCAN, Commissioner
Department of Administration
PO Box 110200
Juneau, Alaska 99811-0200
POSITION STATEMENT: Presented HB 88.
JIM KOHN, Director
Division of Alaska Longevity Programs
Department of Administration
PO Box 110211
Juneau, Alaska 99811-0211
POSITION STATEMENT: Provided additional information on HB 88.
GEORGE PAUL
Box 6558
Sitka, Alaska 99835
POSITION STATEMENT: Testified that this proposal will provide
the "biggest bang for the buck."
WILLIE CLARK
(No address provided.)
Fairbanks, Alaska
POSITION STATEMENT: Testified that the funding should go
forward in order to fill the vacant beds.
RUTH BOHMS
PO Box 80155
Fairbanks, AK 99708
POSITION STATEMENT: Testified in opposition to HB 88.
HARRY JENKINS
210 10th Avenue
Fairbanks, Alaska 99708
POSITION STATEMENT: Expressed concerns with HB 88.
VINCE DORAN
923 W 11th Ave
Anchorage, Alaska 99501
POSITION STATEMENT: Testified in support of HB 87 and HB 88.
ED BARBER
2060 Belmont Drive
Anchorage, Alaska 99517
POSITION STATEMENT: Testified in opposition to HB 88 until
there is admission protection for nonveterans should there be a
funding shortfall.
JOE MONTGOMERY
1048 Beech Lane
Anchorage, Alaska 99501
POSITION STATEMENT: Testified in opposition to HB 88.
EDWARD ZASTROW
3530 Denali
Ketchikan, Alaska 99901
POSITION STATEMENT: Announced that the Pioneer Advisory Board
unanimously voted in favor of HB 88.
JIM RHODES
919 Hill Road
Ketchikan, Alaska 99901
POSITION STATEMENT: Testified in opposition to HB 88.
LEO KAYE
HC 30 Box 129341
Wasilla, Alaska 99654
POSITION STATEMENT: Testified in support of HB 88.
ED LYNCH
250 E Fireweed
Palmer, Alaska 99645
POSITION STATEMENT: Indicated support for HB 88.
DONALD BURFORD
Box 210189
Auke Bay, Alaska 99821
POSITION STATEMENT: Expressed concerns with HB 88.
RALPH HUNT
2646 Douglas Highway, Number 205
Douglas, Alaska 99801
POSITION STATEMENT: Indicated agreement with Mr. Burford's
comments.
AL SKONDOVITCH
202 Slater Street
Fairbanks, Alaska 99701
POSITION STATEMENT: Asked why existing [military] facilities
aren't being used for veterans.
GERALD BOHMS
535 Halvorson Road
Fairbanks, Alaska 99709
POSITION STATEMENT: Testified that HB 88 is the wrong way to
go.
BERT SHARP, Former Representative
Alaska State Legislature
1015 3rd
Fairbanks, Alaska 99701
POSITION STATEMENT: Testified that HB 88 is the wrong way to
go.
CAROLYN TUOVINEN
5043 Mills Drive
Anchorage, Alaska 99508
POSITION STATEMENT: Testified in support of HB 88.
DAVID RING
5033 W 80th Avenue
Anchorage, Alaska 99502
POSITION STATEMENT: Testified that [HB 88] divides the veterans
and the pioneers.
PETER RAISKUMS
2310 Yorkshire Lane
Anchorage, Alaska 99503
POSITION STATEMENT: Testified in support of HB 88.
DENNIS SPURGEON
Veterans of Foreign Wars Post 4352
6575 Roosevelt Drive
Ketchikan, Alaska 99901
POSITION STATEMENT: Testified in opposition to HB 88.
JOSEPH CRAIG, National Executive Committeeman
Department of Alaska
American Legion
2323 First Avenue
Ketchikan, Alaska 99901
POSITION STATEMENT: Testified that the American Legion, the
Veterans of Foreign Wars, and the Disabled American Veterans
voted to support a pioneer/veteran home.
JIMMEY MAYO
PO Box 201
Delta Junction, Alaska 99737
POSITION STATEMENT: Testified that [HB 88] is a win-win
situation.
JUDY PUSTI
1392 6th Avenue
Fairbanks, Alaska 99701
POSITION STATEMENT: Testified in support of HB 88.
JOE STRUNKA
PO Box 70550
Fairbanks, Alaska 99707
POSITION STATEMENT: Testified in opposition to HB 88.
FRANCES PURDY
1741 Westview Circle
Anchorage, Alaska 99504
POSITION STATEMENT: Expressed concerns with HB 88.
BRUCE GAZAWAY
4420 Edinburgh
Anchorage, Alaska 99515
POSITION STATEMENT: Testified in support of HB 88.
BERNADINE WESTON-RAISKUMS
1401 W 13th Avenue
Anchorage, Alaska 99501
POSITION STATEMENT: Expressed concerns with HB 88.
MARTY MARGESON
1401 West 13th Avenue
Anchorage, Alaska
POSITION STATEMENT: Expressed concerns with HB 88.
MIKE HIGDON, Commander
Post 30, American Legion
3054 Dyke Road
North Pole, Alaska 99705
POSITION STATEMENT: Testified in support of HB 88.
KATHLEEN DALTON
PO Box 70681
Fairbanks, Alaska 99707
POSITION STATEMENT: Testified that HB 88 is ill-conceived.
HAROLD HUME
4016 Birch Lane
Fairbanks, Alaska 99709
POSITION STATEMENT: Testified in opposition to HB 88.
HELEN BARKLEY
893 Goldfinch Road, Number 1
Fairbanks, Alaska 99709
POSITION STATEMENT: Testified in support of HB 88.
MG GENERAL PHIL OATES, Adjutant/Commissioner
Department of Military & Veterans Affairs
PO Box 5800
Fort Richardson, Alaska 99505-0800
POSITION STATEMENT: Testified in support of HB 88.
ACTION NARRATIVE
TAPE 01-45, SIDE A
Number 0001
CHAIR JOHN COGHILL called the House State Affairs Standing
Committee meeting to order at 9:03 a.m. Representatives
Coghill, James, Fate, Stevens, Crawford, and Hayes were present
at the call to order. Representative Wilson arrived as the
meeting was in progress.
HB 88-PIONEERS' AND VETERANS' HOME/ADVISORY BD
CHAIR COGHILL announced that the committee would take up HOUSE
BILL NO. 88, "An Act changing the name of the Alaska Pioneers'
Home to the Alaska Pioneers' and Veterans' Home and of the
Alaska Pioneers' Homes Advisory Board to the Alaska Pioneers'
and Veterans' Home Advisory Board; relating to services for
veterans in the home; relating to the advisory board for the
home; making other amendments to the statutes relating to the
home; making conforming amendments to other statutes; and
providing for an effective date."
Number 0254
JIM DUNCAN, Commissioner, Department of Administration, began by
noting that the idea of establishing a veterans' home in Alaska
has been around for some time and the legislature has taken
steps to move in that direction. For example, in 1992 the
legislature passed legislation to establish a veterans' home in
Alaska that would be fully funded by the residents of that home
as well as federal funding. However, nothing really happened as
a result of that legislation because there weren't the funds to
do it. In 1998 an amendment, which allowed the proposed
veterans' home to provide nursing care, was adopted to the
[1992] statute. The hope with that amendment was that
additional federal funding would be received such that it would
be feasible to operate the home without state funding. Again,
nothing happened. About 18 months ago Governor Knowles
appointed a cabinet-level team to review the issue of
establishing a veterans' home and return with a proposal. The
cabinet-level team was comprised of Commissioner Purdue,
Department of Health & Social Services; Commissioner Oates,
Department of Military & Veterans' Affairs; and the Commissioner
of Administration.
COMMISSIONER DUNCAN pointed out that one of the options explored
was a stand-alone veterans' home. However, that option was not
adopted and moved forward by Governor Knowles, which was
probably due to the cost. For an 80-bed stand-alone veterans'
home it would cost about $25 million for construction alone. Of
that $25 million, the federal government would pay two-thirds
and thus the state would be left to cover $8.5 million in
general funds. Additionally, there would be ongoing operating
costs of about $7.2 million a year of which $2.4 million would
be state funds, which comes close to the amount being requested
for the proposal before the committee. Therefore, cost is a
major consideration with a stand-alone veterans' home.
Furthermore, a stand-alone veterans' home would be in one
location, which would mean that veterans in other areas would
have to move. Such a situation didn't seem ideal and thus the
proposal encompassed in HB 88 was developed.
Number 0705
COMMISSIONER DUNCAN endorsed the proposal and introduced HB 88.
Commissioner Duncan informed the committee that HB 88 does the
following: changes the name of the Alaska Pioneers' Home to the
Alaska Pioneers' and Veterans' Home; designates a certain number
of beds to veterans; and changes the name of the Alaska
Pioneers' Home Advisory Board to the a Alaska Pioneers' and
Veterans' Home Advisory Board and designates that at least two
seats on the new board are filled by veterans. He noted that
one of the veterans' seats on the new advisory board would be
the Chair of the advisory board. Currently, there are two
veterans that happen to sit on the advisory board.
COMMISSIONER DUNCAN related his belief that the proposal before
the committee is responsible and addresses the problems while
utilizing the present infrastructure of the Alaska Pioneers'
Home, a top-notch system. This proposal would allow the Alaska
Pioneers' Home infrastructure to be utilized to its fullest,
which seems to make fiscal sense. Furthermore, utilizing the
current infrastructure of the six existing Pioneers' Homes will
allow veterans and pioneers to access a home that is close to
their present community and family, which is important.
Moreover, this proposal would fulfill the state's long-standing
commitment to veterans.
Number 0940
COMMISSIONER DUNCAN turned to how the proposal works and said
that changing the name is an important part of the process
because it ensures the veteran community of the state that it is
part of the Pioneers' Home system. Furthermore, the name change
is important because work with the federal Veterans'
Administration is occurring so that residents [can obtain]
waivers to access federal benefits. Commissioner Duncan noted
that the legislation includes a veterans' preference that would
be defined by regulation such that 21 percent of the funded beds
veterans would have a veterans' preference, which amounts to 125
beds. Commissioner Duncan pointed out that currently there are
about 90 veterans in the Pioneers' Homes. At any time, the
Pioneers' Home has from 90-100 vacant beds. Therefore, this
legislation would allow those beds to be filled. He explained,
"If we have 90 veterans presently in the homes, there would be a
[veterans'] preference [for] 125 beds. We would then bring in
another 35 veterans, who are on that waiting list. And we'd
also bring in another 55 pioneers' who may be veterans ... [or]
nonveterans; they'd come in in the order ... of the active
waiting list." Therefore, this would be beneficial to veterans
because 35 more veterans would have beds and this would also be
beneficial to those [55] pioneers that may or may not be
veterans. With the passage of HB 88 and adequate funding, 90
individuals would be able to enter the home in the near future.
Number 1194
COMMISSIONER DUNCAN continued by addressing the funding that is
required, which is $2.6 million in general funds and $2.6
million in pioneers' home receipts. Those receipts are payments
made to the system by individual residents as part of paying for
their full cost of care. Therefore, if the funding worked as
planned, the 90 beds could be filled and the veterans'
preference could be in place. Commissioner Duncan pointed out
that the fiscal note doesn't indicate that there will be any
federal dollars coming to the Pioneers' Home as a result of this
legislation. Although there will not be any federal dollars
that flow directly to the Pioneers' Home, there has been work
with the Veterans' Administration to discuss a waiver to federal
requirements so that veterans here can receive the same benefits
as veterans who are in a home in the Lower 48. Those veterans
currently in the Pioneers' Home don't receive veterans'
benefits. Therefore, work is being done to have a waiver so
that veterans can receive benefits directly in order to help pay
for their cost of care. Furthermore, Commissioner Duncan hoped
that this would get the Veterans' Administration more involved
with paying for medications. Also, there may be some capital
dollars that may be accessed that could help with upgrades,
improvements, and renovations to the Pioneers' Home System.
However, he noted that there is no firm commitment to such, but
there [seems to be] a high level of interest and support from
the federal government for this type of system.
COMMISSIONER DUNCAN mentioned that he and Mr. Kohn, Director,
Division of Military & Veterans' Affairs, met with General
Oates, Commissioner, Department of Military & Veterans' Affairs;
the Secretary of Veterans' Affairs Principi; and U.S. Senator
Murkowski during a recent visit to Alaska. Secretary Principi
was very impressed with Alaska's Pioneers' Home system and was
supportive of the approach [embodied in HB 88]. Additionally,
U.S. Senator Stevens, in his recent speech to the legislature,
spoke of this proposal and was supportive of this approach also.
COMMISSIONER DUNCAN clarified that [the administration] isn't
interested in making this part of the federal system. The
commitment is to maintain the Pioneers' Home system as a state-
owned and -operated system within the Department of
Administration. There is no desire to fall under federal
regulations and guidelines and rules, which is why [the
administration] is seeking a waiver. Furthermore, the one-year
residency requirement and the age requirement couldn't be
maintained under the federal system.
COMMISSIONER DUNCAN informed the committee that the committee
packet should include a letter from him to Mr. Bob Huffman,
Chair of the Pioneers of Alaska Legislative Committee, dated
March 29, 2001. Attached to that letter is a letter
Commissioner Duncan had written to Senator Therriault.
Commissioner Duncan also informed the committee that as it
considers the bill he would like some amendments, which are
contained in the letter [to Mr. Huffman], to be considered. The
administration supports these amendments. One of the amendments
would insert an intent section in HB 88 in order to make it
clear that the Pioneers' and Veterans' Home system be maintained
as a state-owned and -operated system within the Department of
Administration and not fall under the federal system.
Commissioner Duncan encouraged the committee to adopt an
amendment that would delete AS 47.55.010(c)(1), regarding
cooperation with the federal government, which is in HB 88 as
well as the Pioneers' Home statute. Although that language has
never been used nor is it necessary, some people read it and
wonder whether [the Pioneers' Home] would fall under federal
management.
COMMISSIONER DUNCAN turned to the third amendment, which is
included in the letter he wrote to Senator Therriault. The
letter was in response to Senator Therriault's question
regarding what the regulations would look like. Therefore, the
letter contains a draft of what the [department] intends the
regulations to look like. Commissioner Duncan acknowledged that
Mr. Huffman has expressed interest in having assurances beyond
those in regulation and thus Commissioner Duncan agreed that the
regulations could be put in statute as has been done in the
past. Therefore, the statute would say that there is a
veterans' preference and specify how that veterans' preference
would work. A change to that [statute] would require an act of
a legislative body. The second part of the [third] amendment
includes the definition of a spousal preference.
COMMISSIONER DUNCAN related his belief that the three amendments
would address the major concerns that he has heard. In
conclusion, Commissioner Duncan urged the committee to give HB
88 favorable consideration because it builds upon and
strengthens Alaska's Pioneers' Home system.
Number 1891
COMMISSIONER DUNCAN, in response to Representative Wilson,
clarified that the residency requirement change is really a
cleanup of the statutes necessitated by the courts striking down
the 15-year residency requirement. That court decision took
place a number of years ago and the one-year residency
requirement has been in effect since that decision. However,
the statute was never made to conform.
REPRESENTATIVE WILSON turned to Commissioner Duncan's request to
amend spousal qualifications and inquired as to why the language
on page 5, lines 26-30, isn't adequate.
Number 2004
JIM KOHN, Director, Division of Alaska Longevity Programs,
Department of Administration, explained that the proposed
regulation would put into regulation, and possibly statute, a
practice that has been followed in policy. That is, to allow
spouses wanting to enter the home at the same time to do so. He
remarked that it was felt that this would be an appropriate time
to put this policy into regulation. Mr. Kohn said that the [new
language] merely goes beyond what is in the bill and defines the
process more clearly.
MR. KOHN, in response to Representative James, answered that
presently about 20 percent of the current [Pioneers' Home]
residents are veterans. Approximately 30 percent of those on
the waiting list are veterans.
REPRESENTATIVE JAMES inquired as to what the 21 percent
preference would do to the existing (indisc.).
COMMISSIONER DUNCAN noted that there are 180 people on the
active waiting list, which includes 85 veterans. Therefore,
there would be 35 who would go in to the first 90 [beds] because
there would be a [veterans] preference for 125 beds. If the
system was fully funded, then the number of veterans in the home
would be increased from 90-125. Therefore, of those 90 beds
that are fully funded, the first 35 would be for veterans.
REPRESENTATIVE JAMES asked how many veterans would come in if
nothing was done.
MR. KOHN explained that under the present admissions process if
the next 90 people were admitted, 21 veterans and 69 other
applicants, who may or may not be veterans, would be added.
Under HB 88, 32 veterans and 58 nonveterans would come into the
home.
Number 2330
REPRESENTATIVE JAMES turned to the federal waiver, which she
understood to be a waiver so that the veteran would directly
receive the federal dollars to help pay for their care. These
are funds that go directly to veterans' homes in other states.
Because Alaska doesn't have such, she wondered if the name
change is a requirement to obtain the waiver, or does the
veterans' preference allow the waiver, or are both necessary.
COMMISSIONER DUNCAN related his belief as well as the
administration's belief that it's important to do both: change
the name and implement a veterans' preference.
REPRESENTATIVE JAMES related her belief that the best way to
take care of elderly people in need of care is in assisted
living homes located in the person's community. If "we" are
requesting that certain veterans receive a subsidy to help pay
for their care, then "we" should insist that those veterans be
served wherever they choose to be served and as close to home as
possible. She asked whether a veterans' waiver would be
requested if this legislation didn't move forward and if so,
will assisted living homes throughout the state be include?
COMMISSIONER DUNCAN answered that Mr. Kohn would continue his
work with the Veterans' Administration in the area of support
for medicines for veterans. However, he didn't believe that the
federal government or Veterans' Administration would be
interested in proceeding with a waiver that would allow benefits
to flow to the Pioneers' Home system without some recognition of
veterans in the name or through a preference.
REPRESENTATIVE JAMES remarked that she didn't have as much
difficulty with the preference as she did with the name change.
She felt that a statewide veterans' preference would be
recognized by the federal government.
Number 2529
MR. KOHN noted his agreement with Representative James' comments
regarding assisted living homes, which HB 88 takes into
consideration as much as possible. However, the VA is
interested in creating a demonstration project that would
illustrate that veterans can be cared for in assisted living
homes, outside of a traditional veterans' stand-alone home. At
this point, that hasn't been done. Therefore, changing the name
would illustrate a large amount of commitment to veterans in
order to obtain the demonstration project.
REPRESENTATIVE JAMES remarked that nursing homes should also be
included.
REPRESENTATIVE FATE inquired as to how the fiscal note could
have zero dollars for travel.
COMMISSIONER DUNCAN said that there is no travel involved. The
money fiscal note is for [increasing] staffing and supplies in
the homes due to the additional beds. In further response to
Representative Fate, Commissioner Duncan noted that there is
already travel for the Pioneers' Home Board and there will be
travel for the Pioneers' and Veterans' Home Board, but that is
part of [the department's] budget.
COMMISSIONER DUNCAN, in further response to Representative Fate,
reiterated that the committee packet should include the letters
that he wrote to Mr. Huffman and Senator Therriault, which
specify the three items that he suggests including in a
committee substitute (CS).
Number 2751
REPRESENTATIVE FATE asked if, in the event, the 21 percent isn't
filled, would the beds lay vacant because of the veterans'
preference.
MR. KOHN answered that if the funding occurs, then the beds will
be filled. It won't take long to bring in the approximately 35
people to reach the 125. Mr. Kohn didn't expect there to be any
vacant beds.
REPRESENTATIVE FATE asked if there are provisions that would
deal with the possibility of a decline in veterans that would
result in unoccupied veteran-designated beds.
MR. KOHN directed attention to page 5, Section 9 (B), which
provides for a nonveteran to be considered for admission to an
unoccupied bed reserved for a veteran when there is no veteran
applicant.
Number 2880
REPRESENTATIVE STEVENS applauded work done across the state with
assisted living. He related his assumption that this
legislation wouldn't impinge on that effort. Representative
Stevens expressed interest in hearing more about whether this
would open up to federal low-cost medication for veterans.
Representative Stevens inquired as to how the Pioneers' Homes
had 90-100 unoccupied beds while there is a waiting list of 180.
He assumed that the answer lies in the funding and thus he
wondered if it would be better to apply for the additional
funding.
COMMISSIONER DUNCAN said that if there was $2.6 million in
general funds, then those beds could be filled without a
veterans' preference. Over the years there have been requests
for more [funds] ...
TAPE 01-45, SIDE B
COMMISSIONER DUNCAN continued by explaining that with the
present funding and the level of care provided, there is only
enough funding and staff to fill the beds that are filled.
CHAIR COGHILL stressed that the aforementioned funding situation
illustrates that the funding is necessary regardless of the
veterans' preference. Chair Coghill requested that questions
regarding [the low-cost] medication be held.
Number 2918
REPRESENTATIVE WILSON inquired as to how spouses of veterans
would be counted; will spouses count for veteran slots or
pioneer slots? She also asked how the percentage, the 21
percent veterans' preference, will be balanced because some of
the Pioneers' Homes are full now.
MR. KOHN answered that spouses of veterans wouldn't be counted
as veterans. In further response, he explained that the 21
percent is systemwide. That is, 21 percent of the funded beds.
Therefore, if all 600 beds are funded, then it would be 125 beds
wherever open. Although the major vacant beds are located in
three homes, there are vacancies in all the homes, in a rotating
fashion, all the time.
Number 2770
GEORGE PAUL testified via teleconference. Mr. Paul informed the
committee that he has been a member of the Alaska Veterans'
Advisory Council since 1997 and currently serves as the
President of the Alaska Native Brotherhood Camp 1. Mr. Paul
identified this [legislation] "as a stroke of genius" because it
maximizes the dollars available. He noted that he liked
Representative James' comments regarding placing elders as close
to the homes of their family as possible. Furthermore, this
proposal would seem to open the possibility of asking the
federal government for additional funds for veterans as well as
nonveterans. Mr. Paul felt that this proposal would empower the
state. The renaming of the Pioneers' Home would provide some
ownership to the veterans. Mr. Paul related his belief that
utilizing the existing system's infrastructure would provide the
"biggest bang for the buck."
Number 2528
WILLIE CLARK testified via teleconference. Mr. Clark agreed
that veterans should be closer to their families. Regardless of
the name change, Mr. Clark felt that the funding should go
forward because the beds need to be filled.
RUTH BOHMS testified via teleconference in opposition to HB 88.
She pointed out that the language "veterans' preference" is
spread throughout documents from the state. Ms. Bohms informed
the committee of her family history, which includes much
military service. She informed the committee of a friend who,
during World War II, was classified as physically and mentally
fit for military service. Although he wanted to enlist, he was
ordered to remain on the home front because he was a craftsman.
This man "obeyed the military and worked in hazardous
conditions, building the bombers and other war time planes,
which enabled us to win the war," she said. After the war was
over, veterans utilized the GI Bill to go to school and purchase
homes. However, her friend wasn't eligible for the many
benefits of the GI Bill. Today, her friend, now in his late
70s, has lived in Alaska for over 50 years and has been on the
Pioneers' Home inactive list for many years. Now the state is
saying, "Sorry, but you may have thought you were eligible for
any one of the 600 beds in the Pioneer Homes, but we are going
to set aside 125 beds exclusively for veterans." Since her
friend isn't a veteran, that leaves only 475 possible spots for
her friend. Furthermore, Ms. Bohms charged that women are being
denied access to the full 600 beds. She pointed out that the
majority of persons needing care in Pioneers' Homes are
nonveteran women. Therefore, HB 88, which proposes treating
veterans differently than nonveterans, is discrimination and
against the law. She also pointed out that the Alaska State
Constitution's equal protection clause closely follows that of
the United States Constitution and thus people may not be
treated differently unless there is a compelling reason to do
so. In conclusion, Ms. Bohms said that HB 88 is ill-conceived
legislation that is unconstitutional and violates both the
Alaska State Constitution and the U.S. Constitution.
Number 2275
HARRY JENKINS testified via teleconference. Mr. Jenkins
expressed his concern that the age requirement will be dropped
in a few years. He was also concerned that disabled veterans
would receive a priority over others.
Number 2244
VINCE DORAN testified via teleconference. Mr. Doran informed
the committee that he is a lifetime member of the Pioneers of
Alaska, a veteran of military service, and a resident of the
Anchorage Pioneers' Home. Mr. Doran announced his support of HB
87 and HB 88. Alaska is one of two states that doesn't have a
state facility for aging veterans. There are 100 beds available
now that could be filled.
Number 2164
ED BARBER testified via teleconference. He informed the
committee that he is a member of the Pioneers of Alaska.
Although HB 88, on "first blush," sounds like a good deal, he
inquired as to where the funds will come from to provide the
additional care for the Pioneers' Homes. Even if the funds were
available for the next fiscal year, he questioned the fate of
future years. Although the governor has assured that a waiver
from the federal government will be obtained, Mr. Barber pointed
out that neither a waiver of federal funds have been done
before. Furthermore, Mr. Barber asked, "What about the rest of
the veterans in other facilities? Are they not equal and
deserving?" He suggested a pilot project that coordinated with
the VA and the federal VA to cover existing veterans that reside
in the homes.
MR. BARBER said, "There is no evidence of any such funding to
fill the vacant 90 to 100 vacant beds within the homes."
Furthermore, one of the things that has [exacerbated] the
existing shortfall is the imposition of rate increases by this
administration in 1995. In 1995 a single room for low
residential care cost $735 a month whereas this July it will
cost $1936. He specified that low-end residential care is a
single room with a shared bathroom. This increase in rates has
caused people to move out of the homes and thus many of the
receipts were lost. The vacant beds and nursing care [shortage]
has contributed to an increase in cost.
MR. BARBER questioned, "Where are the feds? ... What is in it
for the feds? Where are the dollars?" He charged that even if
the funds were available, the homes couldn't be staffed in
Alaska due to the critical lack of nursing staff in this state.
Therefore, this could be interpreted as an unfunded mandate for
the veterans. In conclusion, Mr. Barber announced his
opposition to HB 88 until there is admission protection for
nonveterans should there be a funding shortfall.
Number 1960
JOE MONTGOMERY testified via teleconference. Mr. Montgomery
said that he [concurred] with everything that Mr. Barber said.
Mr. Montgomery informed the committee that he is a member of the
Pioneers' Legislative Committee and a combat pilot in World War
II. He stated his opposition to HB 88.
Number 1904
EDWARD ZASTROW testified via teleconference. Mr. Zastrow
informed the committee that he is a member of the State of
Alaska Pioneer Advisory Board and a veteran. Mr. Zastrow also
informed the committee that the advisory board unanimously voted
in favor of this concept. The reasoning was to fill the 90
vacant beds and find some form of funding for this. He informed
the committee that he had given presentations to Pioneer Igloos
in Ketchikan from which he gathered that the majority of those
pioneers were in favor of this concept. However, they were
concerned with the possibility of federal government
intervention, which has been addressed. Mr. Zastrow felt that
there is major support for HB 88 and thus he encouraged its
passage.
Number 1822
JIM RHODES testified via teleconference. Mr. Rhodes announced
that he opposes HB 88 due to the lack of admission protection
for nonveterans. Furthermore, he expressed concern with
possible funding shortfalls.
Number 1765
LEO KAYE testified via teleconference. He informed the
committee that he is a World War II veteran and Chair of the
Veterans Wall of Honor. Mr. Kaye stressed that he is speaking
on behalf of all Alaska veterans. The concept of a Veterans'
and Pioneers' Home system is good. He expressed his pleasure in
such a concept being able to meet the needs of the veterans in
all regions. Furthermore, this concept will be financially
reasonable by using existing facilities. Mr. Kaye announced
support of HB 88 and SB 55 and thus he urged moving [HB 88]
forward. He recalled past efforts to develop [veterans' homes].
Mr. Kaye read the committee the following letter from Secretary
of Veterans' Affairs Principi:
I was pleased to receive your recent letter regarding
establishment of the Alaska State Veterans' Home and
the State Pioneers' Home. ... This is truly an
exciting time for the Department of Veterans' Affairs.
The VA State Home Per Diem Grant Program provides
federal payments to states for eligible veterans in
state veterans' homes recognized by VA. It appears
that Alaska would like to place veterans in six
regional Pioneers' Homes. VA may recognize an entire
facility or a specific area, such as a wing or floor
within a larger facility like the Pioneer Home. This
ensures the veterans receive consistent levels of care
in accordance with VA standards. During VA's
recognition process, a designated team from the local
VA's medical center of jurisdiction conducts an onsite
survey to establish the potential state veteran home
that will provide payments for each day an eligible
veteran resides at that location. We look forward to
working closely with the State of Alaska to meet the
federal grant requirements. In this partnership
program, VA may also share in up to 65 percent of the
cost to build a new or renovate an existing facility
for use as a state home for veterans. ... We have a
Dr. Judith Solerno(ph), Chief Consultant, Geriatrics,
Extended Strategic Health Care, is also available to
assist you in establishing the state veterans' homes.
Number 1446
ED LYNCH testified via teleconference. Mr. Lynch indicated that
he was in support of HB 88.
Number 1377
DONALD BURFORD informed the committee that he is the third
generation of pioneers. Mr. Burford made the following points.
Firstly, the Pioneers of Alaska is merely an advisory position.
Secondly, many pioneers are veterans and as such are sympathetic
to this idea. Thirdly, due to the fact that the Pioneers'
[Homes] have been and continue to be underfunded, it is
difficult to believe that will change based on conversation.
Fourthly, he related his personal belief that unless the money
is put on the table, it would be irresponsible for pioneers to
further burden the homes without requesting full funding to
allow the homes to function for all parties.
RALPH HUNT indicated that he seconded Mr. Burford's comments.
Number 1271
AL SKONDOVITCH testified via teleconference. Mr. Skondovitch
wondered why existing facilities for veterans, such as the
hospital [at Fort Wainwright], aren't utilized. Apparently that
hospital is going to be torn down and thus he questioned why.
He commented on the fact that this is complicated.
Number 1113
GERALD BOHMS testified via teleconference in opposition to HB
88. He informed the committee that he is a member of the
Pioneers and Post 11 American Legion. Mr. Bohms said that [the
earlier mentioned numbers of veterans in the Pioneers' Homes]
illustrates that the veterans are already taken care of under
the current system. Due to testimony, Mr. Bohms felt that the
federal government would be highly involved in the operation of
the Pioneers' Homes. Therefore, he couldn't believe that the
federal government wouldn't implement their regulations anyway.
Mr. Bohms concluded with his belief that HB 88 isn't the way to
go.
Number 0939
BERT SHARP, Former Representative, Alaska State Legislature,
testified via teleconference. Mr. Sharp remarked that a
veterans' home in Alaska is a long-sought after and noble goal.
However, the proposals contained in HB 88 are the wrong way to
go. This legislation creates the illusion of creating many
veterans' facilities throughout Alaska, but he believes it will
eliminate future success in obtaining a stand-alone veterans'
home because the federal government would charge that such
already exists in Alaska. Furthermore, he expressed concern
that HB 88 would divide elderly Alaskans and groups competing
for critically needed services. Moreover, HB 88 is highly
discriminatory against women and other major groups in Alaska.
MR. SHARP echoed earlier testimony regarding [the fact] that the
100 or so vacant beds are empty due to the lack of funds to
provide adequate qualified personnel services to staff these
empty beds. Although he appreciated that the legislature has
basically held the Pioneers' Homes harmless from funding
reductions in the past, costs have risen. He concluded by
specifying that the 100 vacant beds are a money problem. The
percentage of veterans in Pioneers' Homes are high and will
continue to be so if those 100 beds are put on line. Therefore,
the problem will take care of itself if the funding is obtained.
He related his belief that appropriating the funds necessary to
offer these vacant beds will result in full occupancy and the
new residents will contribute enough to help offset the
additional cost, in at least as much as would be anticipated
from federal funds. He remarked that it would be a stretch of
the imagination to think that federal funds would be obtained.
MR. SHARP urged the committee to disregard HB 88 and continue
the Alaska Pioneers' Homes and their quality elderly facilities
that are available to Alaskans in a fair and unbiased manner.
He turned to the issue of veterans receiving medicine care in
the homes and characterized it as a "straw man." Veterans can
already receive medicine care from several facilities in Alaska.
Furthermore, Mr. Sharp related his belief that a veterans'
waiver should be based on the veteran receiving care not the
name or preference.
Number 0604
CAROLYN TUOVINEN testified via teleconference in full support of
HB 88 because this approach makes sense in Alaska, where the
population is small and spread over a large area. Ms. Tuovinen
felt that it would be a "stretch" to think that the legislature
will be generous for social service programs because that hasn't
been the case in the past. However, she did hope that the
legislature gives the homes money.
Number 0470
DAVID RING testified via teleconference. Mr. Ring remarked that
it is interesting that this meeting was listed as a public
invitation to comment. Although there has been a considerable
amount of comment, it hasn't been public comment. Mr. Ring felt
that it is a disservice to both [the pioneers and the veterans],
who have achieved some entitlement, to pit them against one
another. The existing [Pioneers'] facilities speak well for the
people of Alaska. In regard to the veterans, Mr. Ring said that
the veterans have earned something from the federal government.
Although he appreciated the work done for veterans by the state,
he felt that the principle burden for caring for veterans should
fall to the federal government. Mr. Ring expressed his desire
to have [separate] facilities maintained for veterans in order
to avoid conflict or competition. In regard to discussions
about the number of unoccupied beds, Mr. Ring remarked that many
of those beds are unoccupied due to the increase in cost to the
resident. The state has simply priced people out of the beds.
REPRESENTATIVE CRAWFORD related his experience with his father
entering a veterans home and his mother not being allowed, which
separated the family. Representative Crawford felt that [HB 88]
is a much better solution in that husbands and wives can stay
together.
TAPE 01-46, SIDE A
MR. RING remarked that he wouldn't expect a facility to be built
that would house an able-bodied, employed person for the sake of
spousal privileges.
Number 0116
PETER RAISKUMS testified via teleconference in support of HB 88.
Mr. Raiskums felt that it is time that the federal government
and the state provides some incentives for veterans, including
pioneers, to stay in the state. He was bothered that many
people leave the state because there are no facilities for them
to remain. Mr. Raiskums remarked that he liked the notion of
being able to share a retirement or nursing home with a spouse.
Mr. Raiskums felt that [HB 88] is a win-win situation for
veterans and pioneers alike.
Number 0250
DENNIS SPURGEON testified via teleconference. He informed the
committee that he is with the Veterans of Foreign Wars Post 4352
in Ketchikan. Although he appreciated the efforts to provide a
veterans home in the state, he and many others found it
difficult to support this action due to the fact that federal
money would be used to support the veterans in the facility.
Each time the federal government is involved in state action,
the state facility is always the loser. Therefore, [the
Veterans of Foreign Wars Post 4352] cannot support HB 88.
Number 0334
JOSEPH CRAIG, National Executive Committeeman, Department of
Alaska, American Legion, testified via teleconference. Mr.
Craig informed the committee that during a walk through Juneau
with the [Joint Service Organizations] not too long ago, the
American Legion, the Veterans of Foreign Wars, and the Disabled
American Veterans voted to support a pioneer/veteran home. That
position hasn't changed. However, he pointed out that a veteran
under the age of 65 can't be admitted into the pioneer/veteran
home and thus the question of what to do with those veterans
under the age of 65 remains. Mr. Craig informed the committee
that the [Joint Service Organizations] support this position.
He explained that he has been involved with the veterans' home
issue for over 30 years. He felt that veterans need to get
their foot in the door some way and thus he was sympathetic to
whatever manner veterans could enter. There are over 60,000
veterans in Alaska that deserve some form of care.
Number 0550
JIMMEY MAYO testified via teleconference. Mr. Mayo remarked
that [HB 88] is a win-win situation for veterans and pioneers.
He indicated that additional funding will be requested for those
veterans under the age of 65.
JUDY PUSTI testified via teleconference in support of HB 88,
which she viewed as a start to obtaining a veterans' home while
taking care of seniors.
Number 0680
JOE STRUNKA testified via teleconference in opposition to HB 88.
Prior to any action on HB 88, Mr. Strunka suggested taking the
veterans already in the pioneers' homes as a pilot program and
make sure that those veterans as well as all that qualify get
the federal benefits that they are entitled. After about a year
of assessment, it could be evaluated how much the federal
government has nosed into the state's business. He also
suggested not changing the name until the pilot program was
completed. Mr. Strunka turned to the veterans' preference and
noticed that veterans can enter this new home in two ways,
either through the veterans' preference or as a pioneer.
Therefore, there is the possibility that in a community 100
percent of the residents could be veterans. If that becomes the
case, Mr. Strunka questioned what would happen with the others
in the community that have needs. He asked if those others
would have to go outside their community to obtain support.
MR. STRUNKA informed the committee that he first went to the
homes to visit with the old-timers in 1965. Mr. Strunka
described the rooms and how small they are once a bed, dresser
and chair are inside. He suggested that perhaps the entire
[Pioneers' Home] system could be turned over the mental health
program because 80 some percent of its residents are suffering
from Alzheimer's and dementia. As Representative James implied,
the funding for assisted living could be raised so that all
qualifying individuals can enter a facility near their home.
Number 1008
FRANCES PURDY testified via teleconference. Ms. Purdy informed
the committee that there are items that haven't been addressed
such as the cost of the stipend. The cost of the subsidy for
people who can't afford to stay in a Pioneers' Home has
continued to increase. She said, "That fiscal note is not added
to the bill and is not discussed." The actual cost that has
been addressed is that the average veteran would pay $2,417 a
month. However, the actual cost of $50 a day hasn't been
addressed. Ms. Purdy pointed out that when the $5.2 million is
divided by the 126 proposed employees, the result is
approximately 126 employees being paid $12.89 a hour, which is
the actual cost of a CNA [certified nurses assistant].
Therefore, there would be no supervisors, no extra money for
food, and no extra money for housekeeping. Ms. Purdy emphasized
her belief that HB 88 deserves substantial study in terms of
what actually is going to be given as a service. "The idea of
the home is great; the actual mechanics of what is being
proposed, I believe is not studied enough. And I believe that
we're getting ourselves into one heck of a financial mess." Ms.
Purdy noted that the committee should have her written
testimony.
Number 1122
BRUCE GAZAWAY testified via teleconference in favor of HB 88.
Mr. Gazaway informed the committee that he is the president of
the Alaska National Guard Enlisted Association and a member of
the American Legion. Mr. Gazaway remarked that politics is the
"art of compromise," which often means that giving a little bit
can achieve much. From personal experience, Mr. Gazaway knows
that the veteran community has been working to achieve a
veterans' home for many years. He identified the crisis as
being inadequate funds for a veterans' home in Alaska as well as
inadequate funds for a pioneers' home in Alaska. Therefore, Mr.
Gazaway expressed the need to focus on the achievable rather
than the ideal. Although there are some operational details
that need to be resolved in this experiment, HB 88 permits
additional funds to flow into the underfunded pioneers' homes
and provide services to veterans that don't currently exist.
Thus, HB 88 will strengthen the state by strengthening the
pioneers' home system.
Number 1281
BERNADINE WESTON-RAISKUMS testified via teleconference. She
informed the committee that she is a former employee of the
Veterans' Administration regional office in Alaska. Ms. Weston-
Raiskums said that she has long been distressed by the fact that
Alaska's veterans have been sent outside to veterans' hospitals
and domiciliaries. "They deserve a veterans' home in Alaska,"
she charged. Ms. Weston-Raiskums announced her support of HB
87, but noted that she referred to "veterans, dependents, and
survivors in Alaska" versus HB 87's language, "state veteran."
She pointed out that these people are veterans of the United
States who reside in Alaska and thus they are the responsibility
of the United States. "We in the State of Alaska cannot afford
to relieve the United States of their responsibility by
withholding funds from our own elders in the hope that the
federal government will step forward," she said. She related
her belief that the federal government will step forward when it
sees the number of veterans in need rather than reducing the
number at the expense of others in need. In regard to the $2.6
million in general funds that would allow 90 beds to be filled,
Ms. Weston-Raiskums charged that either we have that money or we
don't. Further, Ms. Weston-Raiskums said that the hope that
veterans will come forward with the funds due to the state's
commitment hasn't been supported by evidence and thus she
believes that HB 88 remains premature and may excuse the federal
government from its responsibility at the expense of Alaska's
elders, particularly women. She doubted that the Department of
Military & Veterans' Affairs will provide any funding to support
these homes in Alaska as long as [the state] is unwilling to
comply with federal regulations, especially in regard to the
younger veterans. If HB 88 is passed, Ms. Weston-Raiskums
didn't support the cleanup amendment for the longevity
requirement.
Number 1517
MARTY MARGESON testified via teleconference. Ms. Margeson
informed the committee that her father has been a resident of
the Anchorage Pioneers' Home Alzheimer unit since 1997. In his
three year residency, his rates have doubled. Furthermore, the
staffing shortage is so acute that there are 45 vacant beds.
Although the acuity level for Alzheimer's Disease and Related
Dementia (ADRD) has increased, staffing has been cut and
supplies for handicap residents are in short supply. For
example, the Pioneers' Home doesn't have enough lift chairs for
its residents. Furthermore, most residents are only bathed once
a week. Unannounced visitors may find residents sitting in a
circle of "loneliness, sleeping, and boredom" because there
isn't enough staff to provide activities and no geriatric
specialist to design a therapeutic activity program. Ms.
Margeson said, "The new budget will not address the current
short falls." Furthermore, she didn't believe that HB 88 will
provide enough staffing for incoming residents because it only
staffs at the enhanced assisted living needs. She believes that
most of the veterans entering the homes will come in at a level
requiring comprehensive care. Institutional care is the last
resort. However, there are smaller assisted living homes that
will serve people at the enhanced level of care for less money.
Therefore, HB 88 will encourage those veterans needing a higher
level of care in the ADRD comprehensive unit to enter the
Pioneer Home, but the bill won't furnish enough staff to cover
their needs. Thus, current residents will continue to suffer
more shortages. Furthermore, this bill will continue to incur
state costs. She explained that veterans such as her father
don't qualify for nursing home or assisted living home VA
benefits because that requires a 70 percent service-related
mental or physical disability. She inquired as to the
percentage of Pioneers' Home veterans that would meet this
disability requirement. Ms. Margeson said, "The state can no
longer afford a 100 percent coverage. We need to look to
federal monies. Veterans and pioneers can qualify for Medicaid
if they have skilled nursing needs." Small assisted living
homes already take advantage of federal funds through the
Medicaid Choice waiver program. Ms. Margeson related her belief
that the Pioneers' Home should reinstate the nursing license for
half the home.
Number 1756
MIKE HIGDON, Commander, Post 30, American Legion, testified via
teleconference. Mr. Higdon noted his support of HB 88.
KATHLEEN DALTON testified via teleconference and noted that she
is a member of the Pioneers of Alaska. She pointed out that the
word "pioneer" is being used as if everyone is a pioneer.
However, the requirements to enter the Pioneers' Home now are
age 65 and one-year residency, which she stressed is not a
pioneer. Although HB 88 has some merit, she felt that as
drafted it is ill-conceived. Ms. Dalton echoed earlier
testimony that there are so many empty beds in the Pioneers'
Homes because of the cost. She pointed to the most recent
regulations. Ms. Dalton suggested that the committee vote this
proposal down and that Commissioner Duncan return next year with
a better proposal.
Number 1894
HAROLD HUME testified via teleconference in opposition to HB 88.
He informed the committee that he is a Korean veteran, a member
of the Pioneers of Alaska, and Chaplain of Igloo 4. Mr. Hume
said, "I believe that fundamentally the state has an obligation
to the pioneers and the federal government has a responsibility
to the veterans."
HELEN BARKLEY testified via teleconference. She informed the
committee that she serves as a member of the AVAK and the
current commander of the Department of Disabled American
Veterans. Ms. Barkley, a disabled veteran herself, also
informed the committee that she has visited the Pioneers' Homes
and is sympathetic to both sides. She expressed sadness that
funding to fully staff the Pioneers' Homes hasn't happened in
the past and people aren't receiving the care that they need.
Ms. Barkley said that she attended the visit to Juneau with the
Joint [Service Organizations], which supports HB 88 because it
is a win-win situation for both the pioneers and the veterans.
She noted the desire to see a stand-alone veterans' home in the
future, which the $200,000 study should address.
CHAIR COGHILL announced that he would not close public testimony
on HB 88.
Number 2063
MG GENERAL PHIL OATES, Adjutant/Commissioner, Department of
Military & Veterans Affairs, informed the committee that he is
present as an advocate for both the pioneers and the veterans
because he believes this situation helps both. General Oates
also informed the committee that he would provide the committee
with written answers to many of the questions from today. In
regard to [HB 88] being discriminatory, General Oates pointed
out that there are male and female veterans. Although there are
more male veterans than female veterans, the female veterans
live longer. Currently, the home has a 3:1 ratio of women to
men. Furthermore, 9 of the 90 veterans in the [Pioneers' Home]
are women. General Oates pointed out that spouses are allowed
into the homes in appropriate situations, which will increase
accessibility for women. Therefore, he didn't believe [HB 88]
is discriminatory. Furthermore, [HB 88] gives more beds to the
pioneers than the veterans.
GENERAL OATES turned to the issue of a possible decrease in
funding in the future. If funding is decreased, it's based in
statute per the amendment and is based on a percentage.
Therefore, the percentage would change accordingly and thus the
veterans wouldn't receive a disproportionately higher number of
beds if funding is decreased.
GENERAL OATES then addressed the notion that veterans are the
responsibility of the federal government. He informed the
committee that the federal government is treating veterans in
Alaska the same as in other states. Alaska has the second
highest per capita number of veterans of any state in the U.S.
However, Alaska is the only state without a veterans' home or
not in the process of building a veterans' home. The poorest
state in the nation, Mississippi, has four veterans' homes.
General Oates quoted Abraham Lincoln as saying the following:
"Care for him who has borne the battle, his widow, and his
children." He then quoted the following from Tom Brokaw's book,
The Greatest Generation: "They answered the call, they faced
great odds, they did not protest, they succeeded, they won the
war, they saved the world." However, "we're" not prepared to
give them the benefits these [veterans] have earned. General
Oates charged that the responsibility for veterans lies in the
hands of both the federal and the state government. In fact, in
every case the federal government carries the majority of the
funding. The federal government has said that if [the state]
comes forward with a plan, it will either help build and pay for
a veterans' home or participate in a pilot project. The federal
government has indicated that it is standing by to help, but the
state must take the first step as has been the case in the 49
other states. Again, he pointed to Mississippi with its four
veterans' homes, which cost that state $4.6 million a year in
general funds. The federal VA brings in $73.6 million to
support those homes. General Oates said, "The federal
[government] will pay the majority of the cost, but they're not
going to pay if the state's not willing to put up something for
its veterans." Furthermore, a veterans' home is a symbol.
GENERAL OATES turned to the proposal embodied in HB 88, which
provides more for less across the state. If a stand-alone
veterans' home was built, it would cost approximately $4 million
in state construction funds and the state would have to provide
the land. In such a situation, the federal government would pay
about three-quarters of the construction but the state would
have to pay the operating cost. The design under review is for
100 beds.
Number 2341
GENERAL OATES recalled the testimony of Dr. Ural Cohen(ph), an
Israeli paratrooper who is now a professor of architecture at
the University of Wisconsin and author of many books about care
and dementia situations. General Oates quoted Dr. Cohen(ph) as
follows: "This is a potentially rich resource to shape the
programs and environment of the pioneers and the veterans. It
will accelerate the homes transformation into exemplary care
environments." He also noted that Secretary Principi says that
Alaska's Pioneers' Homes system is equal, if not better than all
he has visited because the focus is on the resident's quality of
life. General Oates informed the committee that Secretary
Principi has said that he would like to use [the proposal in HB
88] as a pilot program. The $200,000 not being discussed here
is to be utilized in order to determine how best to leverage
other federal programs now that our foot is in the door to meet
the long-term care needs of veterans. General Oates echoed
earlier testimony regarding the fact that Ms. Solerno(ph) is
standing by to visit us. He reviewed the other [options] that
are available.
GENERAL OATES informed the committee that the state puts about
$540,000 in his budget, which results in additional benefits on
the order of about 64:1, $35 million. This is good business and
good for veterans and the nation. General Oates concluded by
saying that [Alaska] will never achieve a stand-alone veterans'
home because the state's share of the funding will never come.
"This is our only chance to meet the needs of the veterans," he
charged. "If this opportunity is passed, then he said he would
turn to the [legislature] for ideas. Although General Oates saw
the sincerity of this committee, he saw it as casting the "yes
or no vote." If HB 88 isn't passed to the House Finance
Committee, it will have been the House State Affairs Standing
Committee that cast the "no vote." He said that this committee
is too good for that. In conclusion, General Oates requested
that this committee forward HB 88 as quickly as possible.
Number 2564
REPRESENTATIVE JAMES announced that she was personally
[offended] by General Oates' concluding remarks. She clarified
that she wanted to do everything possible for veterans.
Representative James emphasized the diversity of Alaska and
pointed out that lots of veterans live in rural areas.
Therefore, she noted her mixed feeling regarding whether there
should be a veterans' home in one area of the state or whether
veterans' benefits should be funneled to wherever they live.
She asked if the state could get a waiver for funds to go
directly to the veteran, couldn't the waiver allow for the
veterans to be cared for wherever they are in the state.
CHAIR COGHILL said that he wouldn't allow the answer because
that goes to the core debate on the bill. Furthermore, he
didn't want to have a cursory answer as the committee is trying
to adjourn. Chair Coghill reiterated that he would not close
public testimony.
[HB 88 was held.]
ADJOURNMENT
There being no further business before the committee, the House
State Affairs Standing Committee meeting was adjourned at 11:17
a.m.
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