Legislature(2021 - 2022)SENATE FINANCE 532

04/07/2021 09:00 AM Senate FINANCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ SB 95 SEARCH AND RESCUE SURPLUS STATE PROPERTY TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
-- <Time Limit May Be Set> --
+ SB 89 ASSISTED LIVING HOMES: HOUSE RULES TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
-- <Time Limit May Be Set> --
+ SB 98 ADULT FOSTER CARE FOR DISABLED TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
-- <Time Limit May Be Set> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
                 SENATE FINANCE COMMITTEE                                                                                       
                       April 7, 2021                                                                                            
                         9:16 a.m.                                                                                              
                                                                                                                                
9:16:56 AM                                                                                                                    
                                                                                                                                
CALL TO ORDER                                                                                                                 
                                                                                                                                
Co-Chair Bishop called the  Senate Finance Committee meeting                                                                    
to order at 9:16 a.m.                                                                                                           
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Click Bishop, Co-Chair                                                                                                  
Senator Bert Stedman, Co-Chair                                                                                                  
Senator Lyman Hoffman                                                                                                           
Senator Donny Olson                                                                                                             
Senator Natasha von Imhof                                                                                                       
Senator Bill Wielechowski                                                                                                       
Senator David Wilson                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
None                                                                                                                            
                                                                                                                                
ALSO PRESENT                                                                                                                  
                                                                                                                                
Jasmin Martin, Staff, Senator Wilson.                                                                                           
                                                                                                                                
PRESENT VIA TELECONFERENCE                                                                                                    
                                                                                                                                
Jonathon  Harshfield,  State  Property  Manager,  Anchorage;                                                                    
John   Lee,  Director,   Senior  and   Disability  Services,                                                                    
Department  of Health  and Social  Services (DHSS),  Palmer;                                                                    
Craig  Baxter,   Program  Manager,   Residential  Licensing,                                                                    
Division   of  Behavioral   Health,  Anchorage;   JOHN  LEE,                                                                    
DIRECTOR,  SENIOR  and  DISABILITY  SERVICES;  Tony  Newman,                                                                    
Deputy   Director,  Division   of   Senior  and   Disability                                                                    
Services,  Juneau; Michael  Jaffery, Self,  Utqiagvik; Linda                                                                    
Giani,  Self, Wasilla;  Lois  Epperson,  Adult Foster  Care,                                                                    
Wasilla.                                                                                                                        
                                                                                                                                
SUMMARY                                                                                                                       
                                                                                                                                
SB 89     ASSISTED LIVING HOMES: HOUSE RULES                                                                                    
                                                                                                                                
          SB 89 was HEARD and HELD in committee for further                                                                     
          consideration.                                                                                                        
                                                                                                                                
SB 95     SEARCH AND RESCUE SURPLUS STATE PROPERTY                                                                              
                                                                                                                                
          SB 95 was HEARD and HELD in committee for further                                                                     
          consideration.                                                                                                        
                                                                                                                                
SB 98     ADULT FOSTER CARE FOR DISABLED                                                                                        
                                                                                                                                
          SB 98 was HEARD and HELD in committee for further                                                                     
          consideration.                                                                                                        
                                                                                                                                
SENATE BILL NO. 95                                                                                                            
                                                                                                                                
     "An Act  relating to  the right of  first refusal  of a                                                                    
     volunteer  search  and  rescue group  with  respect  to                                                                    
     surplus state property."                                                                                                   
                                                                                                                                
9:18:35 AM                                                                                                                    
                                                                                                                                
DAVID WILSON, SPONSOR, introduced himself.                                                                                      
                                                                                                                                
9:18:45 AM                                                                                                                    
                                                                                                                                
JASMIN MARTIN, STAFF, SENATOR WILSON, introduced herself.                                                                       
                                                                                                                                
Senator Wilson explained the legislation through the                                                                            
Sponsor Statement (copy on file):                                                                                               
                                                                                                                                
     Search  and  rescue  operations  across  the  State  of                                                                    
     Alaska  are  largely  done by  volunteer  organizations                                                                    
     dispatched by  the Alaska State Troopers.  These groups                                                                    
     provide  lifesaving services  to our  state at  minimal                                                                    
     cost. SB  95 provides  assistance to  the groups  at no                                                                    
     cost to the state.                                                                                                         
                                                                                                                                
     While search  and rescue groups  can be  reimbursed for                                                                    
     costs  incurred during  specific operations,  the state                                                                    
     does not  generally provide  them with  equipment. This                                                                    
     legislation  allows  a   volunteer  search  and  rescue                                                                    
     organization to exercise the right  of first refusal on                                                                    
     items related to search and  rescue before the property                                                                    
     is sold,  leased, licenses, or  disposed of.  This bill                                                                    
     enables  these volunteer  search and  rescue groups  to                                                                    
     more easily obtain the equipment they need to fulfill                                                                      
     their lifesaving mission.                                                                                                  
                                                                                                                                
Ms. Martin addressed the Sectional Analysis (copy on file):                                                                     
                                                                                                                                
     Section 1: Names this act the Ellie Mae Act.                                                                               
                                                                                                                                
     Section 2:  Amends AS 44.68.110  to allow  an organized                                                                    
     volunteer search and rescue group  to exercise right of                                                                    
     first  refusal  for  surplus  state  items  related  to                                                                    
     search and  rescue before they  are disposed of  by the                                                                    
     state.                                                                                                                     
                                                                                                                                
9:21:56 AM                                                                                                                    
                                                                                                                                
Senator  Hoffman   remarked  that  the  search   and  rescue                                                                    
operations in  his district were frequently  underfunded. He                                                                    
wondered why there  would be a charge of  the full appraised                                                                    
value. He felt that there  should be a discount because they                                                                    
perform a public  function. He also wondered  how the search                                                                    
and rescue members would compete  for highly prized items to                                                                    
provide search and rescue operations.                                                                                           
                                                                                                                                
Senator Wilson replied  that the bill was  intended to allow                                                                    
for the entities to find discounted items.                                                                                      
                                                                                                                                
Ms. Martin  furthered that they  do not necessarily  need to                                                                    
perform a  search and rescue  party, but in statute  it says                                                                    
that they "could" perform a search and rescue party.                                                                            
                                                                                                                                
Senator Wielechowski queried the  definition of a search and                                                                    
rescue group.                                                                                                                   
                                                                                                                                
Ms. Martin replied that it was not defined in statute. //                                                                       
                                                                                                                                
Senator Hoffman asked about Ellie May.                                                                                          
                                                                                                                                
Senator Wilson responded that it was a fallen canine.                                                                           
                                                                                                                                
9:26:31 AM                                                                                                                    
                                                                                                                                
JONATHON HARSHFIELD, STATE  PROPERTY MANAGER, ANCHORAGE (via                                                                    
teleconference), introduced himself.                                                                                            
                                                                                                                                
Co-Chair  Bishop  wondered  whether Mr.  Harshfield  was  in                                                                    
charge of disposing of excess property.                                                                                         
                                                                                                                                
Mr. Harshfield replied in the affirmative.                                                                                      
                                                                                                                                
Co-Chair   Bishop  queried   some  hypothetical   situations                                                                    
regarding applying for excess property in the state fleet.                                                                      
                                                                                                                                
Mr.  Harshfield   replied  that  there  would   be  a  brief                                                                    
qualification process.                                                                                                          
                                                                                                                                
Co-Chair Bishop  surmised that there would  be a competition                                                                    
with other state agencies.                                                                                                      
                                                                                                                                
Mr.  Harshfield responded  that there  would be  competition                                                                    
with other search and rescue groups.                                                                                            
                                                                                                                                
Co-Chair   Bishop  wondered   whether   the   state  had   a                                                                    
reutilization program within state agencies.                                                                                    
                                                                                                                                
9:30:06 AM                                                                                                                    
                                                                                                                                
Mr.  Harshfield  replied  that  there  were  multiple  tiers                                                                    
within the auction.                                                                                                             
                                                                                                                                
Co-Chair  Bishop  wondered  whether  there  were  any  other                                                                    
state-affiliated  agencies  that  would have  allowance  for                                                                    
state property.                                                                                                                 
                                                                                                                                
Senator  Wielechowski  surmised  that  there  was  a  tiered                                                                    
system for the property.                                                                                                        
                                                                                                                                
Mr. Harshfield replied in the affirmative.                                                                                      
                                                                                                                                
Senator  Wielechowski wondered  how  the  search and  rescue                                                                    
groups were  in the second tier  when they had the  right of                                                                    
first refusal.                                                                                                                  
                                                                                                                                
Mr. Harshfield replied that they  were in the right of first                                                                    
refusal for any entity outside of the state.                                                                                    
                                                                                                                                
Senator  Wilson  furthered  that  the  state  was  releasing                                                                    
ownership of the equipment.                                                                                                     
                                                                                                                                
Senator Wielechowski  wondered who  would receive  the title                                                                    
of the property.                                                                                                                
                                                                                                                                
Mr. Harshfield  replied that most  likely the leader  of the                                                                    
group would  receive the  title, and agreed  to work  on who                                                                    
would  get ownership  at  the moment  of  disbanding of  the                                                                    
group.                                                                                                                          
                                                                                                                                
9:35:01 AM                                                                                                                    
                                                                                                                                
Co-Chair   Bishop  wondered   whether  Mr.   Harshfield  was                                                                    
familiar  with   the  federal  government's   Department  of                                                                    
Utilization of Property.                                                                                                        
                                                                                                                                
Mr. Harshfield replied in the affirmative.                                                                                      
                                                                                                                                
Senator  Hoffman  wondered  whether  there  was  a  list  of                                                                    
surplus property to the agencies,  and wondered how the list                                                                    
was disseminated to the nonprofits.                                                                                             
                                                                                                                                
Mr. Harshfield replied that there  was no schedule basis. He                                                                    
stated  that there  would  be work  with  the Department  of                                                                    
Public Safety  (DPS), and reaching  out to known  search and                                                                    
rescue groups.                                                                                                                  
                                                                                                                                
Senator  von Imhof  felt  that it  was  interesting that  an                                                                    
individual person  would receive  ownership, rather  than an                                                                    
entity.                                                                                                                         
                                                                                                                                
Senator Wilson deferred to Ms. Martin.                                                                                          
                                                                                                                                
Ms.  Martin replied  that there  was already  a process  for                                                                    
what happens  to a  piece of equipment  that the  state owns                                                                    
for a search and rescue group.  She agreed that there was no                                                                    
regulation  for  the program  because  the  program did  not                                                                    
exist. She  felt that  it would be  something that  would be                                                                    
outlined  in  regulation.  She  stated  that  an  individual                                                                    
person would  take responsibility  for a piece  of property,                                                                    
but not necessarily ownership.                                                                                                  
                                                                                                                                
Senator  von Imhof  wondered who  would take  ownership, and                                                                    
wondered whether there should be a definition.                                                                                  
                                                                                                                                
Ms.  Martin replied  that there  had  been discussion  about                                                                    
limiting the program to certain  types of organizations, but                                                                    
worried  that   it  would  leave  out   different  types  of                                                                    
volunteer organizations.                                                                                                        
                                                                                                                                
Senator Olson  asked for an  example of items that  would be                                                                    
considered excess property.                                                                                                     
                                                                                                                                
Mr. Harshfield  replied that it  would be anything  that DPS                                                                    
deemed assigned to that tier.                                                                                                   
                                                                                                                                
9:40:23 AM                                                                                                                    
                                                                                                                                
Senator   Olson   wondered    whether   it   would   include                                                                    
helicopters.                                                                                                                    
                                                                                                                                
Mr. Harshfield replied in the affirmative.                                                                                      
                                                                                                                                
Senator Olson  wondered whether the  Civil Air  Patrol would                                                                    
be qualified in the program.                                                                                                    
                                                                                                                                
Senator Wilson replied in the affirmative.                                                                                      
                                                                                                                                
Senator Hoffman surmised that the  equipment could come from                                                                    
any department with surplus equipment.                                                                                          
                                                                                                                                
Senator Wilson replied in the affirmative.                                                                                      
                                                                                                                                
Mr. Harshfield stated that the  process had not yet been put                                                                    
in place.                                                                                                                       
                                                                                                                                
Senator  Olson  wondered  whether the  North  Slope  Borough                                                                    
would be eligible for the excess property.                                                                                      
                                                                                                                                
Ms.  Martin replied  that they  were eligible  only if  they                                                                    
were a volunteer organization.                                                                                                  
                                                                                                                                
Co-Chair Bishop OPENED and CLOSED public testimony.                                                                             
                                                                                                                                
SB  95  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
SENATE BILL NO. 89                                                                                                            
                                                                                                                                
     "An Act relating to house rules for assisted living                                                                        
     homes."                                                                                                                    
                                                                                                                                
9:44:23 AM                                                                                                                    
                                                                                                                                
JOHN   LEE,  DIRECTOR,   SENIOR  AND   DISABILITY  SERVICES,                                                                    
DEPARTMENT  OF HEALTH  AND  SOCIAL  SERVICES (DHSS),  PALMER                                                                    
(via teleconference), introduced  himself. He introduced the                                                                    
legislation. He stated that the  Alaska statutes were not in                                                                    
compliance  with  federal  regulations, therefore  the  bill                                                                    
aligned with the federal regulations.                                                                                           
                                                                                                                                
9:47:18 AM                                                                                                                    
                                                                                                                                
Mr. Lee addressed the Sectional Analysis (copy on file):                                                                        
                                                                                                                                
     Section 1:                                                                                                                 
     Amends  AS 47.33.060  House Rules  for Assisted  Living                                                                    
     Homes  to explicitly  require consistency  with federal                                                                    
     regulation when house rules are established.                                                                               
                                                                                                                                
     Section 2:                                                                                                                 
     Adds  a new  section to  AS 47.33.060  House Rules  for                                                                    
     Assisted Living  Homes to  make explicit  that assisted                                                                    
     living  homes  that  provide waiver  services  may  not                                                                    
     adopt   house    rules   inconsistent    with   federal                                                                    
     regulations.                                                                                                               
                                                                                                                                
     Section 3:                                                                                                                 
     Carries the statutory amendments  proposed in Section 1                                                                    
     and Section 2 of the  bill to AS 47.33.300(a) regarding                                                                    
     a resident's rights to have visitors.                                                                                      
                                                                                                                                
Senator Wielechowski surmised  that individuals were allowed                                                                    
to have visitors at any time.                                                                                                   
                                                                                                                                
Mr. Lee agreed.                                                                                                                 
                                                                                                                                
Senator Wielechowski  wondered whether the provider  had any                                                                    
say about a visitor causing a disturbance.                                                                                      
                                                                                                                                
Mr. Lee deferred to Mr. Baxter.                                                                                                 
                                                                                                                                
9:49:22 AM                                                                                                                    
                                                                                                                                
CRAIG  BAXTER,   PROGRAM  MANAGER,   RESIDENTIAL  LICENSING,                                                                    
DIVISION    OF    BEHAVIORAL    HEALTH,    ANCHORAGE    (via                                                                    
teleconference),  explained  that  if an  individual  was  a                                                                    
disruption the facility could restrict access with reason.                                                                      
                                                                                                                                
Co-Chair Bishop OPENED and CLOSED public testimony.                                                                             
                                                                                                                                
SB  89  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
9:51:01 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:54:28 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
SENATE BILL NO. 98                                                                                                            
                                                                                                                                
     "An Act  relating to medical assistance  for recipients                                                                    
     of adult  foster care  services; establishing  an adult                                                                    
     foster care home license  and procedures; and providing                                                                    
     for the  transition of individuals from  foster care to                                                                    
     adult foster care homes."                                                                                                  
                                                                                                                                
9:54:56 AM                                                                                                                    
                                                                                                                                
Co-Chair Bishop introduced the bill.                                                                                            
                                                                                                                                
JOHN LEE, DIRECTOR, SENIOR AND DISABILITY SERVICES (via                                                                         
teleconference), spoke to the Sponsor Statement (copy on                                                                        
file).                                                                                                                          
                                                                                                                                
9:56:09 AM                                                                                                                    
                                                                                                                                
TONY  NEWMAN,  DEPUTY  DIRECTOR,   DIVISION  OF  SENIOR  AND                                                                    
DISABILITY SERVICES,  JUNEAU (via  teleconference), detailed                                                                    
the bill  with a  document title, "SB  98 Adult  Foster Care                                                                    
for Disabled One Page Summary" (copy on file):                                                                                  
                                                                                                                                
     What does this bill do?                                                                                                    
     This bill provides an  opportunity for enhanced support                                                                    
     for  caregivers of  individuals  with disabilities  who                                                                    
     are in  foster care  and aging out  of the  foster care                                                                    
     system.  This   bill  establishes  a   new  residential                                                                    
     setting category,  "adult foster  care home,"  in which                                                                    
     those youth  with disabilities who  are in  foster care                                                                    
     can continue  to live with their  current foster family                                                                    
     after leaving  state's custody. This bill  allows for a                                                                    
     continuity of care for the  individual and provides the                                                                    
     necessary support for the family  that is continuing to                                                                    
     provide this care, with decreased administrative                                                                           
     burden than is normally  required for an adult assisted                                                                    
     living home.                                                                                                               
                                                                                                                                
     Why is this bill needed?                                                                                                   
     Youth who experience  disabilities that would otherwise                                                                    
     require a level of care  provided in an institution can                                                                    
     qualify  for  waiver  services,  including  residential                                                                    
     services. In  these cases, a foster  parent can receive                                                                    
     a daily foster care stipend  or may become certified to                                                                    
     provide child  family home  habilitation to  the youth.                                                                    
     Payment  rates  for  both are  intended  to  cover  the                                                                    
     recipient's need for 24/7  care. In certain situations,                                                                    
     and if  justified in a  child's support  plan, personal                                                                    
     care services can also be  provided to the child in the                                                                    
     licensed home.                                                                                                             
                                                                                                                                
     When  youth transition  to adulthood,  the foster  care                                                                    
     payment is no longer available  because the youth is no                                                                    
     longer in  OCS custody. Other options  to support their                                                                    
     living   needs  either   pay   less   or  have   higher                                                                    
     requirements for  certification; do not  allow personal                                                                    
     care  services to  be provided;  and would  require the                                                                    
     foster  parent to  license their  home  as an  assisted                                                                    
     living home.  The bill aims  to create an  adult foster                                                                    
     care option  in statute  that allows  for the  youth to                                                                    
     remain in the  same home they have  been living; enable                                                                    
     the  foster  parent  to continue  to  receive  adequate                                                                    
     support to  provide 24/7 care; allow  for personal care                                                                    
     services if the  individual's support plan demonstrates                                                                    
     this  need; and  provide oversight  to ensure  that the                                                                    
     home  is  a safe  and  positive  setting in  which  the                                                                    
     individual's needs  can be met, without  requiring that                                                                    
     the  home setting  be licensed  as  an assisted  living                                                                    
     home.  This  bill  will provide  a  new  license  type,                                                                    
     similar to the current  child foster care home license,                                                                    
     that  will  provide   structured  services  and  family                                                                    
     continuity for  disabled youth after  aging out  of the                                                                    
     traditional  foster care  system.  The  bill also  will                                                                    
     create  a new  service,  adult foster  care, that  will                                                                    
     ensure  providers   are  qualified  and   supported  in                                                                    
     providing care to these individuals.                                                                                       
                                                                                                                                
     How many individuals will this bill affect?                                                                                
     On  March 1,  2021, 50  foster care  youth were  either                                                                    
     placed  on a  home and  community-based waiver  or were                                                                    
     waiting  to  receive  these  services.  The  Office  of                                                                    
     Children's Services  estimates that a maximum  of 10 of                                                                    
     these  youth will  age out  of the  foster care  system                                                                    
     each year.                                                                                                                 
                                                                                                                                
9:59:37 AM                                                                                                                    
                                                                                                                                
Mr. Newman addressed  a graphic on display  in the committee                                                                    
room (copy not on file).                                                                                                        
                                                                                                                                
10:04:53 AM                                                                                                                   
                                                                                                                                
Senator Wielechowski  queried the estimate of  the number of                                                                    
people impacted and the total cost.                                                                                             
                                                                                                                                
Mr. Newman replied that there  were roughly 20 children that                                                                    
were on  a Medicaid Home  and Community Based waiver  and in                                                                    
foster  care. He  stated that  there  was an  estimate of  a                                                                    
maximum  of  ten  youth  per  year  transitioning  into  the                                                                    
service. He could provide an overview of the fiscal notes.                                                                      
                                                                                                                                
Co-Chair  Bishop  stated  that  the fiscal  notes  would  be                                                                    
covered later.                                                                                                                  
                                                                                                                                
10:05:42 AM                                                                                                                   
                                                                                                                                
Senator  Olson queried  the difference  between an  assisted                                                                    
living home license and an adult foster care license.                                                                           
                                                                                                                                
Mr.  Newman replied  that  the bill  would  create an  adult                                                                    
foster care  license, and then  regulation would  define the                                                                    
details of what an adult foster home license.                                                                                   
                                                                                                                                
Senator  Olson queried  the difference  between an  assisted                                                                    
living home license and an adult foster care license.                                                                           
                                                                                                                                
Mr. Newman  replied that the  intention of the bill  made it                                                                    
clear  that  the  goal  was to  provide  for  a  streamlined                                                                    
transition  from a  child foster  home license  to an  adult                                                                    
foster home license.                                                                                                            
                                                                                                                                
Senator  Olson asked  why there  was not  more for  personal                                                                    
care services.                                                                                                                  
                                                                                                                                
Mr.  Newman  responded  that  he  wanted  to  represent  the                                                                    
specific services. He furthered  that personal care services                                                                    
would be a separate, and additional cost.                                                                                       
                                                                                                                                
Senator  Wielechowski  stated  that he  had  some  questions                                                                    
about the fiscal note.                                                                                                          
                                                                                                                                
10:09:09 AM                                                                                                                   
                                                                                                                                
Mr. Newman addressed the Sectional Analysis (copy on file):                                                                     
                                                                                                                                
     Section 1:  Adds a  new section  to AS  47.07, Medicaid                                                                    
     Assistance  for  Needy  Persons, to  declare  that  the                                                                    
     state's  policy is  to support  individuals who  are or                                                                    
     were in the custody of  the state under AS 47.10 (Child                                                                    
     in Need  of Aid),  residing in  a licensed  foster care                                                                    
     home, and eligible for  home and community-based waiver                                                                    
     services by  providing the means  for an  individual to                                                                    
     remain  in the  same home  and with  the same  families                                                                    
     when  they  are  released   from  state  custody  after                                                                    
     turning 18 years of age.                                                                                                   
                                                                                                                                
     This   section   requires   the  department   to   make                                                                    
     reasonable  efforts  to  implement  adult  foster  care                                                                    
     services in a streamlined manner.                                                                                          
                                                                                                                                
     This section creates a new  section, AS 47.07.048, that                                                                    
     sets out  the provision of adult  foster care services,                                                                    
     and requires  the department to: assist  foster parents                                                                    
     with  transitioning from  a foster  care license  to an                                                                    
     adult  foster  care  home  license;  pay  the  cost  of                                                                    
     maintenance necessary  to assure  adequate care  for an                                                                    
     adult foster  care recipient through  a daily  rate set                                                                    
     by  the department;  allow  the  individual to  receive                                                                    
     habilitative  and rehabilitative  care  in addition  to                                                                    
     the adult  foster care  service; and  adopt regulations                                                                    
     to implement this section.                                                                                                 
                                                                                                                                
     Section 2: amends AS 47.32.010(b)  to add a new entity,                                                                    
     "adult  foster care  homes," that  shall be  subject to                                                                    
     the centralized licensing functions of the department.                                                                     
                                                                                                                                
     Section 3: adds a new  section to AS 47.32 that defines                                                                    
     the conditions  under which the department  may license                                                                    
     an adult foster care home.  A person may be licensed to                                                                    
     operate such  a home for  a minor when the  minor turns                                                                    
     18 if the person holds  a license under this chapter to                                                                    
     operate a foster  home at the time  of application; and                                                                    
     is providing  care for a minor  who is, or who  was, at                                                                    
     the time  of turning  18, in the  custody of  the state                                                                    
     and residing in the  person's licensed foster care home                                                                    
     and  was  receiving  home  and  community-based  waiver                                                                    
     services under AS 47.07.045.                                                                                               
                                                                                                                                
     This section requires the  department to streamline the                                                                    
     application  process necessary  for  the  person to  be                                                                    
     approved  as an  adult  foster care  home provider  and                                                                    
     requires  that  the  department  approve  variances  of                                                                    
     building code  requirements to the extent  permitted by                                                                    
     state, local, or federal law.                                                                                              
                                                                                                                                
     Section  4: amends  AS 47.32.900  to add  new paragraph                                                                    
     (23) defining  "adult foster care home"  as a residence                                                                    
     where an adult head  of household provides 24-hour care                                                                    
     for  not  more  than  two adults  for  compensation  or                                                                    
     reimbursement under the adult  foster care service; and                                                                    
     defines "care"  as providing for the  physical, mental,                                                                    
     and social needs of an individual.                                                                                         
                                                                                                                                
     Section  5:  amends  uncodified law  by  adding  a  new                                                                    
     section  that requires  the  Department  of Health  and                                                                    
     Social Services  to submit for  approval by  the United                                                                    
     States  Department  of  Health and  Human  Services  an                                                                    
     amendment  to   the  state  medical   assistance  plan,                                                                    
     waivers, or  an 1115 demonstration waiver  as necessary                                                                    
     to allow  eligible individuals to receive  adult foster                                                                    
     care services  and other  long-term care  services that                                                                    
     are not duplicative.                                                                                                       
                                                                                                                                
     Section   6:   amends    uncodified   law   by   adding                                                                    
     instructions to the revisor of  statutes to give effect                                                                    
     to the provisions of this  bill by changing "Department                                                                    
     Health and  Social Services" to "Department  of Health"                                                                    
     as  proposed under  the Governor's  Executive Order  to                                                                    
     reorganize the  department if both the  Executive Order                                                                    
     and this bill  are enacted into law.  This section also                                                                    
     requests that,  if this bill and  another bill amending                                                                    
     the   term  "crisis   stabilization  center"   to  read                                                                    
     "subacute mental health facility"  both become law, the                                                                    
     revisor  of statutes  give effect  to  both changes  of                                                                    
     terms.                                                                                                                     
                                                                                                                                
Senator Wielechowski looked at the fiscal note OMB number                                                                       
3234, and wondered whether there was a concurrent decrement                                                                     
for the $126 per day that the state was currently paying.                                                                       
                                                                                                                                
Mr. Newman replied that the bill was a potentially lower                                                                        
cost alternative.                                                                                                               
                                                                                                                                
Senator Wielechowski felt that the fiscal note should                                                                           
reflect a decrement.                                                                                                            
                                                                                                                                
Mr.  Newman  agreed to  take  a  closer examination  at  the                                                                    
fiscal  note and  provide the  committee with  any potential                                                                    
savings.                                                                                                                        
                                                                                                                                
10:14:59 AM                                                                                                                   
                                                                                                                                
Senator von  Imhof stressed that  it was difficult  to fully                                                                    
determine the fiscal note.                                                                                                      
                                                                                                                                
Senator Hoffman  requested that  the department  provide the                                                                    
population base  of 15-, 16-, and  17-year-olds by community                                                                    
to see where the need is throughout the state.                                                                                  
                                                                                                                                
Mr. Newman agreed to provide that information.                                                                                  
                                                                                                                                
Co-Chair Bishop  agreed with the  comments about  the fiscal                                                                    
note from Senator  von Imhof. He wondered  whether there was                                                                    
confidence in approval of the waiver.                                                                                           
                                                                                                                                
Mr. Newman  replied in the affirmative  because other states                                                                    
had an adult foster home service.                                                                                               
                                                                                                                                
Senator  Wilson   wondered  whether  the   department  could                                                                    
provide  the  number of  children  that  choose to  stay  in                                                                    
foster care up to age 21.                                                                                                       
                                                                                                                                
Mr. Newman agreed to provide that information.                                                                                  
                                                                                                                                
10:20:40 AM                                                                                                                   
                                                                                                                                
Senator Wielechowski wondered whether  there was a provision                                                                    
for  a  disabled adult,  not  under  foster care,  could  be                                                                    
considered under the proposed program.                                                                                          
                                                                                                                                
Mr. Newman replied  that, currently the bill  was limited to                                                                    
people  who had  left  child foster  care,  but stated  that                                                                    
there had been discussions about that question.                                                                                 
                                                                                                                                
10:21:24 AM                                                                                                                   
                                                                                                                                
Co-Chair Bishop OPENED public testimony.                                                                                        
                                                                                                                                
10:22:03 AM                                                                                                                   
                                                                                                                                
MICHAEL  JAFFERY,  SELF,   UTQIAGVIK  (via  teleconference),                                                                    
testified in support of the legislation.                                                                                        
                                                                                                                                
10:24:15 AM                                                                                                                   
                                                                                                                                
LINDA GIANI, SELF, WASILLA (via teleconference), spoked in                                                                      
support of the bill.                                                                                                            
                                                                                                                                
10:28:13 AM                                                                                                                   
                                                                                                                                
LOIS   EPPERSON,    ADULT   FOSTER   CARE,    WASILLA   (via                                                                    
teleconference), testified in support of the legislation.                                                                       
                                                                                                                                
10:31:23 AM                                                                                                                   
                                                                                                                                
Co-Chair Bishop CLOSED public testimony.                                                                                        
                                                                                                                                
10:31:30 AM                                                                                                                   
AT EASE                                                                                                                         
                                                                                                                                
10:31:54 AM                                                                                                                   
RECONVENED                                                                                                                      
                                                                                                                                
Co-Chair Bishop stated that the day's afternoon meeting                                                                         
would be cancelled.                                                                                                             
                                                                                                                                
SB 98 was HEARD and HELD in committee for further                                                                               
consideration.                                                                                                                  
                                                                                                                                
ADJOURNMENT                                                                                                                   
10:32:18 AM                                                                                                                   
                                                                                                                                
The meeting was adjourned at 10:32 a.m.                                                                                         

Document Name Date/Time Subjects
SB 95 v. I Sectional Summary.pdf SFIN 4/7/2021 9:00:00 AM
SB 95
SB 95 v. I Sponsor Statement.pdf SFIN 4/7/2021 9:00:00 AM
SB 95
SB 95 Testimony Access to Surplus State Resources.pdf SFIN 4/7/2021 9:00:00 AM
SB 95
SB 95 Public Testimony.pdf SFIN 4/7/2021 9:00:00 AM
SB 95
SB 95 Exp. of Changes B-I.pdf SFIN 4/7/2021 9:00:00 AM
SB 95
SB 98 Transmittal Letter.pdf SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 98
SB 98 Sectional Analysis Version GS 1708 A.pdf SFIN 4/7/2021 9:00:00 AM
SFIN 3/31/2022 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 98
SB 98 Adult Foster Care for Disabled Graphic.pdf SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 98
SB 98 Adult Foster Care Bill - One Page Summary.pdf SFIN 4/7/2021 9:00:00 AM
SB 98
SB 89 Sectional Analysis Version GS 1675 A.pdf HHSS 5/13/2021 3:00:00 PM
SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 89
SB 89 One Page Summary.pdf HHSS 4/29/2021 3:00:00 PM
HHSS 5/4/2021 3:00:00 PM
HHSS 5/13/2021 3:00:00 PM
SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 89
SB 89 Transmital Letter.pdf SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 89
SB 89 Settings Information webpage.pdf HHSS 4/29/2021 3:00:00 PM
SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 89
SB 89 Letters of Support.pdf SFIN 4/7/2021 9:00:00 AM
SB 89
SB 89 Final Rule 42 CFR 441.301c.pdf SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 89
SB 89 FAQ on Final Rule prepared by Coalition for Community Choice.pdf HHSS 4/29/2021 3:00:00 PM
HHSS 5/4/2021 3:00:00 PM
HHSS 5/13/2021 3:00:00 PM
SFIN 4/7/2021 9:00:00 AM
SHSS 3/18/2021 1:30:00 PM
SB 89
SB 89 AARP Support HB103 and SB89.pdf HHSS 4/13/2021 3:00:00 PM
HHSS 4/29/2021 3:00:00 PM
SFIN 4/7/2021 9:00:00 AM
HB 103
SB 89