Legislature(2011 - 2012)BUTROVICH 205

02/02/2011 01:30 PM HEALTH & SOCIAL SERVICES


Download Mp3. <- Right click and save file as

Audio Topic
01:32:41 PM Start
01:33:37 PM SB12
01:50:48 PM SB21
01:51:24 PM HB16
02:13:38 PM Presentation: Denali Family Services
02:30:58 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 12 EXTEND BOARD OF NURSING TELECONFERENCED
Moved SB 12 Out of Committee
*+ SB 21 EXTEND SENIOR BENEFITS PAYMENT PROGRAM TELECONFERENCED
Heard & Held
+ HB 16 EXTEND SENIOR BENEFITS PAYMENT PROGRAM TELECONFERENCED
Moved HB 16 Out of Committee
Bills Previously Heard/Scheduled
Presentation: Denali Family Services - Little
Steps Preschool
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                        February 2, 2011                                                                                        
                           1:32 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Dennis Egan                                                                                                             
Senator Johnny Ellis                                                                                                            
Senator Kevin Meyer                                                                                                             
Senator Fred Dyson                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Bettye Davis, Chair                                                                                                     
                                                                                                                                
OTHER LEGISLATORS PRESENT                                                                                                     
                                                                                                                              
Senator Cathy Giessel                                                                                                           
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 12                                                                                                              
"An Act extending the termination date of the Board of Nursing;                                                                 
and providing for an effective date."                                                                                           
                                                                                                                                
     - MOVED SB 12 OUT OF COMMITTEE                                                                                             
                                                                                                                                
SENATE BILL NO. 21                                                                                                              
"An Act extending senior benefits."                                                                                             
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
HOUSE BILL NO. 16                                                                                                               
"An Act extending senior benefits."                                                                                             
                                                                                                                                
     - MOVED HB 16 OUT OF COMMITTEE                                                                                             
                                                                                                                                
Presentation: Denali Family Services                                                                                            
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 12                                                                                                                   
SHORT TITLE: EXTEND BOARD OF NURSING                                                                                            
SPONSOR(s): SENATOR(s) DAVIS                                                                                                    
                                                                                                                                
01/19/11       (S)       PREFILE RELEASED 1/7/11                                                                                
01/19/11       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/19/11       (S)       HSS, FIN                                                                                               
02/02/11       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HB 16                                                                                                                   
SHORT TITLE: EXTEND SENIOR BENEFITS PAYMENT PROGRAM                                                                             
SPONSOR(s): REPRESENTATIVE(s) HAWKER                                                                                            
                                                                                                                                
01/18/11       (H)       PREFILE RELEASED 1/7/11                                                                                
01/18/11       (H)       READ THE FIRST TIME - REFERRALS                                                                        
01/18/11       (H)       HSS, FIN                                                                                               
01/25/11       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
01/25/11       (H)       Moved Out of Committee                                                                                 
01/25/11       (H)       MINUTE(HSS)                                                                                            
01/26/11       (H)       HSS RPT 6DP                                                                                            
01/26/11       (H)       DP: MILLETT, DICK, SEATON, MILLER,                                                                     
                         HERRON, KELLER                                                                                         
01/31/11       (H)       FIN RPT 10DP                                                                                           
01/31/11       (H)       DP: FAIRCLOUGH, T.WILSON, GUTTENBERG,                                                                  
                         JOULE,    COSTELLO,    NEUMAN,    EDGMON,                                                              
                         DOOGAN,                                                                                                
01/31/11       (H)       STOLTZE, THOMAS                                                                                        
01/31/11       (H)       TRANSMITTED TO (S)                                                                                     
01/31/11       (H)       VERSION: HB 16                                                                                         
01/31/11       (H)       FIN AT 9:00 AM HOUSE FINANCE 519                                                                       
01/31/11       (H)       Moved Out of Committee                                                                                 
01/31/11       (H)       MINUTE(FIN)                                                                                            
02/02/11       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: SB  21                                                                                                                  
SHORT TITLE: EXTEND SENIOR BENEFITS PAYMENT PROGRAM                                                                             
SPONSOR(s): SENATOR(s) WIELECHOWSKI, KOOKESH, MEYER, PASKVAN,                                                                   
MCGUIRE                                                                                                                         
                                                                                                                                
01/19/11       (S)       PREFILE RELEASED 1/7/11                                                                                
01/19/11       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/19/11       (S)       HSS, FIN                                                                                               
02/02/11       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
CELESTE HODGE, Staff to Senator Davis                                                                                           
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Presented SB 12 for the sponsor.                                                                          
                                                                                                                                
NANCY SANDERS, Executive Administrator                                                                                          
Alaska Board of Nursing                                                                                                         
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Answered questions about the Board of                                                                     
Nursing.                                                                                                                        
                                                                                                                                
PAT DAVIDSON, Legislative Auditor                                                                                               
Division of Legislative Audit                                                                                                   
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Testified in support of SB 12.                                                                            
                                                                                                                                
REPRESENTATIVE MIKE HAWKER                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Sponsor of HB 16.                                                                                         
                                                                                                                                
MARIE DARLIN, American Association of Retired Persons (AARP)                                                                    
Capital City Task Force                                                                                                         
Juneau, AK                                                                                                                      
POSITION STATEMENT: Testified in support of HB 16.                                                                            
                                                                                                                                
DENISE DANIELLO, Executive Director                                                                                             
Alaska Commission on Aging                                                                                                      
Department of Health and Social Services (DHSS)                                                                                 
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Testified in support of HB 16.                                                                            
                                                                                                                                
DIXIE HOOD, representing herself                                                                                                
Juneau, AK                                                                                                                      
POSITION STATEMENT: Requested changes to HB 16.                                                                               
                                                                                                                                
RON KREHER, Acting Director                                                                                                     
Division of Public Assistance                                                                                                   
Department of Health and Social Services                                                                                        
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Testified in support of HB 16.                                                                            
                                                                                                                                
YVONNE CHASE PhD., Chief Executive Officer                                                                                      
Denali Family Services                                                                                                          
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Gave information about Little Steps                                                                       
Preschool.                                                                                                                      
                                                                                                                                
KYLE GARDNER, Director                                                                                                          
Little Steps Preschool                                                                                                          
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Gave presentation on Little Steps Preschool.                                                              
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:32:41 PM                                                                                                                    
SENATOR  DENNIS  EGAN, sitting  in  for  Chair Davis,  called  the                                                          
Senate Health  and Social Services  Standing Committee  meeting to                                                              
order at  1:32 p.m.  Present at  the call  to order were  Senators                                                              
Egan, Myer, Dyson, and Ellis.                                                                                                   
                                                                                                                                
                 SB 12-EXTEND BOARD OF NURSING                                                                              
                                                                                                                                
1:33:37 PM                                                                                                                    
SENATOR EGAN announced the consideration of SB 12.                                                                              
                                                                                                                                
CELESTE  HODGE,  staff to  Senator  Davis,  explained  that SB  12                                                              
extends  the  termination date  of  the  Alaska Board  of  Nursing                                                              
(BON) for  eight years  to June  30, 2019,  as recommended  by the                                                              
Legislative Budget  and Audit Committee in its  report of December                                                              
2010. The  mission of the Alaska  Board of Nursing is  to actively                                                              
promote and protect  the health of the citizens  of Alaska through                                                              
the safe  and effective  practice  of nursing  as defined  by law.                                                              
The BON plays an important role in public health and safety.                                                                    
                                                                                                                                
NANCY SANDERS,  Executive Administrator, Alaska Board  of Nursing,                                                              
stated she was available to answer questions.                                                                                   
                                                                                                                                
SENATOR  DYSON  asked if  the  BON  deals with  licensing  censure                                                              
issues.                                                                                                                         
                                                                                                                                
MS.  SANDERS responded  yes,  if  there is  a  complaint from  the                                                              
public or  from another  licensee, it is  investigated, and  if it                                                              
is founded, the BON acts to discipline the person's license                                                                     
                                                                                                                                
1:35:26 PM                                                                                                                    
SENATOR DYSON  said he  was specifically  referring to  complaints                                                              
having to  do with poor  medical practice,  and asked in  the last                                                              
five  years how  many complaints  have  they heard  per year,  and                                                              
what percentage of those resulted in disciplinary actions?                                                                      
                                                                                                                                
MS. SANDERS  replied  that she did  not have  specific numbers  in                                                              
front of her.                                                                                                                   
                                                                                                                                
SENATOR DYSON asked if she could give him a general idea.                                                                       
                                                                                                                                
MS.  SANDERS   replied  the  board   acts  on  several   types  of                                                              
complaints, such  as competency audits, inaccurate  information on                                                              
an  application,  and  unprofessional  conduct.  If  there  was  a                                                              
violation  of  unprofessional  conduct   regulations,  the  person                                                              
would be disciplined.                                                                                                           
                                                                                                                                
SENATOR  DYSON  asked  if they  see  unprofessional  conduct  that                                                              
affects patients.                                                                                                               
                                                                                                                                
MS. SANDERS said  they do see those types of  complaints, but they                                                              
are not the majority;  probably five to eight  per quarterly board                                                              
meeting.                                                                                                                        
                                                                                                                                
SENATOR DYSON responded  that he would like to  see statistics for                                                              
the last four or five years.                                                                                                    
                                                                                                                                
MS. SANDERS  said the  investigations unit  would have  the number                                                              
of complaints,  but she would only  know the number  that resulted                                                              
in actions.                                                                                                                     
                                                                                                                                
1:39:52 PM                                                                                                                    
SENATOR DYSON said  there was no hurry to receive  the statistics,                                                              
and then asked which groups of nurses can write prescriptions.                                                                  
                                                                                                                                
MS.  SANDERS  said  that  nurse   practitioners,  certified  nurse                                                              
midwives,   and    certified   nurse   anesthetists    can   write                                                              
prescriptions.                                                                                                                  
                                                                                                                                
SENATOR DYSON  asked if licensed  nurses in Alaska are  ever under                                                              
any pressure to not report unprofessional conduct.                                                                              
                                                                                                                                
MS. SANDERS replied not that she was aware of.                                                                                  
                                                                                                                                
1:43:48 PM                                                                                                                    
PAT  DAVIDSON,   Legislative  Auditor,  Division   of  Legislative                                                              
Audit, Alaska  State Legislature,  said she  performed the  sunset                                                              
review of  the Board  of Nursing (BON),  and recommended  that the                                                              
termination date be  extended until June 30, 2019.  She noted that                                                              
she also made four recommendations to the BON, as follows:                                                                      
                                                                                                                                
   · The BON should take action to insure that appropriate                                                                      
     people and agencies are notified when a nurse's                                                                            
     prescriptive authority is revoked.                                                                                         
   · The BON needs to improve oversight of the CNA training                                                                     
    program, especially in terms of the evaluation process.                                                                     
   · The current LPN member on the BON does not meet statutory                                                                  
     qualifications,  which require that  member to be  working in                                                              
     an institutional  nursing  situation. The  member who  was on                                                              
     the  Board  during  the  review  was an  LPN  working  as  an                                                              
     Emergency Medical Technician.                                                                                              
   · Fourth, the Division of Corporate, Professional and                                                                        
     Business Licenses  needs to  do more timely  investigation of                                                              
     complaints made against licensees.                                                                                         
                                                                                                                                
1:44:04 PM                                                                                                                    
SENATOR DYSON  asked if the  BON has a  plan of action  to address                                                              
the Audit Division's recommendations.                                                                                           
                                                                                                                                
MS. SANDERS responded  that they are aware of  the recommendations                                                              
and are taking steps to address them, as follows:                                                                               
                                                                                                                                
   · The BON has instituted policies to notify the federal Drug                                                                 
     Enforcement  Administration on  the first  day after  a board                                                              
     meeting  in which the  board took action  to suspend  a nurse                                                              
     practitioner's authority to write prescriptions.                                                                           
   · The BON is submitting those names to the Board of Pharmacy,                                                                
     and  if there  is  an employer  they  are  letting them  know                                                              
     about the  suspension or revocation.  They are  also updating                                                              
     the  disciplinary  database  on  their web  site  within  two                                                              
     weeks of the revocation.                                                                                                   
   · The division is aware that the CNA training program review                                                                 
     is  a federal  mandate  that is  also  in their  regulations.                                                              
     There have been  personnel issues, resulting  in the position                                                              
     reviewing  the programs  being unfilled.  The current  person                                                              
     is on  a two-year  contract. Eighty-five  percent of  the CNA                                                              
     programs have  been recently  reviewed and reapproved  or not                                                              
     by the BON.                                                                                                                
   · The current LPN term on the board expires at the end of                                                                    
     February  and a  new person  has been appointed  to board  in                                                              
     the LPN position.                                                                                                          
                                                                                                                                
1:45:36 PM                                                                                                                    
MS SANDERS  further explained  that the  suspension or  revocation                                                              
of  a  licensed  nurse  practitioner's  license  is  a  very  rare                                                              
occurrence,  and that  in four years  it has  only happened  three                                                              
times.                                                                                                                          
                                                                                                                                
1:47:45 PM                                                                                                                    
SENATOR  MEYER  moved   to  report  SB  12  from   committee  with                                                              
individual  recommendations  and  attached fiscal  note(s).  There                                                              
being  no  objection, SB  12  moved  from  the Senate  Health  and                                                              
Social Services Standing Committee.                                                                                             
                                                                                                                                
At ease 1:50 p.m. to 1:51 p.m.                                                                                                  
                                                                                                                                
1:50:48 PM                                                                                                                    
         SB  21-EXTEND SENIOR BENEFITS PAYMENT PROGRAM                                                                      
          HB 16-EXTEND SENIOR BENEFITS PAYMENT PROGRAM                                                                      
                                                                                                                                
SENATOR EGAN, acting  as Chair, announced the consideration  of HB                                                              
16. [The committee  was taking up HB 16 rather  than the companion                                                              
bill, SB 21, because HB 16 was farther in the process.]                                                                         
                                                                                                                                
1:51:24 PM                                                                                                                    
REPRESENTATIVE  MIKE HAWKER,  sponsor of  HB 16,  stated that  the                                                              
senior  benefits payment  program  is extremely  important. HB  16                                                              
extends the  program to June 30,  2015. As of December  2010 there                                                              
were 10,093 Alaskans  benefitting from the program;  their average                                                              
age was 75, and  the oldest was 105. He explained  that the Senior                                                              
Benefit  Program   provides  monthly  cash  assistance   to  state                                                              
residents  65 or  over  whose monthly  household  income does  not                                                              
exceed poverty level  by federal guidelines. He  said the payments                                                              
can either be $125,  $175, or $250 each month,  depending upon the                                                              
individual's income.                                                                                                            
                                                                                                                                
REPRESENTATIVE HAWKER  emphasized that HB  16 does not  change the                                                              
program parameters;  the  program is self-adjusting,  in  that the                                                              
federal  poverty guidelines  are  annually revised  by the  United                                                              
States government.  The bill  simply extends  the program  by four                                                              
years. He further  noted that the program costs  about $20 million                                                              
per year,  but the  Department of Health  and Social  Services has                                                              
the  ability to  reduce or  eliminate  benefits in  any year  that                                                              
funds are  not available.  Because of this,  he said,  the program                                                              
does not become viewed as an entitlement.                                                                                       
                                                                                                                                
1:56:02 PM                                                                                                                    
MARIE  DARLIN, representing  the American  Association of  Retired                                                              
Persons (AARP),  Capital City Task  Force, spoke in support  of HB                                                              
16.  She said  we  want  our retirees  to  be  able to  remain  in                                                              
Alaska, and the senior benefit helps many of them do that.                                                                      
                                                                                                                                
1:57:29 PM                                                                                                                    
DENISE DANIELLO,  Executive Director, Alaska Commission  on Aging,                                                              
Department  of  Health  and  Social  Services  (DHSS),  noted  the                                                              
benefits  of  the  program  both to  seniors  and  to  communities                                                              
throughout  the state.  There are  not a large  number of  seniors                                                              
who need  the program, but it  does provide assistance  to about 1                                                              
in 5  seniors in Alaska.  As a person  ages and spends  down their                                                              
assets,  their  resources  become  more limited,  so  the  program                                                              
becomes more important as they age.                                                                                             
                                                                                                                                
1:58:59 PM                                                                                                                    
DIXIE HOOD,  representing herself,  said she  has lived  in Alaska                                                              
for 35  years, she is  77 years old, single,  and is asking  for a                                                              
change to HB 16.  She feels that the bill should  base eligibility                                                              
on  net income,  not gross.  Ms.  Hood stated  she struggles  each                                                              
month  to cover  living  expenses,  and that  her  main source  of                                                              
income is  her social security benefit;  she also rents  a room in                                                              
her home,  and her  net income is  approximately $9,000  per year.                                                              
But, she  explained,  the benefit  is based on  gross income.  She                                                              
emphasized  that  it  would make  a  big  change  for her  if  the                                                              
benefit was based on net income, rather than gross.                                                                             
                                                                                                                                
2:05:03 PM                                                                                                                    
SENATOR  DYSON  stated  he  would  appreciate  hearing  why  gross                                                              
income is used instead of net income.                                                                                           
                                                                                                                                
REPRESENTATIVE HAWKER  said the  program was looking  to establish                                                              
low-income  criteria  that  was objective  and  determinable,  and                                                              
that would  be annually adjusted.  For this reason,  he explained,                                                              
they use the  federal poverty guideline regulations,  which do use                                                              
annual  gross  income.  This  avoids  having  to  make  judgmental                                                              
determinations     about    qualification     or     discretionary                                                              
expenditures. He  further stated that  it would be  very difficult                                                              
to  throw the  open the  entire  program to  a  net income  basis.                                                              
Representative  Hawker  also  noted  that  here are  a  myriad  of                                                              
public service  programs available  to help  people in  Ms. Hood's                                                              
situation.                                                                                                                      
                                                                                                                                
SENATOR  DYSON  stated,  if  we   changed  to  gross  income,  and                                                              
maintained  the  three  income  levels,  that  would  not  require                                                              
annual adjustments. It could be based on income tax returns.                                                                    
                                                                                                                                
REPRESENTATIVE  HAWKER   responded  that  they  use   the  federal                                                              
poverty  guidelines  in  order to  prevent  the  legislature  from                                                              
having  to   make  these   determinations;  the  federal   poverty                                                              
guideline  is  used  for all  public  assistance  programs  across                                                              
Alaska as the measure of poverty.                                                                                               
                                                                                                                                
SENATOR DYSON  again asked what  would be the problem  of changing                                                              
it from gross to net.                                                                                                           
                                                                                                                                
REPRESENTATIVE  HAWKER  replied  that  if the  Senator  wished  to                                                              
propose an amendment, he would consider it.                                                                                     
                                                                                                                                
SENATOR DYSON  said that  he would not  propose an amendment  over                                                              
the Representative's objections.                                                                                                
                                                                                                                                
2:10:31 PM                                                                                                                    
RON  KREHER,  Acting  Director,  Division  of  Public  Assistance,                                                              
Department  of Health and  Social Services,  noted that  generally                                                              
speaking,  all public  assistance  programs  have  a gross  income                                                              
test;  the gross  income  test is  an equitable  way  of making  a                                                              
determination of eligibility.                                                                                                   
                                                                                                                                
2:12:22 PM                                                                                                                    
SENATOR  MEYER  moved  to  forward   HB  16  from  committee  with                                                              
individual  recommendations  and  attached fiscal  note(s).  There                                                              
being  no  objection, HB  16  moved  from  the Senate  Health  and                                                              
Social Services  Standing Committee.  [Companion bill, SB  21, was                                                              
held in committee.]                                                                                                             
                                                                                                                                
             ^Presentation: Denali Family Services                                                                          
                                                                                                                                
SENATOR  EGAN, acting  as  Chair,  announced the  committee  would                                                              
hear  a  presentation  from  Little  Steps  Preschool,  of  Denali                                                              
Family Services.                                                                                                                
                                                                                                                                
2:13:38 PM                                                                                                                    
YVONNE  CHASE   PhD.,  Chief  Executive  Officer,   Denali  Family                                                              
Services, delivered  a presentation about Little  Steps Preschool.                                                              
She   noted  the   research  showing   the   importance  of   pre-                                                              
kindergarten   education,  and   explained   that  Denali   Family                                                              
Services is located  both in Anchorage and the  Mat-Su Valley, but                                                              
the  preschool is  limited to  Anchorage.  Little Steps  Preschool                                                              
serves both  typically developing children  as well as  those with                                                              
special  emotional and  behavioral needs  and they  are hoping  to                                                              
receive funding for  using existing buildings and  doing some kind                                                              
of lease-purchase  in order to have permanence  for their program.                                                              
She noted  that child care  facilities have special  requirements,                                                              
and they would like to have assistance with the down payment.                                                                   
                                                                                                                                
2:16:52 PM                                                                                                                    
KYLE GARDNER,  Director, Little  Steps Preschool, Anchorage,  said                                                              
that Little  Steps is a  therapeutically inclusive  preschool, one                                                              
of six demonstration  projects in the country and the  only one in                                                              
the   state   of   Alaska.   He  explained   that   they   use   a                                                              
social/emotional  based  curriculum,  and  maintain  a  very  high                                                              
staffing  ratio  of  one  staff for  every  three  children,  also                                                              
including a  clinician on site full  time. Mr. Gardner  noted that                                                              
the  social/emotional  based  curriculum  has proven  to  be  very                                                              
effective; because  of this, the  current site has a  waiting list                                                              
of 70 children in  Anchorage, and the size of the  facility is the                                                              
limiting factor.                                                                                                                
                                                                                                                                
2:20:06 PM                                                                                                                    
MR.  GARDNER stated  the  preschool is  currently  located on  5th                                                              
avenue,  and this  allows  them to  collaborate  closely with  the                                                              
community.   They  offer   enriching   activities,  12   classroom                                                              
teachers, a clinician,  and weekly consultations with  a doctor of                                                              
psychology.  Mr.  Gardner  gave  a  detailed  description  of  the                                                              
program  used for  each age  group of  children served,  concluded                                                              
that  their creative  curriculum  is considered  best practice  in                                                              
the early childhood  field, but they are severely  limited by lack                                                              
of space.                                                                                                                       
                                                                                                                                
2:26:15 PM                                                                                                                    
MS. CHASE  noted that other providers  in valley don't  want to do                                                              
a  preschool,  and that  they  are  becoming  a teaching  site  in                                                              
Anchorage for other teachers and other centers.                                                                                 
                                                                                                                                
SENATOR ELLIS  asked how prevalent  autism spectrum  disorders are                                                              
among their clients.                                                                                                            
                                                                                                                                
MS.  CHASE responded  that  autism  is hard  to  diagnose at  that                                                              
young age, but the  program does work with children  with FASD and                                                              
autism spectrum diagnoses, as well as mental health diagnoses.                                                                  
                                                                                                                                
SENATOR  MEYER  asked if  they  are  seeing  an increase  in  FASD                                                              
clients.                                                                                                                        
                                                                                                                                
MR. GARDNER  responded that  FASD diagnosis  is more prevalent  in                                                              
the  upper childhood  years, but  that Denali  Family Services  is                                                              
definitely seeing an increase in FASD children.                                                                                 
                                                                                                                                
SENATOR MEYER asked if they are requesting a $400,000 grant.                                                                    
                                                                                                                                
MS. CHASE  responded that is  correct; they  would like to  have a                                                              
bigger   place  in   Anchorage,   and  are   hoping   to  have   a                                                              
lease/purchase of a building in the valley.                                                                                     
                                                                                                                                
2:30:42 PM                                                                                                                    
SENATOR EGAN thanked the witnesses for their presentation.                                                                      
                                                                                                                                
2:30:58 PM                                                                                                                    
There being no further business to come before the committee,                                                                   
Senator Egan adjourned the meeting at 2:31 p.m.                                                                                 
                                                                                                                                
                                                                                                                                

Document Name Date/Time Subjects
Bill.pdf SHSS 2/2/2011 1:30:00 PM
SB 12
SB12 Extending Terminatino Date of Board of Nursing
Sponsor Statement Rev 1-27-2011.pdf SHSS 2/2/2011 1:30:00 PM
SB 12
Sponsor Statement.docx SHSS 2/2/2011 1:30:00 PM
SB 21
Clip- Alaska Worst Retire.pdf SHSS 2/2/2011 1:30:00 PM
SB 21
SB 21 Letters of Support - Senior Benefit.pdf SHSS 2/2/2011 1:30:00 PM
SB 21
Fiscal Note.pdf SHSS 2/2/2011 1:30:00 PM
SB 12
Fiscal Note.pdf SHSS 2/2/2011 1:30:00 PM
SB 21
SB 21 Fiscal Note Back-Up.pdf SHSS 2/2/2011 1:30:00 PM
SB 21
Alaska Commission on Aging Support.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Alaska Food Coalition Support.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Denali Family Svcs & Little Steps PreSchool.docx SHSS 2/2/2011 1:30:00 PM
Little Steps - PowerPoint - Final.ppt SHSS 2/2/2011 1:30:00 PM
AARP Support Ltrs..pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Background-Related Statutes.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Bill.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Fact Sheet-DHSS.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Fiscal Note backup chart DPA (2).pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Fiscal Note-1-2-012611-DHS-Y.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Fiscal Note-2-2-013111-DHS-Y.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Public letters Support.pdf SHSS 2/2/2011 1:30:00 PM
HB 16
Sponsor Statement.pdf SHSS 2/2/2011 1:30:00 PM
HB 16