Legislature(1993 - 1994)

1993-04-29 Senate Journal

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1993-04-29                     Senate Journal                      Page 1930
HB 178                                                                       
HOUSE BILL NO. 178 "An Act adding children under the age of                    
21 who are eligible for adoption assistance because of special needs           
to the optional Medicaid coverage list and revising the order of               
priority in which groups eligible for optional Medicaid coverage are           
eliminated; and providing for an effective date" was read the second           
time.                                                                          
                                                                               
                                                                               

1993-04-29                     Senate Journal                      Page 1931
HB 178                                                                       
Senator Rieger moved and asked unanimous consent for the adoption              
of the Health, Education and Social Services Senate Committee                  
Substitute offered on page 1473.  Without objection, SENATE CS                 
FOR HOUSE BILL NO. 178(HES) was adopted.                                       
                                                                               
SENATE CS FOR HOUSE BILL NO. 178(HES) was read the                             
second time.                                                                   
                                                                               
Senator Adams offered Amendment No. 1 :                                         
                                                                               
Page 3, after line 29:                                                         
	Insert new bill sections to read:                                             
   "* Sec. 2.  AS 47.07.030(b) is amended to read:                           
	(b)  In addition to the mandatory services specified in (a) of                
this section, the department may offer only the following optional             
services: case management and nutrition services for pregnant                  
women; personal care services in a recipient's home; emergency                 
hospital services; long-term care noninstitutional services; medical           
supplies and equipment; advanced nurse practitioner services; clinic           
services; rehabilitative services for substance abusers and emotionally        
disturbed or chronically mentally ill adults; targeted case management         
services for substance abusers, chronically mentally ill adults, and           
severely emotionally disturbed persons under the age of 21; inpatient          
psychiatric facility services for individuals age 65 or older and              
individuals under age 21; psychologists' services; clinical social             
workers' services; home and community care for functionally                  
disabled individuals age 65 or older; prescribed drugs; physical             
therapy; occupational therapy; chiropractic services; low-dose                 
mammography screening, as defined in AS 21.42.375(e); treatment                
of speech, hearing, and language disorders; adult dental services;             
prosthetic devices and eyeglasses; optometrists' services; intermediate        
care facility services, including intermediate care facility services for      
the mentally retarded; skilled nursing facility services for individuals       
under age 21; and reasonable transportation to and from the point of           
medical care.                                                                  
   * Sec. 3.  AS 47.07.030(b) is amended to read:                            
	(b)  In addition to the mandatory services specified in (a) of                

1993-04-29                     Senate Journal                      Page 1932
HB 178                                                                       
this section, the department may offer only the following optional             
services: case management and nutrition services for pregnant                  
women; personal care services in a recipient's home; emergency                 
hospital services; long-term care noninstitutional services; medical           
supplies and equipment; advanced nurse practitioner services; clinic           
services; rehabilitative services for substance abusers and emotionally        
disturbed or chronically mentally ill adults; targeted case management         
services for substance abusers, chronically mentally ill adults, and           
severely emotionally disturbed persons under the age of 21; inpatient          
psychiatric facility services for individuals age 65 or older and              
individuals under age 21; psychologists' services; clinical social             
workers' services; [HOME AND COMMUNITY CARE FOR                                
FUNCTIONALLY DISABLED INDIVIDUALS AGE 65 OR                                    
OLDER;] prescribed drugs; physical therapy; occupational therapy;              
chiropractic services; low-dose mammography screening, as defined              
in AS 21.42.375(e); treatment of speech, hearing, and language                 
disorders; adult dental services; prosthetic devices and eyeglasses;           
optometrists' services; intermediate care facility services, including         
intermediate care facility services for the mentally retarded; skilled         
nursing facility services for individuals under age 21; and reasonable         
transportation to and from the point of medical care."                         
                                                                               
Renumber the following bill sections accordingly.                              
                                                                               
Page 4, line 31, after "(19)":                                                 
	Insert "home and community care for functionally                            
disabled individuals age 65 or older;                                          
		(20)"                                                                     
                                                                               
Renumber the following paragraphs accordingly.                                 
                                                                               
Page 5, after line 25:                                                         
	Insert new bill sections to read:                                             
   "* Sec. 6.  AS 47.07.900 is amended by adding a new subsection            
to read:                                                                       
		(18) "home and community care for functionally                               
disabled individuals" means services of the type and under the                 

1993-04-29                     Senate Journal                      Page 1933
HB 178                                                                       
circumstances described in 42 U.S.C. 1396t and applicable federal              
regulations.                                                                   
   * Sec. 7.  AS 47.07.035(19) and 47.07.900(18) are repealed                
September 30, 1995.                                                            
   * Sec. 8.  Section 3 of this Act takes effect September 30, 1995."        
                                                                               
Renumber the following bill sections accordingly.                              
                                                                               
Page 5, line 26:                                                               
	Delete "AS 47.07.035(23)"                                                     
	Insert "AS 47.07.035(24)"                                                     
                                                                               
Page 5, line 27:                                                               
	Delete "3"                                                                    
	Insert "5"                                                                    
                                                                               
Page 6, line 4:                                                                
	Delete "2"                                                                    
	Insert "4"                                                                    
                                                                               
Page 6, line 5:                                                                
	Delete "4 and 5"                                                              
	Insert "8 - 10"                                                               
                                                                               
Senator Adams moved for the adoption of Amendment No. 1.                       
Senator Taylor objected.  Senator Adams moved and asked                        
unanimous consent that Amendment No. 1 be withdrawn.  Without                  
objection, it was so ordered.                                                  
                                                                               
Senator Taylor moved and asked unanimous consent that SENATE                   
CS FOR HOUSE BILL NO. 178(HES) be considered engrossed,                        
advanced to third reading and placed on final passage.  Senator                
Little objected.                                                               
                                                                               
                                                                               

1993-04-29                     Senate Journal                      Page 1934
HB 178                                                                       
The question being: "Shall SENATE CS FOR HOUSE BILL NO.                        
178(HES) be advanced to third reading?"  The roll was taken with               
the following result:                                                          
                                                                               
SCS HB 178(HES)                                                                
Advance from Second to Third Reading?                                          
                                                                               
YEAS:  20   NAYS:  0   EXCUSED:  0   ABSENT:  0                              
                                                                               
Yeas:  Adams, Donley, Duncan, Ellis, Frank, Halford, Jacko, Kelly,             
Kerttula, Leman, Lincoln, Little, Miller, Pearce, Phillips, Rieger,            
Salo, Sharp, Taylor, Zharoff                                                   
                                                                               
and so, the bill was advanced to third reading.                                
                                                                              
SENATE CS FOR HOUSE BILL NO. 178(HES) was read the third                      
time.                                                                          
                                                                               
The question being:  "Shall SENATE CS FOR HOUSE BILL NO.                       
178(HES) "An Act adding children under the age of 21 who are                   
eligible for adoption assistance because of special needs to the               
optional Medicaid coverage list and revising the order of priority in          
which groups eligible for optional Medicaid coverage are eliminated;           
and providing for an effective date" pass the Senate?"  The roll was           
taken with the following result:                                               
                                                                               
SCS HB 178(HES)                                                                
Third Reading - Final Passage                                                  
Effective Date                                                                 
                                                                               
YEAS:  20   NAYS:  0   EXCUSED:  0   ABSENT:  0                              
                                                                               
Yeas:  Adams, Donley, Duncan, Ellis, Frank, Halford, Jacko, Kelly,             
Kerttula, Leman, Lincoln, Little, Miller, Pearce, Phillips, Rieger,            
Salo, Sharp, Taylor, Zharoff                                                   
                                                                               
and so, SENATE CS FOR HOUSE BILL NO. 178(HES) passed the                       
Senate.                                                                        
                                                                               

1993-04-29                     Senate Journal                      Page 1935
HB 178                                                                       
Senator Taylor moved and asked unanimous consent that the vote on              
the passage of the bill be considered the vote on the effective date           
clause.  Without objection, it was so ordered.                                 
                                                                               
Senator Taylor gave notice of reconsideration.