Legislature(2023 - 2024)DAVIS 106

03/27/2023 08:00 AM House EDUCATION

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Audio Topic
08:03:27 AM Start
08:04:01 AM HB21
08:42:58 AM Presentation(s): University of Alaska
09:59:58 AM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 21 SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR TELECONFERENCED
Moved HB 21 Out of Committee
-- Public Testimony <Time Limit May Be Set> --
+ Presentation: University of Alaska by Pat Pitney, TELECONFERENCED
President
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
         HB  21-SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR                                                                     
                                                                                                                                
8:04:01 AM                                                                                                                    
                                                                                                                                
CO-CHAIR ALLARD announced that the  first order of business would                                                               
be  HOUSE  BILL NO.  21,  "An  Act  relating to  group  insurance                                                               
coverage   and  self-insurance   coverage  for   school  district                                                               
employees, employees  of the University of  Alaska, and employees                                                               
of other  governmental units in  the state; and providing  for an                                                               
effective date."                                                                                                                
                                                                                                                                
8:04:16 AM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 8:04 a.m. to 8:06 a.m.                                                                       
                                                                                                                                
8:06:35 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SARAH  VANCE, Alaska  State Legislature,  as prime                                                               
sponsor,  presented  HB  21.     She  stated  that  the  proposed                                                               
legislation  would  give  the  school  districts,  University  of                                                               
Alaska, and governmental  units the option to  participate in the                                                               
state's health  care program, AlaskaCare.   She stated  that this                                                               
would create the potential for  school districts to save millions                                                               
of  dollars in  health care  costs, while  providing more  health                                                               
care options.                                                                                                                   
                                                                                                                                
8:07:49 AM                                                                                                                    
                                                                                                                                
CO-CHAIR RUFFRIDGE  requested a  description of the  process that                                                               
would save "millions."   He expressed the  understanding that the                                                               
University of  Alaska may not join  the plan, as it  would see no                                                               
savings;  however,   the  school   district  he   represents  has                                                               
expressed support, as there may be savings for it.                                                                              
                                                                                                                                
REPRESENTATIVE  VANCE replied  that the  savings would  come from                                                               
pooling  larger numbers  of  people together.    For some  school                                                               
districts, the option  is having a health care  program that will                                                               
accept  them.   Being a  part of  a larger  pool would  allow new                                                               
people  to be  taken  on, as  some are  having  a difficult  time                                                               
obtaining  a comparable  plan.   She expressed  the understanding                                                               
that  the  Matanuska-Susitna  (Mat-Su)  Borough  School  District                                                               
would  save about  $3,000 per  employee.   She suggested  that as                                                               
people pool  in, eventually the  overall cost per  employee would                                                               
drop.                                                                                                                           
                                                                                                                                
8:10:29 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  STORY expressed  agreement with  the idea  of the                                                               
proposed legislation.   She expressed  the understanding  that it                                                               
would require  an actuarial analysis  in a separate  fiscal note.                                                               
She  questioned whether  this would  happen  if it  moved to  the                                                               
House Finance Standing Committee.                                                                                               
                                                                                                                                
REPRESENTATIVE  VANCE  expressed  the  belief that  this  is  the                                                               
process.   She stated that  there has been  discussion concerning                                                               
the  current fiscal  note from  the Department  of Administration                                                               
(DOA).   She explained  that, for  the proposed  legislation, the                                                               
first year would be just  the cost of adopting regulations, which                                                               
should not  require DOA to  hire many  new employees.   After the                                                               
first year,  there would  be a better  understanding of  how many                                                               
school  districts and  municipalities want  to join,  and then  a                                                               
reevaluation  of DOA's  new  hires would  need to  be  done.   In                                                               
response to  a follow-up  question, she  said that  Mat-Su, which                                                               
has the  second largest school  district, and the  Kenai Borough,                                                               
which   has  the   third  largest   school  district,   are  both                                                               
interested.   She stated that  other districts have  also reached                                                               
out.                                                                                                                            
                                                                                                                                
8:12:33 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE PRAX  expressed the understanding this  is an opt-                                                               
in  plan.   He  stated that  with health  insurance  there is  an                                                               
"adverse selection risk."  He  suggested that a potential problem                                                               
would  be  districts already  paying  less  for health  insurance                                                               
would not join, while those  paying more would, and this presents                                                               
the risk.  He questioned whether this has been considered.                                                                      
                                                                                                                                
REPRESENTATIVE VANCE responded that this  might be a question for                                                               
DOA.                                                                                                                            
                                                                                                                                
8:13:57 AM                                                                                                                    
                                                                                                                                
CO-CHAIR ALLARD questioned whether  the original zero fiscal note                                                               
had changed.                                                                                                                    
                                                                                                                                
REPRESENTATIVE  VANCE   expressed  the  understanding   that  the                                                               
proposed legislation  could add  to DOA's workload,  creating the                                                               
need for  additional staff.   She reiterated that the  first year                                                               
would only  be creating  the regulations,  hence the  zero fiscal                                                               
note.   She suggested  that from past  actions, the  governor and                                                               
the current administration would support the legislation.                                                                       
                                                                                                                                
8:16:13 AM                                                                                                                    
                                                                                                                                
CO-CHAIR RUFFRIDGE pointed  out that there has not  been a change                                                               
in the fiscal  note; rather there are two  separate fiscal notes.                                                               
He  stated that  the  zero  fiscal note  is  from the  university                                                               
system,  as it  does not  plan  to participate,  while the  other                                                               
fiscal note  is from DOA,  and this  would be for  the additional                                                               
positions.                                                                                                                      
                                                                                                                                
REPRESENTATIVE VANCE  responded in agreement.   She addressed the                                                               
problems with fiscal notes in general.                                                                                          
                                                                                                                                
8:18:08 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  ALLARD  expressed concern  about  the  balances on  the                                                               
fiscal notes.                                                                                                                   
                                                                                                                                
8:18:42 AM                                                                                                                    
                                                                                                                                
CO-CHAIR ALLARD open public testimony on HB 21.                                                                                 
                                                                                                                                
8:19:11 AM                                                                                                                    
                                                                                                                                
NATHAN    ERFURTH,   President,    Kenai   Peninsula    Education                                                               
Association, provided public  testimony in support of HB  21.  He                                                               
expressed support for  the proposed legislation.   He stated that                                                               
Alaska  spends more  on health  care than  any other  state.   He                                                               
suggested that  allowing school districts  to join a  larger pool                                                               
would be  a positive action,  as health  care costs cut  into the                                                               
overall  budget for  districts.   He stated  that some  educators                                                               
have moved  districts because  of the high  cost of  health care.                                                               
He  continued  that  this  cost   should  not  negatively  affect                                                               
instructional  funding.   He  expressed  understanding about  the                                                               
adverse risk  and fiscal  note concerns.   However, if  the state                                                               
wants  quality educators  for  its students,  he  argued that  it                                                               
should support HB 21.                                                                                                           
                                                                                                                                
8:21:02 AM                                                                                                                    
                                                                                                                                
KATHY  LEARY,  City  Administrator, City  of  Gustavus,  provided                                                               
public testimony in  support of HB 21.  She  stated that Gustavus                                                               
is  small  with  six  or   seven  employees.    Currently  health                                                               
insurance is  provided to  employees working 30  hours or  more a                                                               
week.   She  stated that  the plan  is affordable,  but not  very                                                               
good, as  it does not  cover families.  She  expressed excitement                                                               
over the proposed  legislation, as the city  could have something                                                               
more to  offer perspective  employees.  She  stated that  a clerk                                                               
that  had  worked for  the  city  for  five  years moved  to  the                                                               
National Parks  Service because of the  health insurance benefit.                                                               
She expressed the  concern that the regulations  would only allow                                                               
a minimum  number of people  [from an  entity] to join  the pool.                                                               
She  argued  that something  needs  to  be  done to  help  retain                                                               
employees, and this is a "big issue."                                                                                           
                                                                                                                                
8:23:25 AM                                                                                                                    
                                                                                                                                
CANDY MILLER, representing self,  provided public testimony.  She                                                               
stated  that she  lives in  the Mat-Su  Valley, and  she and  her                                                               
husband are  retired.   She shared the  cost of  health insurance                                                               
she pays and related the  understanding of what other people pay.                                                               
She  expressed the  opinion that  individuals should  be able  to                                                               
choose  their own  health care  insurance, as  opposed to  having                                                               
only  the choice  of  the state  plan.   She  concluded that  the                                                               
funding for health care should  go directly to the individuals so                                                               
they can choose their own plan.                                                                                                 
                                                                                                                                
8:26:02 AM                                                                                                                    
                                                                                                                                
CO-CHAIR ALLARD,  after ascertaining that  there was no  one else                                                               
who wished to testify, closed public testimony.                                                                                 
                                                                                                                                
8:26:14 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE STORY  expressed the  understanding that  there is                                                               
not a limit on the number  of employees [within an entity] needed                                                               
to join the plan.                                                                                                               
                                                                                                                                
REPRESENTATIVE VANCE  responded in the affirmative,  stating that                                                               
there  is   no  minimum   threshold.     She  suggested   that  a                                                               
conversation with  DOA would help understand  the cost/benefit of                                                               
this.   In response  to a follow-up  question, she  expressed the                                                               
understanding that  the fiscal note would  eventually reflect how                                                               
many entities join  the plan, as this is currently  unknown.  She                                                               
suggested that there would be additional costs.                                                                                 
                                                                                                                                
8:28:37 AM                                                                                                                    
                                                                                                                                
CO-CHAIR RUFFRIDGE questioned whether the  state would be able to                                                               
not allow  a person  or entity  to join the  plan.   He suggested                                                               
that  with the  proposed  legislation, the  state  would have  to                                                               
allow this.                                                                                                                     
                                                                                                                                
REPRESENTATIVE  VANCE answered  in the  affirmative.   She quoted                                                               
from page  5 of the bill,  which related that DOA  would have the                                                               
flexibility to determine what is  best for parties - whether this                                                               
is joining with a larger pool  or having their own self insurance                                                               
policy.   She stated that  the proposed legislation  would reduce                                                               
the burden  for school districts  and municipalities to  shop for                                                               
their own health care.  She  stated that as written, the proposed                                                               
legislation would  accept everyone.   In response to  a follow-up                                                               
question, she stated that she  would report back to the committee                                                               
on the per-person  cost for state insurance.  She  added that the                                                               
bill  would  require  specifications  on  the  best  health  care                                                               
options  to be  reviewed every  five  years.   She discussed  the                                                               
volatility of health insurance costs in the state.                                                                              
                                                                                                                                
8:34:55 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   VANCE,   in   response  to   a   question   from                                                               
Representative  Himschoot, stated  that governmental  units would                                                               
include municipalities,  boroughs, and other entities  defined by                                                               
statute.   In response to  a follow-up question, she  stated that                                                               
if  school districts  opted into  the state  insurance plan,  the                                                               
payouts on claims  would transfer, and the  closing balance would                                                               
go into the group insurance, and  this pool would be available to                                                               
offer distributions.   She continued that a  10-year window would                                                               
be given for this.                                                                                                              
                                                                                                                                
8:37:17 AM                                                                                                                    
                                                                                                                                
CO-CHAIR RUFFRIDGE  moved to report  HB 21 out of  committee with                                                               
individual recommendations and the accompanying fiscal notes.                                                                   
                                                                                                                                
8:37:39 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  PRAX objected.   He  pointed out  that there  had                                                               
been questions on the fiscal note.                                                                                              
                                                                                                                                
8:38:12 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE PRAX withdrew his objection.                                                                                     
                                                                                                                                
8:38:31 AM                                                                                                                    
                                                                                                                                
[The committee continued as if an objection was maintained.]                                                                    
                                                                                                                                
A  roll  call  vote  was taken.    Representatives  Prax,  McKay,                                                               
Himschoot, Story,  Ruffridge, and  Allard voted  in favor  of the                                                               
motion  to  report  HB  21   out  of  committee  with  individual                                                               
recommendations and  the accompanying  fiscal notes.   Therefore,                                                               
HB 21 was reported out  of the House Education Standing Committee                                                               
by a vote of 6-0.                                                                                                               

Document Name Date/Time Subjects
HB 21 - Fiscal Note - University of Alaska.pdf HEDC 3/27/2023 8:00:00 AM
HB 21
HB 21 - Letter of Support from KPBSD.pdf HEDC 3/27/2023 8:00:00 AM
HB 21
HB 21 - Presentation.pdf HEDC 3/27/2023 8:00:00 AM
HB 21
HB21A.PDF HEDC 3/27/2023 8:00:00 AM
HB 21
UA House Education Committee Presentation FINAL 3 27 2023.pdf HEDC 3/27/2023 8:00:00 AM
UA House Presentation
HB 21 - Fiscal Note - DOA.pdf HEDC 3/27/2023 8:00:00 AM
HB 21
faculty by tenure status & university.pdf HEDC 3/27/2023 8:00:00 AM
Facilty Information - Questions & Answers