Legislature(2023 - 2024)DAVIS 106
03/27/2023 08:00 AM House EDUCATION
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Audio | Topic |
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Start | |
HB21 | |
Presentation(s): University of Alaska | |
Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
+= | HB 21 | TELECONFERENCED | |
+ | TELECONFERENCED | ||
+ | TELECONFERENCED | ||
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 |
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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 |