Legislature(2025 - 2026)ADAMS 519

03/12/2025 01:30 PM House FINANCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Delayed to 2:30 PM --
+= HB 53 APPROP: OPERATING BUDGET; CAP; SUPP TELECONFERENCED
Heard & Held
+= HB 55 APPROP: MENTAL HEALTH BUDGET TELECONFERENCED
Heard & Held
Committee Substitute Rollout
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 10 ADD FACULTY MEMBER UNIV BOARD OF REGENTS TELECONFERENCED
Heard & Held
+= HB 31 VESSELS: REGISTRATION/DERELICT FUND TELECONFERENCED
Moved HB 31 Out of Committee
+= HB 36 FOSTER CHILDREN PSYCHIATRIC TREATMENT TELECONFERENCED
Heard & Held
HOUSE BILL NO. 36                                                                                                             
                                                                                                                                
     "An Act  relating to the  placement of  foster children                                                                    
     in  psychiatric  hospitals;  relating to  the  care  of                                                                    
     children  in   state  custody  placed   in  residential                                                                    
     facilities  outside   the  state;  and   amending  Rule                                                                    
     12.1(b),  Alaska   Child  in  Need  of   Aid  Rules  of                                                                    
     Procedure."                                                                                                                
                                                                                                                                
3:53:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   ANDREW    GRAY,   SPONSOR,    provided   an                                                                    
explanation of the bill. He read from prepared remarks:                                                                         
                                                                                                                                
     Due process  is a  basic constitutional right  of every                                                                    
     person in Alaska.  Due process is a  legal process that                                                                    
     protects people  from arbitrary government  actions and                                                                    
     guarantees   fair   treatment.   It's   a   fundamental                                                                    
     principle  of   both  the  United  States   and  Alaska                                                                    
     Constitutions.  Due  process  requires  the  government                                                                    
     follow   certain  procedures   before  taking   away  a                                                                    
     person's rights.  HB 36 guarantees due  process for the                                                                    
     most vulnerable people in Alaska, our foster children.                                                                     
                                                                                                                                
     What the bill does is  require that children who are in                                                                    
     the  custody  of  the office  of  children's  services,                                                                    
     otherwise known  as foster children, receive  a hearing                                                                    
     in front  of a  judge in a  timely manner  to determine                                                                    
     that  they  meet  criteria  to  be  held  in  an  acute                                                                    
     psychiatric hospital.                                                                                                      
                                                                                                                                
     The Alaska Supreme Court case  of The Native Village of                                                                    
     Kwinhagak  v.  State  of Alaska  Office  of  Children's                                                                    
     Services,  published on  February 9,  2024, states  the                                                                    
     following:                                                                                                                 
                                                                                                                                
          "There is  no doubt  that children in  OCS custody                                                                    
          are at substantial risk  of being hospitalized for                                                                    
          longer than  they need, or  when they do  not need                                                                    
          to be hospitalized at  all." "Clarifying the legal                                                                    
          protections   for  a   vulnerable  population   of                                                                    
          children   in   state   custody   is   of   utmost                                                                    
          importance."                                                                                                          
                                                                                                                                
     The 14-year-old  child at the  center of that  case was                                                                    
     hospitalized  for  46  days before  the  court  held  a                                                                    
     hearing  to   determine  if  her   hospitalization  was                                                                    
     justified.  The Alaska  Supreme  Court determined  that                                                                    
     the 46-day wait  was far too long to  satisfy her right                                                                    
     to due process. According  to a previous superior court                                                                    
     injunction,  she should  have had  a hearing  within 30                                                                    
     days, but the Supreme Court  further ruled that 30 days                                                                    
     was too long.                                                                                                              
                                                                                                                                
     This finding  is consistent with what  happens in other                                                                    
     states:                                                                                                                    
                                                                                                                                
     One former  employee of  an acute  psychiatric hospital                                                                    
     in Anchorage  stated, "I come  from the lower  48. Most                                                                    
     hospitals,  a  stay  would be  a  72-hour  hold.  Maybe                                                                    
     they'd  be there  for a  week or  10 days.  Thirty days                                                                    
     just blew my mind."                                                                                                        
                                                                                                                                
     Another Nurse  from that same facility  stated: "you're                                                                    
     not  go to  see  any other  acute crisis  stabilization                                                                    
     unit that does a 30 day stay."                                                                                             
                                                                                                                                
     When a  young person  is hospitalized in  a psychiatric                                                                    
     institution,  that  child  has  limitations  placed  on                                                                    
     their  rights  and  freedoms. In  the  case  of  foster                                                                    
     children,  the   chance  that   their  rights   can  be                                                                    
     unnecessarily restricted are much  higher than with the                                                                    
     general   population.   It   is  incumbent   upon   the                                                                    
     legislature  to  take  up  the  cause  spelled  out  in                                                                    
     Kwinhagak  to  determine  the minimum  amount  of  time                                                                    
     between an admission and a court hearing.                                                                                  
                                                                                                                                
     Many  foster youths  have suffered  trauma and  neglect                                                                    
     and experience  mental health  challenges as  a result.                                                                    
     All foster  youth have experienced the  trauma of being                                                                    
     removed  from their  biological family  and this  is in                                                                    
     and of itself often the very greatest trauma of all.                                                                       
                                                                                                                                
3:57:03 PM                                                                                                                    
                                                                                                                                
Representative Gray continued to provide prepared remarks                                                                       
on the bill:                                                                                                                    
                                                                                                                                
     We do  not have  enough foster  placements in  Alaska                                                                      
     lack of  foster placements can create  pressure to keep                                                                    
     a child in a facility  longer than absolutely necessary                                                                    
       that is not the fault of the facility.                                                                                   
                                                                                                                                
     But it's also not the fault  of the child. We know that                                                                    
     kids have  suffered from admissions that  were too long                                                                    
     and  sometimes  unnecessary    that's  what  HB  36  is                                                                    
     seeking to fix.                                                                                                            
                                                                                                                                
     In November I  toured the OCS offices  in Anchorage and                                                                    
     it was an  offhand remark of a nurse  that provided the                                                                    
     timeline in this bill. She said  that it can take up to                                                                    
     seven days  to properly assess a  foster child admitted                                                                    
     to  a  psychiatric  facility.   This  bill  requires  a                                                                    
     hearing within  7 days. I  believe this  satisfies what                                                                    
     the Supreme  Court is asking in  the Kwinhagak decision                                                                    
     & provides  foster kids with  the due process  that all                                                                    
     Alaskans are entitled to.                                                                                                  
                                                                                                                                
Representative Gray asked his staff to review the sectional                                                                     
analysis.                                                                                                                       
                                                                                                                                
3:58:10 PM                                                                                                                    
                                                                                                                                
KYLE JOHANSEN,  STAFF, REPRESENTATIVE ANDREW  GRAY, reviewed                                                                    
the sectional analysis (copy on file)                                                                                           
                                                                                                                                
4:02:27 PM                                                                                                                    
                                                                                                                                
Co-Chair Foster  noted that  there had  been two  people for                                                                    
invited testimony who were no longer available.                                                                                 
                                                                                                                                
Representative Tomaszewski  looked at  section 2  related to                                                                    
acute psychiatric  hospitals. He  asked how many  there were                                                                    
in Alaska.                                                                                                                      
                                                                                                                                
Representative  Gray replied  that  the bill  was about  any                                                                    
hospital.                                                                                                                       
                                                                                                                                
Representative Tomaszewski  asked if  there was a  number of                                                                    
children placed inside the state.                                                                                               
                                                                                                                                
Mr. Johansen  replied that he  believed the  information was                                                                    
reported.  In  the  past  several years  it  was  about  100                                                                    
children, and that it was around 90 children currently.                                                                         
                                                                                                                                
Representative Gray  added that any  child in a  facility in                                                                    
Alaska had OCS as their guardian.                                                                                               
                                                                                                                                
4:04:59 PM                                                                                                                    
                                                                                                                                
Representative Hannan  asked about the court  rule amendment                                                                    
and  the  appointment of  a  Child  in  Need of  Aid  (CINA)                                                                    
guardian.                                                                                                                       
                                                                                                                                
NANCY MEADE,  GENERAL COUNSEL, ALASKA COURT  SYSTEM, replied                                                                    
that under  the court  rule, children  in CINA  was actually                                                                    
done almost always in the circumstances already merited it.                                                                     
                                                                                                                                
4:06:33 PM                                                                                                                    
                                                                                                                                
Representative  Hannan recollected  details  from the  prior                                                                    
year Department of Administration subcommittee.                                                                                 
                                                                                                                                
Co-Chair Josephson  assumed that if Alaska  children were in                                                                    
Utah that Utah law would apply.                                                                                                 
                                                                                                                                
Mr. Johansen did not believe so.                                                                                                
                                                                                                                                
Ms. Meade  answered that if  they were in state  custody the                                                                    
Alaska law would apply.                                                                                                         
                                                                                                                                
4:08:58 PM                                                                                                                    
                                                                                                                                
Co-Chair Josephson  meant if Alaska  sent children  to Utah.                                                                    
He stated  his understanding  that Utah law  overrode Alaska                                                                    
law.                                                                                                                            
                                                                                                                                
Ms. Meade answered it was correct if it was a CINA.                                                                             
                                                                                                                                
4:09:32 PM                                                                                                                    
                                                                                                                                
Representative  Galvin was  surprised to  see there  was any                                                                    
cost  in  the  fiscal  note  after  hearing  that  too  many                                                                    
children   had   been   in    long   term   intensive   care                                                                    
hospitalization for too many days.                                                                                              
                                                                                                                                
Representative Gray deferred the concern to Ms. Meade.                                                                          
                                                                                                                                
Co-Chair Foster  noted there were  also two  individuals who                                                                    
would speak to the fiscal notes.                                                                                                
                                                                                                                                
Ms. Meade  could not  comment on  the other  agency's fiscal                                                                    
impact.                                                                                                                         
                                                                                                                                
Representative Galvin would wait  on her other question. She                                                                    
wondered  whether too  many children  were in  the intensive                                                                    
hospitals for too long how it would have a fiscal impact.                                                                       
                                                                                                                                
Representative Gray  replied that  Medicaid was  paying $908                                                                    
per night per child.                                                                                                            
                                                                                                                                
4:13:22 PM                                                                                                                    
                                                                                                                                
KIM   SWISHER,  DEPUTY   DIRECTOR,   OFFICE  OF   CHILDREN'S                                                                    
SERVICES, DEPARTMENT  OF FAMILY AND COMMUNITY  SERVICES (via                                                                    
teleconference), agreed.                                                                                                        
                                                                                                                                
Representative Allard  asked if it could  be achieved within                                                                    
the timeframe.                                                                                                                  
                                                                                                                                
Ms. Meade replied that the timeframe was seven to ten days.                                                                     
                                                                                                                                
4:19:18 PM                                                                                                                    
                                                                                                                                
Representative Johnson would take her question offline.                                                                         
                                                                                                                                
Representative Gray appreciated the  question. He would talk                                                                    
with some interested parties about the issue.                                                                                   
                                                                                                                                
Ms. Meade added that the attorneys were appointed at OPA.                                                                       
                                                                                                                                
4:20:39 PM                                                                                                                    
                                                                                                                                
Representative Bynum stated his  understanding there was not                                                                    
currently statutory guidance.                                                                                                   
                                                                                                                                
Representative Gray relayed that he  had been working on the                                                                    
bill  a  long time,  and  wanted  to determine  the  correct                                                                    
timeframe.                                                                                                                      
                                                                                                                                
Representative  Bynum  noted  that  the  bill  was  using  a                                                                    
definition  from  one  of  the cases  related  to  an  acute                                                                    
psychiatric   hospital.   He   asked   if   the   definition                                                                    
constrained the bill, and wondered  whether there could be a                                                                    
facility not defined as a hospital.                                                                                             
                                                                                                                                
Representative  Gray  replied   that  there  were  currently                                                                    
statutes related to residential psychiatric facilities.                                                                         
                                                                                                                                
Representative Bynum asked about the scope of the issue.                                                                        
                                                                                                                                
4:25:34 PM                                                                                                                    
                                                                                                                                
Representative Gray deferred the question to Ms. Swisher.                                                                       
                                                                                                                                
Ms.  Swisher answered  it was  how the  department currently                                                                    
processed the paperwork.                                                                                                        
                                                                                                                                
Representative Tomaszewski asked  about the parties included                                                                    
in the notice.                                                                                                                  
                                                                                                                                
Ms. Meade answered that it could vary.                                                                                          
                                                                                                                                
Co-Chair  Foster noted  that there  was another  hearing. He                                                                    
asked for a review of the fiscal notes.                                                                                         
                                                                                                                                
Ms. Meade reviewed the fiscal note.                                                                                             
                                                                                                                                
4:29:23 PM                                                                                                                    
                                                                                                                                
Ms. Swisher reviewed the fiscal note.                                                                                           
                                                                                                                                
Representative Gray thanked the committee.                                                                                      
                                                                                                                                
HB 36 was HEARD and HELD in committee for further                                                                               
consideration.                                                                                                                  
                                                                                                                                
Co-Chair Foster reviewed the schedule for the following                                                                         
meeting.                                                                                                                        
                                                                                                                                

Document Name Date/Time Subjects
HB 53 CS v.I HCS1 Agency Summary.pdf HFIN 3/12/2025 1:30:00 PM
HB 53
HB 53 CS v.I HCS1 Agency Summary - UGF 031225.pdf HFIN 3/12/2025 1:30:00 PM
HB 53
HB 53 CS Workdraft v.I 031125.pdf HFIN 3/12/2025 1:30:00 PM
HB 53
HB 53 v. I HCS1 Sup Transaction Detail.pdf HFIN 3/12/2025 1:30:00 PM
HB 53
HB 53 v. I HCS1 Transaction Compare GovAmd+ to HCS1.pdf HFIN 3/12/2025 1:30:00 PM
HB 53
HB 53 v.I HCS1 MH Capital Project Detail.pdf HFIN 3/12/2025 1:30:00 PM
HB 53
HB 55 CS WorkDraft 1 v.I 031125.pdf HFIN 3/12/2025 1:30:00 PM
HB 55
HB 55 HCS0MH to HCS1MH (Version N to Version I) Doc Compare - Redline.pdf HFIN 3/12/2025 1:30:00 PM
HB 55
HB 53 HCS0 to HCS1 (Verison N to I) Doc Compare - Redline.pdf HFIN 3/12/2025 1:30:00 PM
HB 53