Legislature(2025 - 2026)BUTROVICH 205

05/08/2025 03:30 PM Senate HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ HB 70 EMERGENCY MED SVCS; OPERATIONAL CANINES TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
Bills Previously Heard/Scheduled:
+= HJR 9 EXTEND AFFORDABLE CARE ACT TAX CREDITS TELECONFERENCED
Moved CSHJR 9(HSS) Out of Committee
+= HB 36 FOSTER CHILDREN PSYCHIATRIC TREATMENT TELECONFERENCED
Heard & Held
          HB  36-FOSTER CHILDREN PSYCHIATRIC TREATMENT                                                                      
                                                                                                                              
                                                                                                                                
4:21:37 PM                                                                                                                    
CHAIR DUNBAR  announced the  consideration of  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."                                                                                                                     
                                                                                                                                
4:21:50 PM                                                                                                                    
CHAIR DUNBAR solicited a motion.                                                                                                
                                                                                                                                
4:21:54 PM                                                                                                                    
SENATOR GIESSEL moved to adopt  the committee substitute (CS) for                                                               
HB 36, work order 34-LS0358\T, as the working document.                                                                         
                                                                                                                                
4:22:08 PM                                                                                                                    
CHAIR DUNBAR objected for purposes of discussion.                                                                               
                                                                                                                                
4:22:20 PM                                                                                                                    
ARIELLE  WIGGIN,  Staff,  Senator Forrest  Dunbar,  Alaska  State                                                               
Legislature, Juneau, Alaska, provided  the summary of changes for                                                               
HB 36, version N to version T and said:                                                                                         
                                                                                                                                
     This  CS  separates  one  statute  into  two  sections.                                                                    
     Originally  AS  47.10.087  was  the  statute  that  was                                                                    
     referred to throughout version N.  [AS 47.10.O87], as I                                                                    
     came  to understand  through  this  process, refers  to                                                                    
     adult residential psychiatric treatment centers.                                                                           
                                                                                                                                
     This CS creates  a new section, Section  105, for short                                                                    
     term psychiatric care for youth, for clarity.                                                                              
                                                                                                                                
     There's  a  title update.  It  replaces  the first  two                                                                    
     lines,   as  terms   are  updated   in  this   version.                                                                    
     Throughout the  bill, there's cleanup that  removes the                                                                    
     term "acute psychiatric  treatment center" and replaces                                                                    
     it with  "hospital that is not  a residential treatment                                                                    
     center."                                                                                                                   
                                                                                                                                
     It adds, "and any other  parties" to sections where the                                                                    
     child, parent,  guardian of  child or  child's guardian                                                                    
     ad litem  are listed. [This  is] to cover  parties that                                                                    
     may be engaged in these court cases.                                                                                       
                                                                                                                                
     Throughout the  bill references are removed  to two-way                                                                    
     video  conferencing as  that is  standard within  court                                                                    
     process  and  was  unnecessary and  can  be  determined                                                                    
     through regulation through court rules.                                                                                    
                                                                                                                                
4:04:56 PM                                                                                                                    
MS. WIGGIN continued with the summary of changes for HB 36:                                                                     
                                                                                                                                
     Section 1  is the piece  that splits the  statute. This                                                                    
     removes  the word  "secure"  adds  "other parties"  and                                                                    
     adds  a  new  definition   of  "acute  psych  treatment                                                                    
     hospital." A  new paragraph  explains why  "secure" was                                                                    
     removed, and the new paragraph  refers to the change in                                                                    
     residential psychiatric treatment center.                                                                                  
                                                                                                                                
     Section 2  is the  new section pulling  out "short-term                                                                    
     psychiatric  care" from  [AS  47.10.087], creating  [AS                                                                    
     47.10.105]. This was Section 3  in version N. It mostly                                                                    
     follows HB  36, version N,  with some updates.  All the                                                                    
     subsection numbers  are changed  starting with  (a). It                                                                    
     renumbers all  of the  following: [Section  2(a) allows                                                                    
     the department to place  the child into a hospital that                                                                    
     is a not a residential psychiatric treatment center.]                                                                      
                                                                                                                                
     Section  3,   there's  a  new  paragraph   6,  replaces                                                                    
     "residential facilities"  with "psychiatric residential                                                                    
     treatment facilities."  This was just to  help with how                                                                    
     this is  referred to in  other parts of  statute. Those                                                                    
     are the changes that are made.                                                                                             
                                                                                                                                
4:26:21 PM                                                                                                                    
CHAIR  DUNBAR  asked  for  an  explanation  of  why  a  committee                                                               
substitute was brought forward.                                                                                                 
                                                                                                                                
4:26:26 PM                                                                                                                    
SENATOR  CLAMAN replied  that the  committee  substitute (CS)  is                                                               
driven  by   concerns  raised  in   the  Kwinhagak   case,  which                                                               
highlighted the lack  of timely judicial review  when children in                                                               
state custody were  placed in hospitals for  psychiatric care. He                                                               
said  to   address  this,  HB  36   clearly  separates  long-term                                                               
psychiatric placements, which already  require court review, from                                                               
short-term   hospital  placements,   ensuring  that   due-process                                                               
hearings and reviews  begin promptly when a child  is admitted to                                                               
a hospital. He  stated that the CS also  makes statutory cleanups                                                               
to clarify definitions,  particularly removing confusing language                                                               
around "secure" treatment facilities,  and updates terminology to                                                               
align  with  how  other  states  define  psychiatric  residential                                                               
treatment  facilities.  These   changes  improve  legal  clarity,                                                               
protect  children's  due-process  rights, and  ensure  consistent                                                               
data collection  for children placed in  out-of-state psychiatric                                                               
care.                                                                                                                           
                                                                                                                                
4:31:22 PM                                                                                                                    
REPRESENTATIVE   ANDREW   GRAY,   District   20,   Alaska   State                                                               
Legislature, Juneau,  Alaska, gave  remarks on  HB 36  and stated                                                               
his  belief  that  the committee  substitute  meets  the  Supreme                                                               
Court's directive in Kwinhagak  and expressed strong appreciation                                                               
for Senator Claman's work on the bill.                                                                                          
                                                                                                                                
4:31:46 PM                                                                                                                    
SENATOR HUGHES asked if there was  ever a situation where a child                                                               
needing only  short-term psychiatric  care is  placed in  a long-                                                               
term  facility due  to available  space,  and if  so, would  that                                                               
raise due process concerns for what is intended to be a short-                                                                  
term placement, or does that not occur in practice.                                                                             
                                                                                                                                
4:32:35 PM                                                                                                                    
CHRISSY VOGELEY, Senior Policy Advisor,  Department of Family and                                                               
Community Services,  Juneau, Alaska, answered questions  on HB 36                                                               
and stated that  placement in a long-term  secure facility always                                                               
requires  a formal  process, including  review by  the Office  of                                                               
Children's   Services  treatment   team,  involvement   of  legal                                                               
parties,  and a  court  hearing to  approve  the transition  from                                                               
short-term to long-term care.                                                                                                   
                                                                                                                                
4:33:23 PM                                                                                                                    
SENATOR HUGHES restated her question and asked whether short-                                                                   
term cases could be placed in a long-term facility when short-                                                                  
term space is full.                                                                                                             
                                                                                                                                
4:34:24 PM                                                                                                                    
MS. VOGELEY  replied that  she is not  aware of  short-term cases                                                               
being  placed  in  long-term facilities,  noting  that  statutes,                                                               
regulations,  and  court  processes prevent  long-term  placement                                                               
without proper approval.                                                                                                        
                                                                                                                                
4:35:05 PM                                                                                                                    
REPRESENTATIVE   GRAY  stated   that  the   committee  substitute                                                               
clarifies the  statutes by separating long-term  residential care                                                               
from short-term care, reducing  confusion and preventing improper                                                               
placement.                                                                                                                      
                                                                                                                                
4:35:44 PM                                                                                                                    
SENATOR TOBIN asked why  HB 36 uses the term on  page 3, line 24,                                                               
"less  restrictive setting"  instead  of the  more common  "least                                                               
restrictive  setting,"  and  sought  clarification  on  line  28,                                                               
regarding who qualifies as "any other party.                                                                                    
                                                                                                                                
4:36:35 PM                                                                                                                    
SENATOR  CLAMAN  answered  that   "any  other  party"  refers  to                                                               
existing parties  in an  ongoing child-in-need-of-aid  case, most                                                               
commonly tribes, and not members  of the public. The language was                                                               
chosen  to ensure  all recognized  parties with  standing in  the                                                               
case receive notice.                                                                                                            
                                                                                                                                
4:37:54 PM                                                                                                                    
CHAIR DUNBAR  repeated the question regarding  "least restrictive                                                               
setting."                                                                                                                       
                                                                                                                                
4:37:59 PM                                                                                                                    
SENATOR  CLAMAN replied  that  while the  goal  is generally  the                                                               
least  restrictive placement,  the  term  "less restrictive"  was                                                               
likely chosen  to emphasize moving  children out of  hospitals as                                                               
soon  as possible.  He suggested  reviewing the  language further                                                               
and following up at the next hearing.                                                                                           
                                                                                                                                
4:38:38 PM                                                                                                                    
REPRESENTATIVE  GRAY pointed  out that  HB 36,  line 11,  already                                                               
states the  department must promptly  seek the  least restrictive                                                               
placement  and  does not  see  a  substantive difference  in  the                                                               
wording. He  suggested using  consistent language  throughout and                                                               
agrees the issue should be reviewed.                                                                                            
                                                                                                                                
4:39:14 PM                                                                                                                    
SENATOR  HUGHES suggested  that  "less restrictive"  may be  used                                                               
when  the  least restrictive  option  is  unavailable and  raises                                                               
concern about defining  "any other party" to  avoid including the                                                               
public. She  proposed clarifying the language  to specify parties                                                               
recognized by the court.                                                                                                        
                                                                                                                                
SENATOR CLAMAN stated he will  circle back with Legislative Legal                                                               
and get an answer.                                                                                                              
                                                                                                                                
4:39:47 PM                                                                                                                    
CHAIR  DUNBAR suggested  holding  HB 36  for  another hearing  to                                                               
consult with drafters about clarifying  the language, noting that                                                               
"party"   typically   implies   court-recognized   standing.   He                                                               
emphasized that the intent is  not to allow random individuals to                                                               
become parties.                                                                                                                 
                                                                                                                                
4:40:23 PM                                                                                                                    
SENATOR   TOBIN  noted   the  importance   of  public   committee                                                               
discussions  for   the  legal  record   and  asks   for  judicial                                                               
perspective on the  bill's court-related provisions, particularly                                                               
given the lack of a judiciary referral.                                                                                         
                                                                                                                                
4:41:06 PM                                                                                                                    
CHAIR DUNBAR noted that HB 36 does not have a fiscal note.                                                                      
                                                                                                                                
4:41:19 PM                                                                                                                    
NANCY  MEADE,  General  Counsel,  Office  of  the  Administrative                                                               
Director,   Alaska  Court   System,   Juneau,  Alaska,   answered                                                               
questions  on  HB 36.  She  responded  that the  legislature  can                                                               
change  court rules  with a  two-thirds vote  and noted  that the                                                               
bill's  court-related change  has minimal  impact because  courts                                                               
already  routinely  appoint  attorneys  for  children  placed  in                                                               
psychiatric hospitals.                                                                                                          
                                                                                                                                
4:42:57 PM                                                                                                                    
CHAIR  DUNBAR  noted  that  this  is the  first  time  all  three                                                               
branches of the government are testifying simultaneously.                                                                       
                                                                                                                                
4:43:15 PM                                                                                                                    
SENATOR  HUGHES asked  for an  explanation  to be  put on  record                                                               
regarding why there isn't a fiscal note.                                                                                        
                                                                                                                                
4:43:36 PM                                                                                                                    
MS. VOGELEY  replied that the  bill's fiscal impact is  small and                                                               
believes  the Office  of the  Administrative Director  can absorb                                                               
the costs.                                                                                                                      
                                                                                                                                
4:44:09 PM                                                                                                                    
SENATOR  HUGHES asked  who removes  the funding  from the  fiscal                                                               
note and what the process is.                                                                                                   
                                                                                                                                
CHAIR  DUNBAR replied  he  was  not sure.  He  asked Ms.  Vogeley                                                               
whether her office submitted a new fiscal note.                                                                                 
                                                                                                                                
MS. VOGELEY replied yes.                                                                                                        
                                                                                                                                
4:44:33 PM                                                                                                                    
SENATOR  TOBIN asked  about  the potential  impact  on the  court                                                               
system given  the estimate that the  court change in HB  36 could                                                               
trigger approximately 110 additional hearings.                                                                                  
                                                                                                                                
4:44:50 PM                                                                                                                    
MS.  MEADE replied  that the  committee  substitute broadens  the                                                               
definition  of  hospital   admissions  requiring  review,  likely                                                               
resulting in  more than the  previously estimated  110 additional                                                               
hearings. However,  the court does  not assign a fiscal  note for                                                               
this extra  work, as it  doesn't require  new hires, so  the bill                                                               
itself has no immediate fiscal impact.                                                                                          
                                                                                                                                
4:46:00 PM                                                                                                                    
CHAIR DUNBAR removed his objection; found no further objection                                                                  
and SCS HB 36 was adopted as the working document.                                                                              
                                                                                                                                
4:46:15 PM                                                                                                                    
CHAIR DUNBAR held HB 36 in committee.                                                                                           

Document Name Date/Time Subjects
HB 70 Version G.A - Presentation.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Version G.A - Bill Text.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 - Support Testimony Received as of 4.30 (redacted).pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Version G.A - Sectional Analysis.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Version G.A - Sponsor Statement.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Version G.A - Summary of Changes Ver. I to Ver. G.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Version G.A - Summary of Changes Ver. G to Ver. G.A.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Version G.A - Summary of Changes Ver. N to Ver. I.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 - Opposition Testimony Recieved as of 4.30 (redacted).pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Research Operation Canine Lifeline Publication 2016.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Research Retrospective Gunshot Wound Study 1.1.2013.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 - Invited Testimony Contact Sheet as of 4.30.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Fiscal Note DOH EP 1.30.25.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Research J Vet Emergen Crit Care 2021.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Research Causes of Mortality in MWDs from Traumatic Injuries 8.7.2024.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Research Recommendations for Prehospital Veterinary Care 1.3.2016 (Summary and Link).pdf SHSS 5/8/2025 3:30:00 PM
HB 70
HB 70 Research Prehospital Intervention Performed on MWD 2019.pdf SHSS 5/8/2025 3:30:00 PM
HB 70
CSHB 36 DRAFT Version T 5.8.25.pdf SHSS 5/8/2025 3:30:00 PM
HB 36