Legislature(2023 - 2024)BUTROVICH 205

04/11/2024 03:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
03:35:38 PM Start
03:36:36 PM HCR15
03:41:24 PM Presentation: Behavorial Health Roadmap for Alaska Youth
04:09:52 PM HB371
04:26:10 PM HB89
05:04:51 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Presentation: Department of Health - Behavioral TELECONFERENCED
Health Roadmap for Alaska Youth
-- Testimony <Invitation Only> --
*+ HB 371 MEDICAL REVIEW ORGANIZATIONS TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
*+ HCR 15 MENTAL HEALTH MONTH; TARDIVE DYSK WEEK TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 89 CHILD CARE: TAX CREDITS/ASSISTANCE/GRANTS TELECONFERENCED
Moved SCS CSHB 89(HSS) Out of Committee
        HB 89-CHILD CARE: TAX CREDITS/ASSISTANCE/GRANTS                                                                     
                                                                                                                                
4:26:10 PM                                                                                                                    
CHAIR   WILSON  reconvened   the   meeting   and  announced   the                                                               
consideration of CS  FOR HOUSE BILL NO. 89(FIN)  "An Act relating                                                               
to education  tax credits for certain  payments and contributions                                                               
for  child  care  and  child care  facilities;  relating  to  the                                                               
insurance tax education credit,  the income tax education credit,                                                               
the  oil  or gas  producer  education  credit, the  property  tax                                                               
education  credit,  the  mining business  education  credit,  the                                                               
fisheries business  education credit, and the  fisheries resource                                                               
landing tax  education credit; renaming  the day  care assistance                                                               
program the child care assistance  program; relating to the child                                                               
care  assistance  program  and  the  child  care  grant  program;                                                               
providing for  an effective date  by amending the  effective date                                                               
of secs.  1, 2, and  21, ch. 61, SLA  2014; and providing  for an                                                               
effective date."                                                                                                                
                                                                                                                                
4:26:49 PM                                                                                                                    
EDRA  MORLEDGE,  Staff,  Representative  Julie  Coulombe,  Alaska                                                               
State Legislature,  Juneau, Alaska, provided a  brief overview by                                                               
sharing the first paragraph of the sponsor statement:                                                                           
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     House Bill 89 is a  workforce bill that aligns with the                                                                    
     Governor's  Child   Care  Task  Force  on   Child  Care                                                                    
     recommendations.   This  bill   will  incentivize   the                                                                    
     private sector  to offer child  care benefits  to their                                                                    
     employees to  fill jobs essential for  economic growth,                                                                    
     expand  the   number  of   families  that   can  access                                                                    
     assistance, and  aligns funding to  the actual  cost of                                                                    
     care.                                                                                                                      
                                                                                                                                
4:27:49 PM                                                                                                                    
  CHAIR WILSON found no questions and solicited a motion.                                                                       
                                                                                                                                
  4:27:57 PM                                                                                                                  
    SENATOR TOBIN moved to adopt Amendment 1, work order 33-                                                                    
  LS0518\U.8, to HB 89.                                                                                                         
                                                                                                                                
                                                   33-LS0518\U.8                                                                
                                                Dunmire/Bergerud                                                                
                                                         4/1/24                                                                 
                                                                                                                                
                             AMENDMENT 1                                                                                    
                                                                                                                              
                                                                                                                                
       OFFERED IN THE SENATE                  BY SENATOR TOBIN                                                                  
           TO:  CSHB 89(FIN)                                                                                                    
                                                                                                                                
       Page 20, line 31:                                                                                                        
            Delete "Each"                                                                                                       
            Insert "A [EACH]"                                                                                               
       Page 21, line 1, following "shall":                                                                                      
            Insert "(1)"                                                                                                    
       Page 21, line 4, following "only":                                                                                       
            Insert ";                                                                                                       
                 (2)  give priority to children from low-                                                                   
                 income families when filling available child                                                               
                 care spaces in the facility"                                                                               
       Page 21, line 5:                                                                                                         
            Delete "a new subsection"                                                                                           
            Insert "new subsections"                                                                                            
       Page 21, following line 12:                                                                                              
       Insert a new subsection to read:                                                                                         
                 "(j)  A child care facility receiving a                                                                        
            grant under  (a) or  (d) of  this section may  not                                                                  
            deny a child  acceptance to the facility  based on                                                                  
            disability or  socioeconomic status or  suspend or                                                                  
            expel a child from the facility."                                                                                   
                                                                                                                                
4:28:05 PM                                                                                                                    
CHAIR WILSON objected for purposes of discussion.                                                                               
                                                                                                                                
4:28:07 PM                                                                                                                    
SENATOR TOBIN  explained that Amendment  1 makes  several changes                                                               
to HB 371  and began with a general overview  of tax credits. She                                                               
clarified that tax credits allow a  company to use funds it would                                                               
owe  in taxes  for  the public  good,  essentially turning  these                                                               
funds  into public  dollars. Drawing  a  comparison to  Multnomah                                                               
County's preschool-for-all  model, she  described how  the county                                                               
uses  a  public-voted  tax  to   subsidize  child  care  for  all                                                               
children,  with   specific  stipulations  for   equitable  access                                                               
regardless of background,  language, developmental needs, income,                                                               
or  housing  stability.  She  noted that  while  HB  89  supports                                                               
employers establishing childcare facilities for employees.                                                                      
                                                                                                                                
4:31:06 PM                                                                                                                    
SENATOR TOBIN said Amendment 1 adds  a provision to HB 89 on page                                                               
21, line  17, by prioritizing  access for low-income  families to                                                               
any unfilled  slots. This is particularly  important for children                                                               
in  her  district, many  of  whom  are from  low-income  families                                                               
unable  to benefit  from the  proposed  subsidies. The  amendment                                                               
also adds  language to prevent childcare  facilities using public                                                               
funds  from denying  access to  children based  on disability  or                                                               
socioeconomic status, and it  prohibits suspensions or expulsions                                                               
from  these  facilities.  Citing Multnomah  County's  model,  she                                                               
emphasized that  prohibiting suspensions and  expulsions provides                                                               
stability  for families  and  prevents discrimination,  asserting                                                               
that these  conditions are essential when  public dollars support                                                               
a facility.                                                                                                                     
                                                                                                                                
4:32:05 PM                                                                                                                    
SENATOR GIESSEL expressed concern  that Amendment 1 would prevent                                                               
childcare facilities from expelling or  suspending a child who is                                                               
causing harm  to others.  She emphasized that  this is  a serious                                                               
issue  for her  and stated  she could  not support  the amendment                                                               
under these conditions.                                                                                                         
                                                                                                                                
SENATOR TOBIN  said she would  be happy to consider  an amendment                                                               
to the amendment.                                                                                                               
                                                                                                                                
4:32:42 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
4:33:43 PM                                                                                                                    
CHAIR WILSON reconvened the meeting.                                                                                            
                                                                                                                                
  4:33:48 PM                                                                                                                  
  SENATOR  GIESSEL  moved  to  adopt   a  Conceptual  Amendment  to                                                             
  Amendment 1  (U.8). She proposed  the removal  of line 21,  which                                                             
  reads "or suspend or expel a child from the facility."                                                                        
                                                                                                                                
  4:34:07 PM                                                                                                                  
  CHAIR WILSON found  no objection and the Conceptual  Amendment to                                                             
  Amendment 1 was adopted.                                                                                                      
                                                                                                                                
  4:34:12 PM                                                                                                                  
  CHAIR WILSON asked  if there was further discussion  on Amendment                                                             
  1, as amended.                                                                                                                
                                                                                                                                
  4:34:27 PM                                                                                                                  
  CHAIR WILSON said for  reference purposes he hoped that  the next                                                             
  committee of  referral would  create an  amendment defining  low-                                                             
  income for the purpose of giving  priority to low-income families                                                             
  when filling available slots at facilities.                                                                                   
                                                                                                                                
  4:35:08 PM                                                                                                                  
  SENATOR  WILSON  removed  his  objection  and  found  no  further                                                             
  objection.                                                                                                                    
                                                                                                                                
  4:35:18 PM                                                                                                                  
  CHAIR WILSON  announced that Amendment  1 (U.8), as  amended, was                                                             
  adopted.                                                                                                                      
                                                                                                                                
  4:35:25 PM                                                                                                                  
     CHAIR WILSON moved to adopt Amendment 2, work order 33-                                                                    
  LS0518\U.9, to HB 89.                                                                                                         
                                                                                                                                
                                                   33-LS0518\U.9                                                                
                                                       Bergerud                                                                 
                                                        3/29/24                                                                 
                                                                                                                                
                                                                                                                                
                             AMENDMENT 2                                                                                    
                                                                                                                                
                                                                                                                                
       OFFERED IN THE SENATE                 BY SENATOR WILSON                                                                  
           TO:  CSHB 89(FIN)                                                                                                    
                                                                                                                                
       Page 19, line 2, following "size":                                                                                   
          Insert ", unless the family is otherwise exempt                                                                   
     from income eligibility requirements"                                                                                  
                                                                                                                                
4:35:41 PM                                                                                                                    
SENATOR KAUFMAN object for purpose of discussion.                                                                               
                                                                                                                                
4:35:59 PM                                                                                                                    
LEAH  VAN  KIRK,  Health  Care  Policy  Advisor,  Office  of  the                                                               
Commissioner,  Department of  Health,  Juneau, Alaska,  explained                                                               
that Amendment 2  aims to align the current  system with proposed                                                               
changes.  She noted  that some  families qualify  for eligibility                                                               
based on federal criteria, such  as foster care status or receipt                                                               
of public  benefits. Amendment  2 is  intended to  preserve these                                                               
federally  regulated eligibility  criteria,  ensuring that  these                                                               
families continue to qualify under the updated system.                                                                          
                                                                                                                                
4:37:04 PM                                                                                                                    
SENATOR KAUFMAN removed his objection.                                                                                          
                                                                                                                                
4:37:12 PM                                                                                                                    
CHAIR WILSON  found no  further objection  and Amendment  2 (U.9)                                                               
was adopted.                                                                                                                    
                                                                                                                                
4:37:16 PM                                                                                                                    
CHAIR WILSON solicited a motion.                                                                                                
                                                                                                                                
4:37:17 PM                                                                                                                    
SENATOR  TOBIN  moved  to  adopt  Amendment  3,  work  order  33-                                                               
LS0518\U.10, to HB 89.                                                                                                          
                                                                                                                                
                                                33-LS0518\U.10                                                                  
                                                     Bergerud                                                                   
                                                       4/9/24                                                                   
                                                                                                                                
                                                                                                                                
                          AMENDMENT 3                                                                                       
                                                                                                                                
                                                                                                                                
    OFFERED IN THE SENATE                  BY SENATOR TOBIN                                                                     
         TO:  CSHB 89(FIN)                                                                                                      
                                                                                                                                
     Page 20, line 27:                                                                                                          
          Delete "and"                                                                                                          
          Insert "[AND]"                                                                                                        
                                                                                                                                
       Page 20, line 29, following "section":                                                                                   
            Insert "; and                                                                                                   
                 (4)  be designated as a quality child care                                                                 
                 facility by the department"                                                                                
                                                                                                                                
       Page 21, following line 4:                                                                                               
            Insert a new bill section to read:                                                                                  
       "* Sec. 33. AS 47.25.071(h) is amended to read:                                                                      
             (h)  The department shall, in consultation with a                                                              
        child care resource and  referral agency in  the state                                                              
        [INTERESTED CHILD CARE  PROVIDERS] and  parents, adopt                                                                  
        regulations to carry out the purposes of this section,                                                              
        including criteria  used  to  designate a  child  care                                                              
        facility as a quality child care facility under (b)(4)                                                              
        of this section."                                                                                                   
                                                                                                                                
       Renumber the following bill sections accordingly.                                                                        
                                                                                                                                
       Page 22, line 21:                                                                                                        
            Delete "sec. 40"                                                                                                    
            Insert "sec. 41"                                                                                                    
                                                                                                                                
  4:37:21 PM                                                                                                                  
  CHAIR WILSON objected for purposes of discussion.                                                                             
                                                                                                                                
  4:37:24 PM                                                                                                                  
  SENATOR   TOBIN   explained   that   Amendment   3   incorporates                                                             
  discussions  from  the  Child  Care   Task  Force  regarding  the                                                             
  definition of "quality" in child care  facilities. She noted that                                                             
  while "quality" is frequently emphasized  by child care providers                                                             
  and Department of Health representatives,  a clear and measurable                                                             
  definition is still under development  in regulation. Amendment 3                                                             
  ensures that any facility receiving  subsidies must be designated                                                             
  as  a  quality  child  care  facility   by  the  department.  She                                                             
  clarified that  Amendment 3 does  not define "quality"  directly;                                                             
  instead,  it   ensures  that   the  Department   of  Health,   in                                                             
consultation  with child  care  resource  and referral  agencies,                                                               
develops  the definition  collaboratively,  based on  stakeholder                                                               
expertise and experience. She reiterated  that as public funds in                                                               
the form of tax  credits are used, it is important  to set a high                                                               
standard,  requiring facilities  receiving  subsidies  to meet  a                                                               
defined  quality level  that reflects  the community's  needs and                                                               
expectations.                                                                                                                   
                                                                                                                                
4:39:46 PM                                                                                                                    
CHAIR WILSON said the bill sponsor had statements.                                                                              
                                                                                                                                
4:39:55 PM                                                                                                                    
ELEILIA  PRESTON, Staff,  Representative  Julie Coulombe,  Alaska                                                               
State Legislature,  Juneau, Alaska, acknowledged that  the intent                                                               
of Amendment 3 is to  ensure high-quality childcare because it is                                                               
beneficial,  and  everyone  wants   children  to  have  the  best                                                               
possible experience.  However, she expressed concern  that adding                                                               
new  regulations could  exacerbate  challenges  in areas  already                                                               
experiencing  a childcare  shortage, or  "childcare desert."  She                                                               
said  her  hesitation stemmed  from  the  possibility that  these                                                               
additional  requirements  might   impose  unnecessary  regulatory                                                               
burdens.                                                                                                                        
                                                                                                                                
4:41:03 PM                                                                                                                    
MS.  VAN   KIRK  shared  insights   from  the   recent  in-person                                                               
Governor's  Task   Force  meeting,  where  there   was  a  robust                                                               
discussion on  integrating quality  into the  childcare licensing                                                               
process. She emphasized that the  childcare grant being discussed                                                               
applies to providers  who are already licensed  or approved, with                                                               
grant funds  based on child  attendance. Licensing  itself serves                                                               
as  a  baseline  indicator  of   quality,  and  since  2016,  the                                                               
Department  has further  supported quality  through the  "Learn &                                                               
Grow" system, a quality recognition  and improvement program that                                                               
has standards  built into it.  Different from  accreditation, the                                                               
system provides  coaching, cohort  support, and  incentives based                                                               
on  achievement levels.  She  noted that  during  the Task  Force                                                               
discussion, members emphasized the  importance of not undermining                                                               
existing  supports  that  providers  depend on.  The  Child  Care                                                               
Grant, while  small (capped  at $50 per  child), is  essential to                                                               
many  providers.  The  Task  Force  recommended  maintaining  the                                                               
current  grant  formula  but   adding  incentives  for  providers                                                               
participating in  "Learn &  Grow," allowing  them to  qualify for                                                               
additional funding if  they meet Level 1 criteria  of the program                                                               
delivered by Thread.                                                                                                            
                                                                                                                                
4:43:44 PM                                                                                                                    
  SENATOR DUNBAR expressed  support for the Amendment 3,  noting it                                                             
  addresses  some of  his  areas of  interest.  He shared  that  he                                                             
  recently  met  with  childcare  providers  in  critical  need  of                                                             
  additional   funding,  who   advocated   for  Amendment   90   to                                                             
  significantly raise  the grant amount.  He asked if  Amendment 90                                                             
  passed on the floor.                                                                                                          
                                                                                                                                
  MS. VAN KIRK indicated that it did not pass.                                                                                  
                                                                                                                                
  4:44:18 PM                                                                                                                  
  SENATOR DUNBAR stated that  is unfortunate that it did  not pass,                                                             
  noting  that there  has  been  opportunity to  directly  increase                                                             
  funding as  described,  but it  has not  yet passed.  He said  he                                                             
  finds this concerning. He  also inquired about the source  of the                                                             
  current $50 per child, asking where the money comes from.                                                                     
                                                                                                                                
  4:44:49 PM                                                                                                                  
  MS. VAN KIRK explained  that funding for the Child  Care grant is                                                             
  sourced  from   federal  funds,   with  some   money  set   aside                                                             
  specifically for quality initiatives.                                                                                         
                                                                                                                                
  4:45:16 PM                                                                                                                  
  CHAIR  WILSON  pointed  out  that  in  HB  89,  Section  34,  the                                                             
  eligibility criteria for childcare facility  grants could include                                                             
  home  childcare   providers  who  are   not  family   members  or                                                             
  relatives. He  emphasized the importance  of ensuring  that these                                                             
  grants  and  quality-related resources  are  also  accessible  to                                                             
  smaller  home-based   providers  who   may  lack  the   financial                                                             
  resources available to larger daycare centers.                                                                                
                                                                                                                                
  4:45:58 PM                                                                                                                  
  MS. VAN KIRK  clarified that this funding supports  both licensed                                                             
  childcare homes and  childcare centers. She noted that  the Child                                                             
  Care  grant is  available to  all  licensed facilities,  provided                                                             
  they accept children who receive a subsidy.                                                                                   
                                                                                                                                
  4:46:27 PM                                                                                                                  
  SENATOR   DUNBAR  expressed   his   support  for   Amendment   3,                                                             
  emphasizing the importance  of maintaining quality  in childcare.                                                             
  While  he acknowledged  concerns about  the  supply of  childcare                                                             
  services, he  noted that there  are other strategies  to increase                                                             
  supply  alongside quality  improvements.  He mentioned  a  recent                                                             
  measure  aimed at  expanding supply  that  unfortunately did  not                                                             
  pass  but  expressed  optimism  about   future  opportunities  to                                                             
  address these issues.                                                                                                         
                                                                                                                                
  4:47:07 PM                                                                                                                  
CHAIR WILSON  expressed concern  that Amendment  3 might  lead to                                                               
additional costs  added to the  Department of  Education's fiscal                                                               
notes.  He   noted  that  HB   89  already   includes  regulatory                                                               
requirements and  hopes DEED  can absorb  these costs  within the                                                               
current fiscal  notes attached to  the legislation.  He cautioned                                                               
that the  Department often  seeks extra funding  for tasks  it is                                                               
already handling.                                                                                                               
                                                                                                                                
4:47:57 PM                                                                                                                    
SENATOR TOBIN  clarified that Amendment 3  requires facilities to                                                               
be   designated  as   "quality   childcare  facilities"   without                                                               
mandating a  specific definition of  quality. She noted  that the                                                               
department  currently  views  licensure  as the  first  level  of                                                               
quality, meaning  that licensed  facilities already  meet initial                                                               
expectations. She  added that the department  is actively working                                                               
with early  childhood organizations to develop  the Alaska System                                                               
for  Early Education  Development  (SEED)  Program, which  really                                                               
helps build levels  of quality. She suggested  that a recognition                                                               
program,  such  as  a system  of  stickers  indicating  different                                                               
levels of  achievement, could incentivize facilities  to progress                                                               
through   tiers  of   quality.  This   would  encourage   ongoing                                                               
professional  development   and  adherence  to   standards  while                                                               
showcasing commitment  to high-quality care. She  emphasized that                                                               
Amendment 3  should not impose  additional burdens, as  it aligns                                                               
with existing efforts  that she would like  codified to encourage                                                               
childcare  providers   to  seek  additional  levels   of  quality                                                               
standards.                                                                                                                      
                                                                                                                                
4:49:44 PM                                                                                                                    
CHAIR   WILSON  removed   his  objection;   finding  no   further                                                               
objection, Amendment 3 (U.10) was adopted.                                                                                      
                                                                                                                                
4:50:00 PM                                                                                                                    
SENATOR DUNBAR said  he distributed to members a  legal memo that                                                               
he received at  3:00 pm. He said the memo  made some assumptions.                                                               
He noted that  HB 89 has a  $6 million fiscal note  and asked for                                                               
clarification on whether HB 89  includes only tax credits or also                                                               
increases  the  amount of  direct  subsidy  provided through  the                                                               
grant program.                                                                                                                  
                                                                                                                                
4:50:41 PM                                                                                                                    
MS. VAN  KIRK clarified that  HB 89  does increase the  amount of                                                               
subsidies.  The   current  subsidy  program,   which  administers                                                               
federal  funds, operates  through an  indirect approach;  federal                                                               
assistance   is  considered   indirect  because   eligibility  is                                                               
determined by the beneficiary, who then selects their provider.                                                                 
                                                                                                                                
  SENATOR  DUNBAR acknowledged  the information  and  asked if  the                                                             
  expanded  program using  state  dollars  will continue  with  the                                                             
  indirect  approach   or  adopt  a   more  direct   approach  with                                                             
  providers.                                                                                                                    
                                                                                                                                
  4:51:33 PM                                                                                                                  
  MS. VAN  KIRK said it  would it the  same mechanism  and approach                                                             
  currently used.                                                                                                               
                                                                                                                                
  SENATOR DUNBAR  asked if  HB 89  passes, would  the program  have                                                             
  state dollars in addition to federal dollars.                                                                                 
                                                                                                                                
  4:51:54 PM                                                                                                                
  MS.  VAN KIRK  explained  that  federal funds  currently  provide                                                             
  approximately $17  million in  subsidies, and  the state  general                                                             
  funds indicated in the fiscal note would be an addition.                                                                      
                                                                                                                                
  4:52:10 PM                                                                                                                  
  SENATOR DUNBAR  expressed support  for supplementing the  program                                                             
  with state general  funds but noted  that it changes  the "color"                                                             
  of the  funding.  He highlighted  that the  legal memo  addresses                                                             
  only the constitutionality of tax credits,  noting that while tax                                                             
  credits are  confirmed constitutional,  the memo  does not  fully                                                             
  apply to the direct subsidy aspect introduced  by state funds. He                                                             
  then inquired  about  the nature  of services  provided by  these                                                             
  childcare  facilities,   asking  if   they  include   educational                                                             
  instruction  or simply  focus  on  child supervision  and  safety                                                             
  during care hours.                                                                                                            
                                                                                                                                
  MS. VAN  KIRK explained that  childcare facilities  operate under                                                             
  licensing   requirements   focused   on   health,   safety,   and                                                             
  maintaining a  quality environment. She  clarified that  there is                                                             
  no  defined  or required  educational  curriculum  for  childcare                                                             
  facilities.                                                                                                                   
                                                                                                                                
  4:53:28 PM                                                                                                                  
  SENATOR  DUNBAR asked  even  if  educational instruction  is  not                                                             
  required does it does it occur in child care facilities.                                                                      
                                                                                                                                
  MS.  VAN  KIRK  explained  that   early  childhood  education  in                                                             
  childcare  facilities is  less  formal  and  does not  involve  a                                                             
  structured  curriculum  as seen  in  schools.  Instead,  learning                                                             
  happens through  activities like  play, motor skill  development,                                                             
  and engaging with stimulating environments,  all of which support                                                             
  children's  growth  and readiness  for  school.  While  childcare                                                             
  facilities are  not  classified as  educational institutions  and                                                             
  are  not regulated  by  the  Department  of Education  and  Early                                                             
Development,  they  still  foster foundational  learning  through                                                               
these developmental activities.                                                                                                 
                                                                                                                                
4:55:03 PM                                                                                                                    
SENATOR  DUNBAR   noted  that,  according  to   the  legal  memo,                                                               
childcare    facilities    are   not    considered    educational                                                               
institutions,   though  he   finds  it   interesting  that   they                                                               
essentially function  as preschools.  He stated that  although he                                                               
is not on  the task force, his experience, including  his role on                                                               
the  Anchorage Assembly,  suggests  a shift  toward making  these                                                               
facilities more  instructional and school-preparatory.  He shared                                                               
that  a childcare  provider he  recently met  uses a  curriculum,                                                               
indicating a move toward structured  early education. He asked if                                                               
encouraging more  instructional elements  and moving  beyond mere                                                               
supervision  accurately   represents  the  intent   behind  these                                                               
efforts.                                                                                                                        
                                                                                                                                
4:56:05 PM                                                                                                                    
MS. VAN KIRK responded that the  goal is to create an environment                                                               
for  children that  is  healthy, safe,  and  supportive of  their                                                               
developmental stages, providing a  critical foundation for future                                                               
learning and  school readiness. She  clarified that there  are no                                                               
formal educational requirements in  childcare licensing or within                                                               
the childcare sector.                                                                                                           
                                                                                                                                
4:56:45 PM                                                                                                                    
CHAIR WILSON asked Senator Dunbar if  he is focusing more on pre-                                                               
K rather than general childcare,  noting that childcare typically                                                               
serves  children from  infancy onward.  He suggested  that pre-K,                                                               
which  some  school  districts offer,  may  differ  from  general                                                               
childcare in its educational intent and structure.                                                                              
                                                                                                                                
4:57:08 PM                                                                                                                    
SENATOR DUNBAR asked what for the age range of child care.                                                                      
                                                                                                                                
4:57:16 PM                                                                                                                    
MS. VAN  KIRK replied that the  age range for child  care is zero                                                               
to 12 years old.                                                                                                                
                                                                                                                                
SENATOR  DUNBAR raised  concerns about  the constitutionality  of                                                               
using public  funds for religious  schools through  this program,                                                               
noting  that  Alaska's  constitution  strongly  prohibits  public                                                               
dollars  from  funding religious  education,  even  more so  than                                                               
federal guidelines.  He pointed  out that  while tax  credits are                                                               
constitutionally permissible,  the inclusion of  direct subsidies                                                               
could raise issues if funds  go toward religious instruction in a                                                               
school-like  setting. He  said after  researching and  consulting                                                               
  with others,  he found that  while most providers  are influenced                                                             
  by  religious   valueswhich   he  believes   is  constitutionally                                                             
  acceptablesome  might engage in direct  religious instruction. He                                                             
  proposed  a potential  amendment to  specify  that grant  funding                                                             
  from this program may  not be used for religious  instruction. He                                                             
  asked if  this type of  amendment would  impact providers, as  it                                                             
  seems  that most  do  not currently  engage  in direct  religious                                                             
  instruction.                                                                                                                  
                                                                                                                                
  4:59:29 PM                                                                                                                  
  MS.  VAN KIRK  noted  that she  may  need to  consult  additional                                                             
  resources to fully address the question,  emphasizing that she is                                                             
  not  a lawyer.  She  explained that,  under  the federal  subsidy                                                             
  system,  funds  are  allocated indirectly,  with  the  parent  or                                                             
  beneficiary selecting  the  provider, which  aligns with  federal                                                             
  guidelines. She  added that childcare  licensing is  regulated by                                                             
  the  Department   of  Health  rather   than  the   Department  of                                                             
  Education. She offered  to gather more information and  follow up                                                             
  on the legal aspects raised.                                                                                                  
                                                                                                                                
  5:00:34 PM                                                                                                                  
  SENATOR DUNBAR clarified  that he is not questioning  the ability                                                             
  of  religious  organizations  to  provide  childcare  or  general                                                             
  education. His concern  is specifically about public  funds being                                                             
  used for  religious instruction.  He asked  for the  Department's                                                             
  perspective on whether  this practice aligns  with constitutional                                                             
  guidelines and  suggested that input  from the Department  of Law                                                             
  might be helpful.                                                                                                             
                                                                                                                                
  5:01:08 PM                                                                                                                  
  SENATOR GIESEL shared her perspective as a  parent of three and a                                                             
  volunteer  with  foster  care   organizations,  emphasizing  that                                                             
  childcare   inherently    involves   teaching   and    supporting                                                             
  developmental milestones,  even if the  facility is  not formally                                                             
  labeled  as educational.  She noted  that  infants, for  example,                                                             
  learn  trust,  while  toddlers learn  boundaries,  all  of  which                                                             
  constitute   developmental   guidance.   She    highlighted   the                                                             
  importance  of  cultural and  religious  alignment,  noting  that                                                             
  families  often choose  childcare  providers that  reflect  their                                                             
  values and beliefs, creating a substitute  environment that feels                                                             
  like  an  extension  of their  own.  She  urged  the  department,                                                             
  directing  her  comments  to Ms.  Van  Kirk,  to  consider  these                                                             
  factors in drafting regulations and  policies, balancing the need                                                             
  for  quality standards  with  respect  for parental  choice.  She                                                             
  emphasized that  families  should be  able to  select a  provider                                                             
  that aligns  with their  cultural and  developmental needs  while                                                             
  still qualifying for financial support.                                                                                       
                                                                                                                                
5:04:02 PM                                                                                                                    
CHAIR WILSON solicited the will of the committee.                                                                               
                                                                                                                                
5:04:09 PM                                                                                                                    
SENATOR KAUFMAN moved to report HB 89, work order 33-LS0518\U,                                                                  
as amended, from committee with individual recommendations and                                                                  
attached fiscal note(s).                                                                                                        
                                                                                                                                
5:04:24 PM                                                                                                                    
CHAIR WILSON found no further objection and SCS CSHB 89 (HSS),                                                                  
was reported from the Senate Health and Social Services Standing                                                                
Committee.                                                                                                                      

Document Name Date/Time Subjects
HB 371 v. A.pdf SHSS 4/11/2024 3:30:00 PM
HB 371
HB 371 Sponsor Presentation.pdf SHSS 4/11/2024 3:30:00 PM
HB 371
HB 371 Sponsor Statement.pdf SHSS 4/11/2024 3:30:00 PM
HB 371
HB 371 Sectional Analysis.pdf SHSS 4/11/2024 3:30:00 PM
HB 371
HB 371 Fiscal Note.pdf SHSS 4/11/2024 3:30:00 PM
HB 371
HB 371 LOS ANTHC.PDF SHSS 4/11/2024 3:30:00 PM
HB 371
HCR015A.pdf SHSS 4/11/2024 3:30:00 PM
HCR 15
HCR15 Sponsor Statement 04.01.24.pdf SHSS 4/11/2024 3:30:00 PM
HCR 15
HCR 15 Fiscal Note LEG-SESS.pdf SHSS 4/11/2024 3:30:00 PM
HCR 15
HCR 15 Support Document TDAW Infographic.pdf SHSS 4/11/2024 3:30:00 PM
HCR 15
HCR 15 Support Document Mental Health and TD Factsheet.pdf SHSS 4/11/2024 3:30:00 PM
HCR 15
4.11.24 DOH Presentation BH Roadmap.pdf SHSS 4/11/2024 3:30:00 PM
SHSS 4.11.24 DOH Behavioral Health Roadmap for Alaska Youth
HB89 DOH responses to SHSS questions.pdf SHSS 4/11/2024 3:30:00 PM
HB 89
HB 89 Legal Memo to Dunbar (24-192mis).pdf SHSS 4/11/2024 3:30:00 PM
HB 89
HB 89 LOS Allmeroth.pdf SFIN 4/23/2024 9:00:00 AM
SHSS 4/11/2024 3:30:00 PM
HB 89
HCR 15 NAMI Alaska testimony 4.11.24.pdf SHSS 4/11/2024 3:30:00 PM
HCR 15
HB 89 Amendments Nos. 1-3 - adopted 4.11.24.pdf SHSS 4/11/2024 3:30:00 PM
HB 89