Legislature(2019 - 2020)BUTROVICH 205
02/12/2020 01:30 PM Senate HEALTH & SOCIAL SERVICES
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| Audio | Topic |
|---|---|
| Start | |
| Presentation: Coronavirus: Alaska's Response and Preparedness | |
| HB96 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| + | TELECONFERENCED | ||
| += | HB 96 | TELECONFERENCED | |
| + | TELECONFERENCED |
HB 96-PIONEERS' HOME AND VETERANS' HOME RATES
2:05:33 PM
CHAIR WILSON reconvened the meeting announced the consideration
of COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 96(FIN), "An Act
relating to Alaska Pioneers' Home and Alaska Veterans' Home
payments, rates, and services."
He noted that the committee heard an overview of the bill on
January 27 and he planned to continue public testimony at
today's hearing.
2:06:24 PM
CLINTON LASLEY, Acting Deputy Commissioner, Family, Community,
and Integrated Services, Director, Division of Alaska Pioneer
Homes, Department of Health and Social Services (DHSS), Juneau,
Alaska, said he would give an overview of how the rate increases
enacted in September affected the Pioneer Home system and what
the revenue projection looks like.
MR. LASLEY said the graph on slide 2, FY2019-FY2020 Revenue,
shows revenues from 2019 compared to the projections for FY
2020. Because of the rate increases, the Department of Health
and Social Services (DHSS) is projecting $7 million in
additional general fund program receipt revenue for FY 2020.
Last year the projection for the rate increase was $5.5 million.
One increase of $350,000 on the chart is federal revenue coming
from the Veterans Affairs (VA) because 14 beds at the Palmer
Pioneer Home became eligible for the higher VA reimbursement
rate.
MR. LASLEY displayed slide 3, Long Term Care Cost Comparison--
2019 Genworth. He noted that he used the [Pacific] Northwest for
cost comparisons. Genworth surveys providers to find out what
providers are charging in different markets. A website allows
users to select regions for doing comparisons. The chart looks
at prices for assisted living and nursing homes in Seattle,
Portland, Anchorage, Alaska, and the Pioneer Homes. Many have
asked him why he looks at nursing homes when the Pioneer Homes
are assisted living facilities, but the Pioneer Homes have
played a unique role in Alaska as there have not been enough
nursing home facilities in the state. The Pioneer Homes do not
provide every level of care but pride themselves in having
elders move in and age in place in their final home. The average
rate for nursing homes in Anchorage and Alaska is about the same
at $30,000 per month. The average rate for assisted living is
$6,000 per month. Some facilities in Anchorage have a base rate
with add-ons for additional services, such as nursing services.
The Pioneer Home system has 24-hour nurses unlike many assisted
living homes, especially the smaller ones. For this chart, he
averaged the rates for Levels I, II, and III to create the
average rate of $7,126 for assisted living in the Pioneer Homes.
He used the rate for Level IV, the highest level of care for
Pioneer Homes, for the nursing home rate of $14,167. The Pioneer
Homes have implemented Level V in regulation but are not
utilizing that level yet. DHSS has received capital funding to
build out a complex behavior neighborhood in the Anchorage
Pioneer Home. That project went out to bid a week ago.
Hopefully, DHSS will be able to stand up that complex in the
next few months.
2:12:22 PM
MR. LASLEY described slide 4, Pioneer Home Rates with Medical
CPI Urban, as the most important slide in the presentation. He
said he used the 2005 Pioneer Home rates to look at what the
rate increases should have been to stay up with what it truly
cost to provide services. The rates that went into effect
September 2019 are what it truly cost to provide services. In
2005, the Level I rate was $2,240 and Level III, which was the
highest level of care at that time, was $5,880. He applied
medical CPI to the 2005 rates. The table shows that today's
Pioneer Home rates are very close to what the 2005 rates would
be today with medical CPI. The cost of providing services at the
Pioneer Homes has been increasing at a rate close to medical
CPI. Part of the problem is that the Pioneer Home rate increases
have been sporadic. A methodology is needed to avoid this huge
gap between the rates and the cost of services.
MR. LASLEY noted that last year some people asked for the
justification for using medical CPI when the Pioneer Homes are
not hospitals, but the previous slides show that the cost of
doing business is much closer to medical CPI.
He said slide 5, Additional Cost in FY2020, shows just one
example of an additional cost to the system of $2,850,400 in FY
2020. This slide shows only non-UGF [unrestricted general fund]
and only some personnel services. This increase of $2.8 million
for FY 2020 is for furlough reversals and increased pay for
nurses to be equal to the private market. The Pioneer Home
system had to absorb that $2.8 million, which is an almost 5
percent increase (including $900,000 in general funds added to
the Pioneer Homes budget) for the Pioneer Home budget of $60
million.
MR. LASLEY said slide 6, Alaska Pioneer Homes Admissions,
Discharge, and Death Statistics, provides discharge data since
the rate increase went into effect. Since August 1 from January
13, there were 57 admissions, 46 deaths, and 21 discharges. From
their surveys, the Pioneer Homes know that 16 discharges were
for individuals who moved because of the rate increases.
MR. LASLEY presented slide 7, Occupancy-Waitlist Data, which
shows 176 people are on the active waitlist as of December 31
and 5,448 people are on the inactive waitlist. Slide 8, Levels
of Care, shows the number of residents in each level of care.
He said slide 9, Payer Source, shows the number of people for
different payer sources--Medicaid waiver, payment assistance,
and private pay--between 2018 and 2019.
2:19:07 PM
CHAIR WILSON opened public testimony on HB 96.
2:19:26 PM
LAURA MARTINSON, representing self, Juneau, Alaska, said she is
in favor of keeping Pioneer Homes as affordable as possible to
allow families like hers to stay more connected. Her grandfather
is a Korean War veteran. He was completely independent until
about a year ago when he broke his hip snow blowing his
neighbor's driveway at age 86. Moving him to a care facility was
one of the hardest decisions her family has had to make.
Ultimately, he chose to stay in Alaska to be close to his
family, most of whom are in Juneau. There are many more
affordable options outside of Alaska that allow more
independence but he wanted to be close to his family. Shortly
after he moved to the Sitka Pioneer Home, the cost of his care
increased by more than $20,000 for the year and he had a 30-day
warning for that. The size of the increase would be massive to
anyone, but for someone who has worked his entire life to be
self-sufficient in his older years is insurmountable. He is so
proud that he has saved enough to take care of himself and that
is crumbling out from beneath him. The fiscal priorities of the
state reflect who Alaskans are as a people. She knows
legislators are facing challenges, but a priority should be to
take care of the state's elders and keep them close.
2:22:07 PM
KARI SPENCER, representing self, Juneau, Alaska, said her 87-
year-old father is in the Sitka Pioneer Home. He is trying to
move to Juneau but he is on the waiting list. He has lived in
Juneau many years, volunteered at the St. Vincent de Paul store,
and picked up trash while he walked two miles every day.
Everyone called him the can man. He was given less than 30-days'
notice about the rate increase from $4,692 to $6,596, which is
an increase of 40 percent. He saved his whole life for this, and
he can self-pay at the Level II rate. She just saw him yesterday
in Sitka and told him that she would testify today. He wanted
everyone to know that he is very sad. If he runs out of money,
the state will liquidate his assets, including his life
insurance policies at the cash out rate instead of the full
rate. That would include his U.S. Navy military life insurance
that he bought at age 19. He is a Korean War veteran. He wanted
his voice to be heard supporting this bill because it represents
a moderate amount between the two rates.
2:24:33 PM
LYNN WILLIS, representing self, Eagle River, Alaska, said he was
representing himself and his friend of 45 years who lives in the
Palmer VA/Pioneer Home. Mr. Willis said he heard the state
representative say there was a methodology to the rate increase
and if ever there was a methodology that needed careful state
legislative oversight, it was this. The only word for this is
cruel. It scared his friend. He thought he would be evicted, and
Mr. Willis told him apparently that is not going to happen. His
friend has Parkinson's and can't talk or write well. He is at
the Level III of care and probably will advance to Level IV. The
state made him sign a care contract for Level IV, truly a
Hobson's choice. His friend doesn't want to become a ward of the
state. Mr. Willis was not encouraged to read the bill has a
50/50 chance. Every day that the legislature delays taking
action to bring justice to these people, these fees move them
closer to financial ruin. He urged the committee to bring a fair
solution to these most vulnerable of Alaskans.
2:26:51 PM
KAY ANDREW, President, Pioneers of Alaska Igloo 16 & 7,
Ketchikan, Alaska, said she is a lifelong resident of Ketchikan.
Her 200 local members of the Pioneers of Alaska are concerned
about the new price structure for the Pioneer Homes. The prices
are completely out of reason and not affordable to the residents
and future residents who need the security and care of the
homes. This could cost the state more in the end when residents
run out of money. These residents choose to stay in the state,
raise their families here, and support their communities and
state. These residents also hope to remain in Alaska in their
old age and to be able to afford to go to the Pioneer Home to
live out their lives and not have to go out of state because of
cost. The Pioneers of Alaska played an integral role in the
establishment of the Pioneer Homes. The original Pioneer Home in
Ketchikan was a four-unit apartment building built on land
donated by a member of Igloo 7. Igloo 16 and 7 continue to
support the Ketchikan Pioneer Home and hold several events a
year there, plus bring birthday cakes every month. She urged the
committee to pass the bill to continue to give a secure and safe
place for the state's elders.
2:29:10 PM
ED ZASTROW, member, Pioneers of Alaska Igloo 16 & 7, Ketchikan,
Alaska, said he is a 65-year resident of Alaska. He was the
chair of the Pioneer Homes Advisory Board for many years. He
signed up for admission to the Pioneer Homes many years ago
hoping to live out his remaining years in Ketchikan with the
assistance of the Pioneer Home system. Today with these price
increases he has concerns. A more reasonable cost should be
considered. Much of the testimony has been about people
concerned about running out of money. He reminded elected
officials in Juneau that the Pioneer Homes were committed to the
senior population in the state of Alaska.
2:30:43 PM
AVES THOMPSON, representing self, Anchorage, Alaska, said his
wife was in the memory care unit at the Anchorage Pioneer Home
until August 31, 2019. Her monthly cost for Level III care was
$6,795 a month. On September 1, 2019, the Division of Pioneer
increased the rate to $13,333 per month, an annual increase of
over $78,000 a year, a 96.2 percent increase. These residents
were private payers funded by their retirement income, long-term
care insurance, and personal savings. This increase drove his
wife out of the pioneer home. Her replacement, more than likely,
will be receiving a state or federal subsidy to pay the bill as
those are the only ones who can afford the pioneer home. In the
long run this means that all, if not most, of the residents will
be subsidized. Alaskans have often talked about a glide path to
a soft landing to minimize the effect of revenue reductions and
budget cuts. Late last summer HB 96 passed the House with a
substantial bipartisan majority. The Senate did not have time to
deal with this important bill and disappointingly, the
administration still enacted the rate increase. While he can
appreciate the effort to make the user pay for the service, this
action is not consistent with the discussions and negotiations
of other state agencies that received the benefit of
restorations or portions thereof of their budgets. The residents
of the Pioneer Homes can live with a more moderate increase and
further increases can be done incrementally, not in one fell
swoop.
2:33:30 PM
MALAN PAQUETTE, representing self, Kenai, Alaska, did not
testify on HB 96.
2:35:47 PM
DEBBIE TILSWORTH, representing self, Fairbanks, Alaska, said her
94-year-old mother has been a resident at the Fairbanks Pioneer
Home for two-and-a-half years. She said she listened to Mr.
Lasley's presentation last year about the 40 to 140 percent rate
increase. The residents opposed those rates and described the
hardships those rates would cause. At every legislative hearing
she participated in, there was overwhelming testimony from
people all over the state opposing such dramatic increases. She
sent a letter to Mr. Lasley May 15, 2019, signed by 103
residents of the Pioneer Homes and their families, opposing the
new rates. After HB 96 passed the House, about 20
representatives wrote to the administration asking the governor
to postpone the increases because this legislation was pending.
The administration ignored all the public testimony and the
request of the representatives and imposed increases anyway on
September 1, 2019.
MS. TILSWORTH said she is at the Pioneer Home six days a week,
and she sees the culture has changed. "I've heard residents tell
each other, 'If you need help, don't let the nurses or CNAs
know. Come to me. I'll stand outside your bathroom while you're
showering and make sure you don't fall. If they know you need
help, they'll bump you up to the next level and charge you
outrageous rates.'" She has heard residents talk about how they
are going to run out of money in months instead of years and
have to go on state assistance. She has heard them saying they
are paying more and getting less. There are three vacant rooms
in what she calls the high-rent neighborhood where the rate is
currently $13,333 a month. Not surprisingly, these rooms have
been vacant ever since the new rates went into effect. A friend
who was going to move her mother to the Pioneer Home canceled
the admission when she learned the rate would be $13,333 a
month. She moved her mother to the Washington area where she
found a beautiful home with assisted living for $4,500 a month.
Ms. Tilsworth asked the committee to support the more reasonable
rates of HB 96. The current rates need to be repealed and
refunds made. An apology is also in order from the
administration who caused such grief, hardship, and stress for
residents and their families.
2:38:53 PM
NORMAN BEAN, representing self, Palmer, Alaska, said he sold
everything to move into the Palmer Veterans Home. At some point
the Pioneer Home was going to close and the community supported
the home. Residents thought it would quiet down. Then increases
created stress. He is 91. He can't take too much stress. He
signed a contract with the Pioneer Home that he was to pay so
much. He figured that if he were careful, he might have enough
money. He doesn't understand the people in Juneau. He
understands Trump saying it's nothing but a swamp. That's what
is in Juneau now. He is a strong Republican. When he signed a
contract to buy a house, a car, property, the contract did not
change until it was paid for. This should not change until the
rites are read and he is under the ground.
2:42:01 PM
SENATOR GIESSEL said the members of this committee support this
bill and are eager to move it on to the next committee, so it
will hopefully cross the finish line this year. She thanked him
for his testimony.
2:42:26 PM
DOROTHY DITTMAN, representing self, Palmer, Alaska, said she was
born in Fairbanks and joined the military while in Alaska and
then came back home. She moved to the Palmer Veterans and
Pioneer Home on June 10, 2015, when she could afford the rate.
This September rates went up and she was allotted the courtesy
by the state to go on the assistance payment program. She cannot
afford to live there even though she loves it, but she has been
told that she has been grandfathered in. She asked where she
could go if anything unforeseen were to happen. She cannot
afford to live anywhere else. All the seniors she talked to
greatly feel this monetary crunch. HB 96 will be a godsend.
2:45:09 PM
BILL BROKAW, representing self, Palmer, Alaska, said he is a 60-
year-resident of Alaska. He has been in the Palmer Pioneer Home
for a year-and-a-half. His 81-year-old wife has Alzheimer's. He
is 84 himself and it became impossible to handle the 24/7 care
that she needed. As veterans, Mr. Brokaw, and his wife both
qualified for the Palmer Veterans home. The couple moved in in
June 2018. His wife has a room in the Alzheimer's section while
he is in the independent living area. Through his insistence, he
qualified his wife for the Medicaid waiver, VA help, and long-
term care help. The financial help of these agencies paid all
but $600. Last September the home made huge increases in rent.
Because of agency help and the Medicaid waiver, his wife did not
have increased charges, but his monthly charge increased over
$1,000 a month. He was not informed of this increase when making
the decision to move into the pioneer home. Their living
expenses exceed their income and there is no money for some of
the fun things associated with senior living. He was hoping the
Senate would pass HB 96 to rescind the huge increases from
September of 2019. The extravagant September increase would be
replaced by a much smaller increase based on the Consumer Price
Index for the urban wage earners and clerical workers in
Anchorage. He would hope for a refund for himself and other
residents who have suffered financially because of this
unwarranted increase. Financial help to financially strapped old
folks is desperately needed.
2:48:05 PM
DAVE BROWN, representing self, Palmer, Alaska, said he retired
after 23 years of service in the U.S. Army. He retired out of
Fort Richardson in 1976 and has lived in Alaska ever since. He
was able to enter the Palmer Veterans and Pioneer Home two years
ago because of veteran preference. His wife could not come at
the time. While waiting for his wife to join, she developed
Alzheimer's and went into assisted living, which cost him $4,000
a month. He sold his house and car and everything that he had.
He made a special fund to take care of her. The VA helps to
subsidize him at the Palmer home. His wife never got to join
him. She passed away a year ago this month. She was never able
to join him under the same roof. When he brought her ashes to
the Pioneer Home after she was cremated, that was the first time
in two-and-a-half years that the couple were under the same
roof. The spouse of a service member should be allowed in
automatically. It is too late for him, but the Palmer Pioneer
Home is a wonderful home. He doesn't want anything to happen to
disturb that. He strongly encouraged the passing of HB 96.
2:50:46 PM
CRIS EICHENLAUB, representing self, Eagle River, Alaska, said he
wanted to see real solutions, not Band-Aids, for the state's
challenges affecting things like ferry service, Pioneer Homes,
and education. People are trying to hit the easy button by going
for money, money, money and want to subsidize everything. There
are ways to be more efficient, such as using interns and church
organizations. The state must reorganize. There is a pot of
money with not enough in it. The legislature does not have to go
after people's permanent fund dividends. The state needs to see
how it can be cheaper. These people do not feel that their
expenses are being subsidized. There must be ways to make $4,000
a month work for someone.
2:53:03 PM
CHAIR WILSON closed public testimony on HB 96 and solicited a
motion.
2:53:42 PM
SENATOR VON IMHOF moved to report the committee substitute (CS)
for HB 96, version 31-LS0646\S, from committee with individual
recommendations and updated fiscal notes.
2:53:54 PM
There being no objection, CSHB 96(FIN) was reported from the
Senate Health and Social Services Standing Committee.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB096 Bill Version A 3.25.19.PDF |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Sponsor Statement 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SFIN 3/9/2020 9:00:00 AM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Sectional Analysis 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Fiscal Note DHSS-APHPA 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document Alaska Pioneer Homes Advisory Board Report 2018 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document Consumer Price Index in AK Statutes 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document-PPT Presentation 3.5.19 HSS Finance Subcommittee, 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Letters of Support 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document AK Dept of Labor Consumer Price Index 2018 3.25.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Fiscal Note DHSS-PH 3.26.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document DHSS Budget Subcommittee Amendment No. 1 PASSED 3.26.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM HSTA 3/26/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Letter of Support #11 3.27.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Letter of Support #12 3.27.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Letters of Support Redacted 3.27.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 ver U Sectional Analysis 3.28.19.pdf |
HHSS 4/23/2019 3:00:00 PM HSTA 3/28/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Summary of Changes Version M to Version U 3.28.19.pdf |
HHSS 4/9/2019 3:00:00 PM HSTA 3/28/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 CS ver U 3.28.19.pdf |
HSTA 3/28/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Fiscal Note ver U PHPA-HSTA 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM HSTA 4/2/2019 4:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Fiscal Note ver U PH-HSTA 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM HSTA 4/2/2019 4:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document - AKARA Letter of Support 3.28.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Opposing Document - Letter of Opposition 3.28.19.pdf |
HHSS 4/9/2019 3:00:00 PM HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document - Letter of Support 3.28.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document - Letter of Support 3.29.19.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document - Letter of Support 3.27.19.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Opposing Document - Letter of Opposition 3.28.19 #2.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB096 Supporting Document - Letter of Support 3.28.19 #2.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sponsor Statement 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Summary of Changes Version M to Version U 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sectional Analysis Version U 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Fiscal Note Payment Assistance Allocation 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Fiscal Note Pioneer Home Allocation 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sectional Analysis Version M 4.3.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Supporting Document Combined Letters of Support 4.8.19.pdf |
HHSS 4/9/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sponsor Statement 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sectional Analysis Version U 4.3.19.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Summary of Changes Version M to Version U 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Supporting Document Combined Letters of Support 4.8.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Version U 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB0096 Bill Version M 4.3.19.PDF |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Fiscal Note Payment Assistance Allocation 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Fiscal Note Pioneer Home Allocation 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sectional Analysis Version M 4.3.19.pdf |
HHSS 4/23/2019 3:00:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Supporting Document PPT Presentation 4.24.19.pptx |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sectional Analysis Version M 4.24.19.pdf |
HFIN 4/29/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Sponsor Statement 4.24.19.pdf |
HFIN 4/29/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Summary of Changes Version M to Version U 4.24.19.pdf |
HFIN 4/29/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Supporting Document Combined Letters of Support 4.24.19.pdf |
HFIN 4/29/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Supporting Doc. Support .pdf |
HFIN 4/29/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 NEW FN DHSS PH 5.2.19.pdf |
HFIN 5/2/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Supporting Doc Testimony.pdf |
HFIN 5/2/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Supporting Doc DHSS PH costs.pdf |
HFIN 5/2/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Amendment 2 Wilson .pdf |
HFIN 5/3/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Amendment 1 Josephson.pdf |
HFIN 5/3/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Amendment 3 Knopp.pdf |
HFIN 5/3/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 Supporting Doc Petition of Support.pdf |
HFIN 4/29/2019 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 1 CSHB 96 Sponsor Statement 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 2 CSHB 96 House Finance Committee Substitute Version S 5.12.19.PDF |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 3 CSHB 96 Supporting Document Sectional Analysis Version S 5.12.19.pdf |
SFIN 3/9/2020 9:00:00 AM SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 4 CSHB96 Version S Payment Assistance Allocation Fiscal Note 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 5 CSHB96 Version S Pioneer Homes Allocation Fiscal Note 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 6 CSHB 96 Summary of Changes Version M to Version S 5.12.19.pdf |
SFIN 3/9/2020 9:00:00 AM SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 7 HB 96 Supporting Document Combined Letters of Support 4.18.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 8 CSHB 96 Supporting Doc Petition of Support 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 9 CSHB 96 Supporting Document-Agnew Beck Study 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 10 CSHB 96 Supporting Document-Pioneer Home Advisory Board Report 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 11 CSHB 96 Supporting Document PPT Presentation 5.12.19.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| 12 HB 96 Supporting Doc DHSS PH costs 5.12.19.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB 96 Supporting Document PPT Presentation 1.22.2020.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| CSHB96 Supporting Document-2019 AFN Resolution 1.23.2020.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB 96 FN DHSS AK Pioneer Home.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| HB96 FN DHSS APH Payment Assistance.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
CSHB96 HB 96 |
| CSHB 96 Supporting Document PPT Presentation 1.27.2020.pdf |
SHSS 1/27/2020 1:30:00 PM SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| AKPH update SHSS 02-12-20.pdf |
SHSS 2/12/2020 1:30:00 PM |
HB 96 |
| novel Coronavirus (nCoV) Feb 12 2020.pdf |
SHSS 2/12/2020 1:30:00 PM |
DHSS Update on the Coronavirus by Dr. Anne Zink, Chief Medical Officer |