Legislature(2023 - 2024)DAVIS 106

02/08/2024 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:18:29 PM Start
03:20:00 PM Confirmation Hearing(s):
03:43:55 PM HB258
04:16:08 PM HB264
04:36:59 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Consideration of Governor's Appointees: TELECONFERENCED
Board of Chiropractic Examiners - Ronald Gherman;
Board of Nursing - April Erikson
*+ HB 258 GENERAL RELIEF & BURIAL ASSISTANCE TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+= HB 264 CHILD TRAFFICKING SCREENING TELECONFERENCED
Heard & Held
-- Public Testimony <Time Limit May Be Set> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
           HB 258-GENERAL RELIEF & BURIAL ASSISTANCE                                                                        
                                                                                                                                
3:43:55 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  announced that  the next order  of business  would be                                                               
HOUSE  BILL NO.  258,  "An  Act relating  to  general relief  and                                                               
burial assistance; and providing for an effective date."                                                                        
                                                                                                                                
3:44:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  WILL STAPP,  Alaska State  Legislature, described                                                               
HB 258  as a bill that  would consider burial assistance  as well                                                               
as  repealing a  couple of  program items.   This  is one  of the                                                               
bills which  would address issues  of processing time  within the                                                               
Department  of Health,  Division  of Public  Assistance.   It  is                                                               
being proposed  for the purposes of  efficiency and results-based                                                               
budgeting.  When he looked at  this program, he did not find that                                                               
the  level   of  spending  and  administrative   time  needed  to                                                               
administer  these  aspects of  the  program,  in a  results-based                                                               
system, was an  efficient use of state funds.   He considered the                                                               
bill not  from the perspective  of what  it does, but  rather how                                                               
effective the  state is at  delivering services to the  folks the                                                               
state says  it wants to  help.   He explained that  this delivery                                                               
system is  incredibly inefficient,  and it is  hard to  justify a                                                               
statewide program  when there are  only three to five  people per                                                               
month using the benefit.                                                                                                        
                                                                                                                                
3:47:21 PM                                                                                                                    
                                                                                                                                
                                                                                                                                
HONOUR  MILLER-AUSTIN, Staff,  Representative Will  Stapp, Alaska                                                               
State  Legislature,  on  behalf of  Representative  Stapp,  prime                                                               
sponsor  presented  the  sectional  analysis for  HB  258.    She                                                               
explained that  Sections 1-5 add  "and burial" to  the assistance                                                               
programs  referenced  in  statute.    Section  6(a)  deletes  the                                                               
inclusion  of shelter,  utilities, hospitalization,  nursing, and                                                               
convalescent care  for financial  assistance.  Section  6(b) adds                                                               
funeral and  burial expenses into  statute.  Section 7  adds "and                                                               
burial"  to eligible  assistance programs.   Section  8 gives  an                                                               
effective date of January 1, 2025.                                                                                              
                                                                                                                                
3:48:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE STAPP  explained that  people were  available both                                                               
online and in the room to answer committee members' questions.                                                                  
                                                                                                                                
3:48:34 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX   opened  public   testimony  on   HB  258.     After                                                               
ascertaining there  was no one  who wished to testify,  he closed                                                               
public testimony on HB 258.                                                                                                     
                                                                                                                                
3:49:27 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  said he had  questions for  Ms. Etheridge,                                                               
Director, Division of Public Assistance.                                                                                        
                                                                                                                                
3:49:47 PM                                                                                                                    
                                                                                                                                
DEB   ETHERIDGE,  Director,   Division   of  Public   Assistance,                                                               
Department of Health, answered questions  posed by members of the                                                               
committee regarding HB 258.                                                                                                     
                                                                                                                                
REPRESENTATIVE FIELDS asked about  the comparative percentages of                                                               
rental  relief  relative to  burial  relief  which went  from  12                                                               
percent in fiscal year  2020 (FY 20) to 2.7 percent  in FY 23 and                                                               
FY24 and why those changes occurred.                                                                                            
                                                                                                                                
MS.  ETHERIDGE  explained  that  there was  a  small  decline  in                                                               
utilization  this  year because  there  is  a slight  backlog  in                                                               
general  relief  applications.    However,  year  over  year,  an                                                               
individual must have a fairly low  income in order to qualify and                                                               
each  month they  must apply  for  the benefit.   Generally,  the                                                               
division  has not  seen an  increase in  utilization for  rent or                                                               
utilities.                                                                                                                      
                                                                                                                                
REPRESENTATIVE FIELDS requested  additional information about the                                                               
backlog,  specifically who  is applying,  whether  they are  non-                                                               
profits applying in  partnership with people, how  long it takes,                                                               
and what kind of shelter they are looking for.                                                                                  
                                                                                                                                
MS.  ETHERIDGE  explained  that an  individual  applies  for  the                                                               
shelter  and utility  costs on  their own  behalf, generally.   A                                                               
majority  of  the applications  the  division  processes for  the                                                               
general relief program are for the burial costs.                                                                                
                                                                                                                                
3:52:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  inquired whether the  division anticipates                                                               
a substantial decrease in applications  or times spent processing                                                               
with  the removal  of  some items  but having  a  portion of  the                                                               
program remain in existence.                                                                                                    
                                                                                                                                
MS.  ETHERIDGE  responded  that  there  will  be  a  decrease  in                                                               
applications based on the removal  of those categories.  However,                                                               
the number is pretty slight.                                                                                                    
                                                                                                                                
REPRESENTATIVE  SUMNER asked  how much  the division  anticipates                                                               
saving  by removing  these items,  for example,  staff processing                                                               
time or hours.                                                                                                                  
                                                                                                                                
MS.  ETHERIDGE replied  that the  number of  hours that  would be                                                               
saved is somewhat nominal in  that a majority of applications for                                                               
the general  relief program  fall under  burial.   The processing                                                               
time for the  burial relief program is between 60  and 90 minutes                                                               
depending on the complexity of the situation.                                                                                   
                                                                                                                                
3:53:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  questioned where this program  fits in the                                                               
"ecosystem" of  other rental assistance  programs.  He  asked who                                                               
the average  person is,  who gets general  relief; whether  it is                                                               
for  people  who are  waiting  for  AHFC;  and what  the  typical                                                               
sequence is for rental relief.                                                                                                  
                                                                                                                                
MS. ETHERIDGE replied  that general relief is for  people who are                                                               
extremely  needy with  no access  to other  programs.   Countable                                                               
resources  cannot  exceed  $500,  and a  single  person's  income                                                               
cannot exceed $300.  They may likely qualify for other programs.                                                                
                                                                                                                                
REPRESENTATIVE FIELDS  inquired whether the threshold  of per-day                                                               
assistance is $70 dollars.                                                                                                      
                                                                                                                                
MS.  ETHERIDGE replied  that  a general  relief  program is  also                                                               
operated  for  disabled  persons  and   seniors  and  HB  258  as                                                               
presented  does  not impact  that.    The senior  and  disability                                                               
program has a monthly amount that is authorized.                                                                                
                                                                                                                                
REPRESENTATIVE FIELDS  asked Ms. Etheridge  what she would  do if                                                               
she wanted  to improve the  delivery of general relief  or rental                                                               
assistance.    He  explained  he has  heard  anecdotally  that  a                                                               
homeless coordinator finds someone  who needs shelter that night.                                                               
If the  shelter is full,  then the coordinator puts  the homeless                                                               
person in a  hotel.  He said he  did not know if that  is how the                                                               
program is  administered in other  parts of the state  or whether                                                               
there are  other programs that  should be considered and  how the                                                               
programs could be administered as efficiently as possible.                                                                      
                                                                                                                                
MS. ETHERIDGE responded that she  would like to take the question                                                               
back to her team to discuss.                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS explained he  could accept the premise that                                                               
the  program could  be eliminated  if there  is a  better way  to                                                               
provide rental  and utility  assistance.   He also  asked whether                                                               
there is simply a better delivery system within this program.                                                                   
                                                                                                                                
3:57:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA referenced the fiscal  note and noted that it                                                               
was broken down into rent,  utilities, miscellaneous, and burial.                                                               
She  requested   clarification  regarding  what   was  considered                                                               
miscellaneous in the general assistance program.                                                                                
                                                                                                                                
MS. ETHERIDGE  said she  did not  have the  information regarding                                                               
the miscellaneous category with her at that time.                                                                               
                                                                                                                                
3:57:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  STAPP referred  to  the  bill packet,  explaining                                                               
that he had  asked the division about  the miscellaneous category                                                               
and was told there weren't any miscellaneous items.                                                                             
                                                                                                                                
REPRESENTATIVE MINA  noted that  there were numbers  listed under                                                               
miscellaneous for FY19 through FY23.   In addition, she asked Ms.                                                               
Etheridge whether the  different types of general  relief were in                                                               
regulations.    She  questioned whether  the  burial  assistance,                                                               
which  is currently  in regulations,  would be  moved to  statute                                                               
under  the provisions  of HB  258.   She asked  for clarification                                                               
regarding  the   difference  in   general  assistance   being  in                                                               
regulations versus statute.                                                                                                     
                                                                                                                                
MS.   ETHERIDGE  replied   that  statutes   are  an   overarching                                                               
authority,  and  regulations determine  the  details  of what  is                                                               
allowable in those expenditures.                                                                                                
                                                                                                                                
REPRESENTATIVE  STAPP  explained his  concept  which  was to  add                                                               
burial assistance on the application  form for public assistance.                                                               
He noted  that from a  process standpoint, individuals who  go to                                                               
the  DP office  to  get  assistance and  are  checking boxes  for                                                               
programs, if  they see the  word "burial assistance"  listed with                                                               
the general  assistance, they may  think, "Maybe I don't  have to                                                               
apply to that program."  He  opined that people tend to check all                                                               
the boxes,  but fewer people will  check that box if  it actually                                                               
says burial assistance.                                                                                                         
                                                                                                                                
4:00:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA called  attention to  the application  which                                                               
has  two boxes,  one of  which read  "burial expenses"  and asked                                                               
whether it is necessary to  change the statute to accomplish this                                                               
burial  issue.   She also  asked if  the other  benefits such  as                                                               
transportation  and  fuel could  be  highlighted  on the  general                                                               
relief application.                                                                                                             
                                                                                                                                
MS. ETHERIDGE  explained that the  legislature drives  the policy                                                               
that  would  become regulation,  so  articulating  burial in  the                                                               
statute would give  direction to the division  regarding what the                                                               
application should say and what the funding would be for.                                                                       
                                                                                                                                
4:02:56 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER asked  for clarification regarding whether                                                               
the bill would eliminate assistance.                                                                                            
                                                                                                                                
REPRESENTATIVE STAPP  explained the  bill does delete  the rental                                                               
and  utility  assistance  under   the  authorization  of  general                                                               
relief.  It keeps every other aspect of general relief intact.                                                                  
                                                                                                                                
REPRESENTATIVE SADDLER  pointed out  that rental assistance  is 7                                                               
percent and utilities  is about 3 percent,  and burial assistance                                                               
is 89 percent,  so the bill is reallocating  resources from where                                                               
they are not  well-utilized to a place where  there is definitely                                                               
a demand.                                                                                                                       
                                                                                                                                
REPRESENTATIVE STAPP replied that the  intent is not really about                                                               
appropriation  but rather  about  reducing administrative  burden                                                               
within the department itself.                                                                                                   
                                                                                                                                
4:04:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SUMNER  asked   about  other   possible  funding                                                               
requests such as food or clothing.                                                                                              
                                                                                                                                
REPRESENTATIVE  STAPP  explained  that  the  history  of  general                                                               
relief  is very  interesting and  is a  very old  program.   Even                                                               
inside  the   state  statute  there  is   language  that  mirrors                                                               
territorial Alaska.   He said  he wanted  to be very  surgical in                                                               
crafting  the bill  so that  he didn't  unintentionally interfere                                                               
with  the  senior  disability services  referenced  earlier,  for                                                               
example.   He told the committee  that he was always  open to the                                                               
will  of the  committee  if  they think  there  is some  language                                                               
clean-up.                                                                                                                       
                                                                                                                                
4:05:21 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  asked whether  there was an  alternate way                                                               
to provide services  to a small group of people  who benefit from                                                               
rent and utilities  other than spending 90 minutes  of staff time                                                               
processing  an application.    Also, whether  it  is possible  to                                                               
change the  $300 amount because  a homeless person sleeping  in a                                                               
car potentially has more than $300 in assets.                                                                                   
                                                                                                                                
REPRESENTATIVE STAPP  responded that he  was open to  other modes                                                               
of  delivery,  but  he  also   reminded  the  committee  that  he                                                               
advocated results-based  budgeting, and he did  not believe these                                                               
programs were delivering that in their current form.                                                                            
                                                                                                                                
4:06:32 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA  questioned  whether  alternatives  such  as                                                               
voucher programs to the general relief had been considered.                                                                     
                                                                                                                                
REPRESENTATIVE STAPP  replied that there are  "different programs                                                               
for different  folks in different  walks of life."   He described                                                               
the general relief program as a  kind of legacy program which has                                                               
become  outmoded over  time  and which  is  no longer  performing                                                               
anywhere near  the original intent  of the  program.  He  said he                                                               
was open to suggestions from the committee for other solutions.                                                                 
                                                                                                                                
REPRESENTATIVE MINA  asked what Representative Stapp  sees as the                                                               
intent of the program and what he wants as an outcome.                                                                          
                                                                                                                                
REPRESENTATIVE  STAPP  responded  that   he  was  unsure  of  the                                                               
original intent.                                                                                                                
                                                                                                                                
4:08:44 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS directed  his question  to Ms.  Etheridge,                                                               
asking whether there  was another way to  restructure the program                                                               
so  that it  is  not  wasting staff  hours  while preserving  the                                                               
program.                                                                                                                        
                                                                                                                                
MS. ETHERIDGE said she would take  that query back to the office.                                                               
In response to an earlier  question, she commented that cases are                                                               
generally processed during business hours.                                                                                      
                                                                                                                                
4:10:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA  asked how  much time it  takes to  process a                                                               
general relief application.                                                                                                     
                                                                                                                                
MS. ETHERIDGE explained  that 60 minutes is ideal.   However, the                                                               
division  was required  to get  income  verification because  the                                                               
income limit is  so low, and that takes additional  time.  Burial                                                               
relief gets  more complicated  because a  person is  applying "on                                                               
behalf of," and there are  several calculations and verifications                                                               
regarding the payment for the burial.                                                                                           
                                                                                                                                
REPRESENTATIVE  MINA  questioned  whether the  rent  and  utility                                                               
assistance would go out immediately after processing.                                                                           
                                                                                                                                
MS.  ETHERIDGE responded  that  generally it  is  a guarantee  of                                                               
payment that goes forward rather than an actual payment.                                                                        
                                                                                                                                
4:11:43 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS asked  how the income of  someone living in                                                               
a car is verified.                                                                                                              
                                                                                                                                
MS. ETHERIDGE explained that the  division uses a method referred                                                               
to  as "known  negative verification,"  so if  a person  does say                                                               
they do not  have income, then generally the  division takes that                                                               
as true  especially if the person  is homeless.  However,  if the                                                               
person potentially  works day labor  or has had  employment, then                                                               
there is an attempt  to verify by using a pay  stub or calling an                                                               
employer.                                                                                                                       
                                                                                                                                
REPRESENTATIVE FIELDS  inquired whether the process  differs if a                                                               
person has kids.                                                                                                                
                                                                                                                                
MS. ETHERIDGE  responded that a required  verification applies to                                                               
the whole household.                                                                                                            
                                                                                                                                
4:13:24 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  inquired about possible  scenarios in which  a person                                                               
would  need immediate  assistance  for that  day  or that  night,                                                               
commenting that  it seems difficult  to process  immediate relief                                                               
and  asking whether  the division  does indeed  provide immediate                                                               
assistance.                                                                                                                     
                                                                                                                                
MS.  ETHERIDGE  replied that  the  division  will give  immediate                                                               
assistance  to the  extent that  the division  has the  capacity.                                                               
Rent is  usually the area  in which  there is immediate  need, in                                                               
the case  of eviction  or displacement.   Utilities  generally do                                                               
not need to be issued that day,  so a statement of "agree to pay"                                                               
works.                                                                                                                          
                                                                                                                                
4:14:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA  said  she  agrees with  the  rationale  but                                                               
worries that  eliminating one mechanism for  providing assistance                                                               
puts  people  in  jeopardy.    She  described  a  situation  that                                                               
occurred in  Representative Fields'  district with  an individual                                                               
who was about  to be evicted and  was trying to find  any sort of                                                               
immediate relief  which was very  difficult.  She wanted  to know                                                               
about other  programs for rental  and utility assistance  but did                                                               
not  want  to  eliminate  options  for people  who  are  in  very                                                               
vulnerable circumstances.                                                                                                       
                                                                                                                                
4:15:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS requested  testimony at  the next  hearing                                                               
from other service providers who deal with this situation.                                                                      
                                                                                                                                
4:16:04 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced HB 258 was held over.                                                                                      
                                                                                                                                

Document Name Date/Time Subjects
HB 258 Fiscal Note DOH-GRA.pdf HHSS 2/8/2024 3:00:00 PM
HB 258
HB 258 Sectional Analysis.pdf HHSS 2/8/2024 3:00:00 PM
HB 258
HB 258 Sponsor Statement.pdf HHSS 2/8/2024 3:00:00 PM
HB 258
April Erickson Nursing CV_Redacted.pdf HHSS 2/8/2024 3:00:00 PM
Governor's Appointee
Ronald Gherman Chiropractic Application_Redacted.pdf HHSS 2/8/2024 3:00:00 PM
Governor's Appointee
Ronald Gherman Chiropractic Resume_Redacted.pdf HHSS 2/8/2024 3:00:00 PM
Governor's Appointee
HB 264 - Sectional Analysis.pdf HHSS 1/30/2024 3:00:00 PM
HHSS 2/8/2024 3:00:00 PM
HB 264
HB 258 Supporting Doc.pdf HHSS 2/8/2024 3:00:00 PM
HB 258
HB 258 DoH Q&A.pdf HHSS 2/8/2024 3:00:00 PM
HB 258
HB 258 Sponsor Statement v.2.pdf HHSS 2/8/2024 3:00:00 PM
HB 258
HB 258 Disability Law Center Comments.pdf HHSS 2/8/2024 3:00:00 PM
HB 258