Legislature(1999 - 2000)

04/10/2000 02:15 PM House FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
HOUSE BILL NO. 270                                                                                                              
                                                                                                                                
An Act relating to sexual assault and sexual abuse and                                                                          
to payment for certain medical costs and examinations                                                                           
in cases of alleged sexual assault or sexual abuse.                                                                             
                                                                                                                                
REPRESENTATIVE ERIC CROFT stated that HB 270 would guarantee                                                                    
that adult victims of sexual assault are not charged for the                                                                    
costs of evidentiary forensic exams.                                                                                            
                                                                                                                                
He noted that a victim of sexual assault has by definition                                                                      
been victimized once. In order to facilitate investigation                                                                      
of the crime and prosecution of the criminal, a victim is                                                                       
often asked to submit to a forensic exam to gather evidence.                                                                    
The forensic exams often involve taking physical samples and                                                                    
photographs. While it is the ordinary police practice to pay                                                                    
for these evidence-gathering exams, some victims now report                                                                     
that they have been asked to pay for the cost of the                                                                            
forensic exam through their medical insurance. To victims of                                                                    
sexual assault, this is a third victimization.                                                                                  
                                                                                                                                
Representative Croft explained that when a house is                                                                             
burglarized and law enforcement takes photos or fingerprints                                                                    
of evidence, the victim is never sent the bill, directly or                                                                     
indirectly, or asked to have their homeowners' insurance                                                                        
billed. There is faith that most law enforcement agencies                                                                       
take responsibility for victims' needs and appropriately pay                                                                    
for evidentiary exams as needed.                                                                                                
                                                                                                                                
Representative Croft concluded that with the passage of HB
270, victims would be assured that they could not be                                                                            
required to pay for evidentiary forensic exams.                                                                                 
                                                                                                                                
Representative Foster questioned how widespread the problem                                                                     
is.  Representative Croft replied that it is not widespread                                                                     
but that it does exist.  He noted that the majority of                                                                          
police agencies do the right thing in this regard.  However,                                                                    
some agencies do try to transfer this concern to the                                                                            
individual's insurance.  That type action can result from                                                                       
tight budget times.                                                                                                             
                                                                                                                                
Representative G. Davis inquired the average cost for the                                                                       
service.  Representative Croft advised that it costs                                                                            
approximately $300-$500 dollars.                                                                                                
                                                                                                                                
Co-Chair Therriault questioned if there was any legitimate                                                                      
payment which could be cut off through passage of this                                                                          
legislation.  Representative Croft commented that some                                                                          
places have indicated that they do not charge families out                                                                      
of pocket expense.  If a child was eligible for Medicaid or                                                                     
health insurance, they may attempt to tap that source.  He                                                                      
reiterated that the family should not be liable.                                                                                
                                                                                                                                
Representative Austerman asked the ratio of children versus                                                                     
adult cases.  Representative Croft did not know the answer.                                                                     
                                                                                                                                
LAUREE HUGONIN, DIRECTOR, ALASKA NETWORD ON DOMESTIC                                                                            
VIOLENCE AND SEXUAL ASSAULT (ANDVSA), JUNEAU, commented that                                                                    
these charges occur as a result of hospital accounting                                                                          
procedures.  The range of costs can be from between $300-                                                                       
$1000 dollars.  The direct charges usually result from the                                                                      
accounting procedures at the hospitals and not the law                                                                          
enforcement agencies.  She noted that there has been some                                                                       
difficulty in Mat-Su, Anchorage, Kenai and Sitka and                                                                            
possibly in Bethel.  She was not aware of other parts of the                                                                    
State where there was a problem.  Ms. Hugonin advised that                                                                      
this problem is not on going and pervasive, but that it does                                                                    
occur more than sporadically.                                                                                                   
                                                                                                                                
Ms. Hugonin testified on the actual exam process that a                                                                         
person must go through after the assault. She urged the                                                                         
Committee to seriously consider passing the legislation so                                                                      
that the victim does not have to go through the pain of the                                                                     
ordeal again.                                                                                                                   
                                                                                                                                
Vice Chair Bunde asked the advantage to the hospital in                                                                         
requesting the exam money.  He questioned if the police                                                                         
agencies were slow in processing these claims.  Ms. Hugonin                                                                     
acknowledged that the hospitals are concerned with having                                                                       
timely payments.  Originally, there was concern that law                                                                        
enforcement would not bring forward all the cases because                                                                       
they would not be able to pay for the exams.                                                                                    
                                                                                                                                
Representative Austerman asked if the object of the                                                                             
legislation is that no one individual would be responsible                                                                      
to pay for this type service.  Ms. Hugonin replied that it                                                                      
is the intention that no "victim" pay for the examine.  She                                                                     
noted that it clarifies that the State Troopers and/or the                                                                      
local law enforcement would pay for the exam.                                                                                   
                                                                                                                                
TRISHA GENTLE, DIRECTOR, COUNCIL ON DOMESTIC VIOLENCE AND                                                                       
SEXAUL ASSAULT (CDVSA), JUNEAU, voiced support for the                                                                          
legislation.  She reiterated that the actual "receiving of                                                                      
the bill" again reminds the victim of the trauma that they                                                                      
experienced.  She emphasized that the bill would help                                                                           
protect the rape victim from further trauma.                                                                                    
                                                                                                                                
DEL SMITH, DEPUTY COMMISSIONER, DEPARTMENT OF PUBLIC SAFETY,                                                                    
noted that the Department supports the legislation.  He                                                                         
clarified that the cost of collection of forensic evidence                                                                      
and the prosecution of the crime is the responsibility of                                                                       
the agency that is investigating and collecting that                                                                            
evidence.  The legislation guarantees that the victim does                                                                      
not pay.  The Anchorage Police Department was concerned that                                                                    
there were certain parties that could pay for the service.                                                                      
Mr. Smith agreed that placing the stipulation in statute                                                                        
would guarantee that the victim does not receive the bill.                                                                      
                                                                                                                                
Mr. Smith speculated that hospitals are not set up to                                                                           
administer a third party billing.  He noted that his                                                                            
Department currently pays out approximately $50 thousand                                                                        
dollars per year for this type service.                                                                                         
                                                                                                                                
Representative Phillips read for the record, a statement                                                                        
from a woman in Juneau who had experienced the charges as                                                                       
indicated.  The letter states that the medical costs should                                                                     
not become a deterrent for a woman to seek out the care that                                                                    
they need after a rape experience.                                                                                              
                                                                                                                                
Representative Foster MOVED to report CS HB 270 (HES) out of                                                                    
Committee with individual recommendations and with the                                                                          
accompanying fiscal note.  There being NO OBJECTION, it was                                                                     
so ordered.                                                                                                                     
                                                                                                                                
CS HB 270(HES) was reported out of Committee with a "do                                                                         
pass" recommendation and with a fiscal note by the                                                                              
Department of Public Safety dated 3/15/00.                                                                                      
                                                                                                                                
(TAPE CHANGE, HFC 00 - 111, Side 2).                                                                                            

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