Legislature(2013 - 2014)HOUSE FINANCE 519
04/13/2013 09:00 AM House FINANCE
| Audio | Topic |
|---|---|
| Start | |
| SB56 | |
| SB57 | |
| SB49 | |
| SB18 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | SB 18 | TELECONFERENCED | |
| + | HB 192 | TELECONFERENCED | |
| + | HR 8 | TELECONFERENCED | |
| + | SB 56 | TELECONFERENCED | |
| + | SB 49 | TELECONFERENCED | |
| + | TELECONFERENCED | ||
| += | SB 57 | TELECONFERENCED | |
SPONSOR SUBSTITUTE FOR SENATE BILL NO. 49 am
"An Act relating to women's health services and
defining 'medically necessary abortion' for purposes
of making payments under the state Medicaid program."
Representative Wilson MOVED to ADOPT the proposed committee
substitute for SSSB 49(FIN), Work Draft 28-LS0410\Y
(Mischel, 4/13/13).
Representative Costello OBJECTED.
A roll call began and was voided by Co-Chair Stoltze prior
to its completion.
11:02:10 AM
AT EASE
11:02:29 AM
RECONVENED
Co-Chair Stoltze referred to the previous motion to adopt
the CS. He asked the bill sponsor to explain his preference
and the substantive differences between the CS and the
prior bill version.
SENATOR JOHN COGHILL, SPONSOR, spoke in favor of the bill
version that removed a family planning mandate; he believed
the cost would be approximately $1 million per year. He
relayed that much of the provision would do something that
was already done in the state. He believed the current
operating budget had addressed some of the issues. He
relayed that there were 18 core services under the
component for women, children, and family services. He
listed some of the services including school nursing,
school health consultation, technical assistance for
optimal health and safety, and educational achievement
growth and development for school-aged children (AS 10
related to child health; AS 5 related to reproductive
health services). Additional services included a prenatal
health program aimed at safeguarding and promoting the
health of Alaskan mothers and babies through leadership and
partnering and promoting professional standards.
Senator Coghill listed additional core services under the
women, children, and family component including a women's
health program that promoted resources and was essentially
about healthy living. He stated the program was at the core
of what the amendment had requested. The fifth core service
related to an adolescence health team, out of wedlock
prevention program to promote healthy relationships and
strategies to prevent "mistimed" pregnancies. Another core
service related to emergency and disaster preparedness for
pregnant and postpartum women, children, and adolescents
(particularly for individuals with special health care
needs). He discussed a data analysis resulting from surveys
on pregnancy risk assessment and monitoring. Additionally,
a maternal, infant, and child death review was conducted.
He stated that the amendment directed the state to do a
"health care plan rewrite."
Senator Coghill mentioned a request from the current year
and budgetary struggles. The request would add federal and
state funds into the program on top of current funding. He
read from component challenges related to the Department of
Health and Social Services (DHSS) budget: "continued lack
of access to family planning providers in many areas of the
state contribute to the persistently high mistimed out of
wedlock teen births." He relayed that help had been
requested. He encouraged that "if we really want to do
this, we can do it much more measured rather than doing it
under this, what I would consider a rather large mandate."
The mandate would require a rewrite of the entire health
plan to be submitted to the U.S. Department of Health and
Human Services for approval. He relayed that approval
already existed and the issue was talked about in the
existing DHSS budget.
11:06:23 AM
Representative Edgmon stressed that the bill focused on a
"hugely controversial" issue. He requested to come back to
the bill after the House floor session.
Senator Coghill offered to make the information available
to committee members.
Co-Chair Stoltze deferred to Representative Edgmon's
request. He expressed his desire to vote on the adoption of
the CS prior to recessing. He expected that a vigorous
debate would occur at a later time. He wanted to have the
discussion with the "member's" bill before the committee.
Representative Edgmon requested to defer action on the
adoption of the CS. Co-Chair Stoltze agreed to defer
action.
Representative Edgmon requested an opportunity to
contemplate the adoption of the CS.
11:07:45 AM
RECESSED
7:21:09 PM
RECONVENED