Legislature(1999 - 2000)

02/22/2000 03:36 PM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
HB 302 - DISCLOSURE OF PUBLIC ASSISTANCE INFO                                                                                 
                                                                                                                                
Number 0008                                                                                                                     
                                                                                                                                
CHAIRMAN  DYSON announced  the first  order of  business as  House                                                              
Bill No. 302, "An Act relating to  disclosure of public assistance                                                              
information to  report suspected abuse  or neglect of  children or                                                              
vulnerable adults."                                                                                                             
                                                                                                                                
Number 0012                                                                                                                     
                                                                                                                                
ELMER LINDSTROM,  Special Assistant,  Office of the  Commissioner,                                                              
Department  of Health &  Social Services  (DHSS), came  forward to                                                              
present HB 302.  He stated that HB  302 is a simple bill trying to                                                              
solve a simple  problem.  Prior to federal welfare  reform, it was                                                              
clear  under federal  law that  employees who  do the  eligibility                                                              
determinations in the Division of  Public Assistance had to report                                                              
when they had probable cause or good  reason to believe that there                                                              
had been abuse of either a child or a vulnerable adult.                                                                         
                                                                                                                                
MR.  LINDSTROM  said  he  doesn't  believe  that  was  a  frequent                                                              
experience,  but on occasion  it would  come up  in the  course of                                                              
their duties.   The  public assistance employees  are not  part of                                                              
the  child protection  system  or  the adult  protective  services                                                              
system.  The language disappeared  under federal law that replaced                                                              
the  AFDC program.   Because  of confidentiality  laws related  to                                                              
their duties  in public  assistance, information  about who  is on                                                              
public assistance  is not public  information.  In the  absence of                                                              
that previous  federal law,  which said "you  shall report  if you                                                              
come  to  believe   there  has  been  abuse,"   public  assistance                                                              
employees are getting a mixed message.                                                                                          
                                                                                                                                
MR. LINDSTROM  explained that  HB 302  removes that ambiguity  and                                                              
makes it  clear that public  assistance employees should,  if they                                                              
have good  cause to suspect abuse,  report that abuse both  to the                                                              
child  protection system  and to  adult protective  services.   He                                                              
stated the DHSS  provided a zero fiscal note, and  there is either                                                              
a  zero  or  indeterminate  fiscal   note  from  adult  protective                                                              
services.                                                                                                                       
Number 0205                                                                                                                     
                                                                                                                                
REPRESENTATIVE GREEN  asked Mr. Lindstrom  if it  would accomplish                                                              
the same  thing to put  the public  assistance employees  with all                                                              
the  other  persons required  to  report  in  AS 47.17.020  or  AS                                                              
47.17.010.                                                                                                                      
                                                                                                                                
MR. LINDSTROM agreed that would be  possible, but the DHSS prefers                                                              
this approach.   He noted that most of the people  on the list are                                                              
external  to state government.    It is more  appropriate to  make                                                              
that  exemption  to the  public  assistance  confidentiality  rule                                                              
right within the public assistance statute.                                                                                     
                                                                                                                                
MR. LINDSTROM  mentioned he did  meet with Representative  Green's                                                              
staff  and understands  there was  a concern  about the  mandatory                                                              
aspect.  He believes that could be  accomplished simply on page 1,                                                              
line 5 of the bill.  The suggested change would read:                                                                           
                                                                                                                                
     (d)     Notwithstanding   (a)  of   this  section,   the                                                                   
     department,  an employee of  the department, or  a staff                                                                   
     employee of  a departmental contractor or  grantee shall                                                                   
     disclose information concerning ...                                                                                        
                                                                                                                                
MR. LINDSTROM acknowledged that the  Department of Law agrees that                                                              
is superior language.                                                                                                           
                                                                                                                                
Number 0589                                                                                                                     
                                                                                                                                
DWIGHT  BECKER,  Protective  Services   Coordinator,  Division  of                                                              
Senior  Services,  Department  of  Administration,  testified  via                                                              
teleconference from  Anchorage.  He expressed support  for HB 320.                                                              
It may bring  more reports of harm  to the division.   Many of the                                                              
people  who  are vulnerable  are  on  public assistance.    Public                                                              
assistance  is one  way he  feels the  division would  be able  to                                                              
reach that vulnerable population.                                                                                               
                                                                                                                                
REPRESENTATIVE  WHITAKER asked  Mr. Lindstrom  what are the  fail-                                                              
safes for  possible abuse between  the public assistance  employee                                                              
and the  person applying for assistance.   He wondered  what would                                                              
protect that individual from false allegations.                                                                                 
                                                                                                                                
Number 0754                                                                                                                     
                                                                                                                                
MR. LINDSTROM stated in this case,  the best assurance he can give                                                              
is simply  the fact  prior to  1995, when  federal welfare  reform                                                              
passed,  this in  fact  was the  law of  the  land.   There was  a                                                              
requirement on the public assistance  employees to report.  In his                                                              
seven  years plus  with DHSS,  he  has never  seen or  heard of  a                                                              
complaint  where  the genesis  of  it  was the  public  assistance                                                              
employee.   He believes  the track record  speaks for itself.   He                                                              
has  never heard  of that  being an  issue.   These employees  are                                                              
subject to the department's rules and policies and discipline.                                                                  
                                                                                                                                
REPRESENTATIVE  WHITAKER asked for  an estimate  of the  number of                                                              
appropriate actions of those who  are going to report incidents of                                                              
this nature.                                                                                                                    
                                                                                                                                
MR.  LINDSTROM mentioned  he  thought  there might  need  to be  a                                                              
fiscal note  on the bill  in case reports  had to be made,  but he                                                              
heard back from the Division of Public  Assistance that while this                                                              
is not unheard  of, it is  insignificant and the division  has not                                                              
even kept statistics on the number of times it has occurred.                                                                    
                                                                                                                                
CHAIRMAN DYSON asked if there is  a report of neglect or harm on a                                                              
vulnerable  adult, does  that follow  the pattern  of a child  who                                                              
goes before a magistrate or court to take custody of that adult.                                                                
                                                                                                                                
MR. BECKER confirmed that Adult Protective  Services would conduct                                                              
an investigation at  a preliminary assessment of  the situation to                                                              
see if in  fact the adult was  in need of a guardian.   They would                                                              
assess  if the  adult was  deficient  in mental  capacity to  make                                                              
his/her own  decision.  If that were  the case, they would  make a                                                              
recommendation that a neurological  examination be conducted.  The                                                              
most  important thing  is  they want  to  protect the  individuals                                                              
rights to  remain in the community  to remain free and  make their                                                              
own decisions.   They  take a very  conservative approach  to this                                                              
and  only  recommend  that  the  petition  be  filed  when  it  is                                                              
absolutely necessary for the individual's own protection.                                                                       
                                                                                                                                
CHAIRMAN DYSON asked  Mr. Becker at what point to  they have to go                                                              
before a judge to proceed in this process.                                                                                      
                                                                                                                                
MR.  BECKER said  they work  with  the attorney  general first  in                                                              
preparing the  petition.  Once a  petition is filed, a  hearing is                                                              
set and that  is when they would go  before a judge.  If  it is an                                                              
emergency  hearing,  they would  go  before  the judge  within  72                                                              
hours, otherwise it is usually about two month.                                                                                 
                                                                                                                                
CHAIRMAN  DYSON  said  he  assumed   that  vulnerable  adults  are                                                              
provided with representation.                                                                                                   
                                                                                                                                
MR.  BECKER  replied  absolutely.    They  are  provided  with  an                                                              
attorney to represent them.                                                                                                     
                                                                                                                                
Number 1060                                                                                                                     
                                                                                                                                
REPRESENTATIVE BRICE asked Mr. Lindstrom  if it was a concern that                                                              
parents might not file for public  assistance if they thought they                                                              
would be reported for abuse.                                                                                                    
                                                                                                                                
MR. LINDSTROM noted that wasn't something that came up.                                                                         
                                                                                                                                
REPRESENTATIVE COGHILL  asked what is the accountability  if there                                                              
is a misuse of the reporting.                                                                                                   
                                                                                                                                
MR.  LINDSTROM indicated  that the  report  of harms  goes to  the                                                              
agency that  is then charged with  the investigation.   The public                                                              
assistance employee  is simply making a report  of suspected harm.                                                              
The accountability  historically  lies with  the agency doing  the                                                              
investigation.                                                                                                                  
                                                                                                                                
Number 1175                                                                                                                     
                                                                                                                                
REPRESENTATIVE  BRICE made  a motion  to adopt  Amendment 1  which                                                              
read:                                                                                                                           
                                                                                                                                
     (d)     Notwithstanding   (a)  of   this  section,   the                                                                   
     department,  an employee of  the department, or  a staff                                                                   
     employee of  a departmental contractor or  grantee shall                                                                   
     ...                                                                                                                        
                                                                                                                                
CHAIRMAN  DYSON asked  whether  there was  any  objection.   There                                                              
being none, Amendment 1 was adopted.                                                                                            
                                                                                                                                
Number 1216                                                                                                                     
                                                                                                                                
REPRESENTATIVE  BRICE made a  motion to move  HB 302,  as amended,                                                              
out of committee with individual  recommendations and accompanying                                                              
fiscal note.   There being no objection, CSHB  302(HES) moved from                                                              
the House Health, Education and Social Services Committee.                                                                      
                                                                                                                                
The committee took an at-ease from 3:56-3:59 p.m.                                                                               
                                                                                                                                

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