Legislature(2015 - 2016)CAPITOL 106

03/15/2016 03:00 PM House HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 344 DRUG PRESCRIPTION DATABASE TELECONFERENCED
Heard & Held
+= HB 260 DAY CARE ASSISTANCE & CHILD CARE GRANTS TELECONFERENCED
Moved CSHB 260(HSS) Out of Committee
*+ HB 234 INSURANCE COVERAGE FOR TELEMEDICINE TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= HB 237 INTERSTATE MEDICAL LICENSURE COMPACT TELECONFERENCED
Scheduled but Not Heard
-- Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 262 SENIOR BENEFITS PROG. ELIGIBILITY TELECONFERENCED
Moved CSHB 262(HSS) Out of Committee
         HB 260-DAY CARE ASSISTANCE & CHILD CARE GRANTS                                                                     
                                                                                                                                
3:11:12 PM                                                                                                                    
                                                                                                                                
CHAIR SEATON announced that the  first order of business would be                                                               
HOUSE  BILL  NO.  260,  "An  Act  relating  to  the  recovery  of                                                               
overpayments of  day care assistance  and child care  grants; and                                                               
providing for an effective date."                                                                                               
                                                                                                                                
3:11:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE VAZQUEZ  moved to  adopt Amendment 1,  labeled 29-                                                               
GH2769\A.2, Glover, 3/10/16, which read:                                                                                        
                                                                                                                                
     Page 1, lines 2 - 3:                                                                                                       
          Delete "daycare assistance and child care grants"                                                                   
          Insert "benefits for public assistance programs                                                                     
      administered by the Department of Health and Social                                                                     
     Services"                                                                                                                
                                                                                                                                
     Page 1, lines 4 - 11:                                                                                                      
          Delete all material and insert:                                                                                       
         "* Section 1. AS 47.05.080(a) is repealed and                                                                      
     reenacted to read:                                                                                                         
          (a)  Except for overpayments recovered under                                                                          
     AS 47.07  that cover  the value  of services  paid from                                                                    
     federal sources, benefit  overpayments collected by the                                                                    
     department in administering  public assistance programs                                                                    
     under AS 47.05.010 shall be  remitted to the Department                                                                    
     of Revenue under AS 37.10.050(a)."                                                                                         
                                                                                                                                
     Page 1, line 14, through page 2, line 2:                                                                                   
          Delete all material.                                                                                                  
          Insert "APPLICABILITY. This Act applies to the                                                                        
     recovery of benefit  overpayments for public assistance                                                                    
     programs administered  by the Department of  Health and                                                                    
     Social  Services  under   AS 47.05.010,  regardless  of                                                                    
     whether the overpayments occurred  before, on, or after                                                                    
     July 1, 2016."                                                                                                             
                                                                                                                                
CHAIR SEATON objected for discussion.                                                                                           
                                                                                                                                
REPRESENTATIVE  VAZQUEZ explained  that  this proposed  amendment                                                               
would broaden  the ability of  the Division of  Public Assistance                                                               
to recoup overpayments of benefits to any of its programs.                                                                      
                                                                                                                                
CHAIR  SEATON   clarified  that   this  applied  to   the  public                                                               
assistance  programs administered  by  Department  of Health  and                                                               
Social Services.                                                                                                                
                                                                                                                                
REPRESENTATIVE  VAZQUEZ expressed  her agreement,  and reiterated                                                               
that  the amendment  would encompass  all  the public  assistance                                                               
programs.                                                                                                                       
                                                                                                                                
3:14:06 PM                                                                                                                    
                                                                                                                                
SEAN  O'BRIEN, Director,  Director's Office,  Division of  Public                                                               
Assistance,  Department of  Health  and  Social Services  (DHSS),                                                               
expressed  appreciation  and  offered his  support  for  proposed                                                               
Amendment 1.   He  clarified that the  proposed bill  would allow                                                               
collection of funds,  which was currently only  voluntary, and it                                                               
specifically included an  option to allow for  garnishment of the                                                               
permanent  fund  dividend  (PFD).     He  acknowledged  that  the                                                               
proposed amendment would allow PFD  garnishment across all of its                                                               
programs.                                                                                                                       
                                                                                                                                
REPRESENTATIVE  WOOL  asked  whether overpayment  to  child  care                                                               
grants was recovered from the recipient and not the provider.                                                                   
                                                                                                                                
MR.   O'BRIEN  explained   that  currently   collection  for   an                                                               
overpayment was  voluntary.  In response  to Representative Wool,                                                               
he stated that repayment was the responsibility of the parents.                                                                 
                                                                                                                                
REPRESENTATIVE  WOOL  asked  about   the  most  common  cause  of                                                               
overpayment.  He  mused that the benefit payment was  made to the                                                               
parent, who in turn paid the  provider.  He asked if these causes                                                               
of overpayment were similar to other public assistance programs.                                                                
                                                                                                                                
MR.  O'BRIEN explained  that overpayments  were  recovered for  a                                                               
variety  of  reasons,  which   included:    fraudulent  requests,                                                               
incorrect applications, or  change to income level  status of the                                                               
applicant or family.                                                                                                            
                                                                                                                                
CHAIR  SEATON asked  for clarification  for  whether the  benefit                                                               
payment for child care was paid  to the parent or to the provider                                                               
of the care.                                                                                                                    
                                                                                                                                
MR. O'BRIEN replied that it was paid to the provider.                                                                           
                                                                                                                                
CHAIR  SEATON  asked  who  would  be garnished  in  the  case  of                                                               
overpayment.                                                                                                                    
                                                                                                                                
3:20:04 PM                                                                                                                    
                                                                                                                                
JANICE BRADEN,  Program Coordinator,  Child Care  Program Office,                                                               
Division of  Public Assistance, Department  of Health  and Social                                                               
Services, explained that  if the day care  assistance payment was                                                               
made  to  the provider  on  behalf  of  the  family, and  it  was                                                               
determined to  be an incorrect benefit  payment, recoupment would                                                               
be from  the family, if this  was a family caused  error, such as                                                               
failure  to  report  changes  in  circumstances  which  made  the                                                               
benefit  more   than  allowable.     However,  if   the  provider                                                               
incorrectly filled  out the billing form,  overpayment collection                                                               
would  be from  the child  care provider.   She  stated that  the                                                               
child care grants were only paid  to child care providers, so any                                                               
error  for overpayment  would be  collected from  the child  care                                                               
provider.                                                                                                                       
                                                                                                                                
REPRESENTATIVE  WOOL mused  that,  although  the overpayment  was                                                               
made to  the provider, the  garnishment would be from  the parent                                                               
as they  had already  received the benefit  for lower  child care                                                               
costs, hence the necessity to reimburse the costs.                                                                              
                                                                                                                                
CHAIR SEATON  shared that  the child care  grant, which  was made                                                               
directly to  the provider, would  be reimbursed by  the provider.                                                               
However, any  mistake made  by the parent  was reimbursed  by the                                                               
parent.                                                                                                                         
                                                                                                                                
REPRESENTATIVE  WOOL  asked  if  this  proposed  amendment  would                                                               
include other public assistance programs.                                                                                       
                                                                                                                                
MR.  O'BRIEN   replied  that  the  amendment   would  expand  the                                                               
garnishment using the PFD to  the senior benefits program and the                                                               
general relief program.                                                                                                         
                                                                                                                                
REPRESENTATIVE  VAZQUEZ recounted  that  any overpayment  request                                                               
was  initiated  with  a  letter   to  the  individual  requesting                                                               
overpayment,   and  then   the  individual   could  ask   for  an                                                               
administrative  hearing to  contest that  amount.   She explained                                                               
that there was  an administrative process that  allowed a further                                                               
appeal to the court.  She touted  the garnishment of the PFD as a                                                               
"great tool in getting back  overpayments."  She pointed out that                                                               
monthly payments were also a means of repayment.                                                                                
                                                                                                                                
REPRESENTATIVE WOOL asked if there  were any fines, penalties, or                                                               
multipliers that could increase the repayment.                                                                                  
                                                                                                                                
REPRESENTATIVE  VAZQUEZ said  that historically  the Division  of                                                               
Public Assistance had not charged any interest.                                                                                 
                                                                                                                                
3:25:44 PM                                                                                                                    
                                                                                                                                
MONICA WINDOM,  Chief, Policy & Program  Development, Division of                                                               
Public Assistance,  Department of Health and  Social Services, in                                                               
response,  expressed agreement  that  there was  not any  penalty                                                               
added.                                                                                                                          
                                                                                                                                
3:26:07 PM                                                                                                                    
                                                                                                                                
CHAIR  SEATON removed  his  objection.   There  being no  further                                                               
objection, Amendment  1, labeled 29-GH2769\A.2,  Glover, 3/10/16,                                                               
was adopted.                                                                                                                    
                                                                                                                                
CHAIR SEATON  pointed out  that Amendment  1 was  quite extensive                                                               
and replaced original language of the proposed bill.                                                                            
                                                                                                                                
3:27:18 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  VAZQUEZ  moved  to  report HB  260,  Version  29-                                                               
GH2769\A,   as  amended,   out  of   committee  with   individual                                                               
recommendations and  the accompanying fiscal notes.   There being                                                               
no objection, CSHB  260(HSS) was moved from the  House Health and                                                               
Social Services Standing Committee.                                                                                             

Document Name Date/Time Subjects
HB234 ver A.PDF HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Sponsors statement telemedine.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Fiscal Note_DCCED-DOI_03.11.16.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_ Article- My Statesman from Austin American.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_FSMB_Telemedicine_Policy.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_Hudson-Presentation _ISER-UAA _Rural Telemedicine.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_telehealth & teleconsult_ NASHP_2015.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_telehealth factsheet_CMS.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_telehealth2015 NCSL.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_ANTHC-AFHCAN_Trail by Tundra-July-25-2014.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_ATA_50-state-telemedicine-gaps-analysis--physician-practice-standards-licensure American Telemedicine Association.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Background_AFHCAN - telemedicine project evaluation.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Support_AK-PA Letter_ 03-06-2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Support_Anne Norton_01.18.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Support _ Anne Henry Letter_01.19.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Support_ JAMHI letter_01.18.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB 234 Support_various emails.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB234 Testimony _John DeRuyter - face to face concerns.pdf HHSS 3/15/2016 3:00:00 PM
HB 234
HB260 Proposed Amendment A.2_Vazquez.pdf HHSS 3/15/2016 3:00:00 PM
HB 260
HB 344 Sponsor Statement 3.11.16 ver N.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB 344 preoposed cs ver N.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB 344 Summary of Changes_Ver H to Ver N_3.14.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB 344 Sectional_version N_3.14.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB 344 Proposed amendment N.1_Seaton.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB260 Sectional Analysis.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Hearing Request H-HSS 012016.pdf HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Fiscal Note_DHSS-CCB-1-16-16.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 ver A.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Sectional Analysis.pdf HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Sponsor statement_Governor Transmittal Letter.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Fiscal Note_DHSS-CCB-1-16-16.pdf HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Hearing Request H-HSS 012016.pdf HHSS 3/15/2016 3:00:00 PM
HB 260
HB260 Fiscal Note_DOR-PFD-01-19-2016.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 260
HB262 ver A.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB262 Sponsor Statement_Governor Transmittal Letter.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB262 Fiscal Note_DHSS-SBPP-1-16-16.pdf HHSS 3/15/2016 3:00:00 PM
HB 262
HB262 Fiscal Note_DHSS-SBPP 1-23-16.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB262 Sectional Analysis.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 262 Response to HB 262 Questions in 012816 H-HSS.pdf HHSS 2/4/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 262 proposed cs_ver w.pdf HHSS 2/4/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 262 Background Senior Benefits Fact Sheet.pdf HHSS 3/10/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 262 DHSS to assest test question on 2.04.2016.pdf HHSS 3/10/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 262 Background 2016 federal poverty level_Alaska.pdf HHSS 3/10/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 262
HB 237 Background_Compact FAQ_FSMB.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Fiscal Note_DCCED-CBPL_01-22-16.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Version A.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Background_Compact - state map and home page_FSMB.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Fiscal Note_DPS_DSS_01-13-16.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Sponsor Statement_01.25.2016.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Sectional Analysis.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Background_Medical Licensing timeframes_Research report_10.16.2015.pdf HHSS 1/26/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 Background_Letter Dr Kusano_Licensing issues.pdf HHSS 1/28/2016 3:00:00 PM
HHSS 3/15/2016 3:00:00 PM
HB 237
HB 237 DCCED response to Rep Vazquez questions_3.13.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 237
HB 344 Testimony_AKPhA Letter of Concern.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
Hb 344 Testimony Ryan Ruggles_3.15.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB 344 Letter_Express Scripts_2.29.2106.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB 344 Proposed amendment N.2_seaton.pdf HHSS 3/15/2016 3:00:00 PM
HB 344
HB344 Testimony_ AK dental_3.15.2016.pdf HHSS 3/15/2016 3:00:00 PM
HB 344