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 262-SENIOR BENEFITS PROG. ELIGIBILITY                                                                        
                                                                                                                                
3:30:29 PM                                                                                                                    
                                                                                                                                
CHAIR SEATON announced  that the next order of  business would be                                                               
HOUSE BILL NO. 262. "An  Act relating to eligibility requirements                                                               
of the Alaska senior benefits  payment program; and providing for                                                               
an effective date."  He  reminded the committee that, on February                                                               
4, there had been discussion regarding  the lack of an asset test                                                               
for this benefit program.   The Division of Public Assistance had                                                               
agreed  to  compare these  senior  benefits  recipients with  the                                                               
recipients of  those programs which did  have an asset test.   He                                                               
directed attention  to the response, titled  "Department Response                                                               
to 2-04-16 question on HB 262."                                                                                                 
                                                                                                                                
[Before the  committee was the  committee substitute (CS)  for HB
262, labeled 29-GH2770\W, Glover,  2/2/16, which had been adopted                                                               
as the working draft on February 4, 2016]                                                                                       
                                                                                                                                
3:31:59 PM                                                                                                                    
                                                                                                                                
MONICA WINDOM,  Chief, Policy & Program  Development, Division of                                                               
Public  Assistance, Department  of  Health  and Social  Services,                                                               
stated  that  the  committee  substitute,   Version  W,  added  a                                                               
citizenship  requirement to  the senior  benefits program,  which                                                               
had not been in the original bill creating this program.                                                                        
                                                                                                                                
CHAIR  SEATON directed  attention to  the handout  titled "Senior                                                               
Benefits Program"  [included in members' packets]  which compared                                                               
the programs for income limits and asset tests.                                                                                 
                                                                                                                                
MS.  WINDOM, directing  attention to  the senior  benefits cases,                                                               
reported  that,  as  42  percent   of  the  recipients  were  not                                                               
receiving another  benefit, there  was not any  asset information                                                               
for those  cases.  She  added that  27 percent of  the recipients                                                               
were receiving  adult public  assistance and  that 25  percent of                                                               
the  recipients were  receiving food  stamps, both  of which  did                                                               
have an asset limit of $2,000  for an individual and $3,000 for a                                                               
couple.   She  noted  that 610  individuals  were receiving  food                                                               
stamps  and senior  benefits, although  the  food stamp  resource                                                               
limit was a  bit higher for a household, $2,250;  however, if one                                                               
member of  the household was 60  years or older, the  asset limit                                                               
was then $3,250.                                                                                                                
                                                                                                                                
CHAIR SEATON reflected that about  5,000 people only received the                                                               
senior  benefits,  whereas  about  3,200  people  received  adult                                                               
public  assistance and  senior benefits.   He  questioned whether                                                               
there  was  a  difference  in  the  number  of  people  receiving                                                               
benefits from  a program  with an income  limit versus  a program                                                               
with an  income and  an asset  limit.  He  pointed out  that 42.5                                                               
percent of  those individuals receiving  senior benefits  did not                                                               
receive  any benefits  from  programs  with an  asset  test.   He                                                               
acknowledged  that  it was  unknown  whether  those 42.5  percent                                                               
would not qualify  to an asset test or whether  there was another                                                               
reason  not to  apply for  the  adult public  assistance or  food                                                               
stamps.    He pointed  out  that,  as  there was  not  sufficient                                                               
funding for  the senior benefits  program, it would  be necessary                                                               
for the department  to reduce payments to  those individuals with                                                               
the  highest income  levels, while  maintaining  the payments  to                                                               
those  lower income  levels.   He  opined that  the monthly  cash                                                               
benefit of  $125 had been  reduced to  $47 in the  current fiscal                                                               
year.   He asked to ensure  that those who were  the most in-need                                                               
were being reached, if this was  the intent of the senior benefit                                                               
program.  He pointed out  that individuals with large assets, but                                                               
without  much  income,  would  qualify   for  this  cash  benefit                                                               
program.  He  stated that the intention for  asking this question                                                               
was to  make sure that  the information surrounding  the proposed                                                               
bill  was  forwarded to  the  House  Finance Committee,  as  this                                                               
committee  made  the  difficult   decisions  for  the  levels  of                                                               
allowable payment.                                                                                                              
                                                                                                                                
CHAIR  SEATON directed  attention  to  the aforementioned  Senior                                                               
Benefits Program worksheet.                                                                                                     
                                                                                                                                
REPRESENTATIVE VAZQUEZ pointed to  the dramatic difference in the                                                               
third tier resulting from the  deduction effective March 1, 2016.                                                               
She  acknowledged that,  although  42 percent  of the  recipients                                                               
were not receiving adult public  assistance or food stamps, those                                                               
programs had  an extremely  low asset limit.   She  proposed that                                                               
there should  be a  return to the  prior monthly  payment, noting                                                               
that it  was "not a  very good situation  to be elderly  and have                                                               
low income,  that means  they have  low cash  flow."   She stated                                                               
that the price of food, housing,  and energy all went up and were                                                               
higher than  in other parts of  the country.  She  reported that,                                                               
as the  average recipient age was  75 years, it was  difficult to                                                               
find a  job to  supplement income.   She stated  that this  was a                                                               
particularly vulnerable  age, and  that many individuals  in this                                                               
age  bracket  did not  have  the  energy, stamina,  and  physical                                                               
fitness to  do many  jobs, and  often had  some sort  of illness.                                                               
She pointed out that this money did not go far in Alaska.                                                                       
                                                                                                                                
CHAIR SEATON stated that the  committee was not proposing to make                                                               
any changes,  but was addressing  the program because  the Alaska                                                               
State  Legislature had  asked the  department to  offer a  way to                                                               
reduce this  highest asset  group, as the  program was  not being                                                               
fully funded.   He acknowledged  that, although the  income level                                                               
was  eligible,  statistics showed  that  the  largest wealth  was                                                               
accumulated in the  senior population.  He noted  that there were                                                               
also a  lot of  not wealthy  individuals, a  lot of  disparity in                                                               
this population.   He stated  his desire to have  the information                                                               
to  pass  on  to  the  House  Finance  Committee  to  make  those                                                               
decisions, in order to target the desired population.                                                                           
                                                                                                                                
3:44:22 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE VAZQUEZ  moved to report the  committee substitute                                                               
(CS)  for HB  262, labeled  29-GH2770\W, Glover,  2/2/16, out  of                                                               
committee  with individual  recommendations and  the accompanying                                                               
fiscal notes.  There being  no objection, CSHB 262(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