Legislature(2021 - 2022)DAVIS 106

04/20/2021 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 133 AK ED SAVINGS PROGRAMS/ELIGIBILITY TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ HB 145 EXPAND PHARMACIST AUTHORITY TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+= HB 58 CONTRACEPTIVES COVERAGE:INSURE;MED ASSIST TELECONFERENCED
Moved CSHB 58(HSS) Out of Committee
-- Testimony <Invitation Only> --
*+ HB 153 CHILD IN NEED OF AID; NOTICE OF PLACEMENT TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
           HB 133-AK ED SAVINGS PROGRAMS/ELIGIBILITY                                                                        
                                                                                                                                
3:09:29 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  ZULKOSKY announced  that  the first  order of  business                                                               
would  be HOUSE  BILL NO.  133, "An  Act relating  to the  Alaska                                                               
savings program  for eligible individuals; relating  to education                                                               
savings  programs; relating  to  the Education  Trust of  Alaska;                                                               
relating  to the  Alaska advance  college  tuition savings  fund;                                                               
relating to  the Alaska education  savings program  for children;                                                               
and  relating  to  the Governor's  Council  on  Disabilities  and                                                               
Special Education."                                                                                                             
                                                                                                                                
3:09:43 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  presented HB  133, as  prime sponsor.   He                                                               
offered  a  PowerPoint  presentation,   entitled  "HB  133:  Able                                                               
Update."  He  began on slide 1, "What is  an Able Account?" which                                                               
read as follows [original punctuation provided]:                                                                                
                                                                                                                                
     ? ABLE: "Achieving a Better Life Experience"                                                                               
     ?  Tax-free   savings  account  for   individuals  with                                                                    
     qualifying disabilities                                                                                                    
     ?  Funds  may  be  used   to  pay  for  items  such  as                                                                    
     disability      expenses,      education,      housing,                                                                    
     transportation                                                                                                             
     ? Distributions  into accounts are not  counted against                                                                    
     individual in determining  eligibility for Medicaid and                                                                    
     needs-based assistance programs                                                                                            
                                                                                                                                
REPRESENTATIVE FIELDS proceeded  to slide 4, "ABLE  Act of 2013,"                                                               
which read as follows [original punctuation provided]:                                                                          
                                                                                                                                
       Signed into  federal law in December 2014  as part of                                                                    
     the Tax Extenders package                                                                                                  
     ? Established  529A (ABLE) savings  account exclusively                                                                    
     for individuals with disabilities                                                                                          
                                                                                                                                
REPRESENTATIVE  FIELDS noted  that  former  Alaska State  Senator                                                               
Cathy Giessel and former Alaska  State Representative Dan Saddler                                                               
championed  the Alaska  ABLE Act  two years  after it  was signed                                                               
into federal  law which authorized  a state ABLE  program through                                                               
the Department  of Revenue  (DOR).  This  allowed Alaska  to join                                                               
the National ABLE Alliance, which is  a group of states that work                                                               
together  on  supporting  the  ABLE  accounts.    He  shared  his                                                               
understanding  that  the  ABLE program  has  been  successful  in                                                               
Alaska  considering  the number  of  individuals  that have  ABLE                                                               
accounts.                                                                                                                       
                                                                                                                                
REPRESENTATIVE FIELDS  advanced to slide  7, "ABLE to  Work Act,"                                                               
which read as follows [original punctuation provided]:                                                                          
                                                                                                                                
     ? Signed into law in 2017 as part of the Tax Cuts and                                                                      
     Jobs Act                                                                                                                   
     ? Increased annual contributions levels                                                                                    
    ?   Incentivized    employment   by    increasing   the                                                                     
       contribution level for employed beneficiaries from                                                                       
     $15,000 to $27,060                                                                                                         
                                                                                                                                
REPRESENTATIVE FIELDS  advanced to slide 9,  "ABLE Age Adjustment                                                               
Act," which read as follows [original punctuation provided]:                                                                    
                                                                                                                                
     ? Will increase the age of eligibility from 26 to 46                                                                       
     ? Will allow more participation in ABLE accounts                                                                           
                                                                                                                                
3:13:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS continued  on slide  10, "HB  133 Proposed                                                               
Updates," which read as follows [original punctuation provided]:                                                                
                                                                                                                                
     ? Reassigns department responsibility                                                                                      
     ? Expands age eligibility limits                                                                                           
     ? Allows greater flexibility in using funds to pay for                                                                     
     education expenses                                                                                                         
        Allows 529 program accounts to roll into an ABLE                                                                        
     account                                                                                                                    
      ? Aligns with federal regulations regarding program                                                                       
     savings accounts                                                                                                           
                                                                                                                                
REPRESENTATIVE FIELDS  noted that former State  of Alaska Senator                                                               
Cathy Giessel and her  staff did most of the work  on HB 133, and                                                               
he said  he suspects it  would have  passed in 2020  had COVID-19                                                               
not intervened.                                                                                                                 
                                                                                                                                
3:15:15 PM                                                                                                                    
                                                                                                                                
CATHY  GIESSEL,  former State  of  Alaska  Senator, testified  in                                                               
support of HB 133.  She  reminded the committee that the ABLE Act                                                               
was signed  into federal law in  2014, and wanted to  ensure that                                                               
committee members  are aware  that the  members of  U.S. Congress                                                               
who originally  put the  bill forward  originally on  the federal                                                               
level were  family members of individuals  with disabilities, and                                                               
she  presumed   that  these   Congress  members   understood  the                                                               
financial burden  for individuals  with disabilities, as  well as                                                               
the  constraints placed  on these  individuals.   She shared  her                                                               
understanding that these  members of Congress wanted  to create a                                                               
program  that  would  increase the  opportunities  for  financial                                                               
independence  and greater  self-sufficiency for  individuals with                                                               
disabilities.   She explained  that this  program allows  a 529-A                                                               
ABLE  savings account  for individuals  with disabilities,  which                                                               
she said is a "game changer."   She shared that, a few years ago,                                                               
it was  estimated that  about 13,000  Alaskans were  eligible for                                                               
this type of account.   She said that one of  the things that she                                                               
tries   to   achieve   when  speaking   with   individuals   with                                                               
disabilities is to  make them aware of 529-A ABLE  accounts.  She                                                               
expressed her enthusiastic  support for raising the  age of onset                                                               
of disability from  26 to 46 years.   She said that  HB 133 would                                                               
comply  with the  new  federal guidelines  that  allow even  more                                                               
people to  participate in ABLE  accounts.  She added  that former                                                               
State of Alaska  Representative, Dan Saddler had  a family member                                                               
who had a disability, and  she shared her understanding that this                                                               
meant  that he  knew  what  the costs  associated  with having  a                                                               
disability  were,  and  the limited  opportunities  available  to                                                               
individuals with disabilities.  She  shared that about a year and                                                               
a  half after  the  bill had  passed and  was  signed, her  sixth                                                               
grandson  was born  with significant  disabilities,  and she  now                                                               
understands firsthand  how easy  it is for  her to  contribute to                                                               
her grandson's ABLE account.  She expressed that this is a bi-                                                                  
partisan   "win-win"  piece   of   legislation   that  would   be                                                               
significant  in helping  individuals  with  disabilities and  the                                                               
families of those individuals.                                                                                                  
                                                                                                                                
3:19:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KURKA  asked Senator Giessel for  clarification as                                                               
to the state's role in ABLE  accounts.  He opined that it sounded                                                               
like a "tax shield" due to it starting out as a federal program.                                                                
                                                                                                                                
REPRESENTATIVE  FIELDS responded  that the  529 accounts  are not                                                               
for  tax   shielding  but   for  assisting   people  experiencing                                                               
disabilities to be as self-sufficient  as possible.  The accounts                                                               
allow  those individuals  and  family members  to  save money  on                                                               
qualifying  expenses  such   as  education,  transportation,  and                                                               
housing,  he said,  without making  these individuals  ineligible                                                               
for Medicaid.   He made  note of  Medicaid's low wealth  limit of                                                               
$2,000.  He  said it would be counterproductive  to, for example,                                                               
bump someone off  Medicaid due to an increased  money stream that                                                               
is going to housing or college expenses.                                                                                        
                                                                                                                                
REPRESENTATIVE    KURKA   asked    Representative   Fields    for                                                               
confirmation  that it  was  not for  tax  deduction, but  instead                                                               
about  preventing   the  recipient  from  being   precluded  from                                                               
Medicaid benefits.                                                                                                              
                                                                                                                                
REPRESENTATIVE  FIELDS  concurred and,  regarding  Representative                                                               
Kurka's earlier  question about the state's  role, explained that                                                               
the state has to participate in  order for Alaskans to be able to                                                               
participate in the program.                                                                                                     
                                                                                                                                
3:21:54 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SPOHNHOLZ  added that  HB  133  would not  simply                                                               
prevent  people from  losing Medicaid  coverage,  but would  also                                                               
prevents people  from losing  access to  other programs,  such as                                                               
Social Security Disability Income.   She added that some of these                                                               
programs  can take  many  years to  get into,  and  HB 133  would                                                               
prevent individuals  with disabilities  from being kicked  out of                                                               
these  programs as  well, and  would help  improve the  financial                                                               
independence  of  these individuals.    She  explained that  this                                                               
increased     level     of     independence     would     prevent                                                               
institutionalization, or  the necessity for these  individuals to                                                               
turn to more expensive levels of care.                                                                                          
                                                                                                                                
3:23:26 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  ZULKOSKY opened  public  testimony on  HB  133.   After                                                               
ascertaining that  there was  no one who  wished to  testify, she                                                               
closed public testimony.                                                                                                        
                                                                                                                                
CO-CHAIR ZULKOSKY announced that HB 133 was held over.                                                                          

Document Name Date/Time Subjects
HB0153A.PDF HHSS 4/20/2021 3:00:00 PM
HHSS 5/13/2021 3:00:00 PM
HB 153
HB153 - Sectional Analysis.pdf HHSS 4/20/2021 3:00:00 PM
HHSS 5/13/2021 3:00:00 PM
HB 153
HB153 - Sponsor Statement.pdf HHSS 4/20/2021 3:00:00 PM
HHSS 5/13/2021 3:00:00 PM
HB 153
HB 153 Supporting Documents and Education as of 04.19.2021.pdf HHSS 4/20/2021 3:00:00 PM
HHSS 5/13/2021 3:00:00 PM
HB 153
HB 58 Written Testimony as of 4-19-21.pdf HHSS 4/20/2021 3:00:00 PM
HL&C 5/17/2021 3:15:00 PM
HB 58
HB 133 Sponsor Presentation 3.30.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
10 CSHB 133 Fiscal Note UA-SYSBRA 3.13.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
1 CSHB 133 ver I Sponsor Statement 4.8.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
2 CSHB0133 ver I.PDF HHSS 4/20/2021 3:00:00 PM
HB 133
3 CSHB 133 Summary of Changes ver B to ver I 4.8.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
4 Sectional Analysis CSHB 133 ver I 4.8.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
5 HB0133 ver B.PDF HHSS 4/20/2021 3:00:00 PM
HB 133
6 CSHB 133 Supporting Document - IRS ABLE Accounts Info 3.18.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
7 CSHB 133 Supporting Document - 10 Things You Should Know About ABLE 3.18.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
8 CSHB 133 Supporting Document - UA Press Release 3.18.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
9 CSHB 133 Fiscal Note DHSS, 3.18.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 133
HB 145, AK Pharmacists Assn. Talking Points.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB 145, Sectional Analysis, Ver. A.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB 145, Sponsor Statement, Ver. A.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB0145A.PDF HHSS 4/20/2021 3:00:00 PM
HB 145
HB 145 DCCED Letter 4.14.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB 145 Fiscal Note - DCCED, 4.09.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB 145 LOS since 4.16.21.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB 145, AK Pharmacists Assn. Fact Sheet.pdf HHSS 4/20/2021 3:00:00 PM
HB 145
HB 58 Sponsor Statement v. A 3.30.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Supporting Document - Guttmacher Alaska Statistics 2016 3.30.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Sectional Analysis v. A 3.30.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Supporting Document - Guttmacher Public Costs from Unintended Pregnancies February 2015 3.30.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Supporting Document - UCSF Study Newspaper Article 2.11.2011.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Supporting Document - Unintended Pregnancies Study March 2011 3.30.2021.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Amendment 1 - Fields.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Amendment 2 - Kurka.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Zero Fiscal Note - DHSS Medicaid Services.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Zero Fiscal Note - DCCED Insurance Operations.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 58 Zero Fiscal Note - DOA Health Plans Administration.pdf HHSS 4/20/2021 3:00:00 PM
HB 58
HB 133 Sponsor Presentation 3.30.21.pptx HHSS 4/20/2021 3:00:00 PM
HB 133