Legislature(2023 - 2024)DAVIS 106

04/30/2024 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:09:00 PM Start
03:10:43 PM Confirmation Hearing(s):|| Board of Social Work Examiners
03:18:46 PM SB240
05:11:44 PM HB363
05:58:28 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Consideration of Governor’s Appointees: Board of TELECONFERENCED
Social Work Examiners - Anne Wells
-- Public Testimony --
+= HB 363 FOSTER CHILDREN PSYCHIATRIC TREATMENT TELECONFERENCED
Moved CSHB 363(HSS) Out of Committee
-- Public Testimony --
+ SB 240 SCHOOL MEDICAL ASSIST;TREATMENT OF MINORS TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
          HB 363-FOSTER CHILDREN PSYCHIATRIC TREATMENT                                                                      
                                                                                                                                
5:11:44 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  announced that  the next order  of business  would be                                                               
HOUSE BILL NO.  363, "An Act relating to the  placement of foster                                                               
children in psychiatric hospitals."                                                                                             
                                                                                                                                
5:12:40 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX opened public testimony on HB 363.                                                                                   
                                                                                                                                
KXLO   STONE,   Facing   Foster   Care   in   Alaska,   Statewide                                                               
Representative on  Youth Board, testified  in support of  HB 363.                                                               
She explained her background in  foster care and her own personal                                                               
experiences with the  Alaska foster care system.   She emphasized                                                               
the  adverse  living  conditions  of foster  care  facilities  in                                                               
Alaska and  explained how it  negatively affects  foster children                                                               
in  Alaska.   She  highlighted  the  importance of  the  proposed                                                               
bill's provision for  a 5-day limit on a hearing  from the Office                                                               
of Children's Services (OCS.)                                                                                                   
                                                                                                                                
5:15:18 PM                                                                                                                    
                                                                                                                                
BARBARA  MALCHICK, Facing  Foster  Care in  Alaska, testified  in                                                               
support  of HB  363.   She described  the process  that a  foster                                                               
child is put  through upon their admittance  into Alaska's foster                                                               
care system  and emphasized the negative  impact that months-long                                                               
hearing  delays  have on  foster  children.   She  explained  the                                                               
changes that  HB 363  would make  on the  current structure  of a                                                               
foster  child's   hearing  process  and  offered   the  committee                                                               
comparison to other countries' foster child hearing processes.                                                                  
                                                                                                                                
5:20:30 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX,  after ascertaining  that there was  no one  else who                                                               
wished to testify, closed public testimony on HB 363.                                                                           
                                                                                                                                
5:20:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE ANDREW  GRAY, Alaska  State Legislature,  as prime                                                               
sponsor of  HB 363, asked  for the will  of the committee  on its                                                               
decision to move HB 363 out of committee.                                                                                       
                                                                                                                                
5:21:00 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease at 5:21 p.m.                                                                                 
                                                                                                                                
5:21:49 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE  moved to adopt  Amendment 1 to  HB 363,                                                               
labeled,33-LS1049/S.1, Bergerud, 4/30/24 which read as follows:                                                                 
                                                                                                                                
     Page 2, lines 24 - 25:                                                                                                     
          Delete "48 hours"                                                                                                     
          Insert "five days"                                                                                                    
                                                                                                                                
     Page 2, lines 28 - 29:                                                                                                     
          Delete "48-hour period"                                                                                               
          Insert "five-day period"                                                                                              
                                                                                                                                
     Page 2, line 31:                                                                                                           
          Delete "48-hour period"                                                                                               
          Insert "five-day period"                                                                                              
                                                                                                                                
     Page 3, line 1:                                                                                                            
          Delete "48 hours, the 48-hour period"                                                                                 
          Insert "five days, the five-day period"                                                                               
                                                                                                                                
     Page 3, lines 2 - 4:                                                                                                       
          Delete "The court may grant one request to                                                                            
      continue the hearing for up to two business days if                                                                       
       necessary to secure the attendance of the child, a                                                                       
     party, or a material witness."                                                                                             
                                                                                                                                
     Page 3, line 9:                                                                                                            
          Delete "based on"                                                                                                     
          Insert "after considering"                                                                                            
                                                                                                                                
     Page 3, line 10, following "professional,":                                                                                
          Insert "or upon the written report of a mental                                                                        
     health professional if the child and all parties agree                                                                     
     the report may be relied on,"                                                                                              
                                                                                                                                
     Page 3, line 14, following "untreated.":                                                                                   
          Insert "If the court does not make the necessary                                                                      
       findings, the court shall order the department to                                                                        
     transfer the child to another appropriate setting that                                                                     
     is in the best interests of the child."                                                                                    
                                                                                                                                
REPRESENTATIVE MCCORMICK objected.                                                                                              
                                                                                                                                
5:22:13 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE GRAY informed Representative McCormick, "This is                                                                 
a friendly amendment at the request of the sponsor."                                                                            
                                                                                                                                
5:22:25 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER moved to adopt Conceptual Amendment 1 to                                                                  
Amendment 1, to delete lines 5-9 on page 2 [as numbered on                                                                      
Amendment 1].                                                                                                                   
                                                                                                                                
REPRESENTATIVE FIELDS objected.                                                                                                 
                                                                                                                                
5:23:03 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease at 5:23 p.m.                                                                                 
                                                                                                                                
5:23:54 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS asked  the bill sponsor for  his opinion on                                                               
the proposed Conceptual Amendment 1 to Amendment 1.                                                                             
                                                                                                                                
REPRESENTATIVE  GRAY said  that he  understood the  reason behind                                                               
the proposed amendment and explained  that Conceptual Amendment 1                                                               
to  Amendment 1  would strike  important bill  language regarding                                                               
placement and housing of foster children.   He said that he would                                                               
not oppose the proposed conceptual amendment.                                                                                   
                                                                                                                                
REPRESENTATIVE FIELDS withdrew his objection.                                                                                   
                                                                                                                                
5:25:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS   commented  that  he  has   a  subsequent                                                               
amendment  that  is designed  to  address  the lack  of  suitable                                                               
facilities.                                                                                                                     
                                                                                                                                
REPRESENTATIVE RUFFRIDGE shared his  concern that the legislation                                                               
might  put  an undue  stress  on  the  Alaska foster  care  court                                                               
system.                                                                                                                         
                                                                                                                                
5:27:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA  asked  whether   OCS  could  speak  to  the                                                               
possibility of  a foster child  being left  to wait in  the court                                                               
system.                                                                                                                         
                                                                                                                                
5:29:46 PM                                                                                                                    
                                                                                                                                
KIM  SWISHER, Deputy  Director,  Office  of Children's  Services,                                                               
Department  of Family  & Community  Services,  answered that  OCS                                                               
sometimes experiences  an inappropriate  level of  care placement                                                               
for  a  child  and  explained  how  OCS  works  with  psychiatric                                                               
hospitals to deliver the proper care for a foster child.                                                                        
                                                                                                                                
5:31:28 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS  commented  that   he  would  vote  no  on                                                               
Conceptual Amendment 1 to Amendment 1.                                                                                          
                                                                                                                                
A roll call  vote was taken.   Representatives Ruffridge, Sumner,                                                               
and Prax voted in favor of  Conceptual Amendment 1 to Amendment 1                                                               
to HB 363.  Representatives Fields, Mina, and McCormick voted                                                                   
against it.  Therefore, Conceptual Amendment 1 to Amendment 1                                                                   
failed by a vote of 3-3.                                                                                                        
                                                                                                                                
5:33:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE [moved to withdraw] Amendment 1.                                                                       
[There being no objection, Amendment 1 was withdrawn.]                                                                          
                                                                                                                                
5:33:25 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS moved to adopt Amendment 2 to HB 363,                                                                     
labeled 33-LS1049/S.2, Bergerud, 4/30/24, which read as follows:                                                                
                                                                                                                                
     Page 1, line 1, following "hospitals;":                                                                                  
          Insert "relating to the care of children in state                                                                   
     custody  placed in  residential facilities  outside the                                                                  
     state;"                                                                                                                  
                                                                                                                                
     Page 3, following line 18:                                                                                                 
     Insert a new bill section to read:                                                                                         
        "* Sec. 4. AS 47.14.112(d) is amended to read:                                                                      
          (d)  The division of the department with                                                                              
     responsibility  over  the  custody  of  children  shall                                                                    
     prepare  and  make  available  to  the  legislature  an                                                                    
     annual  report on  employee recruitment  and retention,                                                                    
     including  a  five-year  plan, for  the  division.  Not                                                                    
     later  than November 15  of each  year, the  department                                                                    
     shall deliver  the report to  the senate  secretary and                                                                    
     the  chief clerk  of the  house of  representatives and                                                                    
     notify the  legislature that  the report  is available.                                                                    
     The report  prepared under this subsection  is separate                                                                    
     from  the annual  report  to  the legislature  required                                                                    
     under AS 18.05.020  and must include, for  the previous                                                                    
     12 months,                                                                                                                 
               (1)  the number of frontline social workers                                                                      
     employed by  the division, the annual  average turnover                                                                    
     rate of  the workers, and  the average caseload  of the                                                                    
     workers on January 1 and July 1 of that year;                                                                              
               (2)  the number of children removed from                                                                         
     their homes;                                                                                                               
               (3)  the achievement of success measured by                                                                      
     the following:                                                                                                             
               (A)  rate of family reunification;                                                                               
               (B)  average length of time children spent                                                                       
     in custody of the department;                                                                                              
               (C)  rate of placement with an adult family                                                                      
     member or family friend;                                                                                                   
               (D)  number of children placed in a                                                                              
     permanent  living   arrangement  with  a   guardian  or                                                                    
     biological or adoptive parent;                                                                                             
               (E)  number of children released from the                                                                        
     custody of the department;                                                                                                 
               (4)  if the department has met or exceeded                                                                       
     the caseload  standards under this chapter  and, if the                                                                    
     standards  were  exceeded,  the  number  of  caseworker                                                                    
     positions in the division that  could be eliminated and                                                                    
     the  amount  of funding  that  could  be reduced  while                                                                    
     continuing  to  meet  but   not  routinely  exceed  the                                                                    
     caseload standards;                                                                                                        
               (5)  the performance of the department on                                                                        
     federal benchmarks  focused on the  safety, well-being,                                                                    
     and  permanent placements  of foster  children compared                                                                    
     with the previous five years;                                                                                          
               (6)  the number of children placed in                                                                        
     residential  facilities  providing  care  for  children                                                                
     outside the state."                                                                                                    
                                                                                                                              
     Renumber the following bill section accordingly.                                                                           
                                                                                                                                
REPRESENTATIVE RUFFRIDGE objected for the purpose of discussion.                                                                
                                                                                                                                
REPRESENTATIVE FIELDS explained that the proposed amendment                                                                     
would track the statistics surrounding foster care services                                                                     
provided to children in Alaska's foster care system.                                                                            
                                                                                                                                
5:35:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE removed his objection.  There being no                                                                 
further objection, Amendment 2 was adopted.                                                                                     
                                                                                                                                
5:35:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS moved to adopt Amendment 3 to HB 363,                                                                     
labeled 33-LS1049/S.3, Bergerud, 4/30/24, which read as follows:                                                                
                                                                                                                                
     Page 1, line 1, following "Act":                                                                                         
          Insert "establishing the Family First Prevention                                                                    
     Services Team;"                                                                                                          
                                                                                                                                
     Page 1, following line 3:                                                                                                  
     Insert a new bill section to read:                                                                                         
        "* Section  1. AS 44.30.020 is  amended by  adding a                                                                
     new subsection to read:                                                                                                    
          (c)  The Department of Family and Community                                                                           
     Services  shall establish  the Family  First Prevention                                                                    
     Services  Team,  consisting  of  department  employees,                                                                    
     that shall be responsible  for ongoing plan submission,                                                                    
     assessment,   communication   with   agency   partners,                                                                    
     evaluation, and reporting  requirements under P.L. 115-                                                                    
     123 (Family First Prevention Services Act)."                                                                               
                                                                                                                                
     Page 1, line 4:                                                                                                            
          Delete "Section 1"                                                                                                  
          Insert "Sec. 2"                                                                                                     
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
     Page 4, following line 16:                                                                                                 
     Insert a new bill section to read:                                                                                         
        "*  Sec.  6. The  uncodified  law  of the  State  of                                                                
     Alaska is amended by adding a new section to read:                                                                         
          CHILD WELFARE PREVENTION PROGRAM SCAN AND FAMILY                                                                      
     FIRST  PREVENTION  SERVICES  PLAN SUBMISSION.  (a)  The                                                                    
     Department  of  Family  and  Community  Services  shall                                                                    
     contract with a third-party  review agency to conduct a                                                                    
     comprehensive  scan  of  all child  welfare  prevention                                                                    
     programs in  the state identified by  the United States                                                                    
     Department  of Health  and  Human Services,  Children's                                                                    
     Bureau.  The  scan  must   include  evaluation  of  any                                                                    
     curriculum  used by  the program,  staff qualifications                                                                    
     and workloads, targeted  population identification, and                                                                    
     methods  of outreach,  data collection,  organizational                                                                    
     management  and evaluation,  and reporting  procedures.                                                                    
     The scan  must be  completed not later  than January 1,                                                                    
     2025.                                                                                                                      
          (b)  Not later than July 1, 2025, the Family                                                                          
     First   Prevention   Services   Team   established   in                                                                    
     AS 44.30.020(c),  added by  sec. 1  of this  Act, shall                                                                    
     submit to  the United  States Department of  Health and                                                                    
     Human  Services,  Children's  Bureau,  a  Family  First                                                                    
     Prevention  Services  Title  IV-E Prevention  Plan  for                                                                    
     approval."                                                                                                                 
                                                                                                                                
REPRESENTATIVE RUFFRIDGE object for the purpose of discussion.                                                                  
                                                                                                                                
REPRESENTATIVE FIELDS explained that  Amendment 3 would establish                                                               
a team  based around  the concept of  "family first"  foster care                                                               
prevention services.   He said that the  proposed amendment would                                                               
involve only one  department instead of two  and highlighted that                                                               
the  solution  was suggested  by  a  report, titled  "Reimagining                                                               
Child Services in Alaska."                                                                                                      
                                                                                                                                
5:39:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  asked whether  OCS would have  the funding                                                               
to achieve the proposed amendment's goals.                                                                                      
                                                                                                                                
REPRESENTATIVE FIELDS  explained that  OCS is already  working on                                                               
ensuring  funding  for  a  team   like  the  one  proposed  under                                                               
Amendment 3.                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  asked what the "family  first" title means                                                               
in reference to  the foster care prevention  plan under Amendment                                                               
3.                                                                                                                              
                                                                                                                                
REPRESENTATIVE FIELDS  answered that  the term  refers to  a team                                                               
that would keep kids safe and healthy in their foster homes.                                                                    
                                                                                                                                
5:41:24 PM                                                                                                                    
                                                                                                                                
MS.  SWISHER explained  that Amendment  3 would  be vital  in the                                                               
establishment of a safer foster care  system in Alaska.  She said                                                               
that  there are  currently only  three practices  in Alaska  that                                                               
independently verify  the safety  of foster homes  and emphasized                                                               
that the services have been proven to be effective .                                                                            
                                                                                                                                
5:44:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SUMNER shared  his understanding  that the  money                                                               
would be spent to create a plan  for the teams, not on the actual                                                               
establishment of the teams.                                                                                                     
                                                                                                                                
MS. SWISHER confirmed  that Representative Sumner's understanding                                                               
was correct and  said that OCS would not be  opposed to reviewing                                                               
the propositions resulting from Amendment 3 in the future.                                                                      
                                                                                                                                
REPRESENTATIVE  FIELDS [moved  to withdraw]  Amendment 3.  [There                                                               
being no objection, Amendment 3 was withdrawn.]                                                                                 
                                                                                                                                
5:45:39 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS moved  to  adopt Amendment  4  to HB  363,                                                               
labeled 33-LS1049/S.4, Bergerud, 4/30/24, which read as follows:                                                                
                                                                                                                                
     Page 1, line 1, following "Act":                                                                                         
          Insert  "establishing a  revolving  loan fund  for                                                                  
     the construction of  residential psychiatric facilities                                                                  
     for   minors  in   the  Alaska   Mental  Health   Trust                                                                  
     Authority;"                                                                                                              
                                                                                                                                
     Page 1, following line 3:                                                                                                  
     Insert a new bill section to read:                                                                                         
        "* Section  1. AS 44.25 is  amended by adding  a new                                                                
     section to read:                                                                                                           
          Sec.   44.25.293.  Psychiatric   treatment  center                                                                  
     revolving  loan  fund.  (a) The  psychiatric  treatment                                                                  
     center   revolving  loan   fund  is   created  in   the                                                                    
     authority. The authority shall  administer the fund and                                                                    
     shall use the fund to  award loans to in-state entities                                                                    
     for  the  establishment  and expansion  of  residential                                                                    
     psychiatric treatment  facilities for minors.  The fund                                                                    
     consists of  money appropriated to the  fund, including                                                                    
     loan payments and interest earned on the fund.                                                                             
          (b)   A loan  awarded under  this section  may not                                                                    
     exceed                                                                                                                     
               (1)  $500,000 if the loan is for the                                                                             
     construction of a new facility; or                                                                                         
               (2)  $50,000 if the loan is for an existing                                                                      
     facility that is establishing  or expanding services to                                                                    
     minors.                                                                                                                    
          (c)   The  authority may  not award  a loan  under                                                                    
     this section to  an entity that has  an existing unpaid                                                                    
     loan   under   this   section  or   to   a   for-profit                                                                    
     corporation.                                                                                                               
          (d)  An entity is  eligible each calendar year for                                                                    
     not  more than  two  loans made  under  (b)(1) of  this                                                                    
     section and not more than  five loans made under (b)(2)                                                                    
     of this section.                                                                                                           
          (e)   In  awarding loans  under this  section, the                                                                    
     authority  shall prioritize  loans  for a  construction                                                                    
     project   in  a   region   in   which  no   residential                                                                    
     psychiatric  treatment facility  for  minors exists.  A                                                                    
     facility that provides treatment  to adults is eligible                                                                    
     to receive a loan under  this section if the facility's                                                                    
     primary  mission  is  to provide  psychiatric  care  to                                                                    
     minors and  the facility  submits documentation  to the                                                                    
     authority  showing that  residents who  are minors  are                                                                    
     physically  separated in  the  facility from  residents                                                                    
     who are adults.                                                                                                            
          (f)    The terms  of  a  loan awarded  under  this                                                                    
     section  must require  the  loan to  be  repaid over  a                                                                    
     period of  not less than  five years and not  more than                                                                    
     10  years. The  authority  shall  provide for  interest                                                                    
     rates  for loans  awarded under  this section  that are                                                                    
     less than the current market  rate as determined by the                                                                    
     authority.                                                                                                                 
          (g)  In this section,                                                                                                 
               (1)  "adult" means an individual who is 18                                                                       
     years of age or older;                                                                                                     
               (2)  "minor" means an individual under 18                                                                        
     years of age."                                                                                                             
                                                                                                                                
     Page 1, line 4:                                                                                                            
          Delete "Section 1"                                                                                                  
          Insert "Sec. 2"                                                                                                     
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
REPRESENTATIVE  FIELDS  explained  that  the  proposed  amendment                                                               
would establish  a revolving  loan fund  for the  construction of                                                               
residential psychiatric facilities for  minors in Alaska. He said                                                               
that intention  of Amendment 4  was to  create a place  where the                                                               
State  could  both  make investments  and  expand  the  treatment                                                               
capacity of the State.                                                                                                          
                                                                                                                                
REPRESENTATIVE  SUMNER  opined  that the  500,000  dollar  figure                                                               
proposed by  Amendment 4  was not enough  to build  a psychiatric                                                               
facility.                                                                                                                       
                                                                                                                                
5:47:50 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE   said  that   he  was   supportive  of                                                               
Amendment 4  when he saw  "Alaska Mental Health  Trust Authority"                                                               
(AMHTA) but  was disappointed when  he learned that  the proposed                                                               
fund would come from the General Fund of the Permanent Fund.                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS said  that he would be  supportive of funds                                                               
coming from AMHTA.                                                                                                              
                                                                                                                                
5:49:57 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  PRAX   shared  his  concern  that   the  proposed                                                               
amendment would create a new fiscal note for HB 363.                                                                            
                                                                                                                                
5:50:09 PM                                                                                                                    
                                                                                                                                
MS.   SWISHER  recommended   the  question   be  answered   by  a                                                               
representative  from the  Department  of Health  (DOH) but  added                                                               
that she is unsure of the necessity of the proposed amendment.                                                                  
                                                                                                                                
5:50:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE said  that he  probably wouldn't  be in                                                               
support of the proposed amendment.                                                                                              
                                                                                                                                
5:51:07 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA commented  that she likes the  ideas that the                                                               
proposed amendment puts forward.                                                                                                
                                                                                                                                
5:51:24 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  asked whether the proposed  revolving loan                                                               
funds proposed under Amendment 4  would be restricted to use only                                                               
on construction.                                                                                                                
                                                                                                                                
5:52:02 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  answered that the revolving  loan fund was                                                               
initially created with  the idea of construction  in mind, though                                                               
it could be used for different applications in the future.                                                                      
                                                                                                                                
5:52:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  asked Representative Gray for  his opinion                                                               
on Amendment 4.                                                                                                                 
                                                                                                                                
5:52:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE GRAY  replied that  he would support  whatever the                                                               
will of the committee is.                                                                                                       
                                                                                                                                
REPRESENTATIVE SUMNER  shared his  understanding that there  is a                                                               
high likelihood  of a  fiscal note being  created if  Amendment 4                                                               
were adopted.                                                                                                                   
                                                                                                                                
5:53:53 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX opined  that it would likely create a  new fiscal note                                                               
for HB 363.                                                                                                                     
                                                                                                                                
REPRESENTATIVE FIELDS said that the  creation of a fiscal note is                                                               
a  subjective speculation  to make  and takes  into account  many                                                               
logistical considerations.                                                                                                      
                                                                                                                                
5:55:04 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SUMNER  offered   his  understanding   that  the                                                               
presumption  of the  committee was  that a  fiscal note  would be                                                               
added  to a  piece of  legislation if  said legislation  required                                                               
funding.                                                                                                                        
                                                                                                                                
5:56:04 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX sought confirmation that  Amendment 4 would generate a                                                               
fiscal note for HB 363.                                                                                                         
                                                                                                                                
ANA KARINA THOMPSON, Licensing  Specialist, Department of Health,                                                               
answered  that the  proposed amendment  would  likely generate  a                                                               
fiscal note.                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  [moved to  withdraw] Amendment 4.   [There                                                               
being no objection, Amendment 4 was withdrawn.]                                                                                 
                                                                                                                                
5:57:12 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  asked whether  it was  the will  of the  committee to                                                               
move HB 363 out of committee.                                                                                                   
                                                                                                                                
REPRESENTATIVE RUFFRIDGE moved to report  HB 363, as amended, out                                                               
of   committee   with    individual   recommendations   and   the                                                               
accompanying  fiscal  notes.   There  being  no  objection,  CSHB
363(HSS)  was  reported  out  of  the  House  Health  and  Social                                                               
Services Standing Committee.                                                                                                    

Document Name Date/Time Subjects
Anne Wells Social Work Resume_Redacted.pdf HHSS 4/30/2024 3:00:00 PM
Governor's Appointee
Anne Wells Social Work App_Redacted.pdf HHSS 4/30/2024 3:00:00 PM
Governor's Appointee
SB 240 Fiscal Note DOH-MAA.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Fiscal Note DOH-MS.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Fiscal Note EED-SSA.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Letter of Support - ACT.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Sectional Analysis Version B.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Sponsor Statement Version A.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Trust LOS 2.26.24.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB 240 Version B.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
SB240 Summary Version A.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
HB 363 Amendment S.1 #1.pdf HHSS 4/30/2024 3:00:00 PM
HB 363
SB 240 Amendment B.1 #1.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
HB 363 Kwinghagak v. OCS Court Case.pdf HHSS 4/30/2024 3:00:00 PM
HB 363
HB 363 Amendment S.2 #2.pdf HHSS 4/30/2024 3:00:00 PM
HB 363
HB 363 Amendment S.3 #3.pdf HHSS 4/30/2024 3:00:00 PM
HB 363
HB 363 Amendment S.4 #4.pdf HHSS 4/30/2024 3:00:00 PM
HB 363
HB 363 Roque Support.pdf HHSS 4/30/2024 3:00:00 PM
HB 363
SB 240 ANC School Testimony.pdf HHSS 4/30/2024 3:00:00 PM
SB 240
HB 346 Sponsor Follow Up.pdf HHSS 4/30/2024 3:00:00 PM
HB 346