Legislature(2023 - 2024)DAVIS 106
04/30/2024 03:00 PM House HEALTH & SOCIAL SERVICES
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Audio | Topic |
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Start | |
Confirmation Hearing(s):|| Board of Social Work Examiners | |
SB240 | |
HB363 | |
Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
+ | TELECONFERENCED | ||
+= | HB 363 | TELECONFERENCED | |
+ | SB 240 | TELECONFERENCED | |
+ | TELECONFERENCED | ||
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 |
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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 |