Legislature(2005 - 2006)

05/05/2005 04:55 PM Senate FIN


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* first hearing in first committee of referral
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= bill was previously heard/scheduled
                                                                                                                                
     SENATE CS FOR HOUSE BILL NO. 225(HES)                                                                                      
     "An Act relating to medical examiners and medical death                                                                    
     examinations."                                                                                                             
                                                                                                                                
                                                                                                                                
6:08:41 PM                                                                                                                    
                                                                                                                                
This  was the first  hearing  for this  bill in  the Senate  Finance                                                            
Committee.                                                                                                                      
                                                                                                                                
SHALON SZYMANSKI, Staff  to Representative Lesil McGuire, the bill's                                                            
sponsor, explained that  this bill would require the Commissioner of                                                            
the Department  of Health  and Social Services  to appoint  a second                                                            
medical examiner in the  State. Currently, only one medical examiner                                                            
is  required.  The  workload  of the  State's  Medical  Examiner  is                                                            
increasing  as exampled by the fact  that approximately 1,100  cases                                                            
were filed  with the  Office the  previous year.  The duties  of the                                                            
medical examiner  range from conducting autopsies  to administrative                                                            
duties  and legal duties,  which require  him to  testify in  Court.                                                            
Current  State law  requires that  autopsies be  conducted in  cases                                                            
involving a crime  or a suspicious death. However,  on occasion, due                                                            
to current workloads, no autopsy is conducted on the latter.                                                                    
                                                                                                                                
Ms. Szymanski  noted that  there is currently  "no backup"  were the                                                            
State's lone medical examiner unable to fulfill his duties.                                                                     
                                                                                                                                
Co-Chair  Wilken  communicated  that  he  had  participated  in  the                                                            
discussions  on this  bill during  its Senate  Health, Education,  &                                                            
Social  Services Committee,  of which  he is a  member. His  concern                                                            
then was that  the Legislature "was  doing the job" of the  Governor                                                            
Frank Murkowski  Administration;  continuing  that point, he  stated                                                            
that the question is whether  the Administration could hire a deputy                                                            
medical examiner without this legislation.                                                                                      
                                                                                                                                
Ms. Szymanski  responded  that a  second medical  examiner could  be                                                            
hired provided funding  was available. The issue therefore, is that,                                                            
absent  this  legislation,   those  funds  might  not  be  constant.                                                            
Therefore,  the State  might continue  to be served  by one  medical                                                            
examiner  and,  as  a result,  many  cases  might  not  receive  the                                                            
attention they deserve.                                                                                                         
                                                                                                                                
6:11:07 PM                                                                                                                    
                                                                                                                                
Co-Chair Wilken  voiced that it "bothers  me structurally"  that one                                                            
or several Legislators  might decide that a position  was needed and                                                            
that,  without question,  that  decision might  be  approved by  the                                                            
Legislature.  There is a  reason for the  budgeting process  and the                                                            
separation of powers. The  merits of hiring another medical examiner                                                            
should be determined through  the budgeting process. Furthering this                                                            
legislation  might establish an unwanted  precedence. Were  a second                                                            
medical  examiner   deemed  necessary,  the  Administration   should                                                            
advance it through the budgetary process.                                                                                       
                                                                                                                                
Ms. Szymanski  "expressed"  the sponsor's  concern that the  problem                                                            
with the medical examiner  position is one that "would not go away".                                                            
The State's  population  is increasing  and would  warrant a  second                                                            
medical examiner.  "It's an issue  that needs to be dealt  with, and                                                            
that's the only reason why we bring this forward."                                                                              
                                                                                                                                
Co-Chair Wilken acknowledged.                                                                                                   
                                                                                                                                
Senator Olson, a medical  doctor, spoke to the need of there being a                                                            
second medical  examiner.  The current medical  examiner is  nearing                                                            
retirement age and "is  overworked". He has been "worked to the bone                                                            
and has  done a  very good  job of trying  to keep  up, but he  only                                                            
human". The  requirements of the position  are numerous.  Therefore,                                                            
he would support  adding a Deputy Medical Examiner  position due "to                                                            
the intensity of the need".                                                                                                     
                                                                                                                                
Co-Chair  Green  voiced  concern  to  the fact  that  the  bill  was                                                            
accompanied  by a  Department  of Health  and Social  Services  zero                                                            
fiscal  note,  as  the  funding  mechanism  of  the  second  medical                                                            
examiner position was unclear.                                                                                                  
                                                                                                                                
6:13:49 PM                                                                                                                    
                                                                                                                                
Co-Chair Green joined Co-Chair  Wilken in his concern of the process                                                            
being forwarded  by this legislation, as, in her tenure  as a member                                                            
of  the  Legislature,  she could  not  recall  ever  entertaining  a                                                            
request  to  add a  staff  position  "through  this  process".  Such                                                            
requests  have  historically  been advanced  through  the  budgetary                                                            
process.                                                                                                                        
                                                                                                                                
DR.  RICHARD  MANDSANGER,  Director,   Division  of  Public  Health,                                                            
Department  of Health  and Social  Services informed  the  Committee                                                            
that the Department  currently has sufficient funding  in its budget                                                            
for  two  medical  examiners.  He informed  the  Committee  that  an                                                            
individual  was  offered the  job  as deputy  medical  examiner  the                                                            
previous day. This legislation  would "mandate" that the State would                                                            
always  have a  minimum of  two medical  examiners.  That number  is                                                            
warranted.  No fiscal expense  accompanies  this bill, as funds  are                                                            
currently available through  which to support two medical examiners.                                                            
While  the  Department  has had  the  ability  to have  two  medical                                                            
examiners,  this  legislation would  include  in State  Statute  the                                                            
language "shall appoint" a deputy medical examiner.                                                                             
                                                                                                                                
Dr.  Mandsanger  acknowledged   Co-Chair  Wilken's  comments   about                                                            
adhering  to   budgetary  process   procedures,  and  informed   the                                                            
Committee  that,  in  all likelihood,   he would  be  testifying  in                                                            
support of the needs of  the Medical Examiners' Office during future                                                            
budgetary proceedings.                                                                                                          
                                                                                                                                
6:15:41 PM                                                                                                                    
                                                                                                                                
Dr. Mandsanger informed  the Committee that a $100,000 increment was                                                            
included  in the  Governor's  FY  06 operating  budget  proposal  to                                                            
support the infrastructure and needs of two medical examiners.                                                                  
                                                                                                                                
Co-Chair Green  ascertained therefore  that that was the  reason for                                                            
there  being  a  zero   fiscal  note  with  this  legislation.   The                                                            
Governor's  budget would include the  funding needed to support  the                                                            
second medical examiner position.                                                                                               
                                                                                                                                
Dr. Mandsanger concurred.                                                                                                       
                                                                                                                                
6:16:07 PM                                                                                                                    
                                                                                                                                
In response  to  a question  from  Co-Chair Green,  Co-Chair  Wilken                                                            
stated that his  concerns, as previously stated, are  on the record.                                                            
                                                                                                                                
Co-Chair  Wilken  moved  to  report the  bill  from  Committee  with                                                            
individual recommendations and accompanying fiscal notes.                                                                       
                                                                                                                                
AT EASE 6:16:39 PM / 6:17:37 PM                                                                                             
                                                                                                                                
There  being  no  objection,  SCS  HB  225(HES)  was  REPORTED  from                                                            
Committee  with zero fiscal  note #1 dated  March 30, 2005  from the                                                            
Department of Health and Social Services.                                                                                       
                                                                                                                                
6:18:04 PM                                                                                                                    
                                                                                                                                

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