Legislature(2009 - 2010)SENATE FINANCE 532

03/30/2009 09:00 AM Senate FINANCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 45 VETERANS' CEMETERIES/FUND/LICENSE PLATES TELECONFERENCED
Moved CSSB 45(FIN) Out of Committee
+= SB 32 MEDICAID:HOME/COMMUNITY BASED SERVICES TELECONFERENCED
Moved CSSB 32(HSS) Out of Committee
+ SB 96 CHILD SUPPORT/ CASH MEDICAL SUPPORT TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
SENATE BILL NO. 96                                                                                                            
                                                                                                                                
     "An  Act  relating  to  nonpayment  of  child  support;                                                                    
     relating to certain  judicial and administrative orders                                                                    
     for medical  support of a  child; relating  to periodic                                                                    
     review   and  adjustment   of  child   support  orders;                                                                    
     relating  to relief  from administrative  child support                                                                    
     orders; relating to  child support arrearages; relating                                                                    
     to medical  support of  a child  and the  Alaska Native                                                                    
     family assistance  program; amending Rule  90.3, Alaska                                                                    
     Rules  of   Civil  Procedure;  and  providing   for  an                                                                    
     effective date.                                                                                                            
                                                                                                                                
LYNDA, ZAUGG, STAFF, SENATOR BETTYE DAVIS,                                                                                      
                                                                                                                                
     In  July  2008,  the   federal  government  issued  new                                                                    
     medical support regulation that  require states to have                                                                    
     guidelines addressing  how either or both  parents will                                                                    
     provide   for  a   child's  healthcare   needs  through                                                                    
     accessible  health  insurance  coverage,  cash  medical                                                                    
     support,   or  both.      Failure   to  satisfy   these                                                                    
     regulations   jeopardizes  federal   funding  for   the                                                                    
     state's child support programs.                                                                                            
                                                                                                                                
          Under the federal regulations, states must order                                                                      
     either or  both parents to  purchase reasonably-priced,                                                                    
     accessible  health  insurance  coverage,  cash  medical                                                                    
     support,  or  both.    Cash   medical  support  may  be                                                                    
     required  in  those  cases where  no  reasonable-priced                                                                    
     health insurance  coverage is accessible to  the child.                                                                    
     If a  parent is  ordered to  pay cash  medical support,                                                                    
     the Child  Support Services  Division must  enforce the                                                                    
     ongoing  cash medical  support  obligation  as well  as                                                                    
     collect any cash medical support arrears.                                                                                  
                                                                                                                                
                                                                                                                                
9:27:36 AM                                                                                                                    
                                                                                                                                
Co-Chair Stedman asked if medical payments were retroactive                                                                     
applying to past orders.                                                                                                        
                                                                                                                                
GINGER  BLAISDELL,  DIRECTOR,   DIVISION  OF  ADMINISTRATIVE                                                                    
SERVICES, DEPARTMENT  OF REVENUE  introduced two  members of                                                                    
the  Child Support  Enforcement Division.  She provided  the                                                                    
choice  of  either  hearing a  sectional  analysis  by  John                                                                    
Mallonee,  or asking  questions  directly  of her.  Co-Chair                                                                    
Stedman requested the presentation by Mr. Mallonee.                                                                             
                                                                                                                                
JOHN  MALLONEE, ACTING  DIRECTOR, CHILD  SUPPORT ENFORCEMENT                                                                    
DIVISION,    DEPARTMENT    OF   REVENUE    (testified    via                                                                    
teleconference).  He explained  that the  federal government                                                                    
provides greater than  66 percent of the  funding needed for                                                                    
the  program. In  order to  secure funding,  the state  must                                                                    
comply  with requirements  of the  Social  Security Act  and                                                                    
federal  regulations.  Failure   to  meet  the  requirements                                                                    
places  federal funding  for the  child  support program  at                                                                    
risk. The  funding amounts to approximately  $17 million per                                                                    
year.  This legislation  addresses three  areas where  state                                                                    
statutes require  change to federal requirements  and ensure                                                                    
federal  funding for  the child  support program.  The first                                                                    
area is the  Uniform Family Support Act. The  purpose of the                                                                    
act  is to  provide  efficient procedures  to collect  child                                                                    
support  in  interstate  cases  and  to  eliminate  multiple                                                                    
support orders permitted under child  support laws. In 1995,                                                                    
Alaska  enacted  a  version  of the  act  that  contained  a                                                                    
different  definition  of  "state"  than  contained  in  the                                                                    
Uniform   Act.   The   following   year,   Congress   passed                                                                    
legislation mandating  the states adopt the  Uniform Act for                                                                    
eligibility for  continued receipt of federal  funds for the                                                                    
child support  program. Alaska's definition of  "state" does                                                                    
not  encompass two  entities included  in  the uniform  act.                                                                    
These two  entities are the  "United States  Virgin Islands"                                                                    
and an  "Indian tribe." The bill  eliminates the differences                                                                    
by  incorporating the  two entities  in  the Alaska  Uniform                                                                    
Interstate Family Support Act Statute.                                                                                          
                                                                                                                                
Mr.  Mallonee  discussed  the topic  of  child  support.  He                                                                    
mentioned that  the state child  support program  efforts to                                                                    
secure an  enforced medical support  order met  with limited                                                                    
success.  Congress  enacted  the Child  Support  Performance                                                                    
Incentive Act  of 1998. The  act directed  the establishment                                                                    
of  medical support  working groups.  The group  includes 30                                                                    
members  representing   federal  and  state   child  support                                                                    
programs  employers,  payroll professionals,  health  plans,                                                                    
and  the children's  advocates. The  working group's  report                                                                    
was  delivered to  Congress in  2000.  In July  of 2008,  in                                                                    
response   to   several   of   the   working   group's   key                                                                    
recommendations,  the   federal  office  of   child  support                                                                    
enforcement  issued new  medical support  regulations. These                                                                    
regulations   require    a   state   to    have   guidelines                                                                    
necessitating  that both  parents  provide  for the  child's                                                                    
healthcare  needs through  accessible health  care insurance                                                                    
coverage, cash  medical support or  both. Under  the federal                                                                    
regulations, a  state must order  either or both  parents to                                                                    
purchase  reasonably  priced   accessible  health  insurance                                                                    
coverage,  cash  medical  support   or  both.  While  health                                                                    
insurance coverage  is preferred,  cash support  is required                                                                    
in  cases  where  no   reasonably  priced  health  insurance                                                                    
coverage is accessible to the  child. If a parent is ordered                                                                    
to  pay cash  medical  support, the  child support  division                                                                    
must enforce the ongoing cash  medical support obligation as                                                                    
well  as  collecting  any medical  support.  The  bill  adds                                                                    
existing authority  to order either  or both parents  to pay                                                                    
the  cash  medical  support   if  warranted.  While  meeting                                                                    
federal  requirements,   the  bill  assures   that  children                                                                    
receive medical support to which they are entitled.                                                                             
                                                                                                                                
Mr. Mallonee stated that the  third area involves review and                                                                    
modification of  support orders. Clients may  request review                                                                    
at  any  time. If  no  request  is  made,  a review  is  not                                                                    
performed. Current federal regulations  require the state to                                                                    
have  procedures  of  which child  support  orders  must  be                                                                    
reviewed and  appropriately modified every three  years. The                                                                    
bill  requires   the  agency  to  perform   the  reviews  in                                                                    
compliance with  the review  cycle; however  this in  no way                                                                    
limits a client's  ability to request a review  at any time.                                                                    
He  explained  that  an  automated  system  collects  income                                                                    
information  from each  party  once a  year  and performs  a                                                                    
calculation determining whether the  case meets the criteria                                                                    
for modification.  If it appears that  modification criteria                                                                    
are met,  notices are  sent to  both parties  informing them                                                                    
that a modification  may be warranted. In  addition to these                                                                    
federal  required  provisions,  the bill  also  removes  the                                                                    
language  limiting  who  may request  the  correction  of  a                                                                    
clerical  mistake  in an  administrative  order  or who  may                                                                    
request the vacation of an administrative order.                                                                                
                                                                                                                                
9:34:38 AM                                                                                                                    
                                                                                                                                
Co-Chair Stedman asked about the  changing of the definition                                                                    
of state  and the impact  the change has in  undermining the                                                                    
state's sovereignty.  Ms. Blaisdell informed  that assistant                                                                    
attorney general  dealing directly with tribal  affairs from                                                                    
the  Department  of  Law  (DOL)   was  available  to  answer                                                                    
questions.                                                                                                                      
                                                                                                                                
PETER PUTZIER, DEPARTMENT OF LAW  spoke to the amendment. He                                                                    
opined that the changes are  procedural in how child support                                                                    
orders   are  enforced.   The  changes   do  not   affect  a                                                                    
substantive  change  either  expanding  or  limiting  tribal                                                                    
jurisdiction and conversely neither  expand nor contract the                                                                    
state's   jurisdiction  with   respect   to  child   support                                                                    
enforcement authority.                                                                                                          
                                                                                                                                
Co-Chair  Stedman  asked  if the  change  might  potentially                                                                    
affect future court challenges.  Mr. Putzier opined that the                                                                    
change would  not impact future court  challenges. He stated                                                                    
that the change only affects  procedural changes in the law.                                                                    
The  issue of  tribal jurisdiction  will remain  unresolved.                                                                    
The  bill  does not  expand  or  restrict jurisdiction  that                                                                    
tribes have on one hand or the state on the other.                                                                              
                                                                                                                                
Co-Chair Stedman  asked if  the administration  supports the                                                                    
bill. Ms. Blaisdell answered yes.                                                                                               
                                                                                                                                
Co-Chair  Stedman   noticed  the   request  to   change  the                                                                    
definition of state and the  amount of $17 million per year.                                                                    
He asked the impact of the  bill if the legislature takes no                                                                    
positive   action.   Ms.   Blaisdell   answered   that   the                                                                    
administration  received a  letter regarding  the definition                                                                    
of "state."  She cited  a section  reporting that  the funds                                                                    
are at  risk if the state  is not involved in  a block grant                                                                    
for  The  Temporary  Assistance to  Needy  Families  (TANF),                                                                    
which requires the  state to certify that it  will operate a                                                                    
child  support  enforcement  program under  the  state  plan                                                                    
under Section d. Therefore Alaska  should be aware that TANF                                                                    
funds  may also  be  at risk  if the  state  does not  enact                                                                    
conforming child support legislation.  She informed that $17                                                                    
million is  the amount of  federal funding that goes  to the                                                                    
child  support  services  division. Unfortunately  the  TANF                                                                    
grant is  also used widely  in the Department of  Health and                                                                    
Social Services  (DHSS). If the  federal government  were to                                                                    
restrict the entire  federal TANF grant, it  would equate to                                                                    
$85 million in negative impact to the state.                                                                                    
                                                                                                                                
Co-Chair Stedman  asked about the  "strings attached"  to SB
96 as  suspected with the  economic stimulus bill.  He asked                                                                    
how  to   specifically  reconcile  the  issue   of  "strings                                                                    
attached."                                                                                                                      
                                                                                                                                
9:38:51 AM                                                                                                                    
                                                                                                                                
Ms.  Blaisdell confessed  that she  did  not understand  the                                                                    
connection  of  "strings  attached"   and  SB  96.  Co-Chair                                                                    
Stedman  replied that  the federal  money  is contingent  on                                                                    
changing  the  definition  of  "state."  He  asked  how  the                                                                    
committee might  reconcile decisions regarding  the stimulus                                                                    
bill. Ms.  Blaisdell informed  that SB  96 was  not directly                                                                    
related to the federal  stimulus package. She explained that                                                                    
SB 96 informs that Alaska must  be in compliance with the US                                                                    
act. If  the state is not  in compliance, we are  at risk of                                                                    
losing  significant federal  funding.  The federal  economic                                                                    
funding  child  support  section  allows  child  support  to                                                                    
utilize some of its federal  funding as a general fund match                                                                    
providing a  benefit. She  did not believe  that there  is a                                                                    
direct  correlation  between  this   bill  and  the  federal                                                                    
economic  stimulus  package  other  than  child  support  is                                                                    
impacted by both.                                                                                                               
                                                                                                                                
Co-Chair  Stedman understood  that the  legislation was  not                                                                    
the stimulus  bill. He was  confused about the  message that                                                                    
was  coming from  the administration  dealing with  bills or                                                                    
requests to the state with  "strings attached." He asked how                                                                    
to separate the two issues.                                                                                                     
                                                                                                                                
9:41:22 AM                                                                                                                    
                                                                                                                                
Ms. Blaisdell  offered to return  to the committee  with the                                                                    
needed answers regarding SB 96 and "strings attached".                                                                          
                                                                                                                                
Senator  Olson asked  about native  tribes  and health  care                                                                    
beneficiaries. He  asked if any changes  compromise native's                                                                    
access  to  healthcare.  He  explained  that  Indian  Health                                                                    
Service (IHS)  beneficiaries have  health care  provided for                                                                    
them. He asked  how services are affected  by having "Indian                                                                    
tribes" included  in the legislation's  language on  Page 2,                                                                    
Line 24.                                                                                                                        
                                                                                                                                
Mr.  Putzier believed  that the  amendment's change  regards                                                                    
the method  of child  support orders  between jurisdictions.                                                                    
He did not  believe that the amendment would  have an impact                                                                    
on IHS beneficiaries.                                                                                                           
                                                                                                                                
9:43:37 AM                                                                                                                    
                                                                                                                                
STACY   STEINBERG,   DEPARTMENT   OF  LAW   (testified   via                                                                    
teleconference) stating  that IHS beneficiaries will  not be                                                                    
affected. She  informed that the  cash support  provision of                                                                    
the  bill  adds  to  the existing  law  the  requirement  to                                                                    
consider and  determine if health  care is available  to the                                                                    
children. This  bill adds an  additional piece  stating that                                                                    
during instances  where health  insurance is  unavailable to                                                                    
the children, the agency report  would consider whether cash                                                                    
medical support is then appropriate.  Under the current law,                                                                    
if the children  are eligible for IHS,  then the requirement                                                                    
is met.                                                                                                                         
                                                                                                                                
Senator Thomas asked about the  addition of the language and                                                                    
its impact on employers in  relationship to payment of cash.                                                                    
He  opined that  difficulty in  tracking wages  earned might                                                                    
provide  a problem.  He wondered  if  the legislation  might                                                                    
hold the employers more responsible.                                                                                            
                                                                                                                                
9:46:41 AM                                                                                                                    
                                                                                                                                
Mr.  Mallonee responded  that  an  underground cash  economy                                                                    
exists  where people  work for  unreported wages.  The wages                                                                    
are  attached  to  cash  medical   support.  He  thought  it                                                                    
impossible  to withhold  the income  or  take it  out of  an                                                                    
individual bank account.                                                                                                        
                                                                                                                                
Senator  Thomas asked  if the  state or  federal governments                                                                    
are  erring  by  neglecting  to   approach  the  issue.  Mr.                                                                    
Mallonee  stated  that  the  federal  government  and  child                                                                    
support directors across the nation  have struggled with the                                                                    
problem for some time. A  reporting mechanism does not exist                                                                    
to  address  the   problem,  but  to  date   a  solution  is                                                                    
unavailable.                                                                                                                    
                                                                                                                                
Ms.  Blaisdell  restated  previous questions,  whether  cash                                                                    
medical assistance  is used  strictly for  medical payments.                                                                    
The  second   question  was  whether  the   legislation  was                                                                    
retroactive to preexisting orders or forward funding only.                                                                      
                                                                                                                                
9:48:50 AM                                                                                                                    
                                                                                                                                
Mr. Mallonee  discussed the retroactive question.  With this                                                                    
legislation  a  modification  to   child  support  order  to                                                                    
include the  cash medical support  would not  go retroactive                                                                    
to previous times.  The money does not require  proof of use                                                                    
for  medical  expenses.  Once the  money  is  received,  the                                                                    
custodial  parent  is  then  responsible  for  spending  the                                                                    
money. There is no reason to  report the use of the money to                                                                    
the state.                                                                                                                      
                                                                                                                                
Senator Thomas asked  about Page 1, Line 10  stating "when a                                                                    
person commits  a crime  of aiding  the nonpayment  of child                                                                    
support in  the second degree".  He asked about  the penalty                                                                    
for the crime.                                                                                                                  
                                                                                                                                
Mr.   Mallonee  answered   that   the   penalty  is   felony                                                                    
prosecution for aiding and abetting  the nonpayment of child                                                                    
support. For  the acts  of nonpayment  of child  support the                                                                    
penalties  are either  misdemeanor  or  felony charges.  The                                                                    
legislation  simply places  the  cash medical  support as  a                                                                    
portion of that periodic cash support in that statute.                                                                          
                                                                                                                                
9:51:56 AM                                                                                                                    
                                                                                                                                
Co-Chair Hoffman asked for  specific examples addressing the                                                                    
inclusion.  Mr.  Mallonee  replied that  the  inclusion  was                                                                    
simply for  cash medical support inserted  in the definition                                                                    
within the particular statute.                                                                                                  
                                                                                                                                
Co-Chair Hoffman  asked if the language  change was required                                                                    
for the  legislature to remain in  conformance. Mr. Mallonee                                                                    
stated that the language change is not required.                                                                                
                                                                                                                                
9:53:02 AM                                                                                                                    
                                                                                                                                
Senator Bettye Davis                                                                                                            
                                                                                                                                
SB  96  was   HEARD  and  HELD  in   Committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
                                                                                                                                
9:54:14 AM                                                                                                                    

Document Name Date/Time Subjects
CSSD_Fed_Compliance_letter_16mar09[1].pdf SFIN 3/30/2009 9:00:00 AM
SB 96
2009 FNSB Resolution.pdf SFIN 3/30/2009 9:00:00 AM
SB 45
Mallonee leter.pdf SFIN 3/30/2009 9:00:00 AM
SB 96
SB96 DORCSSD Letter 032009.pdf SFIN 3/30/2009 9:00:00 AM
SB 96
SB96 DORCSSD Letter 032709.pdf SFIN 3/30/2009 9:00:00 AM
SB 96
SB96 sectional .pdf SFIN 3/30/2009 9:00:00 AM
SB 96
sponsor statement SB 96.doc SFIN 3/30/2009 9:00:00 AM
SB 96
New SB032CS(FIN)-DHSS-RR-03-19-09.pdf SFIN 3/30/2009 9:00:00 AM
SB 32
New SB032CS(FIN)-DHSS-SDMS-03-19-09.pdf SFIN 3/30/2009 9:00:00 AM
SB 32
Proposed CS for SB 32 Version M.pdf SFIN 3/30/2009 9:00:00 AM
SB 32