Legislature(2009 - 2010)SENATE FINANCE 532
03/15/2010 09:00 AM Senate FINANCE
Audio | Topic |
---|---|
Start | |
SB266 | |
SJR21 | |
SB144 | |
SB215 | |
SB238 | |
SB219 | |
SB226 | |
Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
+= | SB 266 | TELECONFERENCED | |
+= | SJR 21 | TELECONFERENCED | |
+ | SB 144 | TELECONFERENCED | |
+ | SB 215 | TELECONFERENCED | |
+ | SB 219 | TELECONFERENCED | |
+ | SB 238 | TELECONFERENCED | |
*+ | SB 226 | TELECONFERENCED | |
+ | TELECONFERENCED |
SENATE BILL NO. 219 "An Act establishing a traumatic brain injury program and registry within the Department of Health and Social Services; and relating to medical assistance coverage for traumatic brain injury services." 9:35:18 AM ESTHER CHA, STAFF TO LESIL MCGUIRE outlined the sponsor statement. The CS for Senate Bill 219E establishes a traumatic or acquired brain injury program specifically to deal with brain injury and yet Alaska has one of the highest rates in the nation. Annually, there are about 800 Alaskans hospitalized with a traumatic brain injury resulting from falls, car crashes, domestic violence, All Terrain Vehicle crashes, and show- machine crashes, among others. Furthermore, an approximately equal number of Alaskans are suffering from acquired brain injuries resulting from stroke, aneurism, or tumors. Alaskan urban and rural residents, including military are being discharged to their homes with little understanding of brain injury or access to in-state rehabilitation, severely impacting their families. Limited education about the injury, learning to cope with a person who has changed, overwhelming stress form insurance, bureaucracy, and financial burdens and change in family roles may render families dysfunctional. With appropriate and available care, rehabilitation, community and family support, even the individual who is most severely injured can live at home, return to school or work, or engage in meaningful and productive lives. Funding a Traumatic or Acquired Brain Injury Program (T/ABI) gives authority to the Department of Health and Social Services to collect data on the injured positioning the state to access Medicaid funds for T/ABI. Medicaid services for T/ABI will be matched 50% by federal funds. The bill allows for streamlining department services and activities that are unique to T/ABI. This would better assist families and individuals with T/ABI in knowing how to access services and supports. Early treatment may reduce future medical and social costs. Without appropriate services, some individuals with T/ABI may pose a threat to themselves or others. Without assistance, individuals with TBI often end up homeless, in jail or in nursing homes. Service coordination, rehabilitation and appropriate supports can help to minimize these risks. 9:38:36 AM Senator Olson asked if a demented patient who suffered a motor vehicle accident and subsequent injury to their vasculature would be eligible for the waiver. Ms. Cha responded that under current Medicaid waivers a person suffering from dementia can already apply for a different waiver and address the issue attached to the traumatic brain injury. Co-Chair Stedman pointed out one zero fiscal note from DHSS showing an increased cost of $494,600 in general fund dollars and $774,400 in federal receipts. 9:40:10 AM ERIC FINE, ALASKA BIKERS ADVOCATING TRAINING and EDUCATION (ABATE) OF ALASKA, KASILOF (via teleconference), expressed concerns about SB 219. He stated that he was not opposed to SB 219, but he recognized provisions that might lead to unintended consequences. He informed that Article 5(a) Section 47.80.500, item 3 reads "evaluation of standards and laws pertaining to the prevention of traumatic brain injury into the treatment care and support of persons with traumatic brain injury." He believed that if it remains as written it might lead to a call for a mandatory motorcycle helmet law. He opined that Alaska does not see large numbers of motorcyclists becoming victims of traumatic brain injury because we are not required to wear helmets. 9:42:54 AM CARL LIEBES, ALASKA BIKERS ADVOCATING TRAINING AND EDUCATION (ABATE) OF ALASKA, NIKISKI (via teleconference), testified in opposition to the legislation as worded. BOYD MCFAIL, ANCHORAGE, ABATE OF ALASKA (via teleconference) echoed the testimony of the prior two testifiers. 9:45:47 AM NANCY BURKE, AK MENTAL HEALTH TRUST AUTHORITY (via teleconference), testified in support of SB 219. She explained that the Mental Health Trust Authority has worked with partners such as the Alaska Brain Injury Network to establish a program to assist survivors of Traumatic Brain Injury in the state. The Mental Health Trust Authority views the legislation as a step forward in assisting them and documenting the incidence of brain injury and learning information about survivors of brain injury and their needs for service delivery. PAT CHAPMAN, SELF, KETCHIKAN (via teleconference), testified in support of the legislation. She stated that she collects the trauma data for the hospital in Ketchikan. She opined that the state must identify the brain injured person and connect them with a case manager. 9:50:15 AM Senator Olson noted that accidents that involve traumatic brain injuries equal approximately one percent of reported accidents. He asked for additional information regarding the public funds dispensed for the citizens who are traumatically injured and then hospitalized for an extended period of time. CHRISTIE ARTUSO, DIRECTOR NEUROSCIENCES, PROVIDENCE ALASKA MEDICAL CENTER (via teleconference), testified in support of SB 219. She pointed out that the bill allows statutory authority for DHSS to address many of the serious issues that have already been identified as affecting the wellbeing of Alaskans. The legislation facilitates the state's ability to provide essential services to the population of patients with traumatic brain injury who have been neglected. KRISTIN ENGLISH, CHEIF OPPERATING OFFICER, COOK INLET TRIBAL COUNCIL (via teleconference), testified in support of SB 219. She believed that increased attention for traumatic brain injury would be beneficial. She cited that 46 percent of the patients seen in the detoxification and in residential substance abuse service self report some form of traumatic brain injury. 9:56:21 AM SEAN MURPHY, SELF (via teleconference), testified in support of SB 219. He explained that he was recovering from a brain injury. He explained that he was in a skiing accident two years ago where he hit a tree. Three days following the accident he woke from the coma and could not talk, walk, or feed himself. He stated that SB 219 allows DHSS many specifics to address the issues related to traumatic brain injury accidents. He believed that case management services would have aided in his recovery process. 9:59:09 AM MAJOR WILLIAM ALLEN, MARINE CORPS (via teleconference), testified in support of the legislation. He suffered exposure to explosive devices while serving in Iraq. Effects on the brain when classified as mild can take months or years to heal themselves. Following the exposure, he was able to function at a high level. The effects were most apparent following his return home. He suffered eight separate blasts and was able to function at a high level at work, but the symptoms presented themselves at home when he could relax. He thought the additional support would be a benefit to family members and veterans who make Alaska their residence. JILL HODGES, EXECUTIVE DIRECTOR, ALASKA BRAIN INJURY NETWORK, testified in support of SB 219. The Alaska Brain Injury Network travels around the state talking to community members who have suffered brain injuries. Alaska Trauma Registry Data shows that over 10,000 have been hospitalized with a severe traumatic brain injury. Of those, 72 percent go home without assistance. Occasionally traumatic brain injury becomes a chronic, lifelong condition that is often manageable. She stressed the need for an educational packet explaining traumatic brain injury and what to expect. She explained that SB 219 establishes a foundation to give brain injury a home within state government while providing proper investment of current funding for behavioral health and corrections. She cited necessary steps as establishing a registry, identifying brain injury as a chronic longitudinal condition, establishing a home within state government to plan directly for the population. 10:06:42 AM Senator Olson expressed concerns of Alaskans regarding absurd regulations resulting from the data. Ms. Hodges responded that the bill's focus is on those who have the injuries at no fault of their own. Without the aftercare, there are limited chances of full recovery. She mentioned that the number one cause of brain injury in the state is falling. She noted the legislation's focus on assault and substance abuse prevention. 10:08:00 AM ANGELA SALERNO, EXECUTIVE DIRECTOR, NATIONAL ASSOCIATION OF SOCIAL WORKERS ALASKA CHAPTER, testified in opposition to the legislation as written. She cited Section 2 of the bill which gives DHSS the authority to seek a Medicaid state plan amendment to add case management services for people with traumatic brain injury. Section 3 shows a different definition of case management for people with traumatic brain injury, which she sees as problematic. The definition is not consistent with the federal definition of targeted case management and it could cause the federal centers for Medicare and Medicaid to deny any claims made for case management services. She suggested eliminating the language and replacing it with a reference to the federal definition that will stop any confusion. She noted that Section 4 requires DHSS to serve people with traumatic brain injury under a Medicaid waiver. A fiscal note was not developed for a new waiver because current waivers serve people with traumatic brain injury, who must be treated in a nursing home or institution. People with mild or moderate traumatic brain injury do not meet that level of need. Co-Chair Stedman noted that the bill sponsor is working on a Committee Substitute. 10:11:48 AM Ms. Cha commented that this legislation was not intended to serve as a mandatory helmet law. SB 219 was HEARD and HELD in Committee for further consideration.
Document Name | Date/Time | Subjects |
---|---|---|
2009 SB 144 sponsor stmt & sectional.doc |
SFIN 3/15/2010 9:00:00 AM |
SB 144 |
2010 SB 144 Musk Ox poster.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 144 |
2010 SB 144 SFC request.PDF |
SFIN 3/15/2010 9:00:00 AM |
SB 144 |
ADN Nov 3 2009 PROBLEM.PDF |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
ADN Nov 13 2009 SOLUTION.PDF |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
MEMORANDUM STATE OF ALASKA SB 215.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
SB 215 Fact Sheet.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
SB 215 Hearing Request Letter FIN.PDF |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
SB 215 Sponsor Statement FINAL.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
SB 215A FINAL Bill.PDF |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |
00 Sponsor Statement CSSB219.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
04 Summary of Changes_E.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
05 Sectional Analysis.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
06 Alaska Data Graphs.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
07 TBI Scorecard and Dashboard 032009.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
08 Medicaid BrainInjury Program Costs.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
09 StateofAlaska_Services_Congenital_Degenerative_BrainInjury.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
10 Acquired Brain Injury Definition.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
11 Letters of Support.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 219 |
test |
SFIN 3/15/2010 9:00:00 AM |
|
SB 238 Copy of Bill - version 26-1362A.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
SB 238 Document - AARP.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
SB 238 Documents.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
SB 238 Fiscal Note dated 1-29-2010.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
SB 238 Request for Hearing Senate Finance 2-3-2010.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
SB 238 Sectional.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
SB 238 Sponsor Statement rev. 2-1-2010.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 238 |
Hearing Request SB226 COP crime lab univ 20jan10.doc |
SFIN 3/15/2010 9:00:00 AM |
SB 226 |
SB226 COP crime lab univ section analysis 27jan10.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 226 |
SB 226 COP crime lab Univ life science sponsor statement 26jan10.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 226 |
SB 226 COP Univ McDowell Report - Life Sciences 2009.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 226 |
SB 226 CrimeLab Leg Brief 021810.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 226 |
SJR21 sponsor statement[1].pdf |
SFIN 3/8/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SJR 21 |
SJR 21 Population Trend 2010 districts[1].pdf |
SFIN 3/8/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SJR 21 |
SJR21 sponsor statement.pdf |
SFIN 3/15/2010 9:00:00 AM SJUD 2/8/2010 1:30:00 PM |
SJR 21 |
SJR 21 Population Trend 2010 districts.pdf |
SFIN 3/15/2010 9:00:00 AM SJUD 2/8/2010 1:30:00 PM |
SJR 21 |
Alaska Supreme Court. redistricting.pdf |
SFIN 3/15/2010 9:00:00 AM SJUD 2/8/2010 1:30:00 PM |
SJR 21 |
Sample of Emergency Awards from Fiscal Year 2009.docx |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
Sponsor Statement - SB 266.docx |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
VCCB Awards 2009 graphs - 1.pdf |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
VCCB Awards 2009 graphs - 2.pdf |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
VCCB Claims Chart.pdf |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
VCCB Emergency Awards FACTS (1).pdf |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
VCCB Emergency awards FACTS (2).doc |
SFIN 3/10/2010 9:00:00 AM SFIN 3/15/2010 9:00:00 AM |
SB 266 |
SB 215 AK State Council Vietnam Veterans of America.pdf |
SFIN 3/15/2010 9:00:00 AM |
SB 215 |