Legislature(2005 - 2006)BUTROVICH 205

03/27/2006 01:30 PM HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 281 SCHOOL DIST. ENROLLMENT SHARING/CORRESPON TELECONFERENCED
<Above Bill Hearing Canceled>
+ HJR 31 FETAL ALCOHOL SPECTRUM DISORDERS DAY TELECONFERENCED
Moved SCS HJR 31(HES) Out of Committee
+ HCR 5 FLUORIDATION TELECONFERENCED
Moved SCS HCR 5(HES) Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
SENATE HEALTH, EDUCATION AND SOCIAL SERVICES STANDING COMMITTEE                                                               
                         March 27, 2006                                                                                         
                           1:33 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Fred Dyson, Chair                                                                                                       
Senator Gary Wilken, Vice Chair                                                                                                 
Senator Lyda Green                                                                                                              
Senator Kim Elton                                                                                                               
Senator Donny Olson                                                                                                             
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE CONCURRENT RESOLUTION NO. 5                                                                                               
Relating to support of community water fluoridation.                                                                            
     MOVED SCS HCR 5(HES) OUT OF COMMITTEE                                                                                      
                                                                                                                                
HOUSE JOINT RESOLUTION NO. 31                                                                                                   
Relating to designating September 9, 2006, as Fetal Alcohol                                                                     
Spectrum Disorders Awareness Day.                                                                                               
     MOVED SCS HJR 31(HES) OUT OF COMMITTEE                                                                                     
                                                                                                                                
SENATE BILL NO. 281                                                                                                             
"An Act  relating to interdistrict  operation of  public schools;                                                               
relating  to  enrollment  of students  by  school  districts  and                                                               
regional educational  attendance areas;  and relating  to charter                                                               
schools and correspondence programs."                                                                                           
     BILL HEARING CANCELED                                                                                                      
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HCR 5                                                                                                                   
SHORT TITLE: FLUORIDATION                                                                                                       
SPONSOR(s): REPRESENTATIVE(s) SEATON                                                                                            
                                                                                                                                
03/09/05       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/09/05       (H)       CRA, HES                                                                                               
02/02/06       (H)       CRA AT 8:00 AM CAPITOL 124                                                                             
02/02/06       (H)       Moved Out of Committee                                                                                 
02/02/06       (H)       MINUTE(CRA)                                                                                            
02/03/06       (H)       CRA RPT 5DP                                                                                            
02/03/06       (H)       DP: SALMON, NEUMAN, CISSNA, THOMAS,                                                                    
                         OLSON                                                                                                  
02/21/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
02/21/06       (H)       Scheduled But Not Heard                                                                                
02/23/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
02/23/06       (H)       Scheduled But Not Heard                                                                                
02/28/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
02/28/06       (H)       Moved Out of Committee                                                                                 
02/28/06       (H)       MINUTE(HES)                                                                                            
03/01/06       (H)       HES RPT 3DP 1DNP                                                                                       
03/01/06       (H)       DP: CISSNA, GARDNER, WILSON;                                                                           
03/01/06       (H)       DNP: KOHRING                                                                                           
03/13/06       (H)       TRANSMITTED TO (S)                                                                                     
03/13/06       (H)       VERSION: HCR  5                                                                                        
03/15/06       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/15/06       (S)       HES                                                                                                    
03/27/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HJR 31                                                                                                                  
SHORT TITLE: FETAL ALCOHOL SPECTRUM DISORDERS DAY                                                                               
SPONSOR(s): REPRESENTATIVE(s) WEYHRAUCH                                                                                         
                                                                                                                                
02/08/06       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/08/06       (H)       HES                                                                                                    
02/23/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
02/23/06       (H)       <Bill Hearing Rescheduled to 2/28/06>                                                                  
02/28/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
02/28/06       (H)       Moved Out of Committee                                                                                 
02/28/06       (H)       MINUTE(HES)                                                                                            
03/01/06       (H)       HES RPT 4DP                                                                                            
03/01/06       (H)       DP: CISSNA, GARDNER, KOHRING, WILSON                                                                   
03/13/06       (H)       TRANSMITTED TO (S)                                                                                     
03/13/06       (H)       VERSION: HJR 31                                                                                        
03/15/06       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/15/06       (S)       HES                                                                                                    
03/27/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
Representative Paul Seaton                                                                                                      
Alaska State Legislature                                                                                                        
Alaska State Capitol                                                                                                            
Juneau, AK  99801-1182                                                                                                          
POSITION STATEMENT:  Sponsor of HCR 5.                                                                                        
                                                                                                                                
Troy Ritter, Environmental Health Specialist                                                                                    
Alaska Native Tribal Health Consortium                                                                                          
4000 Ambassador Drive                                                                                                           
Anchorage, AK  99508                                                                                                            
POSITION STATEMENT:   Offered information  during the  hearing on                                                             
HCR 5.                                                                                                                          
                                                                                                                                
Jacqueline Tupou, Staff                                                                                                         
to Representative Bruce Weyhrauch                                                                                               
Alaska State Legislature                                                                                                        
Alaska State Capitol                                                                                                            
Juneau, AK  99801-1182                                                                                                          
POSITION STATEMENT:  Presented HJR 31 on behalf of the sponsor.                                                               
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
[Due to an  audio-feed problem, the audio recording  is blank for                                                               
the first eight minutes.]                                                                                                       
                                                                                                                                
CHAIR FRED DYSON  called the Senate Health,  Education and Social                                                             
Services  Standing  Committee meeting  to  order  at 1:33:08  PM.                                                             
Present  were  Senators Lyda  Green,  Kim  Elton and  Chair  Fred                                                               
Dyson.  Senators  Donny Olson and Gary Wilken  joined the meeting                                                               
in progress.                                                                                                                    
                                                                                                                                
                       HCR 5-FLUORIDATION                                                                                   
                                                                                                                                
1:33:48 PM                                                                                                                    
                                                                                                                                
CHAIR DYSON announced HCR 5 to be up for consideration.                                                                         
                                                                                                                                
REPRESENTATIVE  PAUL SEATON,  Alaska State  Legislature, sponsor,                                                               
paraphrased the sponsor statement, which read:                                                                                  
                                                                                                                                
     HCR  5 encourages  Alaskan  communities to  incorporate                                                                    
     fluoride in their public water systems.                                                                                    
                                                                                                                                
     Fluoridating  water  has  been  shown  to  dramatically                                                                    
     reduce   dental   cavities  especially   in   children.                                                                    
     Fluoride  is   one  of  the  most   efficient  ways  of                                                                    
     providing  cost-effective  preventative  dental  health                                                                    
     care.  Every dollar spent  on fluoridation saves $37 in                                                                    
     future  dental  expenses.   Currently,  all  cities  in                                                                    
     Alaska with  a population exceeding 30,000  have access                                                                    
     to  fluoridated water.    The  benefits of  fluoridated                                                                    
     water should be extended to all Alaskans.                                                                                  
                                                                                                                                
     HCR 5 requests that all  new community water systems be                                                                    
     engineered   with   the  capacity   for   incorporating                                                                    
     fluoride.                                                                                                                  
                                                                                                                                
     Tooth   decay  is   a   serious   problem  in   Alaska,                                                                    
     particularly in  rural areas  where access  to dentists                                                                    
     is not easily available.   Poor dental health also puts                                                                    
     a major burden upon Medicaid/Medicare programs.                                                                            
                                                                                                                                
     Fluoridating community  water systems is  an investment                                                                    
     in Alaska's  public health  that would  provide returns                                                                    
     both in  dental health  and to the  pocketbook.   HCR 5                                                                    
     makes it  clear that the state  supports communities in                                                                    
     taking this step to improve  the dental health of their                                                                    
     residents.                                                                                                                 
                                                                                                                                
He  emphasized that  HCR 5  leaves  up to  local communities  the                                                               
decision whether to fluoridate.                                                                                                 
                                                                                                                                
SENATOR OLSON arrived at 1:36:08 PM.                                                                                          
                                                                                                                                
REPRESENTATIVE SEATON  referred to a  study by the U.S.  Food and                                                               
Drug Administration (FDA), brought  attention to numerous Alaskan                                                               
organizations  in   support  and  noted  that   69  world  health                                                               
organizations  support community  fluoridation.   In response  to                                                               
Chair  Dyson,  he  mentioned  the   zero  fiscal  note  from  the                                                               
Department  of  Environmental Conservation  (DEC)  as  well as  a                                                               
figure of $2,500 for engineering to add this ability.                                                                           
                                                                                                                                
CHAIR DYSON suggested costs would vary, depending on the plant.                                                                 
                                                                                                                                
1:38:55 PM                                                                                                                    
                                                                                                                                
SENATOR OLSON asked how often  a wrong concentration has been put                                                               
into a water supply.                                                                                                            
                                                                                                                                
REPRESENTATIVE  SEATON  noted  there'd   been  one  very  serious                                                               
problem in Alaska.  He  pointed out that monitoring equipment has                                                               
vastly improved over time.  He  said he didn't know the number of                                                               
times an individual plant had been involved in such an incident.                                                                
                                                                                                                                
SENATOR WILKEN arrived at 1:40:09 PM.                                                                                         
                                                                                                                                
[Audio recording begins.]                                                                                                       
                                                                                                                                
1:41:45 PM                                                                                                                    
                                                                                                                                
SENATOR  ELTON   began  discussion  of  what   became  Conceptual                                                               
Amendment 1.  He said he had  no problem with the resolution, but                                                               
suggested clarification  was needed on  page 2, line  17, perhaps                                                               
to say "to  allow easy later incorporation of  fluoridation".  He                                                               
added that he needed to think about it further.                                                                                 
                                                                                                                                
1:42:16 PM                                                                                                                    
                                                                                                                                
SENATOR  GREEN  highlighted the  same  wording,  but a  different                                                               
concern:    since  communities  don't design  or  pay  for  these                                                               
systems,  she  questioned  whether  they  really  have  a  choice                                                               
regarding what is incorporated into a system.                                                                                   
                                                                                                                                
REPRESENTATIVE  SEATON  indicated   someone  from  "Village  Safe                                                               
Water"  was on  teleconference.   He then  specified the  intent:                                                               
the State  of Alaska,  when it goes  through the  design criteria                                                               
and designs  water systems, will  incorporate into  those systems                                                               
the necessary connections.   The choice of  whether to fluoridate                                                               
the water is  up to the community, however.   He pointed out that                                                               
the state doesn't want to have  to re-engineer a system.  He said                                                               
he wasn't opposed to clarifying the language.                                                                                   
                                                                                                                                
1:44:52 PM                                                                                                                    
                                                                                                                                
SENATOR  GREEN  asked,  if  this requires  DEC  to  take  action,                                                               
whether a  resolution is the  proper vehicle and  whether perhaps                                                               
it should be a bill instead.                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  agreed that  if the  desire is  to mandate                                                               
that DEC do  it, there'd be a  bill.  He indicated  the intent is                                                               
that  this be  included in  the request  for proposals  (RFP) for                                                               
design, as one design criterion.                                                                                                
                                                                                                                                
1:46:18 PM                                                                                                                    
                                                                                                                                
SENATOR  GREEN said  she believes  it goes  beyond a  resolution,                                                               
since if the community desires it  and requests it, then DEC will                                                               
be responsible for making it available.                                                                                         
                                                                                                                                
REPRESENTATIVE  SEATON suggested  the Village  Safe Water  person                                                               
could say  whether that is  normally included in  designs anyway.                                                               
He  stated his  intention to  let DEC  know that  the legislature                                                               
would  appreciate it  if DEC  designed the  taps into  all future                                                               
facilities  so that  communities  could select  the  option at  a                                                               
future time without great cost.                                                                                                 
                                                                                                                                
1:47:11 PM                                                                                                                    
                                                                                                                                
CHAIR DYSON offered  his experience that a resolution  is one way                                                               
for the  legislature to declare its  intention.  He said  he sees                                                               
no  harm in  making  this statement.   If  DEC  concurs, it  will                                                               
probably happen if the administration doesn't disagree.                                                                         
                                                                                                                                
1:47:57 PM                                                                                                                    
                                                                                                                                
CHAIR DYSON proposed  amending page 2, line 17, to  say, "all new                                                               
public   water  systems   incorporate  engineering   designed  to                                                               
facilitate  incorporation of  fluoridation  if  the community  so                                                               
desires at a [later] time."                                                                                                     
                                                                                                                                
REPRESENTATIVE SEATON said he had no problem with that.                                                                         
                                                                                                                                
1:49:15 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON remarked that he  was comfortable with the language                                                               
proposed by Chair Dyson, but  asked whether Representative Seaton                                                               
intended this to include all new water systems.                                                                                 
                                                                                                                                
REPRESENTATIVE SEATON replied, "The intent  here is the ones that                                                               
we fund,  and so we're  funding public water systems  and Village                                                               
Safe Water systems."                                                                                                            
                                                                                                                                
1:49:46 PM                                                                                                                    
                                                                                                                                
CHAIR DYSON pointed out that  some public water systems might not                                                               
have  a state  component  in  their funding.    He surmised  that                                                               
Representative  Seaton   meant  to  imply  the   ones  under  the                                                               
jurisdiction  of  the  state inspectors,  regardless  of  whether                                                               
state money is involved.  He requested confirmation.                                                                            
                                                                                                                                
REPRESENTATIVE SEATON nodded and replied, "Thank you."                                                                          
                                                                                                                                
1:50:14 PM                                                                                                                    
                                                                                                                                
SENATOR GREEN interpreted  the foregoing to mean  this includes a                                                               
private builder, and  again said she doesn't see how  this can be                                                               
done by resolution.                                                                                                             
                                                                                                                                
CHAIR  DYSON  clarified that  he  intends  to ensure  it  doesn't                                                               
include  a private  builder.   He pointed  out that  the original                                                               
language referred  to all new  systems.   He said he  didn't want                                                               
private individuals,  with their own  wells, to suddenly  have to                                                               
deal with this.                                                                                                                 
                                                                                                                                
REPRESENTATIVE SEATON said he appreciated the clarification.                                                                    
                                                                                                                                
1:51:24 PM                                                                                                                    
                                                                                                                                
CHAIR  DYSON  moved to  adopt  Conceptual  Amendment 1,  page  2,                                                               
line 17, to  read:  "Further  Resolved that all new  public water                                                               
systems    incorporate   engineering    design   to    facilitate                                                               
incorporation of  fluoridation if the  community so desires  at a                                                               
later  time."   Suggesting  it  was a  bit  awkward, Chair  Dyson                                                               
slightly reworded it to say "at  a later time if the community so                                                               
desires it."                                                                                                                    
                                                                                                                                
1:52:17 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON  said he  liked the second  approach, but  would be                                                               
comfortable leaving it to the drafter.                                                                                          
                                                                                                                                
CHAIR DYSON asked whether there  was any objection.  No objection                                                               
was stated, and Conceptual Amendment  1 was adopted. He announced                                                               
that the wording would be left to the drafter.                                                                                  
                                                                                                                                
1:52:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON  noted  that on  teleconference  was  Troy                                                               
Ritter  of  the Alaska  Native  Tribal  Health Consortium,  which                                                               
works with fluoridated water systems and Village Safe Water.                                                                    
                                                                                                                                
CHAIR DYSON asked whether Mr.  Ritter had any information that he                                                               
believed members needed to know before moving the bill.                                                                         
                                                                                                                                
1:52:58 PM                                                                                                                    
                                                                                                                                
TROY  RITTER,  Environmental  Health  Specialist,  Alaska  Native                                                               
Tribal Health Consortium, offered  some clarification.  Reporting                                                               
that he sits on the  Indian Health Services sanitation (indisc.),                                                               
he  said  this  system  provides about  $20 million  a  year  for                                                               
village water and (indisc.) in  Alaska.  The state's Village Safe                                                               
Water program  is kind  of a partner  funding organization.   "We                                                               
work together  to build pretty  much all Alaskan water  and sewer                                                               
infrastructure,"  he said.    Mr. Ritter  reported  that, from  a                                                               
practical standpoint,  this ability to add  fluoridation later is                                                               
already  being incorporated  - at  least it  is supposed  to work                                                               
that way,  although a couple of  times it wasn't done  because of                                                               
an oversight or an engineer's opinion.                                                                                          
                                                                                                                                
1:54:16 PM                                                                                                                    
                                                                                                                                
SENATOR GREEN asked whether anyone from DEC was available.                                                                      
                                                                                                                                
REPRESENTATIVE SEATON  said no.   He noted that Mr.  Ritter works                                                               
with DEC in designing water systems.                                                                                            
                                                                                                                                
1:54:46 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON moved  to report HCR 5, as  amended, from committee                                                               
with  individual  recommendations   and  attached  fiscal  notes.                                                               
Without objection,  SCS HCR 5(HES)  was reported from  the Senate                                                               
Health, Education and Social Services Standing Committee.                                                                       
                                                                                                                                
          HJR 31-FETAL ALCOHOL SPECTRUM DISORDERS DAY                                                                       
                                                                                                                                
1:55:21 PM                                                                                                                    
                                                                                                                                
CHAIR DYSON announced HJR 31 to be up for consideration.                                                                        
                                                                                                                                
JACQUELINE  TUPOU,  Staff   to  Representative  Bruce  Weyhrauch,                                                               
Alaska  State   Legislature,  presented  HJR  31   on  behalf  of                                                               
Representative  Weyhrauch, sponsor.   She  explained that  HJR 31                                                               
designates  September  9  as "Fetal  Alcohol  Spectrum  Disorders                                                               
Awareness Day."   Fetal alcohol  spectrum disorder (FASD)  is the                                                               
single largest cause  of mental retardation in Alaska  and yet is                                                               
preventable.  If women didn't  drink during pregnancy, FASD would                                                               
be eradicated.  Alaska has the  highest rate in the nation.  Thus                                                               
concerned parents  came together on  the Internet and  are trying                                                               
to foster worldwide  awareness on the ninth month,  ninth day and                                                               
ninth  hour  to  remember  that pregnant  women  shouldn't  drink                                                               
throughout the nine months of pregnancy.                                                                                        
                                                                                                                                
She said  more American  children are affected  at birth  by FASD                                                               
than  by HIV,  muscular dystrophy  and Down's  syndrome combined;                                                               
economic  and   social  costs  are  exorbitant   for  the  state.                                                               
Ms. Tupou  referred to  a  2005 survey  of  social providers  and                                                               
doctors,   reporting   that  more   than   50   percent  of   the                                                               
obstetrician-gynecologists  (OB/GYNs) thought  it  might be  okay                                                               
for a  women to drink  a little  while pregnant.   She emphasized                                                               
the need to get  the "Do not drink" message out  so that FASD can                                                               
be  eradicated.    This  is   a  first  step  towards  increasing                                                               
awareness in Alaska, Ms. Tupou concluded.                                                                                       
                                                                                                                                
1:57:34 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON voiced  his full support.   Beginning discussion of                                                               
Conceptual Amendment  1, he  referred to page  3, lines  5-7, and                                                               
suggested sending copies  not only to Washington,  D.C., but also                                                               
around  Alaska, including  the Department  of  Health and  Social                                                               
Services and the mayors of organization communities.                                                                            
                                                                                                                                
MS. TUPOU replied that it would be fine with the sponsor.                                                                       
                                                                                                                                
SENATOR ELTON pondered whether others should receive it as well.                                                                
                                                                                                                                
1:58:24 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON moved  to adopt Conceptual Amendment 1,  on page 3,                                                               
line 7, after  "Congress", to add the state  Department of Health                                                               
and  Social   Services  and  the   mayors  of   organized  Alaska                                                               
communities.                                                                                                                    
                                                                                                                                
CHAIR DYSON proposed amending it to include school boards.                                                                      
                                                                                                                                
SENATOR   ELTON   concurred,   mentioning  the   possibility   of                                                               
superintendents as well and then returning to school boards.                                                                    
                                                                                                                                
CHAIR DYSON asked whether there  was any objection.  No objection                                                               
was stated, and Conceptual Amendment 1, as amended, was adopted.                                                                
                                                                                                                                
He  countered the  assertion that  this is  a first  step, noting                                                               
that many steps have been taken  in the past.  He cited examples,                                                               
such as  labeling and  signs in  bars, and  noted that  Alaska is                                                               
trying  to  address  this problem  with  teams  and  FASD-support                                                               
groups.  He  acknowledged that it's still short of  what needs to                                                               
be done.                                                                                                                        
                                                                                                                                
MS. TUPOU  explained that  it was  a first  step for  her office.                                                               
She informed  members that  a FASD-related  bill would  be coming                                                               
through as well.                                                                                                                
                                                                                                                                
2:00:22 PM                                                                                                                    
                                                                                                                                
SENATOR  WILKEN  moved  to  report   HJR  31,  as  amended,  from                                                               
committee  with individual  recommendations  and attached  fiscal                                                               
notes.  Without objection, SCS  HJR 31(HES) was reported from the                                                               
Senate Health, Education and Social Services Standing Committee.                                                                
                                                                                                                                
CHAIR DYSON updated the committee  on the overviews scheduled for                                                               
the next committee meeting.                                                                                                     
                                                                                                                                
SENATOR  WILKEN  turned  attention to  personal  care  attendants                                                               
(PCA).   He noted that  on March 2  the committee had  received a                                                               
report  on  PCAs.    He'd   asked  the  department  some  pointed                                                               
questions, and  on March  21 had received  a letter  in response,                                                               
which  he  surmised other  members  had  received  as well.    He                                                               
thanked Ms. Clarke for putting the information together.                                                                        
                                                                                                                                
2:03:52 PM                                                                                                                    
                                                                                                                                
SENATOR  WILKEN continued  with  PCAs, discussing  the growth  in                                                               
expenditures that began in 2002.                                                                                                
                                                                                                                                
2:05:22 PM                                                                                                                    
                                                                                                                                
SENATOR  WILKEN  noted that  expenditures  in  Alaska since  1999                                                               
increased by  a multiple  of ten, even  before the  changes under                                                               
the previous administration  kicked in.  He  cited statistics and                                                               
suggested looking  into the  $110 million  being spent;  how this                                                               
situation evolved;  and how to  rein in  costs, or at  least plan                                                               
for the future.                                                                                                                 
                                                                                                                                
2:07:57 PM                                                                                                                    
                                                                                                                                
SENATOR GREEN  mentioned attempts  to reconstruct  regulations to                                                               
bring  about   additional  changes.     She  said   the  greatest                                                               
"pushback"  comes from  legislators  who don't  want  to see  the                                                               
changes because of comments they  receive from constituents.  She                                                               
highlighted the difficulty of the problem.                                                                                      
                                                                                                                                
CHAIR  DYSON  referred  to  a   recent  presentation  before  the                                                               
committee  about  the new  regulations.    He recalled  that  the                                                               
genius of  this concept  is that  it applies  to people  who'd be                                                               
headed  for  institutional care  without  it  - it  frees  family                                                               
members, for example,  who might have another job or  just need a                                                               
little help.   However, it  seemed that people then  went looking                                                               
for a job or looking for  money for relatives or friends who were                                                               
already  doing this  and  didn't  need the  money.   Chair  Dyson                                                               
expressed concern that the direction  now doesn't get back to the                                                               
idea of only helping those who  need the bit of financial help in                                                               
order to take care of someone they already want to help.                                                                        
                                                                                                                                
2:10:47 PM                                                                                                                    
                                                                                                                                
CHAIR  DYSON  suggested this  topic  could  be addressed  by  the                                                               
department at the March 29 meeting.                                                                                             
                                                                                                                                
SENATOR  WILKEN reiterated  that  the growth  concerns  him.   He                                                               
pointed out that  the regulations would be in  effect this coming                                                               
Saturday [April 1].                                                                                                             
                                                                                                                                
2:12:22 PM                                                                                                                    
                                                                                                                                
SENATOR ELTON suggested  the need to find out, if  money is being                                                               
invested in  one way, whether  it results in a  savings elsewhere                                                               
because people aren't being institutionalized.                                                                                  
                                                                                                                                
CHAIR DYSON  said he'd try  to contact  the senior center  in his                                                               
own community, which is a rallying point for seniors there.                                                                     
                                                                                                                                
There being  no further  business to  come before  the committee,                                                               
Chair  Dyson adjourned  the Senate  Health, Education  and Social                                                               
Services Standing Committee meeting at 2:13:42 PM.                                                                            
                                                                                                                                

Document Name Date/Time Subjects