Legislature(2021 - 2022)BUTROVICH 205

02/17/2022 01:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
01:32:49 PM Start
01:33:29 PM Confirmation Hearing(s)
02:15:37 PM SB184
02:37:33 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Consideration of Governor's Appointees: TELECONFERENCED
State Medical Board - Dr. Matt Heilala, David
Wilson
-- Public Testimony on Appointees --
*+ SB 184 SETTLEMENT TRUSTS & BENEFITS ELIGIBILITY TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
         SB 184-SETTLEMENT TRUSTS & BENEFITS ELIGIBILITY                                                                    
                                                                                                                                
2:15:37 PM                                                                                                                    
CHAIR   WILSON   reconvened   the  meeting   and   announced   the                                                              
consideration of  SENATE BILL NO.  184 "An Act relating  to Alaska                                                              
Native  settlement   trusts  and  eligibility  for   adult  public                                                              
assistance, senior benefits, and the Alaska Pioneers' Home."                                                                    
                                                                                                                                
2:16:02 PM                                                                                                                    
SENATOR  TOM BEGICH,  Alaska  State Legislature,  Juneau,  Alaska,                                                              
speaking as  sponsor, stated  SB 184  is simple legislation  based                                                              
on a constituent's hardship. He read the following:                                                                             
                                                                                                                                
     It is often  that we receive personal accounts  from our                                                                   
     residents and  constituents, sharing their  hardships or                                                                   
     experiences.  Often,  we work  to address  these  issues                                                                   
     and in some  cases, we introduce legislation  to rectify                                                                   
     and error  or unintended consequence of  the application                                                                   
     of law.  In this  case, we received  a request from  our                                                                   
     congressional  delegation,   specifically  Congressional                                                                   
     Aide  Kellie  Cordelia, to  address  an issue  that  may                                                                   
     affect   only   a   handful   of   folks   but   has   a                                                                   
     disproportioned effect on these individuals.                                                                               
     SB  184   is  a   bill  to   address  how  benefits   or                                                                   
     distributions  from a  settlement trust    like ANCSA                                                                      
     affects   an  Alaska   Native   or  their   descendant's                                                                   
     eligibility for other state and federal services.                                                                          
     Part  of   the  settlement  includes  distributions   or                                                                   
     benefits to  1971 enrolled tribal members,  compensating                                                                   
     them for  their portion of  historic land ownership  and                                                                   
     in recognition  that financial  resources may be  needed                                                                   
     to  preserve  indigenous  cultures   and  ensure  Alaska                                                                   
     Natives  and their  descendants are  able to  contribute                                                                   
     to live in indigenous communities.                                                                                         
     Distributions  or benefits  from  ANCSA settlements  are                                                                   
     meant   to   compensate   Alaska   Natives   and   their                                                                   
     descendants   for  indigenous   land   claims  and   are                                                                   
     separate from  other benefits an individual  may receive                                                                   
     due to disability  or age. Unfortunately, the  law as it                                                                   
     currently  is  written  does  not  guarantee  an  Alaska                                                                   
     Native   can    and   will   receive    their   rightful                                                                   
     distribution  as well  as  other benefits  available  to                                                                   
     all Alaskans due to qualifying circumstances.                                                                              
                                                                                                                                
     Senate  Bill 184  seeks by  statute  to exclude  certain                                                                   
     payments  to aged or  disabled Alaska  Natives or  their                                                                   
     descendants  from being  used  to determine  eligibility                                                                   
     for adult  public assistance,  senior benefits,  and the                                                                   
     Alaska   Pioneers'  Home.   A   similar  bill,   S.2524,                                                                   
     introduced  on July  28, 2021,  to  exclude interest  or                                                                   
     distributions  from  a Settlement  Trust  for an  Alaska                                                                   
     Native or  descendant of an  Alaska Native who  is aged,                                                                   
     blind,   or  disabled  from   eligibility  for   certain                                                                   
     programs (like  Medicaid) is currently  being considered                                                                   
     in  the United  States Congress,  introduced by  Senator                                                                   
     Murkowski and co-sponsored by Senator Sullivan.                                                                            
                                                                                                                                
2:21:19 PM                                                                                                                    
LOKI TOBIN, Staff, Senator Tom Begich, Alaska State Legislature,                                                                
Juneau, Alaska, read the sectional analysis for SB 184:                                                                         
                                                                                                                                
     Section  1. Amends  AS  47.25.435, pertaining  to  Adult                                                                   
     Public   Assistance,   to  exclude   any   interest   or                                                                   
     distribution from  a settlement trust made to  an Alaska                                                                   
     Native  or  their  descendant  who is  aged,  blind,  or                                                                   
     disabled as defined by 42 U.S.C. 1382c(a)(1).                                                                              
                                                                                                                                
     Section   2.  Inserts   a   new  subsection   under   AS                                                                   
     47.45.302,   pertaining  to   Senior  Benefits   Payment                                                                   
     Program,  to  exclude  from  calculations  of  household                                                                   
     income any  interest or  distribution from a  settlement                                                                   
     trust made to  an Alaska Native or their  descendant who                                                                   
     is  aged, blind,  or disabled  as defined  by 42  U.S.C.                                                                   
     1382c(a)(1).                                                                                                               
                                                                                                                                
     Section  3. Amends  AS 47.55.020,  pertaining to  Alaska                                                                   
     Pioneers'  Home and Alaska  Veterans' Home, by  inserted                                                                   
     a   new   subsection   to  exclude   any   interest   or                                                                   
     distribution  from  a  settlement  trust  to  an  Alaska                                                                   
     Native  or  their  descendant  who is  aged,  blind,  or                                                                   
     disabled as defined by 42 U.S.C. 1382c(a)(1).                                                                              
                                                                                                                                
2:23:29 PM                                                                                                                    
SENATOR  REINBOLD  said she  would  like a  sustainable  long-term                                                              
program without  loopholes.  She asked that  definitions for  aged                                                              
and disabled be provided as they pertain to SB 184.                                                                             
                                                                                                                                
MS.  TOBIN stated  that  the code  for a  person  aged, blind  and                                                              
disabled is approximately  four pages long. It  is a comprehensive                                                              
definition  within US  code. She  will  send a  copy to  committee                                                              
members.                                                                                                                        
                                                                                                                                
SENATOR   REINBOLD  stated   that  if  the   definition  is   more                                                              
complicated than providing  an age limit, it is  important to read                                                              
the code since it is central to SB 184.                                                                                         
                                                                                                                                
SENATOR  BEGICH  reiterated  that  the code  is  complex  for  the                                                              
precise reason of  not letting someone slip through  an open door.                                                              
The committee  will receive the  definitions given in  the Federal                                                              
code, which are relatively clear.                                                                                               
                                                                                                                                
2:24:55 PM                                                                                                                    
SENATOR REINBOLD  stated she  has been  working with an  Americans                                                              
with  Disabilities   Act  (ADA)  lawyer  and  learned   there  are                                                              
thousands  of ways to  be disabled.  She opined  that there  would                                                              
never be  a sustainable  program if  a grand  door were  left open                                                              
for  everyone to  slip through.  She understands  how being  blind                                                              
would  qualify  individuals  for  assistance. It  is  critical  to                                                              
define disabled  and aged to  keep Medicaid from  becoming diluted                                                              
and unsustainable.                                                                                                              
                                                                                                                                
2:25:39 PM                                                                                                                    
SENATOR  BEGICH   said  he  would   provide  a  copy   of  Senator                                                              
Murkowski's  bill S.  2524  to the  committee  along with  Section                                                              
1614(a) of  the Social Security  Act since  it is mentioned  in S.                                                              
2524 on page 2, lines 9-11.                                                                                                     
                                                                                                                                
2:26:02 PM                                                                                                                    
SENATOR COSTELLO referred  to SB 184, Section 3, page  2, line 12,                                                              
that  addressed  AS 47.55.020,  Alaska  Pioneer Homes.  She  asked                                                              
whether  any thought  was given  to the  hold harmless  provisions                                                              
also being applied to non-Pioneer Homes.                                                                                        
                                                                                                                                
MS. TOBIN stated  that in alignment with requests  made by Senator                                                              
Murkowski, state-funded  programs were  excluded, and  the purview                                                              
of the legislation was not extended.                                                                                            
                                                                                                                                
2:26:54 PM                                                                                                                    
SENATOR COSTELLO  asked if SB 184  only applies to  individuals in                                                              
pioneer  homes  with  all  other   home  and  living  environments                                                              
excluded.                                                                                                                       
                                                                                                                                
SENATOR  BEGICH  stated  that  a separate  mention  was  made  for                                                              
Pioneer Homes  because of  a unique  relationship shared  with the                                                              
state.  Pioneer Homes  have a  tiered  benefit system,  so SB  184                                                              
would keep  a resident from being  knocked into a higher  tier. SB
184 would keep  any aged, blind, or disabled individual  living in                                                              
a home  from being made  Medicaid ineligible  due to  the historic                                                              
payments  they   receive  based   on  the  Alaska   Native  Claims                                                              
Settlement Act (ANCSA) of 1971.                                                                                                 
                                                                                                                                
2:29:30 PM                                                                                                                    
CHAIR WILSON  asked for an  estimate on  how many Alaskans  SB 184                                                              
would affect.                                                                                                                   
                                                                                                                                
2:29:43 PM                                                                                                                    
SHAWNDA  O'BRIAN,   Director,  Division   of  Public   Assistance,                                                              
Department of Health  and Social Services (DHSS),  Juneau, Alaska,                                                              
replied that the  Department of Health and Social  Services (DHSS)                                                              
does not  have that data available.  Eligibility is  determined at                                                              
the point of  application or recertification, and  the information                                                              
needed to  provide an estimate is  not currently collected.  A way                                                              
to extract  an estimate  from the  information available  is being                                                              
investigated.                                                                                                                   
                                                                                                                                
2:30:24 PM                                                                                                                    
SENATOR  HUGHES stated  her belief  that the number  of people  SB
184 may  affect could impact  Medicaid because it  includes people                                                              
over  the  age  of  65, not  just  the  blind  and  disabled.  She                                                              
expressed concerned  that Medicaid  expansion could crowd  out the                                                              
elderly  and  truly  vulnerable.  She requested  an  estimate  and                                                              
suggested working with the Department of Labor and Statistics.                                                                  
                                                                                                                                
2:32:09 PM                                                                                                                    
SENATOR BEGICH  stated that  Senator Murkowski's  office and  DHSS                                                              
were  asked  to estimate  the  number  of  people the  bill  would                                                              
assist. He  opined that  the number of  qualified people  would be                                                              
few.                                                                                                                            
                                                                                                                                
SENATOR  HUGHES  stated  that the  bill  has  federal  bi-partisan                                                              
support and  asked if  there is  an estimated  timeline for  it to                                                              
pass in Congress.                                                                                                               
                                                                                                                                
SENATOR  BEGICH  stated it  is  difficult to  know  when  or if  a                                                              
congressional  bill  will  pass.   However,  it  was  reported  by                                                              
Senator  Joe Manchin  as having  moved  through committee  without                                                              
amendment  on February  10, indicating  that  it would  be on  the                                                              
fast track for passage.                                                                                                         
                                                                                                                                
2:34:26 PM                                                                                                                    
SENATOR HUGHES  asked if SB 184 must  pass at the state  level for                                                              
aged, blind, or  disabled Alaska Natives to take  advantage of its                                                              
passing at the federal level.                                                                                                   
                                                                                                                                
SENATOR  BEGICH stated  his belief  that  based on  correspondence                                                              
with Senator  Murkowski, SB  184 would need  to pass at  the local                                                              
level to take advantage of the federal change.                                                                                  
                                                                                                                                
CHAIR  WILSON said  he  would  also need  to  know  the number  of                                                              
people SB  184 would  affect. There is  a huge difference  between                                                              
ten people and thousands of people.                                                                                             
                                                                                                                                
SENATOR BEGICH  agreed that  it is important  to have  an estimate                                                              
to determine  whether  Alaska can  afford it.  He stated he  would                                                              
work to provide the committee with an estimate.                                                                                 
                                                                                                                                
2:36:08 PM                                                                                                                    
SENATOR  HUGHES  commented  that   she  would  be  okay  with  the                                                              
estimate  being  in  the  thousands  if  Medicaid  expansion  were                                                              
rolled back because Alaskans should take care of the elderly.                                                                   
                                                                                                                                
2:36:35 PM                                                                                                                    
CHAIR WILSON  opened  public testimony  on SB  184; he found  none                                                              
and closed public testimony.                                                                                                    
                                                                                                                                
2:36:50 PM                                                                                                                    
CHAIR WILSON held SB 184 in committee.                                                                                          

Document Name Date/Time Subjects
20220214 SB 184 v. A Sectional Analysis.pdf SHSS 2/17/2022 1:30:00 PM
SB 184
20220214 SB 184 v. A Sponsor Statement.pdf SHSS 2/17/2022 1:30:00 PM
SB 184
20220214 SB 184 v. A Supporting Document - Constituent Request.pdf SHSS 2/17/2022 1:30:00 PM
SB 184
20220214 SB 184 v. A Supporting Document - Federal Legislation.pdf SHSS 2/17/2022 1:30:00 PM
SB 184
SB 184 FN Senior Benifits 2.11.22.pdf SHSS 2/17/2022 1:30:00 PM
SB 184
SB 184 FN DPA 2.11.22.pdf SHSS 2/17/2022 1:30:00 PM
SB 184
Matt Heilala Board Application.pdf SHSS 2/17/2022 1:30:00 PM
Confirmations
Matt Heilala CV.pdf SHSS 2/17/2022 1:30:00 PM
Confirmations
David J Wilson Resume.pdf SHSS 2/17/2022 1:30:00 PM
Confirmations
David J Wilson Board Application.pdf SHSS 2/17/2022 1:30:00 PM
Confirmations