Legislature(2003 - 2004)

01/22/2004 02:26 PM House FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
                       HOUSE FINANCE COMMITTEE                                                                                  
                           January 22, 2004                                                                                     
                                2:26 PM                                                                                         
                                                                                                                                
 TAPE HFC 04 - 11, Side A                                                                                                       
                                                                                                                                
 CALL TO ORDER                                                                                                                
                                                                                                                                
 Co-Chair Williams called the House Finance Committee meeting                                                                   
 to order at 2:26 P.M.                                                                                                          
                                                                                                                                
 MEMBERS PRESENT                                                                                                              
                                                                                                                                
 Representative John Harris, Co-Chair                                                                                           
 Representative Bill Williams, Co-Chair                                                                                         
 Representative Kevin Meyer, Vice-Chair                                                                                         
 Representative Mike Chenault                                                                                                   
 Representative Eric Croft                                                                                                      
 Representative Hugh Fate                                                                                                       
 Representative Richard Foster                                                                                                  
 Representative Mike Hawker                                                                                                     
 Representative Reggie Joule                                                                                                    
 Representative Carl Moses                                                                                                      
 Representative Bill Stoltze                                                                                                    
                                                                                                                                
 MEMBERS ABSENT                                                                                                               
                                                                                                                                
 None                                                                                                                           
                                                                                                                                
 ALSO PRESENT                                                                                                                 
                                                                                                                                
 Melanie Millhorn, Director, Division of Retirement and                                                                         
 Benefits, Department of Administration; Anselm Staack,                                                                         
 Chief Financial Officer, Department of Administration; Ray                                                                     
 Matiashowski, Deputy Commissioner, Department of                                                                               
 Administration.                                                                                                                
                                                                                                                                
 PRESENT VIA TELECONFERENCE                                                                                                   
                                                                                                                                
 Robert Reynolds, Actuarial Consultant, Mercer                                                                                  
                                                                                                                                
 GENERAL SUBJECT(S):                                                                                                          
                                                                                                                                
The following overview was taken in log note format.  Tapes                                                                     
and handouts will be on file with the House Finance                                                                             
Committee through the 23rd Legislative Session, contact 465-                                                                    
2156. After the 23rd Legislative Session they will be                                                                           
available through the Legislative Library at 465-3808.                                                                          
                                                                                                                              
                                                                                                                              
                                                                                                                              
           OVERVIEW:  Increased Costs of PERS AND TRS                                                                         
                                                                                                                                
                                                                                                                                
LOG SPEAKER                      DISCUSSION                                                                                 
                                                                                                                              
       TAPE HFC 04 - 11                                                                                                       
       SIDE A                                                                                                                 
000 Co-Chair Harris              Convened the House Finance Committee                                                           
                                 meeting at 2:26 p.m.                                                                         
                                                                                                                                
                                 Increased Costs of PERS and TRS                                                            
103    MELANIE  MILLHORN,        Introduced   the  other   speakers   including                                                 
       DIRECTOR, RETIREMENT Mr. Reynolds, an actuarial consultant for                                                           
       and BENEFITS,             Mercer.  Explained that an actuarial does                                                      
       DEPARTMENT OF             projections based on cost.                                                                   
       ADMINISTRATION                                                                                                           
205 ROBERT REYNOLDS,             Clarified that an actuarial is an                                                              
       ACTUARIAL                 economic      forecaster       in      specific                                                
       CONSULTANT, MERCER        circumstances.                                                                               
407 Ms. Millhorn                 Referred to "Public Employees' Retirement                                                      
                                 System;    Teachers'     Retirement     System"                                                
                                 publication    (copy   on   file.)   Explained                                                 
                                 that   the   discussion    would    cover   the                                                
                                 funding    status    and   the   two    primary                                                
                                 factors   driving    it:   the    increase    in                                               
                                 health  costs   and  the  loss  of  investment                                                 
                                 earnings.  Discussion   would  also  center   on                                               
                                 FY 01  through   FY  05  Employer   Rates,  and                                                
                                 Employer   Contribution    Rates   from  FY   98                                               
                                 through   FY  04.  A  subcommittee    has  been                                                
                                 formed  to address   possible  tier  redesign:                                                 
                                 Tier IV for PERS and Tier III for TRS.                                                       
0548 Ms. Millhorn                Referred to the 8-page White Paper (copy                                                       
                                 on   file)   summarizing     major   concerns.                                                 
                                 Explained   that   both   PERS   and   TRS  are                                                
                                 defined benefit plans for the State.                                                         
656 Ms. Millhorn                 Referred to equation on "Background,"                                                          
                                 page 2.                                                                                      
750 Co-Chair Harris              Asked the percentage of administrative                                                         
                                 expenses.                                                                                    
804 Ms. Millhorn                 Replied that administrative expenses                                                           
                                 appear on page 2 of 8.                                                                       
4059 Co-Chair Harris             Asked if there is a maximum that can be                                                        
                                 spent    on   administrative      costs.    Ms.                                                
                                 Millhorn   replied   no.  Alaskais   currently                                                 
                                 at 1.2% for PERS and 0.8% for TRS.                                                           
830    Representative   Croft    Asked  if  those  figures   are  close   to the                                                
                                 national average.                                                                            
842 Ms. Millhorn                 Offered to research the question.                                                            
911 Ms. Millhorn                 Referred to page 3 and explained  "over                                                        
                                 time"     is    defined     as     a    25-year                                                
                                 amortization   schedule    for  PERS  and  TRS,                                                
                                 which by statute can go up to 40 years.                                                        
                                 The  FY  05 Employer   Rates   are  the  result                                                
                                 of  the  most   recent  evaluation    for  PERS                                                
                                 and  TRS  on  June   30,  2002.  The   Employer                                                
                                 Rate  setting  is  two  years  ahead  based   on                                             
                                 evaluation   reporting   due  to the  budgeting                                                
                                 process.   This  is standard   for  most  public                                               
                                 pension plans.                                                                               
 1003   Representative   Croft   Noted    that   there    have   been   dramatic                                                
                                 changes   in   the  stock   market  since   2002                                               
                                 and  asked  the  effect  of  the Employer   Rate                                               
                                 being only as current as June 2002.                                                          
 1018 Ms. Millhorn               Responded that the June 30, 2003 rate is                                                       
                                 expected in March 2004 to set rates for                                                        
                                 FY  06.  The  specific   time  period  lags  two                                               
                                 years.   Agreed   with   Representative    Croft                                               
                                 that  there   is "smoothing,"    and  said  that                                               
                                 Mr.  Reynolds   could  address   the  actuarial                                                
                                 assumption.                                                                                  
 1148   ANSELM  STAACK,          E x p l a i n e d    t h a t for FY 03, the amount of                                          
        CHIEF FINANCIAL          earnings was 3.7% for the entire fund,                                                         
        OFFICER, DEPARTMENT compared to the actuarial assumed rate of                                                           
        OF ADMINISTRATION        8.25%.                                                                                       
 1321   Representative   Croft   Referred    to  page   1,   Defined   Benefits,                                                
                                 that  describes   an  early  cash-out  with  the                                               
                                 employee       receiving      only     employee                                                
                                 contributions       and     fixed     interest.                                                
                                 Observed    that   employee   early   cash-outs                                                
                                 leave a lot of money in the system.                                                          
 1407 Mr. Staack                 Responded that the only way to get an                                                          
                                 actuarial gain from early cash-outs is if                                                      
                                 the member doesn't take his benefit.                                                           
                                 Explained    that   if  a  member   cashes   out                                               
                                 their    account     early    and   takes    the                                               
                                 employee   contributions    and  4.5%  interest                                                
                                 earnings   by  statute,  it  is only  20-30%  of                                               
                                 the actual value of their benefit.                                                           
 1507   Representative   Croft   Asserted   that   it would   be  in  the  fund's                                               
                                 interest,    not   the  individual's,     though                                               
                                 not many people cash out early.                                                              
 1528 Mr. Reynolds               Explained that if a member leaves before                                                       
                                 vesting,     he    forfeits     the    employer                                                
                                 contributions    made   on  his  behalf   during                                               
                                 that   time   period;   therefore,    the   fund                                               
                                 becomes    more   solvent    if  people    leave                                               
                                 before   becoming   vested.   Assumptions    are                                               
                                 made  when  doing  valuations   about  the  rate                                               
                                 at  which  people  leave,   but for  the  system                                               
                                 to  become  more  solvent,   people  would  need                                               
                                 to   leave   at   a   greater   rate   than   is                                               
                                 currently      assumed.        In    TRS,    the                                               
                                 assumption    is that  10%  will  leave   during                                               
                                 the first year.                                                                                
                                                                                                                                
                                 Mr.    Reynolds    pointed     out   that    the                                               
                                 majority   of  the   systems   liabilities   are                                               
                                 not  attributable   to  unvested   members,  but                                               
                                 rather    to   retired    members,    surviving                                              
                                 spouses,    terminated     members    who   are                                                
                                 already   vested,   and  active   members   who                                                
                                 are  already  vested.   He said   that  even  if                                               
                                 all     non-vested       liabilities       were                                                
                                 eliminated,   the systems   still  wouldn't   be                                               
                                 100%  funded    because   non-vested    members                                                
                                 represent a small portion.                                                                   
1712   Representative   Croft    Asked   what   would   happen    if  a   vested                                                
                                 member cashed out his contributions.                                                         
1727 Mr. Staack                  Replied that the vested member would                                                           
                                 receive   only  the   contributions    and  the                                                
                                 earnings  on  those  contributions;    the fund                                                
                                 retains  the  rest.   Mr.  Staack  stated  that                                                
                                 cashing  out   happens  more   often  than  one                                                
                                 might think.                                                                                 
1834   Representative   Croft    Asked  if there  has  ever  been  an incentive                                                 
                                 encouraging   members    to  cash  out   before                                                
                                 becoming vested.                                                                             
1901 Mr. Reynolds                Replied that there has not, and added                                                          
                                 that there would be legal constraints.                                                         
                                 In  single  employer   corporate    plans,  for                                                
                                 example,   the  employer  can't   discriminate                                                 
                                 or take  an  action  in  order  to  prevent   an                                               
                                 employee from becoming vested.                                                               
1947   Representative   Croft    Commented   that  another    way  to  make  the                                                
                                 fund  solvent  would   be to  create  a  bigger                                                
                                 pool of people.                                                                              
2010 Ms. Millhorn                Explained that the fund looks at a 25-                                                         
                                 year     period,     with      stock     market                                                
                                 performance    playing   a  large   role.   The                                                
                                 objective   over   time   is   to  regain   the                                                
                                 funding status at the targeted rate.                                                         
2114 Ms. Millhorn                Noted that the next valuation report will                                                      
                                 be  completed   by  the  end  of   March  2004.                                                
                                 The  PERS,  TRS,  and   Alaska  State   Pension                                                
                                 Investment   Board  will  discuss  the  results                                                
                                 of the  valuation   report   of June  30,  2003                                                
                                 and   adopt    the   actuarial     assumptions                                                 
                                 underlying   the  Employer   Rates.   In  April                                                
                                 2004,  PERS  and  TRS   will  meet  separately                                                 
                                 to  determine   the  Employer    Rates  for   FY                                               
                                 06.                                                                                          
2215 Ms. Millhorn                Referred to page 4, "System Funding                                                            
                                 Goals," and discussed the four points.                                                       
2325   Vice-Chair   Meyer        Asked  how  Alaska  compares   to  other  state                                                
                                 pension    systems   and    targeted    funding                                                
                                 ratios.                                                                                      
2402 Mr. Reynolds                Responded that it is difficult to compare                                                      
                                 PERS  and  TRS  with  other   systems   because                                                
                                 PERS   and   TRS  fund    to  a   much   higher                                                
                                 target,    including    pre-funding     retiree                                                
                                 medical   benefits    whereas    most   systems                                                
                                 treat  medical  benefits   as a  pay-as-you-go                                               
                                 expense.    The   funding   ratios   of   Alaska                                               
                                 compare    well    with    other   states,    as                                               
                                 neither the highest nor the lowest.                                                          
 2500 Representative             Asked Mr. Reynolds the risks of setting a                                                      
        Hawker                   funding ratio of less than 100% with a                                                         
                                 covered   employee   base   that  is  stable  or                                               
                                 declining over time.                                                                         
 2557 Mr. Reynolds               Explained that with a less than 100%                                                           
                                 funding    target   over    a  25-year    median                                               
                                 period,   the  funding   of the  systems   would                                               
                                 pass   beyond   the  current   workforce   to   a                                              
                                 future    generation.     With    a   declining                                                
                                 workforce,    the   state   would   accept   the                                               
                                 risk  of  not  being  able  to ever  fully  fund                                               
                                  the systems.                                                                                
 2812 Ms. Millhorn               Referred to page 5, "Data, Assumptions                                                         
                                 and   Methods"   and   pointed   out   that  all                                               
                                 reports    are  available    online   with   the                                               
                                 Division of Retirement & Benefits.                                                             
                                                                                                                                
                                 The    current     issues    challenging     the                                               
                                 systems     are     the    financial      market                                               
                                 performance     and    the   rising    cost   of                                               
                                 medical care, page 6.                                                                        
 2930 Ms. Millhorn               Referred to pages 6-7, Employer Rates in                                                       
                                 FY  04  and  FY 05  and  reviewed   the  average                                               
                                 employer contribution rate.                                                                  
 3129   Representative   Croft   Asked   if it  is  a unified   pool  with  every                                               
                                 employer having a different rate.                                                            
 3141 Ms. Millhorn               Responded that is correct.                                                                   
 3150   Representative   Croft   Asked  about   the advantage   and  legality  of                                               
                                 pooling.                                                                                     
 3221 Mr. Reynolds               Replied that in the TRS system each                                                            
                                 employer   shares   in the  experience   of  the                                               
                                 whole  system.   By not  pooling   the employer                                                
                                 rates,   the employer   assumes  the  liability                                                
                                 for granted past service.                                                                    
 3327 Representative             Asked if there was a change in methods or                                                      
        Hawker                   actuarial assumptions between FY 04 and                                                        
                                 FY 05.                                                                                       
 3423 Mr. Reynolds               Responded that the primary drivers for                                                         
                                 the  change   in the  rates  for  PERS  and  TRS                                               
                                 were   the  investment   performance    and  the                                               
                                 increases   in  healthcare   costs.   These  led                                               
                                 to  revising   some assumptions    and methods.                                              
 3634 Mr. Reynolds               Continued, that it takes several years to                                                      
                                 recognize    a trend   and  draw   conclusions,                                                
                                 and  it's  normal  for  investment   experience                                                
                                 to be down in any one year.                                                                  
 3736 Representative             Asked if Mr. Reynolds could offer any                                                          
        Stoltze                  cautionary advice on the retirement                                                            
                                  legislation.                                                                                
3758   RAY  MATIASHOWSKI,        Stated  that  the department   would   evaluate                                                
       DEPUTY  COMMISSIONER,     bills   on  a   case-   by-  case   basis.    He                                               
       DEPARTMENT OF             observed that they are in an "under                                                            
       ADMINISTRATION            funding" status. He anticipated that the                                                       
                                 market would return to the pre-1990                                                            
                                 rates.  Alaska   is  one  of  the   few  states                                                
                                 that pre-funds medical liabilities.                                                          
3950   Representative   Croft    Asked  the  result   of  funding  a  target   of                                               
                                 less  than  100%,   for  example  a  target   of                                               
                                 98%.                                                                                         
4012 Mr. Reynolds                Responded that the target of 98% would                                                         
                                 not  have  a  large   effect   on  calculating                                                 
                                 the   contribution    rate.      He  cautioned                                                 
                                 that,   over   time,   100%   should    be  the                                                
                                 target;   he   advised    to  avoid    adopting                                                
                                 rates  significantly    below  the  calculated                                                 
                                 contribution    rates  for   extended   periods                                                
                                 of time.                                                                                     
4209   Representative   Croft    Noted  that  the up  market  was  smoothed  but                                                
                                 now   the  down   market    is   not,   and   he                                               
                                 questioned the result.                                                                       
4245 Mr. Reynolds                Disagreed with Representative Croft's                                                          
                                 conclusion.    He  pointed    out  that   there                                                
                                 were  three  significant   down   years,  where                                                
                                 it made  sense   not  to continue   to  smooth.                                                
                                 He maintained   that  they  would  smooth  down                                                
                                 years  in  the   future.   He  clarified   that                                                
                                 for the  FY  05  evaluation   based  on  FY 02,                                                
                                 market  results   were  not  smoothed   because                                                
                                 it   was   felt   that   it   was   better    to                                               
                                 recognize what had occurred.                                                                 
4416   Representative   Croft    Noted    that    big    market    years    were                                                
                                 smoothed,   but  that   the  FY  05  was  taken                                                
                                 straight.   He  questioned   what   would  have                                                
                                 occurred if it were smoothed.                                                                
4526 Mr. Reynolds                Observed that the first two years were                                                         
                                 good  and  the   next  three   were  extremely                                                 
                                 bad;  if they   had smoothed,   the  valuation                                                 
                                 would  have  been   low.  The  expectation    is                                               
                                 that  with  an  absence  of  poor  performance                                                 
                                 the rates would be higher.                                                                   
4633 Representative Croft Referred to smoothing assumptions.                                                                  
                                                                                                                              
       TAPE CHANGE HFC 04-                                                                                                    
       11, SIDE B                                                                                                             
4551 Ms. Millhorn                Spoke to the result of early retirement                                                        
                                 in education.                                                                                
4521 Vice-Chair Meyer            Questioned if the stock market is the                                                          
                                 best place to invest.                                                                        
4452 Ms. Millhorn                Could not respond to the issue.                                                              
4432   Vice-Chair   Meyer        Stressed  the  difficulty    of budgeting   for                                                
                                 school  districts   when  funding   levels  are                                                
                                 unknown.                                                                                     
 4400 Ms. Millhorn               Spoke to the PERS results and noted that                                                       
                                 without   the  medical   portion,   143.7%   was                                               
                                 funded   in  FY  04.  The  PERS   is  funded  at                                               
                                 120.9%   in FY  05 without   medical  expenses.                                                
                                 She   continued   to   review   the  TRS   rates                                               
                                 over     time.     For    FY    05,    Mercer's                                                
                                 recommendation    was  that  the employer   rate                                               
                                 be  at  35.57%.   The  Board   adopted   a  16  %                                              
                                 rate. There is not a cap on TRS.                                                             
 4153 Ms. Millhorn               For FY 05, TRS is at 68.2% with total                                                          
                                 benefits.                                                                                    
 4113 Ms. Millhorn               Reviewed employer rates and savings                                                            
                                 contained    in  "Employer   Savings   FY  98-FY                                               
                                 04."   The  rate  was  12.8%  in  FY  98.  There                                               
                                 was  almost   $360  million   in  savings   from                                               
                                 FY 96 - FY 05.                                                                               
 3923 Ms. Millhorn               Reviewed the estimated change in employer                                                      
                                 contributions for FY 05 (copy on file.)                                                      
 3757 Ms. Millhorn               Discussed retiree medical insurance cost                                                       
                                 increases.    The  monthly    premium   in  1977                                               
                                 was  $34.75.   In December   2003,  the cost  of                                               
                                 the   monthly   premium   was   $720.00.   There                                               
                                 has   been  a  large   amount   of  volatility.                                                
                                 Health   costs   for  PERS  are  approximately                                                 
                                 30%; TRS is approximately 20%.                                                               
 3631 Ms. Millhorn               Noted that the investment experience is a                                                      
                                 major   factor.   The  total   investment   loss                                               
                                 was   5.25%  in  FY  01;   FY  03  was  a  3.67%                                               
                                 gain.                                                                                        
 3634 Ms. Millhorn               If the investment earnings are less than                                                       
                                 the   8.25%   actuarial    earning   rate,   the                                               
                                 plan's     targeted      funding     ratio    is                                               
                                 significantly impacted.                                                                      
 3454 Ms. Millhorn               Reviewed the PERS employer rate change                                                         
                                 for   the  last   five   years.   She  observed                                                
                                 that  there  are  a number   of variables   that                                               
                                 impact    the    recommendations      (copy   on                                               
                                 file.)                                                                                       
 3406 Ms. Millhorn               Reviewed the TRS employer rate change for                                                      
                                 the   last  five   years.   The  TRS   rate  has                                               
                                 been more stable than has PERS.                                                              
 3332 Mr. Reynolds               In     response      to    a     question     by                                               
                                 Representative       Croft,     Mr.    Reynolds                                                
                                 explained   that  the  assumption   is that  the                                               
                                 premium    will   increase    at   the  assumed                                                
                                 rate.   The  previous  years   are  compared  to                                               
                                 the   assumed   rate.   Adjustments    are  only                                               
                                 made  if  there  is a  significant   deviation.                                                
                                 In  FY  02,   the  decision   was  made  to  use                                               
                                 the  actual   premium   due  to  the  amount  of                                               
                                 variation.                                                                                   
 3133   Representative   Croft   Concluded   that  the  rate  had  settled   down                                               
                                 to 10%.                                                                                      
3111 Mr. Reynolds                Agreed, but added that recent experience                                                       
                                 shows    greater     than    10%.    Increases                                                 
                                 escalated   in the  late  1990's   and  beyond.                                                
                                 He    emphasized      the     difficulty      of                                               
                                 estimating     health     care    costs.    The                                                
                                 assumption    is   that   health    care   will                                                
                                 increase  at  a  rate  of about   12% over  the                                                
                                 next three years.                                                                            
2943 Representative              Observed that changes have manifested in                                                       
       Hawker                    the most recent evaluation process. He                                                         
                                 questioned   where  the  decision   to  reflect                                                
                                 changes is made.                                                                             
2855 Mr. Reynolds                Explained       that       actuaries       have                                                
                                 professional   standards,   but  that   the TRS                                                
                                 and  PERS   Boards   have   the  authority    to                                               
                                 adopt  the  recommendations.    The  Board  can                                                
                                 modify   the   recommendations     during   two                                                
                                 steps in the process.                                                                        
2738 Representative              Noted that contributions numbers were                                                          
       Hawker                    stable until the last year. He questioned                                                      
                                 if recommendations    were  not  followed  this                                                
                                 past year.                                                                                   
2698 Mr. Reynolds                Explained that calculated rates were not                                                       
                                 substantially   different    from  the  adopted                                                
                                 rates.                                                                                       
2622 Representative              Observed the change made between FY 01                                                         
       Hawker                    and FY 02 from 6.77 to 24.9.                                                                 
2533 Mr. Reynolds                Clarified that the medical and investment                                                      
                                 experiences occurred in FY 02.                                                               
2455 Mr. Reynolds                Reviewed a summary of benefits paid by                                                         
                                 PERS,  page   13  (copy  on  file.)   The  COLA                                                
                                 was  collapsed   into   the  service   area   in                                               
                                 1997.  There  was  $451  million   paid  out  in                                               
                                 PERS   benefits.    She   gave    examples    of                                               
                                 payout ratios.                                                                               
2234 Ms. Millhorn                Continued to review the PERS chart (copy                                                       
                                 on  file.)   She  noted   that  there   was   an                                               
                                 early  retirement   option  (RIP)  from  1997  -                                               
                                 1999.                                                                                        
2137 Ms. Millhorn                Observed that a newsletter would be sent                                                       
                                 to  members   to   solicit   input   regarding                                                 
                                 tier redesign.                                                                               
1951 Representative              Questioned if input would be solicited                                                         
       Hawker                    from non-state employees.                                                                    
1816 Ms. Millhorn                Stated that they would be open to more                                                         
                                 input;   however,   there   is  no   intent   to                                               
                                 actively   solicit  recommendations     outside                                                
                                 of the employee base.                                                                        
1725 Ms. Millhorn                Observed that there are only 8 of 123                                                          
                                 health  care   pension   plans  that   pre-fund                                                
                                 health   care.    Many   plans    only   report                                                
                                 liabilities on a one-year plan.                                                              
 1554   Representative   Croft   Questioned   the  effect  of  not  pre-funding.                                              
 1528 Mr. Reynolds               Observed that the calculated contribution                                                      
                                 rate   would  be  reduced   from  25%  to  10%  -                                              
                                 12%   if   pre-funding    of  medical   benefit                                                
                                 were  eliminated   for  PERS.  The  same  effect                                               
                                 would   occur  in  TRS.   If medical   benefits                                                
                                 had   not  been  pre-funded    there   would  be                                               
                                 fewer  assets   in the  system.  The  system  is                                               
                                 where   it is  today  due  to  the  practice  of                                               
                                 pre-funding    medical  benefits   in the  past.                                             
 1315 Mr. Matiashowski           In     response      to    a     question     by                                               
                                 Representative    Stoltze,   noted   that  there                                               
                                 have   been  two  committees   formed   to  look                                               
                                 at redesigning the TRS and PERS systems.                                                     
 1212 Ms. Millhorn               Noted that the survey was created to                                                           
                                 start    a   dialog    about    the   variables                                                
                                 involved in redesigning the tiers.                                                           
 1142 Mr. Reynolds               In     response      to    a     question     by                                               
                                 Representative      Hawker,    observed     that                                               
                                 states   that   do  not  pre-fund   are   paying                                               
                                 for  medical   expenses   as they   occur,  from                                               
                                 general   revenues.     These  states   are  not                                               
                                 looking    very   far   into   the   future   to                                               
                                 assess     their   ability     to   meet    that                                               
                                 obligation.                                                                                  
 954 Representative              Observed that the risk is exposure to a                                                        
        Hawker                   more volatile situation.                                                                     
 929 Mr. Reynolds                Agreed, and added that large-scale                                                             
                                 demographic    changes,  such  as  the retiring                                                
                                 "baby  boomer"   population,   could  result  in                                               
                                 exposure.                                                                                    
        ADJOURNMENT              The meeting was adjourned at 3:54 PM.                                                        
                                                                                                                                

Document Name Date/Time Subjects