03/07/2023 03:00 PM House HEALTH & SOCIAL SERVICES
| Audio | Topic |
|---|---|
| Start | |
| HB17 | |
| HB58 | |
| HB59 | |
| HB60 | |
| Adjourn |
+ teleconferenced
= bill was previously heard/scheduled
| += | HB 58 | TELECONFERENCED | |
| += | HB 59 | TELECONFERENCED | |
| += | HB 60 | TELECONFERENCED | |
| + | TELECONFERENCED | ||
| += | HB 17 | TELECONFERENCED | |
ALASKA STATE LEGISLATURE
HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE
March 7, 2023
3:03 p.m.
MEMBERS PRESENT
Representative Mike Prax, Chair
Representative Justin Ruffridge, Vice Chair
Representative CJ McCormick
Representative Jesse Sumner
Representative Zack Fields
Representative Genevieve Mina
MEMBERS ABSENT
Representative Dan Saddler
COMMITTEE CALENDAR
HOUSE BILL NO. 17
"An Act relating to insurance coverage for contraceptives and
related services; relating to medical assistance coverage for
contraceptives and related services; and providing for an
effective date."
- MOVED CSHB 17(HSS) OUT OF COMMITTEE
HOUSE BILL NO. 58
"An Act relating to medical assistance for recipients of
Medicaid waivers; establishing an adult care home license and
procedures; providing for the transition of individuals from
foster care to adult home care settings; and providing for an
effective date."
- MOVED HB 58 OUT OF COMMITTEE
HOUSE BILL NO. 59
"An Act relating to Medicaid eligibility; expanding eligibility
for postpartum mothers; conditioning the expansion of
eligibility on approval by the United States Department of
Health and Human Services; and providing for an effective date."
- MOVED HB 59 OUT OF COMMITTEE
HOUSE BILL NO. 60
"An Act relating to the licensing of runaway shelters; relating
to advisors to the board of trustees of the Alaska Mental Health
Trust Authority; relating to the sharing of confidential health
information between the Department of Health and the Department
of Family and Community Services; relating to the duties of the
Department of Health and the Department of Family and Community
Services; and providing for an effective date."
- HEARD & HELD
PREVIOUS COMMITTEE ACTION
BILL: HB 17
SHORT TITLE: CONTRACEPTIVES COVERAGE:INSURE;MED ASSIST
SPONSOR(s): REPRESENTATIVE(s) CARRICK
01/19/23 (H) PREFILE RELEASED 1/9/23
01/19/23 (H) READ THE FIRST TIME - REFERRALS
01/19/23 (H) HSS, CRA, L&C, FIN
02/07/23 (H) HSS AT 3:00 PM DAVIS 106
02/07/23 (H) Heard & Held
02/07/23 (H) MINUTE(HSS)
02/18/23 (H) HSS AT 3:00 PM DAVIS 106
02/18/23 (H) -- MEETING CANCELED --
03/02/23 (H) HSS AT 3:00 PM DAVIS 106
03/02/23 (H) Moved CSHB 17(HSS) Out of Committee
03/02/23 (H) MINUTE(HSS)
03/07/23 (H) HSS AT 3:00 PM DAVIS 106
BILL: HB 58
SHORT TITLE: ADULT HOME CARE; MED ASSISTANCE
SPONSOR(s): RULES BY REQUEST OF THE GOVERNOR
02/03/23 (H) READ THE FIRST TIME - REFERRALS
02/03/23 (H) HSS, L&C, FIN
02/07/23 (H) HSS AT 3:00 PM DAVIS 106
02/07/23 (H) Heard & Held
02/07/23 (H) MINUTE(HSS)
03/07/23 (H) HSS AT 3:00 PM DAVIS 106
BILL: HB 59
SHORT TITLE: MEDICAID ELIGIBILITY: POSTPARTUM MOTHERS
SPONSOR(s): RULES BY REQUEST OF THE GOVERNOR
02/03/23 (H) READ THE FIRST TIME - REFERRALS
02/03/23 (H) HSS, FIN
02/21/23 (H) HSS AT 3:00 PM DAVIS 106
02/21/23 (H) Heard & Held
02/21/23 (H) MINUTE(HSS)
03/07/23 (H) HSS AT 3:00 PM DAVIS 106
BILL: HB 60
SHORT TITLE: RUNAWAYS; DFCS/DOH: DUTIES/LICENSING/INFO
SPONSOR(s): RULES BY REQUEST OF THE GOVERNOR
02/03/23 (H) READ THE FIRST TIME - REFERRALS
02/03/23 (H) HSS, FIN
02/28/23 (H) HSS AT 3:00 PM DAVIS 106
02/28/23 (H) Heard & Held
02/28/23 (H) MINUTE(HSS)
03/07/23 (H) HSS AT 3:00 PM DAVIS 106
WITNESS REGISTER
STEPHANIE WHEELER, Ombudsman
Alaska State Long Term Care Ombudsman program
Anchorage, Alaska
POSITION STATEMENT: Provided testimony in support of HB 58.
PATRICK REINHART, Executive Director
Governor's Council on Disability and Special Education
Homer, Alaska
POSITION STATEMENT: Provided testimony in support of HB 58.
MARGE STONEKING, Advocacy Director
AARP Alaska
Anchorage, Alaska
POSITION STATEMENT: Provided testimony in support of HB 58.
KIM CHAMPNEY, Executive Director
Alaska Association on Developmental Disabilities
Juneau, Alaska
POSITION STATEMENT: Provided testimony in support of HB 58
BROOKE IVY, Vice President of Policy and Advocacy
Alaska Children's Trust
Anchorage, Alaska
POSITION STATEMENT: Provided testimony in support of HB 59.
JAMIE MORGAN, Senior Government Relations Regional Lead
American Heart Association
Sacramento, California
POSITION STATEMENT: Provided testimony in support of HB 59.
ACTION NARRATIVE
3:03:51 PM
CHAIR MIKE PRAX called the House Health and Social Services
Standing Committee meeting to order at 3:03 p.m.
Representatives Ruffridge, McCormick, Sumner, Mina, and Prax
were present at the call to order. Representative Fields
arrived as the meeting was in progress.
HB 17-CONTRACEPTIVES COVERAGE:INSURE;MED ASSIST
3:05:09 PM
CHAIR PRAX announced that the first order of business would be
HOUSE BILL NO. 17, "An Act relating to insurance coverage for
contraceptives and related services; relating to medical
assistance coverage for contraceptives and related services; and
providing for an effective date."
3:06:20 PM
REPRESENTATIVE RUFFRIDGE moved to report CSHB 17(HSS) out of
committee with individual recommendations and the accompanying
three zero fiscal notes that were not attached when the
committee moved the bill out on 3/2/23. There being no
objection, CSHB 17(HSS) was reported from the House Health and
Social Services Standing Committee.
HB 58-ADULT HOME CARE; MED ASSISTANCE
3:06:45 PM
CHAIR PRAX announced that the next order of business would be
HOUSE BILL NO. 58, "An Act relating to medical assistance for
recipients of Medicaid waivers; establishing an adult care home
license and procedures; providing for the transition of
individuals from foster care to adult home care settings; and
providing for an effective date."
3:07:12 PM
CHAIR PRAX opened public testimony on HB 58.
3:07:57 PM
STEPHANIE WHEELER, Ombudsman, Alaska State Long Term Care
Ombudsman program, said the Alaska State Long Term Care
Ombudsman program was in support of HB 58 as the bill aligned
with its mission to protect the rights, health, safety, and
welfare of Alaskans living in long-term care facilities. She
highlighted many elders wished to live in facilities close to
family or the place where they were born. She stated Alaska had
the fewest options for assisted living homes despite its size,
and that HB 58 would help provide more options for elders.
3:10:19 PM
PATRICK REINHART, Executive Director, Governor's Council on
Disability and Special Education, stated the Governor's Council
could provide its position paper in support of HB 58 to the
committee. He said HB 58 could provide more tools for young
people who were in therapeutic foster care that grew out of
foster care homes.
3:11:53 PM
MARGE STONEKING, Advocacy Director, AARP Alaska, stated that
AARP supported HB 58, expansions, and improvements to home and
community based waiver programs. She said most elders desired
to remain in their own homes and communities as they age, and
that community based services were significantly less expensive
than nursing home care. She added that Alaska had a shortage of
home care workers which threatened access to home care-based
services, and that nursing homes and institutional care housing
increased the cost of Medicaid. She said that HB 58 would
reduce administrative burden and offer elders more home-like
settings.
3:14:35 PM
KIM CHAMPNEY, Executive Director, Alaska Association on
Developmental Disabilities, stated that the Alaska Association
on Developmental Disabilities (AADD) had 81 members that
provided services from Utqiagvik to Metlakatla, and was a member
of the Key Coalition of Alaska. She highlighted the struggle
Alaska had faced with workforce shortages disproportionately
affecting those with disabilities, and that HB 58 would provide
another opportunity for care to be provided from neighbors or
family members that may not typically work at a provider
organization.
MS. CHAMPNEY provided a story about a mother with a disability
who had two children with disabilities and could not provide
care for them. She described that an uncle had taken care of
the children and raised them under a Medicaid waiver, but as the
children had aged out he struggled to make his home into an
assisted living home. She stated that if the uncle had not been
able to jump through hoops, the two children would have taken up
spots in a group facility that could have been used by others.
She emphasized that adding flexibility to home-based care would
help address the shortages Alaska had faced.
3:17:45 PM
CHAIR PRAX, after ascertaining there was no one else who wished
to testify, closed public testimony on HB 58.
3:19:12 PM
REPRESENTATIVE RUFFRIDGE moved to report HB 58 out of committee
with individual recommendations and the accompanying zero fiscal
notes. There being no objection, HB 58 was reported from the
House Health and Social Services Standing Committee.
3:19:36 PM
The committee took an at-ease from 3:19 p.m. to 3:22 p.m.
HB 59-MEDICAID ELIGIBILITY: POSTPARTUM MOTHERS
3:22:00 PM
CHAIR PRAX announced that the next order of business would be
HOUSE BILL NO. 59, "An Act relating to Medicaid eligibility;
expanding eligibility for postpartum mothers; conditioning the
expansion of eligibility on approval by the United States
Department of Health and Human Services; and providing for an
effective date."
3:22:43 PM
CHAIR PRAX opened public testimony on HB 59.
3:23:31 PM
BROOKE IVY, Vice President of Policy and Advocacy, Alaska
Children's Trust, said the Alaska Children's Trust was the lead
agency on preventing child abuse and neglect. She emphasized
that extending postpartum Medicaid care was primary prevention
and would give mothers more time to address postpartum medical
issues. She stated that 41 percent of all substantiated child
abuse and neglect cases in Alaska took place when children were
age birth to four. She added that postpartum depression
decreased child safety practice, decreased health check-ups for
the child, and made bonding more difficult, and that extending
postpartum coverage would also reduce maternal death and
decrease medical debt.
3:25:53 PM
JAMIE MORGAN, Senior Government Relations Regional Lead,
American Heart Association, stated the global maternal mortality
rate was decreasing, while the U.S. maternal mortality rate was
increasing. She added that heart disease and stroke constituted
more than one in three pregnancy related deaths primarily due to
cardiomyopathy, cerebrovascular disease, or other cardiovascular
conditions. She emphasized the death of a mother impacts the
child, the family, and the community, and that maternal
morbidity had lasting health consequences and medical expenses.
MS. MORGAN said the American Heart Association had released a
policy statement, Call to Action: Maternal Health and Saving
Mothers, in the journal, Circulation, which had the key
recommendation to extend Medicaid postpartum coverage. She
stated that the American Heart Association was in support of HB
59 to give children the best start in life and address
disparities.
3:28:07 PM
CHAIR PRAX, after ascertaining that no one wished to testify,
closed public testimony on HB 59.
3:29:18 PM
REPRESENTATIVE RUFFRIDGE moved to report HB 58 out of committee
with individual recommendations and the accompanying fiscal
notes. There being no objection, HB 58 was reported from the
House Health and Social Services Standing Committee.
3:29:45 PM
The committee took an at-ease from 3:29 p.m. to 3:31 p.m.
HB 60-RUNAWAYS; DFCS/DOH: DUTIES/LICENSING/INFO
3:31:45 PM
CHAIR PRAX announced that the final order of business would be
HOUSE BILL NO. 60, "An Act relating to the licensing of runaway
shelters; relating to advisors to the board of trustees of the
Alaska Mental Health Trust Authority; relating to the sharing of
confidential health information between the Department of Health
and the Department of Family and Community Services; relating to
the duties of the Department of Health and the Department of
Family and Community Services; and providing for an effective
date."
3:32:03 PM
CHAIR PRAX opened public testimony on HB 60. After ascertaining
that there was no one who wished to testify, he closed public
testimony.
3:32:57 PM
CHAIR PRAX announced that HB 60 was held over.
3:33:12 PM
ADJOURNMENT
There being no further business before the committee, the House
Health and Social Services Standing Committee meeting was
adjourned at 3:33 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB 58 Sponsor Statement.pdf |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Presentation.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Fiscal Note.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Fiscal Note 2.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Summary Version A.pdf |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Version A.PDF |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Presenter List Version A.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Sectional Analysis Version A.pdf |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Presentation.pdf |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| Support letter for HB 58 Redacted.docx |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Support Letter 2 Redacted.docx |
HHSS 2/7/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 59 Dept. of Health Presentation 2.8.2023.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 59 Research Maternal Mortality 12.1.2022 .pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 59 Sectional Analysis Version A.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 59 Sponsor Statement.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 59 Summary Version A.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 59 Version A.PDF |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| AHHA Letter of Support for HB59 Postpartum Medicaid 2-9-23.pdf |
HHSS 2/21/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 59-SB 58 American Heart Association Letter of Support.pdf |
HHSS 2/21/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 59 SB 58 |
| 02.02.23 Imp. EO 121 TL House.pdf |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| HB 60 Sectional Analysis (Version A) 2-15-23.pdf |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| HB0060A.PDF |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| LL0343-3-DFCS-CO-1-31-2023.pdf |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| LL0343-3-DOH-CO-1-31-2023.pdf |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| HB60 - EO 121 Clean Up - Summary- (2-23-23).pdf |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| 2022200343 amendment to HB 60 (definition citation) (002).pdf |
HHSS 2/28/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| NVE Support for Medicaid Postpartum 12-Month Continuous Coverage 2-24-23.pdf |
HHSS 3/7/2023 3:00:00 PM |
|
| LOS - HB59- SB58 Medicaid Coverage for Postpartum Mothers.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 SB 58 |
| HB 17 Fiscal Note DCCED.pdf |
HHSS 3/2/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 17 |
| HB 17 Fiscal Note DOA-DRB.pdf |
HHSS 3/2/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 17 |
| HB 17 Fiscal Note DOH.pdf |
HHSS 3/2/2023 3:00:00 PM HHSS 3/7/2023 3:00:00 PM |
HB 17 |
| HB 58 Fiscal Note DOH-HCS.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 58 Fiscal Note DOH-SDS.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 58 |
| HB 59 Fiscal Note DOH-MS.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 59 |
| HB 60 Fiscal Note DFCS.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 60 |
| HB 60 Fiscal Note DOH-CO.pdf |
HHSS 3/7/2023 3:00:00 PM |
HB 60 |