Legislature(2025 - 2026)BARNES 124

01/30/2025 03:15 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:17:02 PM Start
03:17:49 PM Overview: Department of Family and Community Services
04:16:55 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Please Note Time & Location Change --
+ Overview: Department of Family & Community TELECONFERENCED
Services by Commissioner Kim Kovol
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                        January 30, 2025                                                                                        
                           3:17 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Genevieve Mina, Chair                                                                                            
Representative Andrew Gray                                                                                                      
Representative Zack Fields                                                                                                      
Representative Donna Mears                                                                                                      
Representative Mike Prax                                                                                                        
Representative Justin Ruffridge                                                                                                 
Representative Rebecca Schwanke                                                                                                 
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
OVERVIEW: DEPARTMENT OF FAMILY AND COMMUNITY SERVICES                                                                           
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
KIM KOVOL, Commissioner                                                                                                         
Department of Family & Community Services                                                                                       
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Co-offered the Department of Family and                                                                  
Community Services overview.                                                                                                    
                                                                                                                                
CLINTON LASLEY, Deputy Commissioner                                                                                             
Department of Family & Community Services                                                                                       
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Co-offered the Department of Family and                                                                  
Community Services overview.                                                                                                    
                                                                                                                                
KIM GUAY, Director                                                                                                              
Office of Children's Services                                                                                                   
Department of Family & Community Services                                                                                       
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Answered questions  during the Department of                                                             
Family and Community Services overview.                                                                                         
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:17:02 PM                                                                                                                    
                                                                                                                                
CHAIR GENEVIEVE MINA called the  House Health and Social Services                                                             
Standing   Committee    meeting   to    order   at    3:17   p.m.                                                               
Representatives  Schwanke, Mears,  Gray, Prax,  Fields, and  Mina                                                               
were  present at  the call  to order.   Representative  Ruffridge                                                               
arrived as the meeting was in progress.                                                                                         
                                                                                                                                
^OVERVIEW:  Department of Family and Community Services                                                                         
                                                                                                                                
     OVERVIEW: Department of Family and Community Services                                                                  
                                                                                                                                
3:17:49 PM                                                                                                                    
                                                                                                                                
CHAIR MINA  announced that  the only order  of business  would be                                                               
the Department of Family and Community Services overview.                                                                       
                                                                                                                                
3:18:34 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 3:18 p.m. to 3:19 p.m.                                                                       
                                                                                                                                
3:19:27 PM                                                                                                                    
                                                                                                                                
KIM  KOVOL,  Commissioner,  Department   of  Family  &  Community                                                               
Services,  as   co-presenter,  began  a  PowerPoint   [hard  copy                                                               
included in  the committee file]  on slide 1, an  introduction to                                                               
the  Department of  Family and  Community Services  (DFCS).   She                                                               
said DFCS  was founded on  July 1,  2022, by Executive  Order 121                                                               
and  spoke to  the  care that  DFCS provides  to  Alaskans.   She                                                               
highlighted  Alaska Pioneer  Homes  and its  mission  as a  state                                                               
entity.   She  also  discussed the  Alaska Psychiatric  Institute                                                               
(API) and its goals as an institute.                                                                                            
                                                                                                                                
3:23:17 PM                                                                                                                    
                                                                                                                                
CLINTON  LASLEY,  Deputy  Commissioner, Department  of  Family  &                                                               
Community Services,  as co-presenter of the  Department of Family                                                               
and  Community  Services  overview,  described the  work  of  the                                                               
Division of Juvenile  Justice (DJJ), slide 7.   He emphasized the                                                               
vast  scope of  communities  that  DJJ serves.    In response  to                                                               
Representative  Prax, he  noted  that  information regarding  the                                                               
"restorative justice model" can be found on the DFCS website.                                                                   
                                                                                                                                
3:25:53 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  KOVOL,  in  response  to  Representative  Schwanke,                                                               
spoke about the  capacity of both API and the  Pioneer Homes.  To                                                               
Representative  Gray's observation  of  the high  budget for  the                                                               
Pioneer Homes,  she explained that  the Pioneer Homes  deals with                                                               
elders  who   need  immediate  care  and   assistance,  which  is                                                               
associated  with   an  increased  level  of   staffing  and  more                                                               
equipment.  She  also shared those categories  that influence the                                                               
wait list  for the Pioneer Homes:   the number of  people seeking                                                               
to use each home, the location  of each home, and the capacity of                                                               
each home.                                                                                                                      
                                                                                                                                
3:31:22 PM                                                                                                                    
                                                                                                                                
MR.  LASLEY, in  response  to  Representative Gray,  acknowledged                                                               
that the  Fairbanks Pioneer Home does  not meet the needs  of the                                                               
elders who  utilize it and  said that DFCS has  considered models                                                               
for a veterans' home.                                                                                                           
                                                                                                                                
3:33:10 PM                                                                                                                    
                                                                                                                                
MR. LASLEY resumed the overview.   He highlighted the Coordinated                                                               
Health and Complex Care Unit,  slide 9, that was developed within                                                               
DFCS.    He  explained  that  the  unit  works  across  all  four                                                               
divisions  of the  department,  allowing  focus toward  improving                                                               
healthcare systems.   He responded  to questions from  Chair Mina                                                               
and  Representative Gray.   He  noted that  the department  has a                                                               
complex care committee  that works with the  Department of Health                                                               
(DOH),  with the  goal of  making system-level  improvements, and                                                               
the  committee  must  bring  in more  community  providers.    He                                                               
suggested that the  building of a complex  residential home would                                                               
be  a  step  in  the right  direction  toward  addressing  foster                                                               
children  experiencing  chronic  behavioral health  issues  after                                                               
being moved multiple times.   He emphasized that homes are needed                                                               
that address specific needs.                                                                                                    
                                                                                                                                
COMMISSIONER  KOVAL added  that DFCS  has had  many conversations                                                               
with partners  around Alaska in  looking to address the  need for                                                               
behavioral  health care  in Alaska.   She  emphasized that  these                                                               
services require much collaboration with community partners.                                                                    
                                                                                                                                
3:40:06 PM                                                                                                                    
                                                                                                                                
DEPUTY COMMISSIONER LASLEY resumed the  overview.  He displayed a                                                               
graphic  on  slide  10  that highlighted  the  various  needs  of                                                               
someone seeking services from DFCS.                                                                                             
                                                                                                                                
3:41:11 PM                                                                                                                    
                                                                                                                                
COMMISSIONER KOVAL  discussed the fundamental  guiding principles                                                               
of DFCS, slide  11.  She emphasized the work  that the department                                                               
does to improve the lives of  those who utilize the services that                                                               
it  offers,  in  addition  to  the  important  partnerships  DFCS                                                               
fosters   with  other   community  and   local  agencies.     She                                                               
highlighted  the department's  ability to  provide safe,  person-                                                               
centered, social-emotional care.                                                                                                
                                                                                                                                
3:44:22 PM                                                                                                                    
                                                                                                                                
MR.  LASLEY  covered the  next  few  slides and  highlighted  the                                                               
various ways  that DFCS  has worked to  improve its  work culture                                                               
and his desire  to take care of the employees  in his department.                                                               
He said  DFCS has  implemented town hall  gatherings to  find out                                                               
how it can better serve  staff and discover the unique challenges                                                               
that  arise.   He  emphasized  that  he  is working  to  increase                                                               
training, to  reduce turnover rates,  and to  improve recruitment                                                               
of staff.   In response  to Representative Gray, he  related that                                                               
all 10  beds at API are  occupied daily, and there  is a waitlist                                                               
for API's  services.  He continued  to slide 16 to  list a series                                                               
of ongoing improvement initiatives currently underway at DFCS.                                                                  
                                                                                                                                
3:52:12 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  KOVAL   listed  a  series  of   future  improvement                                                               
opportunities  across   Alaska  that  the  DFCS   is  looking  to                                                               
undertake in the  coming years, slide 17.  She  said she hopes to                                                               
increase foster home recruitment.   In response to Representative                                                               
Gray, she  gave some statistics  related to providers  and foster                                                               
family homes.                                                                                                                   
                                                                                                                                
3:55:36 PM                                                                                                                    
                                                                                                                                
KIM GUAY, Director, Office of  Children's Services, Department of                                                               
Family  & Community  Services,  in response  to  a question  from                                                               
Representative Gray regarding an  emergency placement stipend for                                                               
temporary placements, stated there  are currently emergency homes                                                               
being paid at the current rate,  but there may be some regulation                                                               
change in the future.                                                                                                           
                                                                                                                                
3:56:29 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  KOVAL, in  response  to a  line  of questions  from                                                               
Representative  Prax,  said  DFCS   would  like  to  have  foster                                                               
families available  from different cultures and  backgrounds, and                                                               
a  larger number  of families  should  bring more  variety.   She                                                               
emphasized the many pieces to  this puzzle and specified there is                                                               
a difference  between treatment foster  homes and  regular foster                                                               
homes.  She commended Representative  Prax for his willingness to                                                               
help.                                                                                                                           
                                                                                                                                
4:00:49 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  KOVAL responded  to  questions from  Representative                                                               
Ruffridge.   Regarding  the effect  of the  base rate  for foster                                                               
parents on  recruitment and retention,  she said that  the number                                                               
of  foster parents  has increased  but  DFCS will  have a  better                                                               
understanding of the reasons for this  increase at the end of the                                                               
year through  its annual  report.  She  noted there  are multiple                                                               
pilot  programs occurring  for transitional  youths at  different                                                               
points in their foster care experience.                                                                                         
                                                                                                                                
4:03:42 PM                                                                                                                    
                                                                                                                                
COMMISSIONER  KOVAL responded  to  questions from  Representative                                                               
Fields.   Regarding  recommendations  from  a December  ombudsman                                                               
report,  she  stated   that  DFCS  met  with   the  Ombudsman  in                                                               
September, where  the department explained the  improvements that                                                               
it  was   already  implementing.     She  explained   that  these                                                               
improvements  were  then  included   in  the  report  as  further                                                               
recommendations.   Regarding Medicaid waiver services,  she noted                                                               
there are different  teams that work with youth  and partner with                                                               
DOH to ensure enrollment is occurring.                                                                                          
                                                                                                                                
MR. LASLEY,  regarding the issue  of security,  acknowledged that                                                               
there have been many instances  where DFCS has been threatened by                                                               
community  members.     He  said  the   department  is  providing                                                               
contracted security guards  to protect the safety  of DFCS staff.                                                               
He said DFCS  has not yet considered hiring  security guards from                                                               
within  the department,  but emphasized  the extra  security that                                                               
comes from hiring outside the department.                                                                                       
                                                                                                                                
4:09:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SCHWANKE  thanked the members from  DFCS and asked                                                               
the department to  consider where there may  be opportunities for                                                               
the  Alaska State  Legislature  to help  connect  DFCS to  tribal                                                               
entities  and leverage  some of  the resources  available through                                                               
tribal health partners.                                                                                                         
                                                                                                                                
4:10:06 PM                                                                                                                    
                                                                                                                                
MR. LASLEY responded to Representative  Gray.  Regarding capacity                                                               
within Division  of Juvenile Justice  (DJJ) facilities,  he noted                                                               
that  the  McLaughlin  Youth   Center  in  Representative  Gray's                                                               
district  remains at  full  capacity  at nearly  all  times.   He                                                               
discussed how DFCS  has attempted to move funds  to better assist                                                               
youth facilities.   He added that most youth  facilities are also                                                               
near full capacity.   He stated that the department  is trying to                                                               
serve  as  many youths  as  they  can  in the  least  restrictive                                                               
environments possible.                                                                                                          
                                                                                                                                
4:13:28 PM                                                                                                                    
                                                                                                                                
COMMISSIONER KOVAL  commented regarding the  future opportunities                                                               
DFCS recognizes to expand foster  care, transform youth services,                                                               
expand  services at  API, and  centralize data.   In  response to                                                               
Representative  Prax,   she  suggested  that  the   Alaska  State                                                               
Legislature  could  put  DFCS  "out  of  business"  by  improving                                                               
"upstream services."   She highlighted that the  best support for                                                               
families results  from asking what  is best for them  rather than                                                               
assuming what is best for them.                                                                                                 
                                                                                                                                
4:16:34 PM                                                                                                                    
                                                                                                                                
CHAIR MINA thanked the presenters for the overview.                                                                             
                                                                                                                                
4:16:55 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 4:16 p.m.                                                                                                          

Document Name Date/Time Subjects
DFCS Legislative Overview 1.30.2025.pdf HHSS 1/30/2025 3:15:00 PM