Legislature(2023 - 2024)DAVIS 106
04/12/2023 03:30 PM House TRIBAL AFFAIRS
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| Audio | Topic |
|---|---|
| Start | |
| Presentation(s): Tribal Health Compacts | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
ALASKA STATE LEGISLATURE
HOUSE SPECIAL COMMITTEE ON TRIBAL AFFAIRS
April 12, 2023
3:30 p.m.
MEMBERS PRESENT
Representative CJ McCormick, Chair
Representative Ben Carpenter
Representative Sarah Vance
Representative Josiah Patkotak
Representative Maxine Dibert
Representative Jennie Armstrong
MEMBERS ABSENT
Representative Jamie Allard
COMMITTEE CALENDAR
PRESENTATION(S): TRIBAL HEALTH COMPACTS
PREVIOUS COMMITTEE ACTION
No previous action to record
WITNESS REGISTER
ALBERTA UNOK, President/CEO
Alaska Native Health Board
Anchorage, Alaska
POSITION STATEMENT: Participated in the Tribal Health Compacts
presentation.
MONIQUE MARTIN, Vice President
Intergovernmental Affairs
Alaska Native Tribal Health Consortium
Anchorage, Alaska
POSITION STATEMENT: Participated in the Tribal Health Compacts
presentation.
APRIL KYLE, President
Southcentral Foundation
Anchorage, Alaska
POSITION STATEMENT: Participated in the Tribal Health Compacts
presentation.
ACTION NARRATIVE
3:30:00 PM
CHAIR CJ MCCORMICK called the House Special Committee on Tribal
Affairs meeting to order at 3:30 p.m. Representatives Vance,
Dibert, Armstrong, and McCormick were present at the call to
order. Representatives Carpenter and Patkotak arrived as the
meeting was in progress.
^PRESENTATION(S): Tribal Health Compacts
PRESENTATION(S): Tribal Health Compacts
3:30:39 PM
CHAIR MCCORMICK announced that the only order of business would
be the Tribal Health Compacts presentation.
3:31:23 PM
ALBERTA UNOK, President/CEO, Alaska Native Health Board, began
the presentation via PowerPoint [hardcopy included in the
committee packet], on slide 2, which listed various tribal
health boards and authorities. She moved to slide 3, which gave
an overview of the Alaska Native Health Board (ANHB) by
describing its advocacy, its mission, and the honors it has
received as a board. She continued to slide 4, which displayed
a timeline that described the history of Alaska Native health.
Slide described the history of the Alaska Tribal Health System
(ATHS). Slides 6-8 acknowledged two recognitions that the
Alaska State Government made in regard to Alaska Native health.
3:35:28 PM
MS. UNOK moved to slide 9, which listed all of the individuals
who co-signed the Alaska Tribal Health Compact (ATHC). She
continued to slide 10, which displayed a graphic that explained
how the Alaska Tribal Health system works within the context of
state and tribal governments. She moved to slide 11, which
displayed a map of Alaska that highlighted tribal health
locations in Alaska and listed their associated tribes.
3:37:26 PM
MS. UNOK continued to slide 12, which displayed a map of Alaska
superimposed over a map of the Lower 48 United States as a means
to emphasize the large travel distances required to provide
healthcare to tribal members across the state. She moved to
slide 13, which highlighted the impact and importance of
Alaska's tribal health system to the tribal economy and voice in
Alaska.
3:39:53 PM
MONIQUE MARTIN, Vice President, Intergovernmental Affairs,
Alaska Native Tribal Health Consortium (ANTHC), took over the
presentation on slide 14, which gave an overview of the
consortium's mission and partnerships. She moved to slide 15,
which gave a brief description of ANTHC's history, mission, and
its achievements as an organized health authority.
3:42:52 PM
MS. MARTIN continued the presentation on slide 16, which gave a
brief overview of ANTHC's operation areas. Slide 17 described
the Consortium Businesses Support Services (CBSS) and what it
provides to ANTHC and the Alaska Native Medical Center (ANMC).
She continued to slide 18, which gave a comprehensive
description of community health services that are provided by
tribal health authorities around Alaska.
3:47:06 PM
MS. MARTIN moved to slide 19, which displayed graphics of four
tribal health authority's logos accompanied with a broad
description of the routine services that are provided by those
authorities.
3:51:52 PM
MS. MARTIN continued to slide 20, which emphasized the successes
that tribal health authorities around Alaska had achieved in
Fiscal Year 2022 (FY 22) by highlighting specific healthcare
statistics and metrics achieved. She moved to slide 21, which
further elaborated on the successes that tribal health
authorities around Alaska had achieved in FY 22 by highlighting
a series of grants awarded to tribal health authorities and the
food distributed to tribal communities around the state.
3:55:38 PM
MS. MARTIN continued to slides 22 and 23, which highlighted the
federal Office of Environmental Health & Engineering's role in
providing clean healthcare facilities and prompt support to
those experiencing an environmental health crisis and specific
instances in where the environmental health of the communities
was improved by that office.
3:59:52 PM
MS. MARTIN skipped to slide 25, which highlighted the location
of ANMC and its importance as a medical facility to all
Alaskans, not only tribal members. She continued to side 26,
which displayed a graphic that highlighted specific statistics
and metrics of healthcare delivered to patients admitted to
ANMC.
4:02:54 PM
MS. MARTIN moved to slide 27, which displayed various images of
Alaska Native traditional foods and emphasized their importance
in maintaining Alaska Native people's health.
4:05:13 PM
APRIL KYLE, President, Southcentral Foundation, picked up the
presentation on slide 28, where she briefly explained the
Southcentral Foundation and its role within the tribal health
system in Alaska. She continued to slide 29, which displayed a
map of Alaska with specific regions of the state outlined in
order to demonstrate how the tribal health system interacts with
Alaska's health system as a whole.
4:07:30 PM
MS. KYLE moved to slide 30, which explained the foundation's
vision/goals for tribal health in Alaska. She continued to
slide 31, which demonstrated the foundation's customer ownership
model and explained how it interacts with both the Southcentral
Foundation and the Alaska health system.
4:09:36 PM
MS. KYLE continued to slide 32, which further elaborated on the
customer-ownership model on which the Southcentral Foundation
operates. She moved to slide 33, which emphasized the
importance of five key issues affecting the Alaska Native
community. Slide 34 addressed the need to shift current medical
culture's understanding of tribal health to a more intuitive
one.
4:12:20 PM
MS. KYLE moved to slide 35, which displayed an image of a group
of healthcare providers of many different practices in a room to
emphasize the need for different types of healthcare in tribal
health practices. She continued to slide 36, which displayed a
graphic meant to illustrate the previously mentioned customer-
owned healthcare model and further explained how that healthcare
model would interact with Alaska's healthcare system as a whole.
She moved to slide 38, which explained the composition of a
patient's personal healthcare team, and slide 39, which
described what the concept of behavioral health integration is.
4:17:23 PM
MS. KYLE moved to slide 40, which gave a broad list of different
types of medical, specialty, and community programs that a
tribal healthcare practice might provide. She continued to
slide 41, which gave a broad list of different types of
behavioral health care programs and services that a tribal
healthcare practice might provide. Slide emphasized the need
for behavioral health services and programs in hospitals. She
moved to slide 43, which explained how the concept of tribal
health has impacted the healthcare community as a whole and
described the role that Alaska has played in its impact.
4:24:13 PM
MS. MARTIN moved to slide 44, which explained how the state and
tribal healthcare entities have worked together with both
executive and legislative actions in recent years to create the
successes that have been mentioned throughout the current
presentation.
4:29:08 PM
CHAIR MCCORMICK opened the floor to questions from the
committee.
4:29:35 PM
REPRESENTATIVE CARPENTER asked whether the Alaska Native health
community was meeting its "achieved wellness" metrics mentioned
earlier in the presentation.
4:32:13 PM
MS. KYLE answered by sharing that there has been a redesign in
primary care structures and a decrease in hospital and emergency
room admissions, both of which meet that standard. She added
that there has been improvement in other metrics related to
domestic and emotional health in Alaska Native populations.
4:35:57 PM
REPRESENTATIVE CARPENTER asked whether the current system of
health in Alaska is not sufficient to achieve its goals.
4:36:43 PM
MS. MARTIN said that the Southcentral Foundation has an
epidemiology center that performed studies on health outcomes
for Alaska Native people across generations. She referenced
multiple studies that the epidemiology center had performed and
used those as examples of the health system in Alaska failing
its Alaska Native population.
4:38:59 PM
CHAIR MCCORMICK asked whether the Southcentral Foundation had
conducted an assessment of the impact of climate change on
Arctic communities in Alaska.
MS. MARTIN answered that the foundation has a climate center for
environmentally threatened communities and said that Alaska is
on the "frontier" of the effects of climate change. She further
explained how climate change is affecting Alaska and how the
Southcentral Foundation is working to both catalogue and
mitigate the harmful effects of climate change on Alaska Native
health.
4:42:46 PM
CHAIR MCCORMICK remarked that he represented multiple
communities that are impacted by climate change and thanked the
invited testifiers for their presentation.
4:44:26 PM
ADJOURNMENT
There being no further business before the committee, the House
Special Committee on Tribal Affairs meeting was adjourned at
4:44 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HTRB Tribal Health Compacting Presentation 04.10.23.pdf |
HTRB 4/12/2023 3:30:00 PM |
Tribal Health Compacting |