Legislature(2023 - 2024)BELTZ 105 (TSBldg)

01/31/2024 03:30 PM Senate EDUCATION

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Audio Topic
03:42:58 PM Start
03:44:32 PM Presentation: State Policy Choices Affect Healthy Child Development
04:12:25 PM Presentation: All Alaska Pediatric Partnership (a2p2)
04:17:30 PM Presentation: Alaska Head Start Program
04:23:20 PM Presentation: Thread
04:30:14 PM Presentation: Southeast Alaska Association for the Education of Young Children
04:36:55 PM Presentation: Alaska Children's Trust
04:44:53 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Presentation: The Prenatal-to-3 System of Care TELECONFERENCED
in Alaska by
Cynthia Osborne, Executive Director,
Prenatal-to-3 Policy Impact Center
Alaska Prenatal-to-3 Stakeholders
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
              SENATE EDUCATION STANDING COMMITTEE                                                                             
                        January 31, 2024                                                                                        
                           3:42 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Löki Tobin, Chair                                                                                                       
Senator Gary Stevens, Vice Chair                                                                                                
Senator Jesse Bjorkman                                                                                                          
Senator Jesse Kiehl                                                                                                             
Senator Elvi Gray-Jackson                                                                                                       
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
PRESENTATION: STATE POLICY CHOICES AFFECT HEALTHY CHILD                                                                         
DEVELOPMENT                                                                                                                     
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PRESENTATION: ALL ALASKA PEDIATRIC PARTNERSHIP (A2P2)                                                                           
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PRESENTATION: ALASKA HEAD START PROGRAM                                                                                         
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PRESENTATION: SOUTHEAST ALASKA ASSOCIATION FOR THE EDUCATION OF                                                                 
YOUNG CHILDREN                                                                                                                  
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PRESENTATION: THREAD                                                                                                            
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PRESENTATION: ALASKA CHILDREN'S TRUST                                                                                           
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
CYNTHIA OSBORNE, Executive Director                                                                                             
Prenatal-to-3 Policy Impact Center Alaska                                                                                       
Nashville, Tennessee                                                                                                            
POSITION STATEMENT: Offered the presentation State Policy                                                                     
Choices Affect Healthy Child Development.                                                                                       
                                                                                                                                
TAMAR BEN-YOSEF, Executive Director                                                                                             
All Alaska Pediatric Partnership (A2P2)                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Offered a presentation on All Alaska                                                                      
Pediatric Partnership (A2P2).                                                                                                   
                                                                                                                                
MARK LACKEY, Executive Director                                                                                                 
Chugiak Children's Services                                                                                                     
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT: Offered a presentation on the Alaska Head                                                                 
Start Program.                                                                                                                  
                                                                                                                                
NICK MOE, Public Policy Manager                                                                                                 
Thread                                                                                                                          
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Offered a presentation on Thread.                                                                         
                                                                                                                                
NICCI LOVE, Creative Director                                                                                                   
Southeast Alaska Association for the Education of Young Children                                                                
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Co-offered a presentation on the Southeast                                                                
Alaska Association for the Education of Young Children.                                                                         
                                                                                                                                
EMILY THOMPSON, Program Manager                                                                                                 
Parents as Teachers (PAT)                                                                                                       
Southeast Alaska Association for the Education of Young Children                                                                
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Co-offered a presentation on the Southeast                                                                
Alaska Association for the Education of Young Children.                                                                         
                                                                                                                                
TREVOR STORRS, President                                                                                                        
Alaska Children's Trust                                                                                                         
Anchorage Alaska                                                                                                                
POSITION STATEMENT: Offered a presentation on Alaska Children's                                                               
Trust.                                                                                                                          
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:42:58 PM                                                                                                                    
CHAIR LÖKI  TOBIN called the  Senate Education Standing  Committee                                                            
meeting to  order at 3:42 p.m. Present  at the call to  order were                                                              
Senators Stevens, Gray-Jackson, Kiehl, Bjorkman and Chair Tobin.                                                                
                                                                                                                                
^Presentation:   State  Policy   Choices   Affect  Healthy   Child                                                              
Development                                                                                                                     
                         PRESENTATION:                                                                                      
     STATE POLICY CHOICES AFFECT HEALTHY CHILD DEVELOPMENT                                                                  
                                                                                                                                
3:44:32 PM                                                                                                                    
CHAIR  TOBIN  announced  the  consideration  of  the  presentation                                                              
State  Policy   Choices  Affect   Healthy  Child  Development   by                                                              
Prenatal-to-3 Impact Center and Prenatal - to 3 Stakeholders.                                                                   
                                                                                                                                
3:45:06 PM                                                                                                                    
CYNTHIA OSBORNE,  Executive Director, Prenatal-to-3  Policy Impact                                                              
Center  Alaska,  Nashville, Tennessee,  Offered  the  presentation                                                              
State Policy Choices Affect Healthy Child Development.                                                                          
                                                                                                                                
3:45:49 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
3:46:21 PM                                                                                                                    
CHAIR TOBIN reconvened the meeting.                                                                                             
                                                                                                                                
3:46:33 PM                                                                                                                    
MS. OSBORNE  moved to slide 2 and  stated that the purpose  of the                                                              
Policy Impact Center  is to serve as a resource  for state leaders                                                              
working to improve the lives of all children from birth onward:                                                                 
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     Who We Are                                                                                                               
     We  are  a nonpartisan  research  center  at  Vanderbilt                                                                   
     University.   We   focus  on   the   rigorous   evidence                                                                   
     connecting  brain   science  with  state   policies  and                                                                   
     programs.                                                                                                                  
                                                                                                                                
     What We Do                                                                                                               
     We  work   with  state   lawmakers,  agency   officials,                                                                   
     advocates,  and academics  to navigate  the evidence  on                                                                   
     effective  and  equitable state  policy  solutions  that                                                                   
     ensure all  children thrive  from the start   while also                                                                   
       leading to a thriving economy, strong families, a                                                                        
     proficient workforce, and safe communities.                                                                                
                                                                                                                                
3:47:21 PM                                                                                                                    
MS. OSBORNE  moved to slides 3-5  and explained that  the center's                                                              
work is rooted  in scientific research emphasizing  the importance                                                              
of  the first  three  years of  life  for a  child's  development.                                                              
During this  period, more  than a  million neural connections  are                                                              
made per second.  Children exposed to safe, stable,  and nurturing                                                              
environments early  on are set on  a path toward health  and well-                                                              
being, while  those exposed  to high levels  of stress  can suffer                                                              
brain and  body system damage  with lifelong consequences.  Key to                                                              
healthy  brain   and  body  development  are   secure  attachments                                                              
between   caregiver   and   child,   known   as   serve-and-return                                                              
interactions.  Resource-rich environments  lead  to healthy  brain                                                              
development  in  the  prefrontal  cortex, which  aids  in  delayed                                                              
gratification  and  critical  thinking.   Although  children  have                                                              
similar levels  of frontal gray  matter in their  earliest months,                                                              
socioeconomic status  influences brain development  over the first                                                              
three years. Chronic  adversity early in life results  in lifelong                                                              
health consequences.  The  more adverse experiences  a child  has,                                                              
the more  likely they are to  encounter poor health  behaviors and                                                              
outcomes. The  center aims to explore  how states can  promote the                                                              
healthy development of all children from birth.                                                                                 
                                                                                                                                
3:50:09 PM                                                                                                                    
MS. OSBORNE moved  to slide 6 and said the  center operationalizes                                                              
scientific  research into  eight  prenatal-to-three policy  goals,                                                              
defining the  conditions children need  to thrive from  the start.                                                              
By creating these  conditions, children can be set  up for success                                                              
both  at school  entry and  throughout their  lives. Key  elements                                                              
include  ensuring  families  have  access to  resources  they  are                                                              
eligible  for,  enabling  parents  to  work  and  care  for  their                                                              
children, and providing  sufficient resources like  food security,                                                              
housing stability,  and economic  security.  The goals also  focus                                                              
on babies  being born  healthy, addressing  both the physical  and                                                              
mental health of  children and parents, and ensuring  parents have                                                              
the  knowledge and  skills  to  understand child  development  and                                                              
engage in  nurturing and  responsive relationships.  Additionally,                                                              
children should  experience nurturing  relationships in  childcare                                                              
and  other  settings   when  not  with  their   parents,  and  any                                                              
developmental delays  should be identified and addressed  as early                                                              
as possible  to support  healthy development.  The center  aims to                                                              
understand  how   children  are   faring  across  each   state  by                                                              
identifying  20 outcome  measures  to evaluate  progress on  these                                                              
eight policy goals.                                                                                                             
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     Eight Prenatal-to-3 Policy Goals                                                                                         
                                                                                                                                
     Access  to Needed  Services  - Families  have access  to                                                                 
     necessary   services   through   expanded   eligibility,                                                                   
     reduced  administrative  burden  and fewer  barriers  to                                                                   
     services,  and identification  of  needs and  connection                                                                   
     to services.                                                                                                               
                                                                                                                                
     Parents' Ability  to Work - Parents have  the skills and                                                                 
     incentives  for employment and  the resources they  need                                                                   
     to balance working and parenting.                                                                                          
                                                                                                                                
     Sufficient  Household  Resources   -  Parents  have  the                                                                 
     financial  and material resources  they need to  provide                                                                   
     for their families.                                                                                                        
                                                                                                                                
     Healthy  and  Equitable  Births   -  Children  are  born                                                                 
     healthy  to healthy parents,  and pregnancy  experiences                                                                   
     and birth outcomes are equitable.                                                                                          
                                                                                                                                
     Parental  Health and Emotional  Wellbeing - Parents  are                                                                 
     mentally   and  physically   healthy,  with   particular                                                                   
     attention paid to the perinatal period.                                                                                    
                                                                                                                                
     Nurturing  and Responsive  Child-Parent Relationships  -                                                                 
     Children   experience   warm,   nurturing,   stimulating                                                                   
     interactions  with their  parents  that promote  healthy                                                                   
     development.                                                                                                               
                                                                                                                                
     Nurturing and  Responsive Child Care in Safe  Settings -                                                                 
     When children  are not with  their parents, they  are in                                                                   
     high-quality, nurturing, and safe environments.                                                                            
                                                                                                                                
     Optimal  Child  Health  and   Development  -  Children's                                                                 
     emotional,  physical, and  cognitive  development is  on                                                                   
     track, and delays are identified and addressed early.                                                                      
                                                                                                                                
3:51:58 PM                                                                                                                    
MS. OSBORNE  moved to slide 7 and  highlighted a subset  of the 20                                                              
outcome  measures where  Alaska's  children and  families are  not                                                              
thriving compared  to those  in other  states. The chart  provided                                                              
percentages of  for Alaska, the  worst state, and the  best state.                                                              
She  noted  that   this  information  is  useful   for  states  to                                                              
prioritize  their goals.  She explained  that the  center aims  to                                                              
provide the  most rigorous  evidence available  on how  to achieve                                                              
these goals. For  example, if the focus is on  helping parents get                                                              
to work or  reducing infant mortality, the center  offers evidence                                                              
on the  most effective policies  to improve these  outcomes. Their                                                              
approach involved  conducting comprehensive  reviews of  dozens of                                                              
state-level  policies,  summarizing  findings  from  thousands  of                                                              
documents and  papers, and hundreds  of the most  rigorous studies                                                              
to identify  policies with strong  evidence that,  if implemented,                                                              
could  lead  to   positive  changes  in  outcomes.   The  outcomes                                                              
measures selected for the subset:                                                                                               
                                                                                                                                
   • Low-income Women Uninsured                                                                                                 
   • Births to Women Not Receiving Adequate Prenatal Care                                                                       
   • Children <3 Without Any Full-Time Working Parent                                                                           
   • Children <3 Living in Crowded Households                                                                                   
   • Number of Infant Deaths per 1,000 Births                                                                                   
   • Children <3 Not Up to Date on Immunizations                                                                                
   • Maltreatment Rate per 1,000 Children <3                                                                                    
                                                                                                                                
3:52:55 PM                                                                                                                    
MS. OSBORNE  moved to slide  8 and stated  that the  center's four                                                              
primary  findings from  their  research highlight  policy  choices                                                              
that   can  empower   parents   and   lead  to   healthier   child                                                              
development.  They identified 12  effective policies,  emphasizing                                                              
that  states must  understand  that no  policy  focuses solely  on                                                              
children.  Instead,  policies that  lead  to better  outcomes  for                                                              
children  involve  caring for  the  caregivers, such  as  parents,                                                              
childcare  providers, and  visitors. She  stressed the  importance                                                              
of  supporting  caregivers  to  enable  them  to  care  for  their                                                              
children  effectively.  Another  key  finding is  that  no  single                                                              
policy   or  program   can  achieve   all   desired  outcomes.   A                                                              
combination  of broad-based  economic  and  family support,  along                                                              
with  targeted interventions,  is  necessary to  create a  support                                                              
system  where  children  and  their  parents  can  thrive  in  the                                                              
earliest years.  Lastly, she  mentioned that  the center  not only                                                              
identified  the most effective  policies  but also examined  their                                                              
implementation  across all  50 states  and  Washington, D.C.  They                                                              
found  a  patchwork   of  benefits  and  services   for  children,                                                              
indicating that  the greatest predictor of resources  available to                                                              
families for raising children is the state in which they live.                                                                  
                                                                                                                                
3:54:38 PM                                                                                                                    
MS.  OSBORNE  moved  to slide  9,  which  shows  the  relationship                                                              
between goal setting,  policymaking, and outcomes.  She stated she                                                              
would  share all 12  policies and  strategies  that have a  strong                                                              
evidence  base but  began with  those  that Alaska  is working  on                                                              
this  legislative   session.  Four  broad-based   economic  family                                                              
support policies  that significantly impact  multiple Prenatal-to-                                                              
3 (PN-3)  policy goals  include ensuring  families have  access to                                                              
health insurance,  providing paid leave after birth  or adopting a                                                              
foster  a child,  establishing a  state  minimum wage  of $10  per                                                              
hour, and  implementing tax  credits to  promote greater  work and                                                              
increased family  resources, leading to healthier  birth and other                                                              
outcomes.  She  emphasized  that these  broad-based  economic  and                                                              
family supports  are fundamental  for the  well-being of  families                                                              
and should be combined with more targeted interventions.                                                                        
                                                                                                                                
3:55:39 PM                                                                                                                    
MS. OSBORNE  moved to  slides 10-12 and  explained that  she began                                                              
identifying  specific  strategies  states  are  implementing  that                                                              
have  evidence of  impacting various  policy goals.  She said  she                                                              
reviewed these  strategies to assess  Alaska's progress  and slide                                                              
11 shows  a total of eight  strategies. She stated that  a roadmap                                                              
was  created  for each  state  and  slide 12  summarizes  Alaska's                                                              
roadmap information.  The  summary highlights  that Alaska  is one                                                              
of  30  states  that  have  expanded   the  Affordable  Care  Act,                                                              
allowing families  with incomes up  to 138 percent of  the federal                                                              
poverty  level to  access health  insurance. This  is crucial  for                                                              
mothers  during  the prenatal  period,  ensuring  they can  obtain                                                              
health insurance  early and throughout their pregnancy.  Alaska is                                                              
also among  46 states that have  expanded 12 months  of postpartum                                                              
coverage for mothers, instead of cutting off at 60 days.                                                                        
                                                                                                                                
MS.  OSBORNE  noted however,  Alaska  does  not currently  have  a                                                              
statewide   paid   family   leave  program.   There   is   pending                                                              
legislation  considering paid  leave  for state  employees and  an                                                              
opt-in  paid leave  program  for  businesses or  individuals.  She                                                              
said when  the roadmap was  produced in October,  Alaska's minimum                                                              
wage  was  $10.85, but  as  of  January  1,  it has  increased  to                                                              
$11.73. Although  Alaska does  not have a  state income  tax, many                                                              
states are  considering a  working tax credit  similar to  a state                                                              
earned  income   tax  credit  to   encourage  families   to  work.                                                              
Washington,  for example,  does not  have a state  income  tax but                                                              
has  an  equivalent  policy,  and  seven  states  are  considering                                                              
similar measures.                                                                                                               
                                                                                                                                
3:59:35 PM                                                                                                                    
MS.  OSBORNE moved  to  slide  13 and  said  the center  aimed  to                                                              
identify not just  effective strategies, but also  specific policy                                                              
levers states can  implement to make these strategies  more widely                                                              
available,   equitable,   and  effective.   For   example,   while                                                              
childcare  subsidies  help  families  work  and  access  preferred                                                              
care,  the center  also  sought to  guide  states on  implementing                                                              
these strategies more broadly.                                                                                                  
                                                                                                                                
MS. OSBORNE said  one key policy lever is  reducing administrative                                                              
burdens  so families  can more  easily  access eligible  benefits.                                                              
Alaska  recently   made  its  Supplemental   Nutrition  Assistance                                                              
Program (SNAP) application available online, simplifying the 27-                                                                
page  process   and  significantly   helping  families   in  need.                                                              
Comprehensive  screening and connection  programs, such  as Family                                                              
Connects  or Healthy Steps,  are effective  strategies states  can                                                              
implement.  These  programs  screen  all  children  and  families,                                                              
connecting them to resources that meet their specific needs.                                                                    
                                                                                                                                
MS.  OSBORNE  stated  that  other   effective  strategies  include                                                              
childcare  subsidies,  group prenatal  carewhich   reduces  social                                                              
isolation during  pregnancy and  improves outcomesand   community-                                                              
based  doulas.   Alaska's  state-sponsored  doula   program  helps                                                              
improve  outcomes  during  the prenatal  period,  labor,  and  the                                                              
early  postpartum period.  Evidence-based  home visiting  programs                                                              
and Early  Head Start,  supported by  Alaska as  one of  23 states                                                              
providing  direct state support,  are also  crucial. Although  the                                                              
level of  support has been  stagnant, it remains  essential. Early                                                              
intervention  services  are  another  evidence-based  strategy  to                                                              
help children achieve optimal development.                                                                                      
                                                                                                                                
MS.  OSBORNE said  these are  the  12 policies  identified by  the                                                              
center  and that  these policies  intersect  to provide  resources                                                              
for parents.                                                                                                                    
                                                                                                                                
4:02:24 PM                                                                                                                    
MS.  OSBORNE moved  to  slide 14  and  explained  that the  center                                                              
created a  simulation of  a stylized family  to analyze  the level                                                              
of  resources  available across  all  states  to family  based  on                                                              
state  policy  choices. The  mother  in  this stylized  family  is                                                              
Lina,  who has  an infant  and a  toddler,  works full-time  year-                                                              
round, and  earns the state's minimum  wage. Lina applies  for and                                                              
receives all  the benefits she is  eligible for, which  is not the                                                              
case for  all families  in her position.  After giving  birth, she                                                              
took  12  weeks  of leave,  protected  under  the  Federal  Family                                                              
Medical  Leave Act.  To work, she  sends her  children to  center-                                                              
based childcare  that charges  the 75th  percentile of  the market                                                              
rate,  which the  federal government  considers  the equal  access                                                              
target.  This  rate  means  that   75  percent  of  all  childcare                                                              
providers charge  less than this  amount. This setup allows  for a                                                              
consistent comparison across all states.                                                                                        
                                                                                                                                
4:04:10 PM                                                                                                                    
MS. OSBORNE  moved to slide 15  and stated it shows  the variation                                                              
in resources Lina's  family experiences based on  where she lives.                                                              
Lina has  over $47,000  a year in  resources if  she lives  in the                                                              
District of Columbia,  compared to just over $20,000  in resources                                                              
if  she  lives  in  Georgia, despite  her  doing  the  exact  same                                                              
things: working full  time and sending her children  to care. Good                                                              
state policy  choices make a big  difference. In Alaska,  Lina has                                                              
about $42,700 in resources each year.                                                                                           
                                                                                                                                
4:04:58 PM                                                                                                                    
MS. OSBOURNE moved  to slide 16 and said Alaska  ranked number 10.                                                              
Although  Alaska's cost  of  living is  higher,  its rank  doesn't                                                              
change  much after  cost-of-living  adjustments.  The chart  shows                                                              
that  if Lina  works full  time at  the state's  minimum wage  and                                                              
takes three  months off,  she has about  $17,000 in  income. After                                                              
paying  for childcare,  her income  is reduced  by about $2,000  a                                                              
year.  She receives  another  $23,000 in  SNAP  and WIC  benefits,                                                              
federal Earned  Income Tax  Credits, and  Child Tax Credits,  plus                                                              
close to  $4,000 from the  Permanent Dividend Fund.  This reflects                                                              
the family  resources in Alaska  today, though the  recent minimum                                                              
wage increase that began in January needs to be updated.                                                                        
                                                                                                                                
4:06:35 PM                                                                                                                    
MS. OSBOURNE moved  to slides 21-22 and said the  level of benefit                                                              
for  paid  family  leave (PFL)  varies  substantially  across  the                                                              
country. However,  if Alaska were to implement  the least generous                                                              
PFL  program and  apply it  to Lina's  situation,  she would  have                                                              
around $19,000  in wages,  increasing her  overall resources  each                                                              
year  by about  $1,800. This  change would  move Alaska's  ranking                                                              
from ten to seven.                                                                                                              
                                                                                                                                
4:07:38 PM                                                                                                                    
MS. OSBOURNE  moved to slides 26-27  and said the market  rate for                                                              
childcare  in Alaska  is lower than  in Washington  or Oregon  but                                                              
higher than  in Montana.  Out-of-pocket childcare expenses,  shown                                                              
in  navy and  teal  on  the graph,  are  a substantial  burden  on                                                              
families'  finances.  She  explained   that  if  Alaska  increased                                                              
reimbursement  rates to the  75th percentile  of the market  rate,                                                              
which is now  common among states, Lina's family  would benefit by                                                              
almost  $1,400 a year.  This increase  would  enable Lina  to work                                                              
more,  likely  remain  in  the workforce,  send  her  children  to                                                              
higher quality care, and boost her household resources.                                                                         
                                                                                                                                
4:09:02 PM                                                                                                                    
MS.  OSBOURNE  moved  to  slide  28  and  stated  that  if  Alaska                                                              
implemented  both   the  Paid  Family  Leave  (PFL)   program  and                                                              
childcare  subsidies  to  the 75th  percentile,  Lina  would  have                                                              
almost   $46,000  in   resources,   significantly  improving   her                                                              
children's  well-being. She  added that  the Prenatal-to-3  Policy                                                              
Impact Center has many more resources to share.                                                                                 
                                                                                                                                
4:10:00 PM                                                                                                                    
CHAIR  TOBIN asked  about the  difference  between chronic  versus                                                              
single  episode   adversity.  She  mentioned  hearing   from  some                                                              
National Conference  of State  Legislatures (NCSL) partners  about                                                              
redefining  Adverse  Childhood   Experiences  (ACES)  scores.  She                                                              
noted that  experiences like  the death  of a  family member  or a                                                              
divorce might contribute  to a single episode of  adversity, which                                                              
is  different  from  chronic  adversity.   She  requested  further                                                              
explanation of this difference.                                                                                                 
                                                                                                                                
4:10:30 PM                                                                                                                    
MS.  OSBORNE  replied that  there  are  three different  types  of                                                              
stress to  consider. One  is normal stress,  which is  healthy for                                                              
development. Children  learn boundaries  and understand  that they                                                              
can't always  get what they want,  which is important  for healthy                                                              
growth.  The second  type is tolerable  stress,  such as losing  a                                                              
family member  or moving  to a new  place and losing  connections.                                                              
With the  support of  a loving,  caring adult,  children can  cope                                                              
with  this stress  without  long-term negative  consequences.  The                                                              
third type is  chronic stress, which includes ongoing  issues like                                                              
poverty  or having  a  parent with  mental  illness. This  stress,                                                              
especially without  the presence of a supportive  adult, is called                                                              
toxic stress.  Toxic stress can  negatively affect brain  and body                                                              
development, leading  to long-term  adverse outcomes  and lifelong                                                              
consequences.                                                                                                                   
                                                                                                                                
CHAIR TOBIN thanked  the presenter for a presentation  grounded in                                                              
policy and research.                                                                                                            
                                                                                                                                
^Presentation: All Alaska Pediatric Partnership (A2P2)                                                                          
                         PRESENTATION:                                                                                      
            ALL ALASKA PEDIATRIC PARTNERSHIP (A2P2)                                                                         
                                                                                                                                
4:12:25 PM                                                                                                                    
CHAIR TOBIN  introduced Alaska  Pediatric Partnership,  a Prenatal                                                              
-to- 3 Stakeholder.                                                                                                             
                                                                                                                                
4:12:44 PM                                                                                                                    
TAMAR  BEN-YOSEF,   Executive  Director,   All  Alaska   Pediatric                                                              
Partnership  (A2P2),  Anchorage,  Alaska,  offered  the  following                                                              
testimony on the All Alaska Pediatric Partnership (A2P2):                                                                     
                                                                                                                              
       Thank you for inviting me to testify today on how                                                                        
      Alaska can better support its population of mothers                                                                       
     and  young children.  The Alaska  Pediatric  Partnership                                                                   
     is a  statewide nonprofit  dedicated  to the health  and                                                                   
     wellness  of Alaska's  children  and  the families  that                                                                   
     care  for them.  Our organization  has  been working  in                                                                   
     collaboration    with    partners    and    stakeholders                                                                   
     statewide,   from  public   and   private  entities   to                                                                   
     communities  and tribal health  entities, since  1995 to                                                                   
     find innovative  solutions and drive transformations  to                                                                   
     the  systems of care  for children  and their  families,                                                                   
     so  that every  Alaskan  child  has the  opportunity  to                                                                   
     reach their full potential.                                                                                                
                                                                                                                                
     4:13:34 PM                                                                                                               
     MS. BEN-YOSEF continued:                                                                                                   
                                                                                                                                
     Thank  you  for that  excellent  presentation  from  the                                                                   
     Prenatal-to-Three  Policy Impact  Center. We heard  some                                                                   
     stark  examples of  where we  stand as a  state in  both                                                                   
     best  practice policies  and strategies  related to  the                                                                   
     prenatal and  pediatric population. In our  state, we've                                                                   
     seen a  negative growth  rate for  the last decade,  and                                                                   
     we're  feeling   it  heavily  in  Alaska's   ability  to                                                                   
     recruit  medical  providers  and military  families  who                                                                   
     need  services for  their families  and dependents.  So,                                                                   
     what  will it  take  to make  Alaska  a  great place  to                                                                   
     raise children?  The good thing is that we  already have                                                                   
     a lot  of what we  need. We don't  need to recreate  the                                                                   
     wheel.  Everything required  to  make measurable  change                                                                   
     exists  in several well-crafted  documents developed  by                                                                   
     a diverse  group of  Alaskans who  have been engaged  in                                                                   
     prenatal  and early  childhood work  for years, some  of                                                                   
     whom are sitting right here in the room.                                                                                   
                                                                                                                                
     In    2019,    through    several     federal    funding                                                                   
     opportunities,   including   the  Birth   through   Five                                                                   
     Preschool   Development  Grant,   a  joint  task   force                                                                   
     conducted  a  statewide needs  assessment  and  analyzed                                                                   
     numerous  other documents  and  data  that informed  the                                                                   
     development  of  the Alaska  Early  Childhood  Strategic                                                                   
     Plan.  This plan has  been adopted  and endorsed  by the                                                                   
     Alaska  Early  Childhood Coordinating  Council  (AECCC),                                                                   
     which is co-chaired  by the Department of  Education and                                                                   
     the  Department of  Health.  I'm glad  to  say that  the                                                                   
     strategies  recommended  in  the presentation  from  the                                                                   
     Prenatal-to-Three  Policy Impact Center are  included in                                                                   
     the  Early  Childhood  Strategic   Plan  throughout  the                                                                   
     written objectives.  Another resource that  informed the                                                                   
     strategic  plan  is  the  Alaska   Mental  Health  Trust                                                                   
     Comprehensive  Integrated  Mental Health  Program  Plan,                                                                   
     and  both  documents  are linked  in  the  slide.  These                                                                   
     documents   lay  a   firm   foundation  for   actionable                                                                   
     strategies  that will  move the needle  on outcomes  for                                                                   
     children.                                                                                                                  
                                                                                                                                
4:15:20 PM                                                                                                                  
MS. BEN-YOSEF continued:                                                                                                        
                                                                                                                              
     What  we   don't  have  is   the  architecture   or  the                                                                   
     infrastructure  to   support  the  execution   of  these                                                                   
     plans. For  years, Alaska has  managed its programs  and                                                                   
     services for  children and families using  a reactionary                                                                   
     approach  that  leans on  individualized  solutions  and                                                                   
     initiatives  to target  some of  its biggest  challenges                                                                   
     related  to  education and  children's  health.  Picking                                                                   
     single  efforts  or  projects lifted  up  by  individual                                                                   
     stakeholder   groups  will  not   move  the  needle   on                                                                   
     outcomes  and   has  led  to   the  situation   we  find                                                                   
     ourselves  in  today.  What   we  need  to  do  is  work                                                                   
     together  on  a  comprehensive  approach  in  the  Early                                                                   
     Childhood  Strategic Plan  that has  been agreed to  and                                                                   
     ratified  by both  education and  health sector  experts                                                                   
     and  has been  informed  by  the communities  where  the                                                                   
     changes  need to take  place. The  planning has  already                                                                   
     been  done. We  need to  partner with  each other,  with                                                                   
     you all,  and with  the Children's  Caucus for the  hard                                                                   
     work of implementing  the mapped-out strategies  that we                                                                   
     know will  work, and I look  forward to doing  that work                                                                   
     with you all.                                                                                                              
                                                                                                                                
     The  strategies  these  plans  lay  out  represent  work                                                                   
     traditionally   found  in   several  sectors,  such   as                                                                   
     health,   education,   and    other   departments   that                                                                   
     intersect   with   children   and   families.   However,                                                                   
     families  don't  approach  these  as  separate  systems.                                                                   
     They  are  simply looking  to  get  what they  need  for                                                                   
     their children  and find ways to help their  families be                                                                   
     in a  position to  support their  children so that  they                                                                   
     can be  ready to learn when  they arrive at  school. The                                                                   
     more  coordinated the  system, the  better the  outcomes                                                                   
     will be  for the families,  for their children,  and for                                                                   
     our state.                                                                                                                 
                                                                                                                              
^Presentation: Alaska Head Start Program                                                                                        
                         PRESENTATION:                                                                                      
                   ALASKA HEAD START PROGRAM                                                                                
                                                                                                                              
4:17:30 PM                                                                                                                  
CHAIR TOBIN announced the consideration of a presentation by                                                                    
Chugiak Children's Services.                                                                                                    
                                                                                                                              
4:17:53 PM                                                                                                                  
MARK LACKEY, Executive Director, Chugiak Children's Services,                                                                   
Wasilla, Alaska, stated he is an active member of the Alaska                                                                    
Head Start Association. He provided the following testimony:                                                                  
                                                                                                                              
     Head  Start is  the safety  net  of our  nation when  it                                                                   
     comes  to early  childhood.  We have  an almost  60-year                                                                   
     history  of providing  services across  the country  and                                                                   
     in Alaska as  well. My own agency is one of  17 grantees                                                                   
     in  the state  of  Alaska. We  provide  services in  the                                                                   
     Mat-Su  Borough and  serve  over 3,000  children  across                                                                   
     the state  in more than  100 communities. In  many rural                                                                   
     villages throughout  Alaska, where there is  no licensed                                                                   
     childcare  program,  Head  Start  programs  fulfill  the                                                                   
     need for the entire community.                                                                                             
                                                                                                                                
4:19:08 PM                                                                                                                    
MR. LACKEY continued:                                                                                                           
     Every  year,   $62  million  of  Alaska's   federal  tax                                                                   
     dollars  flow  back  into   the  state  for  operational                                                                   
     funds,  not  accounting  for  capital  funds.  There  is                                                                   
     significant  capital  investment  in Alaska  that  comes                                                                   
     from  your  tax dollars,  specifically  for  Head  Start                                                                   
     programs  and early childhood  education. In my  program                                                                   
     alone,  in the Mat-Su,  we have  built three  facilities                                                                   
     over  the past  six  years, bringing  approximately  $14                                                                   
     million  into   our  community  for  capital   projects,                                                                   
     serving children and families.                                                                                             
                                                                                                                                
     Federal  grants  require a  20  percent match,  and  the                                                                   
     state  of Alaska committed  to help  grantees meet  that                                                                   
     federal  match  until  2010.  As  our  previous  speaker                                                                   
     noted,  funding  stopped increasing  even  though  costs                                                                   
     continued  to rise  and federal  funding increased  with                                                                   
     the   cost  of   living.  Programs   expanded  to   meet                                                                   
     community needs.  Currently, the state match  is down to                                                                   
     11  percent,  which  has  consequences   for  individual                                                                   
     communities.                                                                                                               
                                                                                                                                
4:20:46 PM                                                                                                                    
MR. LACKEY continued:                                                                                                           
                                                                                                                                
     In  my own  community, my  board  of directors  recently                                                                   
     decided  to close  a  school. We  have  waiting lists  a                                                                   
     mile long, and  the need has only increased  in the Mat-                                                                   
     Su.  Many   children  and   families  qualify   for  our                                                                   
     services.  Our services  are  provided  to the  families                                                                   
     who are most  at risk and vulnerable, such  as very low-                                                                   
     income  families,  families   with  children  in  foster                                                                   
     care,  and families  experiencing  homelessness. In  our                                                                   
     program,  half of the  children we  serve are either  in                                                                   
     foster  care or  homeless.  By closing  that school,  we                                                                   
     will serve  about 60 fewer  children next fall,  half of                                                                   
     whom  will   be  in  foster  care  or   homeless.  These                                                                   
     children  will be unserved,  leading to increased  costs                                                                   
     for  the state  in  providing care,  special  education,                                                                   
     OCS involvement, and criminal justice.                                                                                     
                                                                                                                                
     Early  Head  Start  and  Head   Start  are  foundational                                                                   
     pieces   in   our  state's   early   childhood   system,                                                                   
     especially  for   children  from  zero  to   three.  The                                                                   
     federal  investment  will   continue  to  grow  in  this                                                                   
     realm,   but   we   must  protect   and   nurture   this                                                                   
     investment.  Otherwise,  our  tax dollars  will  support                                                                   
     services in other states.                                                                                                  
                                                                                                                              
CHAIR TOBIN thanked the presenter.                                                                                              
                                                                                                                              
^PRESENTATION: THREAD                                                                                                           
                         PRESENTATION:                                                                                      
                             THREAD                                                                                         
                                                                                                                              
4:23:20 PM                                                                                                                  
CHAIR TOBIN stated Mr. Moe would provide a presentation on                                                                      
Thread.                                                                                                                         
                                                                                                                              
4:23:35 PM                                                                                                                  
NICK MOE, Public Policy Manager, Thread, Anchorage, Alaska,                                                                     
Offered the following presentation on Thread:                                                                                   
                                                                                                                                
     Thread  is  Alaska's  Childcare  Resource  and  Referral                                                                   
     organization.  We serve around  10,000 Alaskan  families                                                                   
     across  more  than  400 childcare  and  infant  learning                                                                   
     programs.  We  offer  direct  services  to  2,000  early                                                                   
     educators across  the state. We have  recently partnered                                                                   
     with  the state to  help administer  COVID relief  funds                                                                   
     to  centers across  Alaska and  recent one-time  funding                                                                   
     from  the state  to  help  support the  early  education                                                                   
     workforce.                                                                                                                 
                                                                                                                                
     Infant  and  toddler care  for  the  zero to  three  age                                                                   
     group  is the  largest age  group in  Alaska that  needs                                                                   
     quality  childcare.  More than  60 percent  of  Thread's                                                                   
     childcare   referrals  for   families  are  from   those                                                                   
     needing  infant  and toddler  care.  Unfortunately,  and                                                                   
     mostly  due to  costs, we've  seen  programs offer  less                                                                   
     and  less infant  and toddler  care over  the last  five                                                                   
     years.  Recognizing  that  this  care  is  difficult  to                                                                   
     find,  I want  to emphasize  that  Thread supports  paid                                                                   
     family  leave policies,  which are  even more  important                                                                   
     given  the lack of  supply. We  support this policy  and                                                                   
     recognize that  parents are  the child's first  and most                                                                   
     important teachers.                                                                                                        
                                                                                                                                
4:25:12 PM                                                                                                                  
MR. MOE continued:                                                                                                              
                                                                                                                                
     I  appreciate  today's  presentation   and  comments.  I                                                                   
     thought  I   would  offer  a  broader   perspective  and                                                                   
     discuss  some  of  the  challenges   and  solutions  for                                                                   
     increasing  infant  learning and  toddler  opportunities                                                                   
     in Alaska. The  COVID relief funds and  one-time funding                                                                   
     from the  state have been  absolutely essential  to keep                                                                   
     programs  open and  childcare  providers employed.  What                                                                   
     we  desperately need  now  is sustainable  funding  from                                                                   
     the state.                                                                                                                 
                                                                                                                                
     We   can't  expect   the  small   business  owners   and                                                                   
     entrepreneurs  who run  many of these  programs to  make                                                                   
     long-term  decisions and adjustments  like hiring  staff                                                                   
     and  modifying   physical  spaces  with   only  one-time                                                                   
     funding.  We  can't  expect   our  early  educators  and                                                                   
     childcare    providers   to    forego   better    career                                                                   
     opportunities with  better benefits based on  a one-time                                                                   
     award or  bonus that might  not be available  next year.                                                                   
     We  can't expect  Alaskan families  to  commit to  full-                                                                   
     time   employment  or   enter   the  workforce   without                                                                   
     certainty about childcare costs.                                                                                           
                                                                                                                                
     We need to  offer stability to the childcare  and infant                                                                   
     learning   sector   in   Alaska    so   that   long-term                                                                   
     investments  and   improvements  that  are   desperately                                                                   
     needed can  be made. Specifically,  we need  to increase                                                                   
     the  childcare program  office's  operating budget  line                                                                   
     item  to  support small  businesses,  Alaskan  families,                                                                   
     and early  educators who make infant  learning possible.                                                                   
     This  would  help  match  the  federal  funding  already                                                                   
     received, allow  local control to support  more programs                                                                   
     and families  than are currently  funded, and  help grow                                                                   
     opportunities for more children in our state.                                                                              
                                                                                                                              
4:27:06 PM                                                                                                                  
SENATOR KIEHL  asked about  the $7.5  million appropriated  by the                                                              
legislature  and signed  by the  governor for  the current  fiscal                                                              
year. He  inquired how  these funds are  being distributed  and if                                                              
Thread had observed any impacts from the funds.                                                                                 
                                                                                                                                
4:27:34 PM                                                                                                                  
MR.  MOE  replied that  there  was  an  enormous response  to  the                                                              
program.  He  explained  that  Thread  typically  runs  the  award                                                              
program  Retaining  Our  Outstanding   Teachers  (ROOTS)  for  six                                                              
months but  had to condense it  to six weeks between  November and                                                              
January.   Despite  this,   Thread   received   more  than   1,700                                                              
applicants  and is  currently  processing  these applications  and                                                              
distributing the  funds. He expressed excitement  about continuing                                                              
the program  and the  desire to make  it a sustainable  initiative                                                              
offered to early educators every year.                                                                                          
                                                                                                                              
4:28:17 PM                                                                                                                    
SENATOR  KIEHL   asked  what   proportion  the  1,700   applicants                                                              
represent out  of the  total number  of potential applicants;  how                                                              
many would Thread like to see apply.                                                                                            
                                                                                                                                
MR.  MOE  replied  that  Thread  would like  to  see  100  percent                                                              
participation  but  recognizes  that  early  educators  are  often                                                              
overworked, stressed,  and unable to handle  additional paperwork,                                                              
even though  the application is  very streamlined. He  stated that                                                              
the program has still seen a lot of participation.                                                                              
                                                                                                                              
4:28:56 PM                                                                                                                  
SENATOR KIEHL asked what percentage of early educators is 1700.                                                                 
                                                                                                                              
4:29:05 PM                                                                                                                  
MR.  MOE  replied  that  early   estimates  by  Thread  previously                                                              
indicated there  were about 3,000  early educators, but  there has                                                              
been  almost a  20 percent  reduction in  childcare centers  since                                                              
2019.  The current  number  is closer  to  2,000.  He opined  that                                                              
Thread is  reaching more  than 75 percent  of the early  educators                                                              
in licensed centers around the state.                                                                                           
                                                                                                                                
CHAIR TOBIN thanked the presenter.                                                                                              
                                                                                                                                
4:29:39 PM                                                                                                                  
At ease                                                                                                                         
                                                                                                                                
^Presentation: Southeast  Alaska Association for the  Education of                                                              
Young Children                                                                                                                  
                         PRESENTATION:                                                                                      
                SOUTHEAST ALASKA ASSOCIATION FOR                                                                            
                THE EDUCATION OF YOUNG CHILDREN                                                                             
                                                                                                                              
4:30:14 PM                                                                                                                  
CHAIR TOBIN  reconvened the meeting  and announced  a presentation                                                              
by representatives  from the Southeast Alaska Association  for the                                                              
Education of Young Children.                                                                                                    
                                                                                                                              
4:30:50 PM                                                                                                                  
NICCI LOVE,  Creative Director,  Southeast Alaska Association  for                                                              
the Education  of Young  Children, Juneau,  Alaska, stated  she is                                                              
proud to  say the Southeast  Alaska Association for  the Education                                                              
of  Young  Children  (SEAAEYC) has  been  operating  in  Southeast                                                              
Alaska for 40 years.                                                                                                            
                                                                                                                                
MS. LOVE gave the following testimony:                                                                                          
                                                                                                                                
     I just  want to  share some  recommendations that  we've                                                                   
     come  up with,  starting with  the  shortage of  quality                                                                   
     childcare,  especially  for  infants  and  toddlers.  As                                                                   
     we've   heard,  in   Alaska,   this  poses   significant                                                                   
     challenges  for families.  Parents  are struggling  with                                                                   
     limited  choices,  resulting  in  compromised  work-life                                                                   
     balance,   increased  stress,   and  hindered   economic                                                                   
     productivity.   Recognizing  the  importance   of  early                                                                   
     childhood  development,  families  must have  access  to                                                                   
     various childcare  options to  meet their unique  needs.                                                                   
     Infants and  toddlers require  specialized care  that is                                                                   
     responsive to  their developmental milestones.  The lack                                                                   
     of  diverse  childcare  options   impacts  both  working                                                                   
     parents and our youngest members.                                                                                          
                                                                                                                                
     To  address the  shortage effectively,  it's crucial  to                                                                   
     consider  policies  and  initiatives  that  support  the                                                                   
     creation   and  sustainability   of  quality   childcare                                                                   
     facilities  catering to the  needs of all our  children.                                                                   
     Among  the   following  recommendations,   several  have                                                                   
     already  been implemented  by  our agency,  and we  have                                                                   
     had,  in  some  cases, several  years  of  success.  One                                                                   
     recommendation  is to explore  opportunities to  provide                                                                   
     financial   incentives   and   support   for   childcare                                                                   
     providers  specializing in  infant and  toddler care  to                                                                   
     promote  the   establishment  of  more   facilities  and                                                                   
     spaces  for these  children.  Another recommendation  is                                                                   
     investing  in training  and  certification programs  for                                                                   
     providers focused  on infant and toddler  care, ensuring                                                                   
     these workers  have the  necessary skills and  knowledge                                                                   
     to  promote  healthy development  during  these  crucial                                                                   
     years.                                                                                                                     
                                                                                                                                
4:32:48 PM                                                                                                                    
MS. LOVE continued:                                                                                                             
                                                                                                                                
     Additionally,  collaboration  between government,  local                                                                   
     communities,  and private sector  entities is  essential                                                                   
     to  collectively  address   the  shortage  of  care  and                                                                   
     create networks  of reliability and stability.  Flexible                                                                   
     funding  models  that  support   a  range  of  childcare                                                                   
     options, including  home-based care, center-based  care,                                                                   
     and   community-based   initiatives,  should   also   be                                                                   
     considered  to cater  to  diverse needs.  By  addressing                                                                   
     the  shortage of  care, we  not only  support the  well-                                                                   
     being of Alaska's  families but also lay  the groundwork                                                                   
     for future success.                                                                                                        
                                                                                                                                
4:33:25 PM                                                                                                                  
MS. LOVE continued:                                                                                                             
                                                                                                                                
     Our  agency has  noted  that it  is  very difficult  for                                                                   
     families   to  access  childcare,   especially  in   the                                                                   
     future. While  increasing subsidies is  fantastic, there                                                                   
     often  will  be no  care  available.  Thus, we  need  to                                                                   
     incentivize  the workforce. Our  agency has worked  with                                                                   
     COVID funding,  but even prior  to that, we  developed a                                                                   
     program   called  HEARTS,   which  stands  for   Hiring,                                                                   
     Educating, and  Training Teachers. This  was implemented                                                                   
     with support  through the city  and borough in  2012. It                                                                   
     was on that  foundation and through those  relationships                                                                   
     that  we  built  a  strong  and  robust  program,  which                                                                   
     allowed us to  bring in COVID dollars to  increase wages                                                                   
     in  the  last   two  years.  The  average   wage  for  a                                                                   
     childcare  worker in Juneau  has gone  from $12 an  hour                                                                   
     up  to $18  and $20  an hour.  Consequently, we've  seen                                                                   
     very  few program  closures;  I  think only  one  closed                                                                   
     during  COVID,  and  we are  now  seeing  more  programs                                                                   
     open.  We have  been very  fortunate and  unique in  our                                                                   
     state  by fostering  relationships  between private  and                                                                   
     government entities.                                                                                                       
                                                                                                                              
4:34:47 PM                                                                                                                  
EMILY  THOMPSON,  Program  Manager,  Parents  as  Teachers  (PAT),                                                              
Southeast   Alaska  Association   for  the   Education  of   Young                                                              
Children, Juneau,  Alaska provided the following  testimony on the                                                              
Parents as Teachers program:                                                                                                    
                                                                                                                                
     I am  the program manager  for Parents as Teachers,  one                                                                   
     of the  programs housed within  the Association  for the                                                                   
     Education  of Young  Children  (AEYC).  We are  actually                                                                   
     the largest  PAT program in  the state. We  serve Juneau                                                                   
     and some  of the outlying  southeast areas as  well. PAT                                                                   
     is an  evidence-based home  visiting program and  one of                                                                   
     the  strategies  you  heard about  in  the  presentation                                                                   
     from the Prenatal-to-Three Policy Group this morning.                                                                      
                                                                                                                                
4:35:10 PM                                                                                                                    
MS. THOMPSON continued:                                                                                                         
                                                                                                                                
     Parents  as  Teachers serves  as  a lifeline  to  Alaska                                                                   
     families,  offering  crucial  resources and  support  to                                                                   
     pre- and  postpartum parents  during the critical  early                                                                   
     years  of a  child's development.  The program  empowers                                                                   
     parents  to be  their child's  first  and best  teacher,                                                                   
     providing  guidance and  resources  that foster  healthy                                                                   
     development and  early learning. Children do  not arrive                                                                   
     at  kindergarten as  empty vessels;  all development  is                                                                   
     sequential,  meaning one  skill is  built upon  another.                                                                   
     For instance,  to learn  to read, a  child first  has to                                                                   
     regulate   emotions  and   engage  in   serve-and-return                                                                   
     interactions,  the dance  of  the wiring  of the  brain.                                                                   
     All  that  work  takes place  during  infancy,  and  PAT                                                                   
     helps parents  understand the importance of  those early                                                                   
     years  and  use  brain  development  knowledge  to  make                                                                   
     choices about how to raise their children.                                                                                 
                                                                                                                                
4:35:56 PM                                                                                                                  
MS. THOMPSON continued:                                                                                                         
     With  its  unique geographical  challenges,  Alaska  can                                                                   
     significantly  benefit from programs  like PAT.  Many of                                                                   
     our families  are far from extended families  down south                                                                   
     and  find themselves  struggling in  their new roles  as                                                                   
     parents. When  parents struggle, children  struggle. PAT                                                                   
     works  to build  the  relationship between  the  trained                                                                   
     home visitor  and the family so parents have  a lifeline                                                                   
     of  information  and  support.  With over  40  years  of                                                                   
     experience,  PAT  is  an  evidence-based   program  that                                                                   
     reduces  child  abuse  and   neglect,  increases  school                                                                   
     readiness,  and   helps  support  families   during  the                                                                   
     vulnerable first three years.                                                                                              
                                                                                                                                
4:36:23 PM                                                                                                                    
MS. THOMPSON continued:                                                                                                         
                                                                                                                                
     While  the road to  adequate support  for prenatal  care                                                                   
     seems  long and  difficult, the  PAT program  can be  an                                                                   
     easy  win for  Alaska. We  already have  a structure  in                                                                   
     place  to provide PAT  services in  many regions  of the                                                                   
     state, but we  need more funding. I cannot  speak to the                                                                   
     other  programs, but  within our  Southeast program,  we                                                                   
     have  a waitlist  of over 50  families.  It is a  highly                                                                   
     effective  and  in-demand   program.  If  the  state  is                                                                   
     serious  about  boosting  school  readiness  skills  and                                                                   
     supporting  birth   to  three  development,   increasing                                                                   
     funding  for Parents  as  Teachers is  a  tried-and-true                                                                   
     solution.                                                                                                                  
                                                                                                                                
CHAIR  TOBIN  noted that  the  PAT  program  had expired  but  was                                                              
reauthorized  in the Alaska  Reads Act, but  funding did  not meet                                                              
the level of need.                                                                                                              
                                                                                                                                
^Presentation: Alaska Children's Trust                                                                                          
                         PRESENTATION:                                                                                      
                    ALASKA CHILDREN'S TRUST                                                                                 
                                                                                                                              
4:36:55 PM                                                                                                                  
CHAIR TOBIN announced  the consideration of a presentation  on the                                                              
Alaska Children's Trust.                                                                                                        
                                                                                                                                
CHAIR  TOBIN  asked that  Mr.  Storrs  touch upon  the  connection                                                              
between  the Prenatal-to-Three  System  of  Care  and primary  and                                                              
secondary performance.                                                                                                          
                                                                                                                              
4:37:42 PM                                                                                                                  
TREVOR  STORRS,  President,  Alaska  Children's  Trust,  Anchorage                                                              
Alaska,  replied that  a child,  family, and  community cannot  be                                                              
looked  in  pieces.  He  mentioned   research,  like  the  Heckman                                                              
report, that  shows that the return  on investment is  much higher                                                              
when consideration  of brain development  starts at an  early age.                                                              
When families start  off on the right foot, it  positively impacts                                                              
all aspects,  whether K through  12, post-secondary,  or preparing                                                              
kids for  trade systems. Starting  early enables them  to generate                                                              
the income needed to thrive and support their families in                                                                       
Alaska, rather than in other states, which is a significant                                                                     
issue.                                                                                                                          
                                                                                                                                
4:38:41 PM                                                                                                                  
MR. STORRS provided the following testimony:                                                                                    
                                                                                                                                
     One of  the things we were  asked to address is  what we                                                                   
     can  do here in  Alaska to  set roots.  To build on  the                                                                   
     previous   discussion,    home   visiting    is   really                                                                   
     important.   The   federal   government   is   expanding                                                                   
     Maternal,  Infant,  and Early  Childhood  Home  Visiting                                                                   
     (MIECHV)  funding. We  get  the dollars,  but they  will                                                                   
     require a match.  Home visiting is an  essential program                                                                   
     that helps  new families or  parents start off  right in                                                                   
     raising   their   children    by   providing   necessary                                                                   
     supports.  The  exact  amount  Alaska  will  receive  is                                                                   
     still  being determined, but  a 75  to 25 percent  match                                                                   
     will  be  required.  This expansion  could  enhance  our                                                                   
     home  visiting   efforts  and   extend  to  our   tribal                                                                   
     partners,   fostering   strong  relationships   by   not                                                                   
     expecting them to find the match on their own.                                                                             
                                                                                                                              
4:40:05 PM                                                                                                                  
MR. STORRS continued:                                                                                                           
                                                                                                                                
     Another   topic  currently   being   discussed  in   our                                                                   
     legislature  is  paid  family leave.  It's  crucial  for                                                                   
     allowing  families  to  be   with  their  children.  For                                                                   
     instance, the  Children's Trust has instituted  a policy                                                                   
     allowing family  members up to  12 paid weeks  of leave.                                                                   
     Many other  countries offer up  to a year. This  time is                                                                   
     critical  for   child  development,  particularly   from                                                                   
     birth  to three years,  providing bonding  opportunities                                                                   
     and promoting  economic stability.  A key to  preventing                                                                   
     not just child  abuse and neglect but other  issues that                                                                   
     families   deal  with  is   about  economics.   Concrete                                                                   
     supports,   such   as   housing   and   food   security,                                                                   
     significantly  reduce family  stress and prevent  issues                                                                   
     like child abuse, neglect, homelessness, and diabetes.                                                                     
                                                                                                                                
     We  want  to  make  it  easier  for  families  who  need                                                                   
     support to get  out of poverty or other  situations. One                                                                   
     strategy  to support  families is making  it easier  for                                                                   
     them  to  access  necessary   supports,  like  in  South                                                                   
     Carolina's  First Five centralized  system. This  system                                                                   
     allows  families to  input  their information  once  and                                                                   
     access  food stamps,  Medicaid,  Head  Start, and  other                                                                   
     services,  eliminating silos and  reducing the  time and                                                                   
     complexity   involved.  Streamlining   these   processes                                                                   
     removes  barriers   and  frustration,  making   it  less                                                                   
     likely  for families  to  give up  or  resort to  unsafe                                                                   
     childcare options.                                                                                                         
                                                                                                                                
4:43:10 PM                                                                                                                  
MR. STORRS continued:                                                                                                           
                                                                                                                                
     Investing   in   our   state's   systems   is   crucial,                                                                   
     particularly  given  current  technological  challenges.                                                                   
     Clear  direction to  the  department  on implementing  a                                                                   
     system like  First Five would significantly  benefit our                                                                   
     state.                                                                                                                     
                                                                                                                                
4:43:24 PM                                                                                                                  
CHAIR  TOBIN thanked  the  presenter and  noted  that Iceland  has                                                              
paid  family leave  for  six  months and  adoption  by  men is  90                                                              
percent which a  chief factor in closing the  country's gender pay                                                              
gap.                                                                                                                            
                                                                                                                              
4:43:51 PM                                                                                                                  
MR. STORRS  commented that  Iceland allocates  much less  money to                                                              
jails and  tertiary care. After  visiting Iceland with  the Mat-Su                                                              
Health   Foundation,   he   learned   they   prioritize   upstream                                                              
investment  over   expanding  jails.   He  emphasized   that  this                                                              
prioritization is a key difference.                                                                                           
                                                                                                                              
4:44:53 PM                                                                                                                  
There  being no  further business  to come  before the  committee,                                                              
Chair  Tobin adjourned  the  Senate Education  Standing  Committee                                                              
meeting at 4:44 p.m.                                                                                                            
                                                                                                                                

Document Name Date/Time Subjects
Prenatal to 3 Policy Impact Center Presentation 01.31.2024.pdf SEDC 1/31/2024 3:30:00 PM