Legislature(1999 - 2000)

03/03/1999 09:05 AM Senate FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
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GENERAL SUBJECT(S):  SB 83 Supplemental/Capital Appropriations                                                                  
                                                                                                                                
The following overview was taken in log note format.  Tapes and                                                                 
handouts will be on file with the Senate Finance Committee through the                                                          
21st legislative session, contact 465-2618.  After the 21st                                                                     
legislative session they will be available through the legislative                                                              
library at 465-3808.                                                                                                            
                                                                                                                                
Time meeting convened:  9:05 a.m.                                                                                               
                                                                                                                                
TAPE(S):  SFC-99 #42, Side A (000 - 589)                                                                                        
                      Side B (589 - 000)                                                                                        
                                                                                                                                
                                                                                                                                
PRESENT:                                                                                                                        
                                                                                                                                
                                                                                                                                
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SENATOR PARNELL                                                                                                                 
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SENATOR ADAMS                                                                                                                   
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SENATOR TORGERSON                                                                                                               
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SENATOR P. KELLY                                                                                                                
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SENATOR DONLEY                                                                                                                  
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SENATOR GREEN                                                                                                                   
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SENATOR LEMAN                                                                                                                   
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SENATOR PHILLIPS                                                                                                                
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SENATOR WILKEN                                                                                                                  
                                                                                                                                
                                                                                                                                
ALSO PRESENT: DAN SPENCER, Chief Budget Analyst, Office of Budget                                                               
and Management; ALISON ELGEE, Deputy Commissioner, Department of                                                                
Revenue; SHARON BARTON, Director, Division of Administrative                                                                    
Services, Department of Administration; JANET CLARKE, Director,                                                                 
Division of Administrative Services, Department of Health and                                                                   
Social Services; ROBERT LABBE, Director, Division of Medical                                                                    
Assistance, Department of Health and Social Services; THERESA                                                                   
TANOURY, Administrator, Family Services, Division of Family and                                                                 
Youth Services, Department of Health and Social Services; KATHRYN                                                               
DAUGHHETEE, Director, Division of Administrative Services,                                                                      
Department of Law; KIMBERLY METCALFE-HELMAR, Special Assistant,                                                                 
Office of the Commissioner, Department of Community and Regional                                                                
Affairs; aides to committee members and other members of the                                                                    
Legislature.                                                                                                                    
                                                                                                                                
                                                                                                                                
LOG                                                                                                                             
SPEAKER                                                                                                                         
DISCUSSION                                                                                                                      
                                                                                                                                
000                                                                                                                             
Co-Chair Parnell                                                                                                                
Convened committee meeting and outlined                                                                                         
schedule.                                                                                                                       
                                                                                                                                
Sharon Barton                                                                                                                   
Director, Division of Administrative Services,                                                                                  
Department of Administration was invited to                                                                                     
join the committee.  She advised the committee                                                                                  
that Alison Elgee would be joining her before                                                                                   
the committee.                                                                                                                  
                                                                                                                                
Alison Elgee                                                                                                                    
Deputy Commissioner, Department of                                                                                              
Administration was invited to join the                                                                                          
committee.  She explained section 6(f) of the                                                                                   
bill.                                                                                                                           
Problems requiring one on one staffing at the                                                                                   
homes.  $500,000 necessary to get us through                                                                                    
the remainder of the year and maintain staff.                                                                                   
                                                                                                                                
Senator Donley                                                                                                                  
General understanding they have evolved into                                                                                    
more and more intensive care operations than                                                                                    
originally begun.  What other states have                                                                                       
program like this?                                                                                                              
                                                                                                                                
Alison Elgee                                                                                                                    
Actually ahead of other states in ability to                                                                                    
provide care through the Pioneer Homes.                                                                                         
Alzheimer's related directly to longevity.                                                                                      
Eighty-five percent incident of Alzheimer's in                                                                                  
the elderly.  Trying to decide the best method                                                                                  
to address care for Alzheimer's.  Not a                                                                                         
psychiatric problem.  Need good healthy                                                                                         
environment for these individuals.  They are                                                                                    
attempting this in the Pioneer Homes.                                                                                           
                                                                                                                                
Senator Donley                                                                                                                  
Trying to figure out original mission of the                                                                                    
Pioneer Homes and in comparison to what other                                                                                   
states are doing.                                                                                                               
Looks for advice from other members working on                                                                                  
subcommittees.                                                                                                                  
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked Senator Wilken to explore this question                                                                                   
of Senator Donley more directly in                                                                                              
subcommittee.                                                                                                                   
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked Ms. Elgee what the Administration is                                                                                      
doing to address the concerns regarding this                                                                                    
matter.  He was hearing from others, why do                                                                                     
they need more money?                                                                                                           
                                                                                                                                
Ms. Elgee                                                                                                                       
Personally has met with families directly                                                                                       
concerned.  Also Commissioner Poe is addressing                                                                                 
this matter.  Interested in trying to improve                                                                                   
the immediate care of these individuals.                                                                                        
Need extra staff to provide care...referred to                                                                                  
incident in Anchorage Pioneer Home last year.                                                                                   
Individual had caused harm to others in the                                                                                     
facility.                                                                                                                       
Individual was sent to API for help and will                                                                                    
not be replaced in the home.                                                                                                    
Another similar situation in Sitka that the                                                                                     
individual is manageable, but required one on                                                                                   
one staffing.                                                                                                                   
Problems with limited staffing to conduct                                                                                       
specific care.                                                                                                                  
Not interested in warehousing individuals.                                                                                      
This is the worst nightmare of these kinds of                                                                                   
programs.                                                                                                                       
Several areas of concern they have looked into.                                                                                 
Have ascertained what is going on and how it                                                                                    
can be corrected.                                                                                                               
She said they want to treat concerns as                                                                                         
legitimate.                                                                                                                     
By end of week they hope to have something in                                                                                   
written form to be able to present to the                                                                                       
committee.                                                                                                                      
                                                                                                                                
Senator Green                                                                                                                   
Question regarding mechanics of this section.                                                                                   
All staffing would go through designated line                                                                                   
items after this?  How would this be resolved?                                                                                  
                                                                                                                                
Ms. Elgee                                                                                                                       
Suggesting be recognized as designated                                                                                          
receipts.                                                                                                                       
                                                                                                                                
Senator Green                                                                                                                   
Will this be another piece of legislation?                                                                                      
                                                                                                                                
Ms. Elgee                                                                                                                       
Responded yes.                                                                                                                  
                                                                                                                                
Senator Wilken                                                                                                                  
Stated there was an ongoing effort in the                                                                                       
subcommittees to address these issues.                                                                                          
                                                                                                                                
Senator Green                                                                                                                   
Asked if this addressed the Anchorage Pioneer                                                                                   
Home only?                                                                                                                      
                                                                                                                                
Senator Wilken                                                                                                                  
Yes?                                                                                                                            
                                                                                                                                
Co-chair Parnell                                                                                                                
Focus of claims from the Pioneer Homes.                                                                                         
                                                                                                                                
Senator Wilken                                                                                                                  
Only place heard complaints was from Anchorage                                                                                  
Pioneer Home.                                                                                                                   
                                                                                                                                
Co-chair Parnell                                                                                                                
Cautions Senator Green if she has any questions                                                                                 
on other residents at other Pioneer Homes                                                                                       
should direct them to Ms. Elgee.                                                                                                
                                                                                                                                
Ms. Elgee                                                                                                                       
Section 6(g) Replacement of boiler system at                                                                                    
the Fairbanks Pioneer Home.                                                                                                     
Needed to put another mechanic on to assist                                                                                     
with boiler at Fairbanks Pioneer Home.  Have                                                                                    
evacuation plan for frail, elderly patients,                                                                                    
but boiler must be replaced.                                                                                                    
Section 6(h) Reappropriation of funds for the                                                                                   
replacement of the boiler system at the                                                                                         
Fairbanks Pioneer Home.                                                                                                         
                                                                                                                                
Co-chair Parnell                                                                                                                
Why could money not be spent from Risk                                                                                          
Management rather than wait for a supplemental?                                                                                 
                                                                                                                                
Ms. Elgee                                                                                                                       
This has been on the capital project list for                                                                                   
several years.  Have only received small sum to                                                                                 
address needs of all six homes.  Replaced roof                                                                                  
at Palmer Pioneer Home that was badly leaking                                                                                   
and causing structural damage.                                                                                                  
There was concern that they can meet Risk                                                                                       
Management demands, other than direct claims.                                                                                   
                                                                                                                                
Co-chair Parnell                                                                                                                
Asks severity of this matter.                                                                                                   
                                                                                                                                
Ms. Elgee                                                                                                                       
Said they are managing this situation, but                                                                                      
doing it with crossed fingers.                                                                                                  
                                                                                                                                
Senator Wilken                                                                                                                  
Referred to 6(h).                                                                                                               
                                                                                                                                
Ms. Elgee                                                                                                                       
Will generate a little over half a million                                                                                      
dollars.  Combination of (g) and (h) is just                                                                                    
over a million.                                                                                                                 
                                                                                                                                
Senator Wilken                                                                                                                  
Asked if this was AHFC money?                                                                                                   
                                                                                                                                
Ms. Elgee                                                                                                                       
Indicated it was.                                                                                                               
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked to continue.                                                                                                              
                                                                                                                                
Ms. Barton                                                                                                                      
Section 20, Stale Dated Warrants.                                                                                               
Presented to State after expiration date for                                                                                    
payment, which the State must honor.                                                                                            
                                                                                                                                
Senator Donley                                                                                                                  
Question on 6(h) about the source of funds.  Is                                                                                 
this competitive grants?  What program is this?                                                                                 
                                                                                                                                
Ms. Elgee                                                                                                                       
Not familiar with the AHFC appropriations that                                                                                  
have been used.  They identified this money as                                                                                  
being available for reappropriation.                                                                                            
                                                                                                                                
Co-chair Parnell                                                                                                                
Back-up does not provide additional                                                                                             
information.                                                                                                                    
                                                                                                                                
Dan Spencer                                                                                                                     
Budget Analyst, Office of Budget and Management                                                                                 
was invited to join the committee.  Will get                                                                                    
information from AHFC.                                                                                                          
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked Ms. Barton to continue.                                                                                                   
                                                                                                                                
Ms. Barton                                                                                                                      
Section 22, Ratifications                                                                                                       
She explained this was an accounting procedure                                                                                  
of over expenditures from the prior year.                                                                                       
Needed ratification by the Legislature of the                                                                                   
expenditure.                                                                                                                    
(1)(b) OPA Computerization was explained.  Too                                                                                  
late to cover this with year's operating funds.                                                                                 
(1)(c) Central Duplicating/Mail was explained.                                                                                  
Total shortfall was $195.6 approximately.                                                                                       
                                                                                                                                
Senator Donley                                                                                                                  
Does item (c) have anything to do with                                                                                          
arbitration involving Central Duplicating?                                                                                      
                                                                                                                                
Ms. Barton                                                                                                                      
Said this matter only has to do with                                                                                            
expenditures already made in Central                                                                                            
Duplicating up to closing for staff and                                                                                         
operating.                                                                                                                      
                                                                                                                                
Ms. Elgee                                                                                                                       
Further responded.  Correct in relating to                                                                                      
arbitration because the arbitration was the                                                                                     
reason for the closure, however, this cost is                                                                                   
not related to the arbitration itself.                                                                                          
Appropriation was sufficient but they fell                                                                                      
short on the revenue side.  This would correct                                                                                  
that situation.  That is why they need                                                                                          
ratification of the over expenditure from the                                                                                   
Legislature.                                                                                                                    
                                                                                                                                
Senator Donley                                                                                                                  
Is this the same for Telcom Services?                                                                                           
                                                                                                                                
Ms. Elgee                                                                                                                       
Indicated that was correct.                                                                                                     
                                                                                                                                
Ms. Barton                                                                                                                      
Only over expenditures in the Department of                                                                                     
Administration that she is aware of.                                                                                            
                                                                                                                                
Senator Donley                                                                                                                  
Section 6(b)  What is the source of funding?                                                                                    
                                                                                                                                
Ms. Elgee                                                                                                                       
Explained the surplus property program.                                                                                         
Collection of funds through their intermediary                                                                                  
efforts of surplussing Federal property.                                                                                        
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked for further clarification.                                                                                                
                                                                                                                                
Ms. Elgee                                                                                                                       
Further explanation.  Act as intermediary to                                                                                    
get property to someone who can use it.                                                                                         
Revenues pay the cost of operating this                                                                                         
program.  These are the funds referenced here.                                                                                  
                                                                                                                                
Senator Donley                                                                                                                  
Asking for additional authority to expend the                                                                                   
funds?                                                                                                                          
                                                                                                                                
Ms. Elgee                                                                                                                       
Replied that was correct.                                                                                                       
In response to Co-chair Parnell she said the                                                                                    
amount is approximately one half million                                                                                        
dollars.                                                                                                                        
                                                                                                                                
Senator Donley                                                                                                                  
Add to half million they authorized it could be                                                                                 
anticipated they would need about $600,000 for                                                                                  
next year?                                                                                                                      
                                                                                                                                
Ms. Elgee                                                                                                                       
Explained that this particular effort was a one                                                                                 
time issue.  Not an ongoing one.                                                                                                
Asked to assess damage done to land in Bethel.                                                                                  
Will provide environmental assessment in the                                                                                    
amount of $100,000.                                                                                                             
                                                                                                                                
Senator Donley                                                                                                                  
Surplussing land that the City of Bethel                                                                                        
purchased and there is a question of an oil                                                                                     
spill on the property?                                                                                                          
                                                                                                                                
Ms. Elgee                                                                                                                       
Had been acting as intermediary in surplus fuel                                                                                 
oil.  Acquired the fuel, sold to City of                                                                                        
Bethel.  However, at time of transfer tap on                                                                                    
fuel oil tank was inadvertently left open and                                                                                   
some of the fuel oil spilled onto the ground.                                                                                   
Bethel Native Association now looking for                                                                                       
cleanup costs and sued State, Federal and City                                                                                  
of Bethel for adequate cleanup.                                                                                                 
                                                                                                                                
Senator Donley                                                                                                                  
State being sued because they were an agent for                                                                                 
the Federal Government?                                                                                                         
                                                                                                                                
Ms. Elgee                                                                                                                       
Indicated that was correct.                                                                                                     
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked for clarification of the litigation.                                                                                      
                                                                                                                                
Ms. Elgee                                                                                                                       
Will not know what the total exposure is for                                                                                    
the State until they move forward.  There are                                                                                   
no guarantees in an ongoing lawsuit such as                                                                                     
this.                                                                                                                           
                                                                                                                                
Co-chair Parnell                                                                                                                
Is the Department of Law working on this case?                                                                                  
Or will it be handed over to an adverse case?                                                                                   
                                                                                                                                
Ms. Elgee                                                                                                                       
Advised that this was at the request of the                                                                                     
Department of Law.                                                                                                              
                                                                                                                                
Senator Wilken                                                                                                                  
How many gallons of fuel?                                                                                                       
                                                                                                                                
Ms. Elgee                                                                                                                       
106,000.  Will get additional information.                                                                                      
Suggested that perhaps the attorney handling                                                                                    
the case could come before the committee.                                                                                       
                                                                                                                                
Senator Donley                                                                                                                  
"This $100,000 is this additional money coming                                                                                  
in?  Or money raised from some unrelated sale                                                                                   
to this particular problem?"                                                                                                    
                                                                                                                                
Ms. Elgee                                                                                                                       
Not a direct relationship between the fuel oil                                                                                  
and the property.  The fund represents all the                                                                                  
monies the State has earned in conducting this                                                                                  
program.                                                                                                                        
                                                                                                                                
Co-chair Parnell                                                                                                                
The ten cents per gallon the City of Bethel                                                                                     
paid went into the fund?                                                                                                        
                                                                                                                                
Ms. Elgee                                                                                                                       
Yes.                                                                                                                            
                                                                                                                                
Senator Donley                                                                                                                  
Does any balance go to the Federal Government?                                                                                  
                                                                                                                                
Ms. Elgee                                                                                                                       
Explained they have no obligation beyond the                                                                                    
revenues that belong to the State as they are                                                                                   
collected.                                                                                                                      
                                                                                                                                
Senator Donley                                                                                                                  
Direct impact on our State budget in addition                                                                                   
to helping out the Federal Government.  His                                                                                     
concern was that $37,000 sale equaled to                                                                                        
$100,000 for cleanup plus litigation costs.                                                                                     
                                                                                                                                
Ms. Elgee                                                                                                                       
Does not know all the mechanics involved in                                                                                     
this incident.  Special provisions for                                                                                          
municipalities acquiring surplus properties.                                                                                    
                                                                                                                                
Senator Donley                                                                                                                  
Employee leaving valve opened.should be their                                                                                   
liability.                                                                                                                      
                                                                                                                                
Ms. Elgee                                                                                                                       
Believed that is what the outcome will be.                                                                                      
                                                                                                                                
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked to continue to Section 7 Power Cost                                                                                       
Equalization and Rural Electric Capitalization                                                                                  
Fund.                                                                                                                           
                                                                                                                                
Percy Frisby                                                                                                                    
Power Project Loan Committee, Division of                                                                                       
Municipal and Regional Assistance, Department                                                                                   
of Community and Regional Affairs was invited                                                                                   
to join the committee.  He explained Section 7                                                                                  
and the PCE funding requirement.                                                                                                
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked about $1.7 reduction.                                                                                                     
                                                                                                                                
Mr. Frisbee                                                                                                                     
Reduction of costs to rural Alaska for fuel.                                                                                    
                                                                                                                                
Senator Donley                                                                                                                  
"What has the department done to reduce demand                                                                                  
for electricity under this program?"                                                                                            
                                                                                                                                
Mr. Frisby                                                                                                                      
Generation efficiencies have been successful;                                                                                   
also eliminations in their line loss and                                                                                        
updating their generators.                                                                                                      
                                                                                                                                
Senator Donley                                                                                                                  
What is the cutoff for programs when you decide                                                                                 
a community is now self-sufficient?                                                                                             
                                                                                                                                
Mr. Frisby                                                                                                                      
Have not set any cutoff at this point.  Systems                                                                                 
are very expensive to operate.                                                                                                  
                                                                                                                                
Co-chair Parnell                                                                                                                
If this appropriation is not approved, what                                                                                     
will happen to the program?                                                                                                     
                                                                                                                                
Mr. Frisby                                                                                                                      
Would have to notify REC.                                                                                                       
                                                                                                                                
                                                                                                                                
Co-chair Parnell                                                                                                                
Went to Section 10, Department of Education.                                                                                    
                                                                                                                                
Karen Rehfeld                                                                                                                   
Director, Division of Education Support                                                                                         
Services, Department of Education was invited                                                                                   
to  join the committee.                                                                                                         
Section (a)  AVTEC - Maritime Vessel Simulator                                                                                  
upgrade.                                                                                                                        
Section (b) Foundation Formula Reduction,                                                                                       
Alyeska Central School summer school program.                                                                                   
Helping students that have basic education                                                                                      
needs.  Reduction in the amount of $1.5                                                                                         
million.                                                                                                                        
Section (c) Vocational Rehabilitation, change                                                                                   
funding source from statutory designated PR to                                                                                  
the Vocational Rehabilitation Small Business                                                                                    
Enterprise Fund.  Also requested this fund                                                                                      
source change in FY 00 operating budget.                                                                                        
                                                                                                                                
                                                                                                                                
Co-chair Parnell                                                                                                                
What is the source of revenue for the small                                                                                     
business enterprise fund.                                                                                                       
                                                                                                                                
Ms. Rehfeld                                                                                                                     
Commissions from vending machines on Federal                                                                                    
properties.  On State side machines in State                                                                                    
facilities.  Trying to link both programs so                                                                                    
they can access these funds.                                                                                                    
                                                                                                                                
Co-chair Parnell                                                                                                                
Back-up not sufficient.  Asked for                                                                                              
clarification.                                                                                                                  
                                                                                                                                
Ms. Rehfeld                                                                                                                     
Blind vendors receive the benefits from this                                                                                    
program.                                                                                                                        
                                                                                                                                
Senator Adams                                                                                                                   
What is the budget?                                                                                                             
                                                                                                                                
Ms. Rehfeld                                                                                                                     
Budget authorization $106,000.                                                                                                  
Referred to stale dated warrants in section 20.                                                                                 
These were based on human error.  Would have                                                                                    
been paid before the last two years had it been                                                                                 
possible.                                                                                                                       
Section 22(b), page 13, line 8  This was the                                                                                    
closure of the Adak School District and legal                                                                                   
services related to the closure of this school                                                                                  
as paid by the Department of Education.                                                                                         
Several issues related to the Superintendent.                                                                                   
                                                                                                                                
Senator Phillips                                                                                                                
Said he thought the Superintendent should be in                                                                                 
prison.  Has lost his teaching certificate and                                                                                  
was limited on his retirement.                                                                                                  
Particular case is a very sore issue.                                                                                           
                                                                                                                                
Ms. Rehfeld                                                                                                                     
Explained monies paid to the Department of Law                                                                                  
for their legal services during this period of                                                                                  
time.                                                                                                                           
                                                                                                                                
Co-chair Parnell                                                                                                                
Any funds collected by the Department of Law                                                                                    
for this matter?                                                                                                                
                                                                                                                                
Ms. Rehfeld                                                                                                                     
Does not know all the specifics of this matter.                                                                                 
Has never closed a school district before.                                                                                      
                                                                                                                                
Co-chair Parnell                                                                                                                
Who was the Assistant AG?                                                                                                       
                                                                                                                                
Ms. Rehfeld                                                                                                                     
Assistant Attorney General Tom Dahl handled the                                                                                 
case.                                                                                                                           
                                                                                                                                
Co-chair Parnell                                                                                                                
Called Department of Health and Social                                                                                          
Services.                                                                                                                       
                                                                                                                                
Janet Clarke                                                                                                                    
Explained section ll(a) for upgrades for                                                                                        
emergency medical equipment in the amount of                                                                                    
$311,600.  Upgrades have been delayed                                                                                           
presently.                                                                                                                      
They have five years to spend capital                                                                                           
appropriations.                                                                                                                 
Section 11(b) Vital Statistics Archive Imaging                                                                                  
and System Replacement in the amount of                                                                                         
$320,000 not included in Y2K fix.                                                                                               
Section 11(c) Welfare Reform Information System                                                                                 
and Office Automation in the amount of                                                                                          
$2,217,200.                                                                                                                     
Section 11(d) Client Date Integration.                                                                                          
Section 11(e) Catastrophic and Acute Illness                                                                                    
Assistance.  Serves same individuals as old GF                                                                                  
clients with the exception of abortions.                                                                                        
Requirements are a monthly income of $300, less                                                                                 
than $500 assets and individual must require                                                                                    
immediate medical care.                                                                                                         
Cannot do any internal transfers due to                                                                                         
legislation.                                                                                                                    
Referred to page five of their backup there is                                                                                  
list of how their funds have been spent.                                                                                        
                                                                                                                                
Co-chair Parnell                                                                                                                
Working with the Department to try and find the                                                                                 
funds necessary for this request.  Personally                                                                                   
has worked to assure this request is a high                                                                                     
priority.  Spoke with the Commissioner and she                                                                                  
had been able to get pharmacies to suspend                                                                                      
their collections at present.  Feels if they                                                                                    
accept Medicaid reimbursement they should                                                                                       
accept CAMA.                                                                                                                    
                                                                                                                                
Senator Green                                                                                                                   
Appropriation from the Legislature last year                                                                                    
was $1.9 million?                                                                                                               
                                                                                                                                
Ms. Clarke                                                                                                                      
Indicated that was correct.  Was able to pay                                                                                    
part of February payments.  However, the                                                                                        
request is basically for January plus.                                                                                          
Related Commissioner's concerns regarding the                                                                                   
pharmacies.                                                                                                                     
                                                                                                                                
Senator Leman                                                                                                                   
In addition to pharmaceutical what other                                                                                        
expenses are there?                                                                                                             
                                                                                                                                
Ms. Clarke                                                                                                                      
Would prefer Bob Labbe to respond.                                                                                              
                                                                                                                                
Bob Labbe                                                                                                                       
Director, Division of Medical Assistance,                                                                                       
Department of Health and Social Services was                                                                                    
invited to join the committee.                                                                                                  
                                                                                                                                
Senator Leman                                                                                                                   
Referred to family planning and asked what                                                                                      
services were being provided and to whom they                                                                                   
were being provided.                                                                                                            
                                                                                                                                
Bob Labbe                                                                                                                       
There are some family planning providers they                                                                                   
can reimburse.                                                                                                                  
Amount of $54.00 for July very minute amount.                                                                                   
                                                                                                                                
Senator Leman                                                                                                                   
Asked about the $2,400 dollar amount and asked                                                                                  
back-up be provided.                                                                                                            
                                                                                                                                
Co-chair Parnell                                                                                                                
Said they would just review the supplemental as                                                                                 
is and then come back and look at possible                                                                                      
funding sources.                                                                                                                
                                                                                                                                
Mr. Labbe                                                                                                                       
Biggest disappointment was agreement they                                                                                       
thought they had with Carr's pharmacy.  They                                                                                    
represent over fifty-percent of the business.                                                                                   
This latest development may cause domino                                                                                        
effect.                                                                                                                         
Would have difficulty placing further                                                                                           
requirements.                                                                                                                   
                                                                                                                                
Co-chair Parnell                                                                                                                
Anyone suggested pharmacies should refrain from                                                                                 
accepting CAMA receipts?                                                                                                        
                                                                                                                                
Mr. Labbe                                                                                                                       
Not to his knowledge.  They do not want any                                                                                     
individual cut off, however, and have no intent                                                                                 
of goofing this up.                                                                                                             
                                                                                                                                
Senator Leman                                                                                                                   
Services valid under previous terms of GF.                                                                                      
Asked for description of these services.                                                                                        
                                                                                                                                
Ms. Clarke                                                                                                                      
Would like this request withdrawn.                                                                                              
                                                                                                                                
Senator Leman                                                                                                                   
Even if this request is withdrawn would like to                                                                                 
see description.                                                                                                                
                                                                                                                                
Ms. Clarke                                                                                                                      
They have reviewed operating grants and budgets                                                                                 
so they could offset supplemental requests as                                                                                   
much as possible.                                                                                                               
Reduction in Alcohol and Drug Abuse Services                                                                                    
and Training Services explained.                                                                                                
Section 11 (g) and (h) contain a number of                                                                                      
reductions.  This was for Community Mental                                                                                      
Health Grants, Psychiatric Emergency Services;                                                                                  
Services to the Chronically Mentally Ill.                                                                                       
Trying to meet needs in individual homes rather                                                                                 
than placement in a facility.                                                                                                   
Section 11(I) State Health Services - Nursing                                                                                   
Grants.  Funds available but have not been                                                                                      
spent.                                                                                                                          
Section 11(j) State Health Services - Healthy                                                                                   
Families                                                                                                                        
Section 11(k) Community Health Grants                                                                                           
Section ll(l) Public Assistance Administration                                                                                  
Section 11(m/n) request for subsidized adoption                                                                                 
and guardianship supplemental in the amount of                                                                                  
$656.9.  This program covers special needs                                                                                      
children being placed for adoption.  Goal has                                                                                   
been to provide permanent placement for                                                                                         
children in facilities.  It is good for                                                                                         
children to be in a permanent home rather than                                                                                  
foster care.                                                                                                                    
                                                                                                                                
Senator Phillips                                                                                                                
How many children does this involve?                                                                                            
                                                                                                                                
Ms. Clarke                                                                                                                      
1,300 cases.                                                                                                                    
                                                                                                                                
Senator Phillips                                                                                                                
Is this caseload up from last year?                                                                                             
                                                                                                                                
Theresa Tanoury                                                                                                                 
Administrator, Family Services, Division of                                                                                     
Family and Youth Services, Department of Health                                                                                 
and Social Services was invited to join the                                                                                     
committee.  Explained increased attention in                                                                                    
moving children through the system.  That is                                                                                    
why there is an increase in the caseload.                                                                                       
                                                                                                                                
Senator Phillips                                                                                                                
Referred to broken homes, drug and alcohol                                                                                      
situations and how we are dealing with this                                                                                     
problem. Is there an increase in drugs and                                                                                      
alcohol that is contributing to this increase                                                                                   
in case-load?                                                                                                                   
                                                                                                                                
Ms. Tanoury                                                                                                                     
There are many reason that children cannot                                                                                      
return back to their homes.                                                                                                     
                                                                                                                                
Senator Phillips                                                                                                                
What is being done to the parents?                                                                                              
                                                                                                                                
Ms. Tanoury                                                                                                                     
Many have had heir parental rights terminated.                                                                                  
                                                                                                                                
Co-chair Parnell                                                                                                                
What was unanticipated from last May?                                                                                           
                                                                                                                                
Ms. Tanoury                                                                                                                     
Identified children in the transition from the                                                                                  
old law to under the new Federal laws.  One of                                                                                  
the provisions of the new law was a time limit                                                                                  
on children that are in foster care to be                                                                                       
identified and then create program for these                                                                                    
children.                                                                                                                       
Project Succeed - non-profit organizations and                                                                                  
tribes have helped out greatly in the past.                                                                                     
                                                                                                                                
                                                                                                                                
(Tape number 42, changed to tape number 43,                                                                                     
side A at log #000 at approximately 10: 50                                                                                      
a.m.)                                                                                                                           
                                                                                                                                
Senator Phillips                                                                                                                
Attitude of society is going to have to change                                                                                  
with respect to these children.                                                                                                 
                                                                                                                                
Senator Green                                                                                                                   
Amount in budget last  year for this program?                                                                                   
                                                                                                                                
Ms. Clarke                                                                                                                      
Spent a little over $6 million in FY 98.  This                                                                                  
is above and beyond the Governor's request this                                                                                 
year, however.                                                                                                                  
                                                                                                                                
Co-chair Parnell                                                                                                                
Would like to get through Department of Health                                                                                  
and Social Services before 11:00 if possible.                                                                                   
Asked source of funds.                                                                                                          
                                                                                                                                
Ms. Clarke                                                                                                                      
Referred to section 11(m/n) would normally be                                                                                   
distributed to grantees.  Based on the                                                                                          
Legislature's desire for net zero felt they had                                                                                 
an obligation to let the Legislature know there                                                                                 
are funds available.                                                                                                            
                                                                                                                                
Co-chair Parnell                                                                                                                
Asked clarification of reductions.  Is this                                                                                     
under the Governor's belt-tightening plan?                                                                                      
                                                                                                                                
Ms. Clarke                                                                                                                      
Yes, they realize this and this is the best                                                                                     
solution they are able to come up with and                                                                                      
suggest at this time.                                                                                                           
                                                                                                                                
Co-chair Parnell                                                                                                                
Everyone knows these are tough situations and                                                                                   
everyone is trying to help out.                                                                                                 
                                                                                                                                
Ms. Clarke                                                                                                                      
People actually spend less than they are                                                                                        
authorized to spend and therefore there are                                                                                     
funds to be returned or re-authorized.                                                                                          
Have been able to add 60,000 some individuals                                                                                   
under DD program.                                                                                                               
                                                                                                                                
Senator Adams                                                                                                                   
Referred to an issue discussed under Key                                                                                        
Campaign.  Are there over 1,000 individuals on                                                                                  
the wait list?                                                                                                                  
                                                                                                                                
Ms. Clarke                                                                                                                      
Are working to identify this.                                                                                                   
                                                                                                                                
Senator P. Kelly                                                                                                                
Number for dental care?                                                                                                         
                                                                                                                                
Ms. Clarke                                                                                                                      
Division of Medical Assistance has looked into                                                                                  
this and will provide information to the                                                                                        
committee.                                                                                                                      
Section 11(o) are looking to withdraw this                                                                                      
supplemental request.                                                                                                           
Section 20, miscellaneous claims.   Requirement                                                                                 
they cannot pay bill more than two years old.                                                                                   
Items total $16,600.  Three are for foster                                                                                      
children who were believed to be Medicaid-                                                                                      
eligible at the time.  In seeking care for                                                                                      
these children they were later determined to                                                                                    
not be eligible.  Therefore, the department had                                                                                 
to pay.                                                                                                                         
                                                                                                                                
Co-chair Parnell                                                                                                                
Will work on those sections they did not                                                                                        
complete today on Friday.                                                                                                       
Adjourned at approximately 11:02 a.m., tape                                                                                     
number 43, Side A, at log number 151.                                                                                           
                                                                                                                                
SENATE FINANCE COMMITTEE                                                                                                        
LOG NOTES                                                                                                                       
03/03/99                                                                                                                        
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