Legislature(1999 - 2000)

03/01/2000 08:02 AM Senate FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
MINUTES                                                                                                                         
SENATE FINANCE COMMITTEE                                                                                                        
March 1, 2000                                                                                                                   
8:02 AM                                                                                                                         
                                                                                                                                
TAPES                                                                                                                           
                                                                                                                                
SFC-00 # 41, Side A and B                                                                                                       
                                                                                                                                
CALL TO ORDER                                                                                                                   
                                                                                                                                
Co-Chair Sean Parnell convened the meeting at approximately                                                                     
8:02 AM.                                                                                                                        
                                                                                                                                
PRESENT Co-Chair John Torgerson, Co-Chair Sean Parnell,                                                                         
Senator Dave Donley, Senator Loren Leman, Senator Randy                                                                         
Phillips, Senator Gary Wilken, Senator Green, Senator P.                                                                        
Kelly, Senator Ellis.                                                                                                           
                                                                                                                                
Also Attending:  REPRESENTATIVE BUNDY, REPRESENTATIVE                                                                           
ELTON, and REPRESENTATIVE BRICE; EMILY ENNIS, Fairbanks;                                                                        
BRIAN BENNETT, Homer; MARLA AND MELONIE ADAMS, Fairbanks;                                                                       
JOSE SILVA, Fairbanks; NED MAGEN, D.O., Soldotna; STEVE                                                                         
LESKO, Anchorage; ERNIE, DEBBIE AND SEAN DUMMANN,                                                                               
Anchorage; SHERRY AND CHRISTINA GALLAGHER, Wasilla; ANNIE                                                                       
AND JONATHAN JOHNSON, Bethel; WAYNE AND TAYLOR GOULD,                                                                           
Anchorage.                                                                                                                      
                                                                                                                                
SUMMARY INFORMATION                                                                                                             
                                                                                                                                
EMILY ENNIS stated that she was from Fairbanks and that she                                                                     
was a member of the Key Coalition.  She noted that this was                                                                     
the thirteenth year of the Key Campaign.  She added that                                                                        
over a decade ago, state government made a decision that it                                                                     
would not directly provide services to individuals with                                                                         
disabilities, but would provide funding to nonprofit                                                                            
organizations.  She understood this was done for fiscal                                                                         
reasons, as well as to support community life of                                                                                
individuals in need.  She added that these goals were                                                                           
served with the closure of Harborview and noted that all                                                                        
services with development disabilities are provided in                                                                          
Alaska's communities.                                                                                                           
                                                                                                                                
Ms. Ennis stressed that residents of Harborview did receive                                                                     
regular and preventative dental care, but this service is                                                                       
no longer available because thee only dental care available                                                                     
under Medicaid is for emergencies.  She added that the                                                                          
closure of Harborview has saved the state millions of                                                                           
dollars.  She pointed out that individuals with                                                                                 
developmental disabilities make up Alaska's second largest                                                                      
minority group, consisting of 12,000 people.  She added                                                                         
that Alaska's senior population is growing three times the                                                                      
rate than any other state in the country, this population                                                                       
consists of 2,500 individuals who need elderly services.                                                                        
She noted that overall, the state has a wait list of                                                                            
approximately 700 to 1,000 individuals who are in need of                                                                       
new services.                                                                                                                   
                                                                                                                                
Ms. Ennis stressed that with the drop of the unemployment                                                                       
rate, the coalition has seen a mass exodus of the work                                                                          
force that supports client services, while fewer workers                                                                        
enter this field.  She added that this wage disparity for                                                                       
workers must be addressed, along with comprehensive                                                                             
benefits, in order to attract and keep a competent work                                                                         
force.  She pointed out that this would be accomplished by                                                                      
supporting the coalition's DD Institutional Prevention line                                                                     
item in the Governor's budget.  She then outlined the                                                                           
issues that would be discussed in the coalition's                                                                               
presentation.                                                                                                                   
                                                                                                                                
BRIAN BENNETT stated that he was a resident of Homer and he                                                                     
spoke about the Infant Learning Program.  He referred to                                                                        
his six-year old son, Michael who has a rare form of                                                                            
childhood epilepsy and as a result of thousands of                                                                              
seizures, Michael's development is very delayed.  Mr.                                                                           
Bennett attributed Michael's progress to the dedicated                                                                          
therapists, caregivers and teachers at the Homer Infant                                                                         
Learning Program.  He noted that agencies such as this one,                                                                     
statewide, provide services at crucial stages of child                                                                          
development from birth to three years old.  He stressed the                                                                     
importance of early intervention.  He pointed out that                                                                          
staff recruitment and retention has become very difficult                                                                       
in the State of Alaska.  Mr. Bennett cited a 1998 study                                                                         
conducted by the governor's Council on Disabilities and                                                                         
Special Education, which revealed that infant learning                                                                          
professionals earned about $15.00 per hour, while their                                                                         
counterparts in school districts earned about $25.00 per                                                                        
hour.  He added that this discrepancy was contributing to a                                                                     
high rate of employee turn over.                                                                                                
                                                                                                                                
Mr. Bennett continued that as of December 1, 1999 there                                                                         
were 331 developmentally delayed children in Alaska waiting                                                                     
for Infant Learning Program services.  He added that                                                                            
preventative funds were necessary to absorb these children                                                                      
into programs now, so additional monies later will be                                                                           
saved.  He urged the Committee to fund the $700,000                                                                             
requested by the governor for these services.                                                                                   
                                                                                                                                
MARLA ADAMS AND MELONIE ADAMS traveled from Fairbanks to                                                                        
testify.  Ms. Marla Adams stated that Melonie was 17 years                                                                      
old and that she had dreams for her future.  She added that                                                                     
Melonie was Downs Syndrome and noted that she will need                                                                         
extra help to reach these dreams in the future.  Ms. Adams                                                                      
outlined the work she has done professionally and                                                                               
voluntarily for Down Syndrome and other special needs                                                                           
individuals.  She noted the wait list system statewide that                                                                     
now has 776 individuals on it.  Ms. Adams noted how Melonie                                                                     
became a high functioning individual, in part, from the                                                                         
efforts of the Infant Stimulation Program and gave a                                                                            
synopsis of Melonie's future plans once she graduates from                                                                      
high school.  Ms. Adams made the point that Melonie will                                                                        
have to be wait-listed for services though, once she                                                                            
graduates.  Ms. Adams urged the Committee to support HB
346, also known as the wait-list bill and she asked that                                                                        
they add $1 million dollars into the budget to fund                                                                             
services needed for individuals exiting the educational                                                                         
system as outlined in the Initiative 22. Finally, she asked                                                                     
that the Committee support the Governor's budget of                                                                             
$700,000 for the Infant Stimulation Program.  Miss Melonie                                                                      
Adams then read a statement into the record [copy on file.]                                                                     
                                                                                                                                
HOSE SILVA from Fairbanks came forward to testify through                                                                       
an interpreter.  He noted that deaf citizens, natives in                                                                        
particular, have many barriers because of a lack of                                                                             
communication accessibility.  He added that there was not                                                                       
enough support for deaf people in villages, along with a                                                                        
high rate of drug and alcohol abuse, which further                                                                              
exacerbates the situation.  He continued that the money                                                                         
from last year's Grover Grant expired and some other funds                                                                      
were cut.  He added that these two factors contribute to                                                                        
the problems of reaching these isolated individuals.                                                                            
                                                                                                                                
Senator Green asked if the individuals referred to were                                                                         
preschool children, school aged or adults, or a combination                                                                     
of each.                                                                                                                        
                                                                                                                                
Mr. Silva responded that this presentation centered on deaf                                                                     
adults.                                                                                                                         
                                                                                                                                
NED MAGEN from Soldotna stated he would speak about dental                                                                      
care for adults.  He added that Medicare only pays for                                                                          
emergency care after 21 years of age.  He then gave                                                                             
examples of what dental emergency care entails and                                                                              
highlighted specific problems of Medicaid individuals in                                                                        
his district.  He continued that disabled adults have more                                                                      
dental problems than general population for a few reasons                                                                       
and outlined these. He gave an example of Central Peninsula                                                                     
General Hospital in 1999, where they treated 272                                                                                
individuals with toothaches, but noted that he was unable                                                                       
to break out disabled individuals specifically.  He added                                                                       
that the charges for this general group totaled $46,538.00,                                                                     
not including prescriptions or follow-up care.  He noted                                                                        
that if this number was extrapolated across the state, a                                                                        
request for $250,000 towards this preventative dental                                                                           
program was a small amount.                                                                                                     
                                                                                                                                
STEVE LESKO from Anchorage made an analogy of funding state                                                                     
programs to that of a report card and obtaining an                                                                              
allowance for a job well done. He likened the people in the                                                                     
audience, as representative of the State of Alaska, and the                                                                     
Senate Finance Committee as keepers of the allowance.  He                                                                       
then gave a report of the Key Coalition efforts and a                                                                           
corresponding grade to the progress made in each assessed                                                                       
area.  He offered that for quality consumer satisfaction,                                                                       
the Coalition received an A.  He added that for cost                                                                            
effectiveness, the Coalition received an A+.  He noted that                                                                     
for independent and family preservation, the Coalition                                                                          
received an A.  He continued that for fiscal health and                                                                         
soundness, the Coalition received a D-, and added that the                                                                      
two-step federal minimum wage increase went into effect but                                                                     
nobody funded it, rather, a $300,000 debt load was                                                                              
absorbed.  He added that health costs were escalating.                                                                          
                                                                                                                                
Mr. Lesko continued that for employee retention, the                                                                            
Coalition received a D-.  He offered that community                                                                             
programs do not have retirement plans for staff or                                                                              
increments for pay increases.  He noted that for external                                                                       
support, the Coalition received a D.  He continued that                                                                         
there was more outside monetary support for Harborview, an                                                                      
institution, than there presently exists for community                                                                          
based programs.  He summed up that for contributing to the                                                                      
economy of Alaska in terms of the general fund, the                                                                             
Coalition received an A+.  He noted federal waivers as                                                                          
contributing to this cause and used the example of the                                                                          
Alaska legislature taking waivers the first year they came                                                                      
into being.  He pointed out that $1.8 million was taken                                                                         
from these waivers and put into the general fund without                                                                        
reinvesting it into programs.  He then outlined present                                                                         
budget restraints related to the Coalition's programs,                                                                          
which he urged the Committee to consider.                                                                                       
                                                                                                                                
ERNEST DUMMAN from Anchorage stated that he was here with                                                                       
his son, Sean and his wife, Debbie.  He stated that he                                                                          
would talk about life-long disability care.  He noted that                                                                      
from a community standpoint in Sean's short, 20-year life,                                                                      
the state has seen the closure of Harborview, home to the                                                                       
mentally retarded.  He added that as a result, the state                                                                        
has seen a move of these individuals into community,                                                                            
something that has affected all Alaskans.  He pointed out                                                                       
that this move has created many rewards, personally, Sean                                                                       
is able to be closer to family and protected from harm or                                                                       
neglect.  He noted that this move to community has had its                                                                      
problems, namely, being able to retain competent staff,                                                                         
absorption of labor cost increases, insurance cost                                                                              
increases, and the cost of residential home care.  He added                                                                     
that the increase of families in need of services has                                                                           
increased to over 786, all of whom, are now on a waiting                                                                        
list.  He asked the Committee to fund $930,000 towards                                                                          
rectifying this problem.                                                                                                        
                                                                                                                                
SHERRY AND CHRISTINA GALLAGHER from Wasilla came forward to                                                                     
testify.  Ms. Sherry Gallagher stated that her daughter,                                                                        
12-year old, Christina, suffers from a brain injury, which                                                                      
she received from a tragic car accident.  Ms. Gallagher                                                                         
noted that from a lack of funding, she is forced to find                                                                        
what her daughter needs on her own.  She added that she                                                                         
must fight with the schools and agencies for services that                                                                      
are not available.  Ms. Gallagher noted that because of a                                                                       
lack of respite care, she must solely provide this care to                                                                      
her daughter.  She pointed out that head injuries do not                                                                        
discriminate and that Alaska reports around 5,000 brain and                                                                     
head injuries each year.  She urged the Committee to fund                                                                       
the necessary and related programs.                                                                                             
                                                                                                                                
ANNIE AND JONATHAN JOHNSON from Bethel came forward to                                                                          
testify.  Ms. Johnson testified for both her husband, who                                                                       
is unable to walk and for her grandson, Jonathan, who is                                                                        
disabled.  She noted that Jonathan requires 24-hour care,                                                                       
and that this is in addition to caring for her husband full                                                                     
time.  She continued that Jonathan receives respite care,                                                                       
which has been extremely helpful.  She urged the Committee                                                                      
to support respite care programs.                                                                                               
                                                                                                                                
Tape: SFC - 00 #41, Side B, 8:49 AM                                                                                             
                                                                                                                                
WAYNE GOULD stated that he was from Anchorage and he then                                                                       
introduced his son, Taylor.  He told the Committee about                                                                        
the multiple disabilities his son has suffered since birth.                                                                     
He noted that beginning at six months old, Taylor received                                                                      
therapy through the Infant Learning Program.  Mr. Gould                                                                         
believes that Taylor's accomplishments are a result of                                                                          
early intervention.  He urged the Committee to help end the                                                                     
waiting list for such services for all Alaskans in need.                                                                        
                                                                                                                                
MS. ENNIS concluded the Key Campaign testimony by                                                                               
encouraging the Committee members to consider funding the                                                                       
needed services as outlined by the prior participants.  She                                                                     
then referred to a handout [copy on file.]                                                                                      
                                                                                                                                
Co-Chair Parnell commented that during the last legislative                                                                     
session, funding of grants for developmentally disabled,                                                                        
were instituted.  He appreciated the Key Campaign coming                                                                        
before the Committee to "put a face" on the different needs                                                                     
and services required.                                                                                                          
                                                                                                                                
ADJOURNED                                                                                                                       
                                                                                                                                
Senator Parnell recessed the meeting at 9:00 AM.                                                                                
                                                                                                                                
                                                                                                                                
SFC-00 (6) 03/01/00                                                                                                             

Document Name Date/Time Subjects