Legislature(2023 - 2024)SENATE FINANCE 532

04/03/2023 09:00 AM Senate FINANCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Bills Previously Heard/Scheduled
+= SB 55 EXTEND STATE MEDICAL BOARD TELECONFERENCED
Moved CSSB 55(FIN) Out of Committee
+= SB 12 ADDRESS CONFIDENTIALITY PROGRAM TELECONFERENCED
Moved CSSB 12(JUD) Out of Committee
+= HB 62 RENEWABLE ENERGY GRANT FUND TELECONFERENCED
Heard & Held
+= SB 58 MEDICAID ELIGIBILITY: POSTPARTUM MOTHERS TELECONFERENCED
Heard & Held
                 SENATE FINANCE COMMITTEE                                                                                       
                       April 3, 2023                                                                                            
                         9:05 a.m.                                                                                              
                                                                                                                                
                                                                                                                                
9:05:36 AM                                                                                                                    
                                                                                                                                
CALL TO ORDER                                                                                                                 
                                                                                                                                
Co-Chair Olson called the Senate Finance Committee meeting                                                                      
to order at 9:05 a.m.                                                                                                           
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Lyman Hoffman, Co-Chair                                                                                                 
Senator Donny Olson, Co-Chair                                                                                                   
Senator Bert Stedman, Co-Chair                                                                                                  
Senator Click Bishop                                                                                                            
Senator Jesse Kiehl                                                                                                             
Senator Kelly Merrick                                                                                                           
Senator David Wilson                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
None                                                                                                                            
                                                                                                                                
ALSO PRESENT                                                                                                                  
                                                                                                                                
Ken  Alper,   Staff,  Senator  Donny  Olson;   Kris  Curtis,                                                                    
Legislative Auditor,  Alaska Division of  Legislative Audit;                                                                    
Kali  Spencer, Staff,  Senator  Wielechowski; Ella  Adkison,                                                                    
Staff,  Senator   Jesse  Kiehl;  Laib   Allensworth,  Staff,                                                                    
Senator Wielechowski; Heather  Carpenter, Health Care Policy                                                                    
Advisor, Department of Health;                                                                                                  
                                                                                                                                
PRESENT VIA TELECONFERENCE                                                                                                    
                                                                                                                                
                                                                                                                                
SUMMARY                                                                                                                       
                                                                                                                                
SB 12     ADDRESS CONFIDENTIALITY PROGRAM                                                                                       
                                                                                                                                
          CSSB 12(JUD)  was REPORTED  out of  committee with                                                                    
          three  "do pass"  recommendations and  with 3  "no                                                                    
          recommendations     and    with     one    "amend"                                                                    
          recommendation,   and  one   previously  published                                                                    
          fiscal impact note: FN 1(ADM).                                                                                        
                                                                                                                                
SB 55     EXTEND STATE MEDICAL BOARD                                                                                            
                                                                                                                                
          CSSB 55(FIN)  was REPORTED  out of  committee with                                                                    
          three  "do  pass"  recommendations  and  four  "no                                                                    
          recommendation"   recommendations   and   with   a                                                                    
          forthcoming   fiscal   impact    note   from   the                                                                    
          Department  of  Commerce, Community  and  Economic                                                                    
          Development.                                                                                                          
                                                                                                                                
SB 58     MEDICAID ELIGIBILITY: POSTPARTUM MOTHERS                                                                              
                                                                                                                                
          SB 58 was HEARD and  HELD in committee for further                                                                    
          consideration.                                                                                                        
                                                                                                                                
HB 62     RENEWABLE ENERGY GRANT FUND                                                                                           
                                                                                                                                
          HB 62 was HEARD and  HELD in committee for further                                                                    
          consideration.                                                                                                        
                                                                                                                                
Co-Chair Olson discussed housekeeping.                                                                                          
                                                                                                                                
SENATE BILL NO. 55                                                                                                            
                                                                                                                                
     "An Act extending the termination date of the State                                                                        
     Medical Board; and providing for an effective date."                                                                       
                                                                                                                                
9:06:46 AM                                                                                                                    
                                                                                                                                
Co-Chair Olson  relayed that the  committee had heard  SB 55                                                                    
          th                                                                                                                    
on March 7. Public testimony had been taken.                                                                                    
                                                                                                                                
                                                                                                                                
Co-Chair   Stedman  MOVED   to   ADOPT  proposed   committee                                                                    
substitute  for SB  55,  Work  Draft 33-LS0347\B  (Bergerud,                                                                    
3/25/33).                                                                                                                       
                                                                                                                                
Co-Chair Stedman OBJECTED for discussion.                                                                                       
                                                                                                                                
9:07:22 AM                                                                                                                    
                                                                                                                                
KEN  ALPER,  STAFF,  SENATOR   DONNY  OLSON,  discussed  the                                                                    
proposed  changes  to  the bill.  He  highlighted  that  the                                                                    
original bill had proposed an  8-year extension of the State                                                                    
Medical Board, and  the current bill version  added a 4-year                                                                    
extension for the Board of Certified Direct-Entry Midwives.                                                                     
9:08:22 AM                                                                                                                    
                                                                                                                                
KRIS  CURTIS,   LEGISLATIVE  AUDITOR,  ALASKA   DIVISION  OF                                                                    
LEGISLATIVE  AUDIT,  referenced  the sunset  review  of  the                                                                    
Board of Certified Direct-Entry  Midwives (board) within the                                                                    
Department of  Commerce, Community and  Economic Development                                                                    
(copy on file):                                                                                                                 
                                                                                                                                
     Report Conclusions                                                                                                       
                                                                                                                                
     Overall, the  audit concludes  that the  board operated                                                                    
     in the publics  interest  by conducting its meetings in                                                                    
     an  effective manner,  by supporting  statutory changes                                                                    
     when  deemed   necessary,  and  by   actively  amending                                                                    
     regulations. The  audit also  concludes that  the board                                                                    
     and    Division   of    Corporations,   Business    and                                                                    
     Professional   Licensing   (DCBPL)    staff   did   not                                                                    
     consistently  certify   midwives  in   accordance  with                                                                    
     statutes  and  regulations. Further,  an  investigation                                                                    
     that  concerned  a  threat to  public  safety  was  not                                                                    
     addressed  by  DCBPL   investigators  in  an  efficient                                                                    
     manner.                                                                                                                    
                                                                                                                                
     We  recommend   the  legislature  extend   the  boards                                                                     
     termination date four years,  to June 30,2027, which is                                                                    
     half of the eight-year  maximum allowed in statute. The                                                                    
     reduced  extension reflects  the need  for more  timely                                                                    
     oversight in  recognition of the audit  findings and in                                                                    
     recognition  that  the  boards  draft  regulations  may                                                                    
     significantly change its licensing function.                                                                               
                                                                                                                                
Ms. Curtis  addressed licensing statistics  shown on  page 5                                                                    
of the  audit. She relayed that  as of June 2022,  the board                                                                    
had 47 certified midwives.   She referenced page 7 and noted                                                                    
the schedule  of revenues and expenditures.  She listed four                                                                    
recommendations beginning on page 9:                                                                                            
                                                                                                                                
     Recommendation 1:                                                                                                        
     DCCEDs  commissioner  should work with  policymakers to                                                                    
     improve    the    recruitment    and    retention    of                                                                    
     investigators.                                                                                                             
                                                                                                                                
     Recommendation 2:                                                                                                        
     DCCEDs  commissioner  should work with  policymakers to                                                                    
     improve  the  recruitment  and retention  of  licensing                                                                    
     staff,  and  board  members  should  adequately  review                                                                    
     applications prior to approval.                                                                                            
     Recommendation 3:                                                                                                        
     DCBPLs  director  should work with the  board to ensure                                                                    
     the  online  licensing  application  is  sufficient  to                                                                    
     monitor compliance with  continuing education hours and                                                                    
     that  accurate regulatory  references  are included  in                                                                    
     the application.                                                                                                           
                                                                                                                                
     Recommendation 4:                                                                                                        
     The  Office of  the  Governor,  Boards and  Commissions                                                                    
     director  should  work  with   the  board  to  identify                                                                    
     potential  applicants  to  fill board  vacancies  in  a                                                                    
     timely manner.                                                                                                             
                                                                                                                                
9:12:00 AM                                                                                                                    
                                                                                                                                
Co-Chair   Olson  asked   how   Ms.   Curtis  resolved   the                                                                    
recommendation  for  a  4-year   extension  over  an  8-year                                                                    
extension.                                                                                                                      
                                                                                                                                
Ms. Curtis  reiterated that the audit  recommendation was in                                                                    
light  of the  findings recorded  in the  audit. It  was her                                                                    
opinion that  the board needed  more routine  oversight. She                                                                    
explained  that  the  audit was  the  legislative  oversight                                                                    
mechanism for boards and commissions.                                                                                           
                                                                                                                                
Co-Chair Olson  agreed with the audits   recommendations. He                                                                    
asked whether there  was an explanation as to  why there was                                                                    
difficulty filling the board seats.                                                                                             
                                                                                                                                
Ms.  Curtis  replied  that,  due to  high  turnover  in  the                                                                    
governor's office,  she had  not received  any communication                                                                    
regarding filling the board positions.                                                                                          
                                                                                                                                
Co-Chair Stedman WITHDREW his objection.                                                                                        
                                                                                                                                
9:13:42 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:14:56 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Co-Chair  Olson  noted  that  the CS  would  be  before  the                                                                    
committee as a working document.                                                                                                
                                                                                                                                
9:15:28 AM                                                                                                                    
                                                                                                                                
KALI  SPENCER, STAFF,  SENATOR WIELECHOWSKI,  testified that                                                                    
that sponsor agreed  with the changes in the  CS. She agreed                                                                    
to answer any questions from the committee.                                                                                     
                                                                                                                                
Senator Olson asked whether the  sponsor had seen the change                                                                    
from the 8-year to the 4-year extension.                                                                                        
                                                                                                                                
Ms. Spencer  responded in the  affirmative. She  stated that                                                                    
the sponsor had no objection to the change.                                                                                     
                                                                                                                                
9:16:26 AM                                                                                                                    
                                                                                                                                
Co-Chair  Stedman  MOVED  to  report  CSSB  55(FIN)  out  of                                                                    
Committee   with   individual    recommendations   and   the                                                                    
accompanying fiscal note.  There  being NO OBJECTION, it was                                                                    
so ordered.                                                                                                                     
                                                                                                                                
CSSB 55(FIN)  was REPORTED out  of committee with  three "do                                                                    
pass"   recommendations   and   four   "no   recommendation"                                                                    
recommendations and  with a  forthcoming fiscal  impact note                                                                    
from  the Department  of  Commerce,  Community and  Economic                                                                    
Development.                                                                                                                    
                                                                                                                                
9:16:47 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:19:21 AM                                                                                                                    
                                                                                                                                
RECONVENED                                                                                                                      
                                                                                                                                
SENATE BILL NO. 12                                                                                                            
                                                                                                                                
     "An  Act relating  to  confidentiality of  information;                                                                    
     relating   to  the   duties   of   the  Department   of                                                                    
     Administration;  creating  an  address  confidentiality                                                                    
     program; and providing for an effective date."                                                                             
                                                                                                                                
9:19:32 AM                                                                                                                    
                                                                                                                                
Co-Chair Olson relayed that the  committee heard the bill on                                                                    
March  28, 2023,  at which  time public  testimony had  been                                                                    
taken.                                                                                                                          
                                                                                                                                
Senator Kiehl  requested that his staff  offer clarification                                                                    
regarding the CS.                                                                                                               
                                                                                                                                
9:19:56 AM                                                                                                                    
                                                                                                                                
ELLA  ADKISON,  STAFF,  SENATOR JESSE  KIEHL,  corrected  an                                                                    
inaccuracy  from  the  previous hearing.  She  offered  that                                                                    
rather  than   participants  being   able  to   renew  their                                                                    
enrollment  in  the  program,  after the  5  years  and  the                                                                    
expiration  of the  protective order  or if  a person  ended                                                                    
their career as  a Peace or Correctional  Officer they would                                                                    
be removed from the program.                                                                                                    
                                                                                                                                
9:20:22 AM                                                                                                                    
                                                                                                                                
Senator Wilson  understood that  Ms. Adkinson  was referring                                                                    
to  long-term protective  orders. He  wondered about  short-                                                                    
term, 30-day, protective orders.                                                                                                
                                                                                                                                
Senator Kiehl explained  that it was unlikely  that a person                                                                    
with  a  short-term protective  order  would  enroll in  the                                                                    
program. He  said that if  they did, they would  be eligible                                                                    
to be on the program for 5 years and 30 days.                                                                                   
                                                                                                                                
Co-Chair Olson solicited further discussion.                                                                                    
                                                                                                                                
Co-Chair  Stedman  MOVED  to  report  CSSB  12(JUD)  out  of                                                                    
Committee   with   individual    recommendations   and   the                                                                    
accompanying fiscal  note. There being NO  OBJECTION, it was                                                                    
so ordered.                                                                                                                     
                                                                                                                                
CSSB 12(JUD)  was REPORTED out  of committee with  three "do                                                                    
pass" recommendations  and with  3 "no  recommendations" and                                                                    
with   one  "amend"   recommendation,  and   one  previously                                                                    
published fiscal impact note: FN 1(ADM).                                                                                        
                                                                                                                                
9:21:54 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:25:50 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
HOUSE BILL NO. 62                                                                                                             
                                                                                                                                
     "An Act relating to the renewable energy grant fund                                                                        
     and recommendation program; and providing for an                                                                           
     effective date."                                                                                                           
                                                                                                                                
9:25:53 AM                                                                                                                    
Co-Chair  Olson  relayed  that  HB  62  had  been  heard  in                                                                    
committee on March 28, 2023,  at which time public testimony                                                                    
had been taken.                                                                                                                 
                                                                                                                                
9:26:25 AM                                                                                                                    
                                                                                                                                
LAIB ALLENSWORTH,  STAFF, SENATOR WIELECHOWSKI,  shared that                                                                    
he was available for committee questions.                                                                                       
                                                                                                                                
Co-Chair Olson set the bill aside.                                                                                              
                                                                                                                                
HB  62  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
SENATE BILL NO. 58                                                                                                            
                                                                                                                                
     "An  Act relating  to  Medicaid eligibility;  expanding                                                                    
     eligibility  for postpartum  mothers; conditioning  the                                                                    
     expansion  of eligibility  on  approval  by the  United                                                                    
     States  Department of  Health and  Human Services;  and                                                                    
     providing for an effective date."                                                                                          
                                                                                                                                
9:27:09 AM                                                                                                                    
                                                                                                                                
Co-Chair Olson shared that the  bill had been heard on March                                                                    
7,  2023. He  announced  that there  was  an updated  fiscal                                                                    
note.                                                                                                                           
                                                                                                                                
9:27:43 AM                                                                                                                    
                                                                                                                                
Mr. Alper  explained that there  was a new fiscal  note from                                                                    
the Department of Health. He  recalled that the initial cost                                                                    
of the  legislation was  $2.6 million,  which was  still the                                                                    
case, but  the department had acknowledged  that the process                                                                    
to implement  the program would  take one year,  which would                                                                    
push  the expense  to  the  FY25 budget.  He  said that  the                                                                    
program  would  ultimately  cost  $9  million  of  which  70                                                                    
percent would be  federally funded and 30  percent funded by                                                                    
the general fund.                                                                                                               
                                                                                                                                
Co-Chair Olson asked when the  funding for the program would                                                                    
be expected.                                                                                                                    
                                                                                                                                
Mr. Alper assumed  July 1, 2024. He thought  the actual date                                                                    
for funding the program would rely on the federal timeline.                                                                     
                                                                                                                                
Co-Chair Olson asked for the  immediate request for the FY24                                                                    
budget.                                                                                                                         
                                                                                                                                
Mr.  Alper relayed  that the  department did  not appear  to                                                                    
contemplate any additional expense in FY24.                                                                                     
                                                                                                                                
9:29:41 AM                                                                                                                    
                                                                                                                                
Senator  Bishop  wanted  to   clarify  that  Mr.  Alper  was                                                                    
referencing the new fiscal note with OMB Component 3234.                                                                        
                                                                                                                                
Mr. Alper replied in the affirmative.                                                                                           
                                                                                                                                
9:30:23 AM                                                                                                                    
                                                                                                                                
HEATHER  CARPENTER, HEALTH  CARE POLICY  ADVISOR, DEPARTMENT                                                                    
OF HEALTH, testified to the accuracy of the fiscal note.                                                                        
                                                                                                                                
Co-Chair Olson asked whether Ms.  Carpenter had any comments                                                                    
on the revised fiscal note.                                                                                                     
                                                                                                                                
Ms. Carpenter believed  that the program would  go live July                                                                    
1, 2024.                                                                                                                        
                                                                                                                                
Co-Chair  Olson asked  whether  the  governor supported  the                                                                    
bill.                                                                                                                           
                                                                                                                                
Ms. Carpenter replied in the affirmative.                                                                                       
                                                                                                                                
SB  58  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
9:31:57 AM                                                                                                                    
                                                                                                                                
Co-Chair Olson discussed the agenda for the following day.                                                                      
                                                                                                                                
ADJOURNMENT                                                                                                                   
9:32:54 AM                                                                                                                    
                                                                                                                                
The meeting was adjourned at 9:32 a.m.                                                                                          
                                                                                                                                

Document Name Date/Time Subjects
SB 55 work draft version B.pdf SFIN 4/3/2023 9:00:00 AM
SB 55
SB 55 20133-Midwives-Final.pdf SFIN 4/3/2023 9:00:00 AM
SB 55
SB 58 DOH - MS - 032923.pdf SFIN 4/3/2023 9:00:00 AM
SB 58