Legislature(1995 - 1996)

02/13/1995 09:07 AM Senate HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
    SENATE HEALTH, EDUCATION AND SOCIAL SERVICES COMMITTEE                     
                       February 13, 1995                                       
                           9:07 a.m.                                           
                                                                               
  MEMBERS PRESENT                                                              
                                                                               
 Senator Lyda Green, Chairman                                                  
 Senator Loren Leman, Vice-Chairman                                            
 Senator Johnny Ellis                                                          
 Senator Judy Salo                                                             
                                                                               
  MEMBERS ABSENT                                                               
                                                                               
 Senator Mike Miller                                                           
                                                                               
 COMMITTEE CALENDAR                                                            
                                                                               
 The Professional Teaching Practices Commission Appointees:                    
                                                                               
  William McCain                                                               
  P.O. Box 873042                                                              
  Wasilla, Alaska 99687                                                        
                                                                               
  Mary Lou Madden, PH.D.                                                       
  801 Lincoln Street                                                           
  Sitka, Alaska 99835                                                          
                                                                               
  Brian Carter                                                                 
  613 Pleasure Drive                                                           
  North Pole, Alaska 99705                                                     
                                                                               
  Christine Niemi                                                              
  801 West Tenth Street                                                        
  Suite 200                                                                    
  Juneau, Alaska 99801                                                         
                                                                               
 Department of Health and Social Services Designee:                            
                                                                               
  Karen Perdue, Commissioner Designee                                          
  Anchorage, Alaska                                                            
                                                                               
  ACTION NARRATIVE                                                             
                                                                               
 TAPE 95-4, SIDE A                                                             
 Number 003                                                                    
                                                                               
 CHAIRMAN GREEN called the Senate Health, Education and Social                 
 Services (HESS) Committee to order at 9:07 a.m.  She informed the             
 committee that the first order of business was to review the                  
 qualifications of appointees to The Professional Teaching Practices           
 Commission (PTPC).                                                            
                                                                               
 SENATOR SALO asked when Mr. McCain was first appointed to the PTPC.           
 WILLIAM McCAIN, a renewal to this commission, said that this would            
 be his third year.  He was initially appointed in October of 1992.            
 In response to Senator Salo, Mr. McCain noted that he was an                  
 elementary physical education teacher at Chugiak Elementary.                  
                                                                               
 SENATOR ELLIS inquired as to the location of a transmittal letter             
 from the Governor for these appointments.  CHAIRMAN GREEN did not             
 know of a transmittal letter.                                                 
                                                                               
 SENATOR ELLIS asked if the names before the committee were                    
 submitted by Governor Knowles.  CHAIRMAN GREEN stated that the                
 names were submitted in July of 1994.  She agreed with Senator                
 Ellis that Mr. McCain was suggested by the previous governor.                 
                                                                               
 SENATOR LEMAN said that there must be a transmittal letter                    
 somewhere because the committee was referred these names after                
 being read across the Senate floor.  He agreed that the transmittal           
 would be from Governor Hickel based on when Mr. McCain was                    
 appointed.                                                                    
                                                                               
 SENATOR SALO inquired as to Mr. McCain's function as a member of              
 the commission.  WILLIAM McCAIN felt that his duties were rewarding           
 and interesting.  The commission allows for various areas to                  
 collaborate on decisions of cases ranging from child abuse to                 
 contract disputes.                                                            
                                                                               
 WILLIAM McCAIN appreciated the opportunity to be a part of this               
 commission and pointed out that the commission is staying within              
 their budget.                                                                 
                                                                               
 Number 094                                                                    
                                                                               
 CHAIRMAN GREEN moved to forward Mr. McCain to the legislature for             
 consideration as an appointee to PTPC.  SENATOR SALO objected and             
 expressed concern that there was no transmittal letter from either            
 the present or the previous governor which is normally part of the            
 packet for confirmations.  SENATOR SALO removed her objection.                
                                                                               
 MARY LOU MADDEN, a new appointee located in Sitka at Sheldon                  
 Jackson was introduced as the next appointee open to discussion.              
                                                                               
 SENATOR SALO asked if Ms. Madden had been in Juneau before she had            
 moved to Sitka.  MARY LOU MADDEN stated that she has been in Sitka            
 for the past six months.  Previous to that, Ms. Madden said she had           
 worked mainly with the Department of Education in Juneau for                  
 twenty-two years as well as working for Governors Cowper and Hickel           
 in the Office of Budget and Policy.                                           
                                                                               
 MARY LOU MADDEN spoke to the need for the institution of education            
 to monitor itself regarding ethics.  She felt that her experiences            
 in the system would allow insight into the commission.                        
                                                                               
 SENATOR LEMAN extended his best to Ms. Madden.                                
                                                                               
 Number 154                                                                    
                                                                               
 CHAIRMAN GREEN recommended without objection that Ms. Madden be               
 forwarded to the legislature for consideration.  She introduced               
 BRIAN CARTER as the next appointee up for review.                             
                                                                               
 SENATOR SALO asked if Mr Carter was a new appointment or a                    
 reappointment.  BRIAN CARTER said that he was a reappointment to              
 the commission as of the fall of 1992.                                        
                                                                               
 In response to Senator Salo, BRIAN CARTER explained that he had               
 worked as an elementary physical education teacher in the                     
 Fairbanks, Northstar Bourough for the past thirteen years.                    
 Currently, Mr. Carter is working in an interim position as                    
 principal while the regular principal is receiving special                    
 training.                                                                     
                                                                               
 SENATOR SALO asked if Mr. Carter was being designated for an                  
 administrative position on PTPC.  BRIAN CARTER clarified that he              
 was designated for a teacher position on PTPC.                                
                                                                               
 BRIAN CARTER noted that there are approximately 30,000 active                 
 teaching certificates in Alaska with 8,000 teachers.  He supported            
 the work of the commission.                                                   
                                                                               
 Number 194                                                                    
                                                                               
 Without objection, CHAIRMAN GREEN moved to forward Mr. Carter to              
 the legislature for consideration.  She introduced CHRISTINE NIEMI            
 as the next appointee before the committee for consideration.                 
                                                                               
 SENATOR LEMAN asked if Ms. Niemi could give a brief summary of her            
 background.  CHAIRMAN GREEN noted that Ms. Niemi was a                        
 reappointment.                                                                
                                                                               
 CHRISTINE NIEMI informed the committee that she has worked at the             
 Department of Education since 1982.  Currently, she is working in             
 the Administrative Services Division working in teacher                       
 certification.  Previous to that she worked in the Educational                
 Support Division in the area of Special Education.  She noted that            
 she was appointed to PTPC in December of 1993 to fill a term that             
 someone else could not fill.  She informed the committee that she             
 was the departmental representative.                                          
                                                                               
 SENATOR SALO asked if Ms. Niemi felt that the commission dealt more           
 with certification issues in terms of initial certification since             
 PTPC has assumed more duties dealing with policy issues of                    
 certification.  CHRISTINE NIEMI explained that there can always be            
 improvements to initial applications.  Changes are made as the need           
 arises; they attempt to make the applications more user friendly.             
                                                                               
 SENATOR SALO commented on the case load of the PTPC who efficiently           
 deals with complaints about professionals in the field.  The PTPC             
 is important due to its responsibilities regarding initial                    
 certification as well as pulling certificates.  CHRISTINE NIEMI               
 agreed that policing the profession is an important task of PTPC.             
                                                                               
 In response to Chairman Green, CHRISTINE NIEMI said that two                  
 certificates were pulled at the last commission meeting.  She noted           
 that she had only served on the commission for a year.                        
                                                                               
 SENATOR SALO clarified that often there are more than 100 cases               
 pending.  Most cases do not result in decertification, but the                
 investigation is done.  CHRISTINE NIEMI pointed out that some cases           
 are a complaint of an individual in the profession and may not                
 necessitate decertification.                                                  
                                                                               
 Without objection, CHAIRMAN GREEN moved to foward Ms. Niemi to the            
 legislature for consideration.  Chairman Green thanked all the PTPC           
 appointees and introduced KAREN PERDUE, Designee for the                      
 Commissioner of the Department of Health and Social Services.                 
                                                                               
 Number 280                                                                    
                                                                               
 KAREN PERDUE, a life long Alaskan, said that in the past ten years            
 she has worked as a manager for Health and Social Services.  She              
 specified that in the last four years she has worked with local and           
 state agencies.  She felt that her work in the community and the              
 private sector had helped her bring energy to this position.                  
                                                                               
 SENATOR LEMAN noted the presence of Elmer Lindstrom in the                    
 audience.  Senator Leman inquired as to Ms. Perdue's thoughts on              
 making welfare reform work in Alaska.  He also asked Ms. Perdue               
 where she thought the Division of Public Assistance would be and              
 who would be the new division director.                                       
                                                                               
 KAREN PERDUE stated that the Governor has made welfare reform an              
 important issue for her.  She explained that she had reviewed the             
 caseload in the department as well as trying to discern the problem           
 that the division wants to solve.  She also said that she would be            
 watching the changes in Congress.                                             
                                                                               
 Ms. Perdue maintained that the welfare caseload has increased due             
 to the addition of the two parent family in 1988.  She stated that            
 the department will focus on two parent families because both of              
 the parents are able-bodied.  One parent should be involved with              
 education, work or training.  She indicated the intent of the                 
 department:  to help able-bodied persons to work and not get                  
 trapped in the welfare system, to assure that absent parents                  
 support their children, to make the system between the Division of            
 Public Assistance (DPA) and Child Support more efficient, and                 
 change the role of the welfare worker.  She informed the committee            
 that the department had chosen Jim Nordlund as the Director of DPA.           
                                                                               
 Number 344                                                                    
                                                                               
 CHAIRMAN GREEN asked for Ms. Perdue's assurance that the                      
 suggestions for a liaison and the elimination of the                          
 interdepartmental trap for clients would be utilized.  KAREN PERDUE           
 clarified that Chairman Green was referring to Child Support                  
 Enforcement.  There is discussion to better coordinate the services           
 of DPA and Child Support Enforcement.                                         
                                                                               
 CHAIRMAN GREEN inquired as to whom in the Department of Health and            
 Social Services (DHSS) would follow the federal welfare and                   
 Medicaid changes.  KAREN PERDUE explained that an interdepartmental           
 group would be formed to review all the changes together.                     
                                                                               
 CHAIRMAN GREEN said that she foresaw some difficult choices to be             
 made in DHSS.  She suggested that Ms. Perdue and the department               
 review their possible budget cuts and offer suggestions as to the             
 direction of the cuts.  KAREN PERDUE explained that her priority              
 would be working with the Governor to establish priorities for the            
 agencies as well as defending the Governor's budget.  Ms. Perdue              
 expressed the need to review the possibility of downsizing the                
 agency while continuing to deliver the services.                              
                                                                               
 CHAIRMAN GREEN inquired as to the increase in their budget from               
 1990 to 1995.  KAREN PERDUE informed the committee that the current           
 budget is approximately $800 million with $400 million of that                
 being federal money.  Ms. Perdue said that the budget had probably            
 doubled in that time period.  Ms. Perdue noted that the majority of           
 the growth had occurred in the Mental Health Trust and Entitlement            
 areas.                                                                        
                                                                               
 SENATOR LEMAN indicated that Senator Frank had given out copies of            
 the federal government'S Bipartisan Commission on Entitlements and            
 Tax Reform.  Many of the aspects of that report would apply to                
 Alaska.  If the entitlement issue is not addressed, reductions in             
 the overall cost will not happen.  Senator Leman asked Ms. Perdue             
 if she agreed and if she could outline the manner in which the                
 entitlement issue could be dealt with.                                        
                                                                               
 Number 413                                                                    
                                                                               
 KAREN PERDUE noted that she had not viewed that report, but she had           
 been in discussions regarding the issue.  The entitlements in the             
 department agencies of the Division of Public Assistance and                  
 Medicaid account for 11 percent of the state's general fund.  She             
 felt that the Congressional Balanced Budget Amendment is critical             
 in regards to federal participation.  In the amendment's current              
 form, federal participation would decrease by half by the year                
 2002.  The basic tenets of these programs created in the 1930s and            
 1960s are being questioned.  Federal debate of these issues is                
 pivotal in regard to solutions for Alaska.                                    
                                                                               
 Ms. Perdue informed the committee that 85,000 Alaskans currently              
 use Medicaid as their health insurance.  She expressed the need to            
 review the desired role of Medicaid in Alaska.  A 20 percent growth           
 of the Medicaid system cannot be afforded; currently, Medicaid is             
 at 12 percent growth.  She indicated the need for the Long Range              
 Fiscal Commission to review entitlements in Alaska and propose what           
 the situation would be in the future.                                         
                                                                               
 SENATOR LEMAN pointed out that the resolution Ms. Perdue was                  
 referring to had failed.  He addressed the Division of Public                 
 Assistance's dispute over the significant growth in that division             
 being attributed to new entrants to the state.  The interviews of             
 the division with these new entrants has led the division to                  
 believe that these persons have been encouraged to come to Alaska             
 because of the benefits offered here.  Senator Leman asked if Ms.             
 Perdue felt that growth from new entrants is a significant part of            
 the problem and if so how could this be dealt with.                           
                                                                               
 KAREN PERDUE expressed the need for the information system to                 
 capture data relating to the number of new entrants and their                 
 effect on the department's caseload.  She noted that there are ways           
 to give welfare recipients credit for being in work or training               
 programs therefore, the system would be more equitable.                       
                                                                               
 Number 488                                                                    
                                                                               
 SENATOR LEMAN inquired as to Ms. Perdue's thoughts regarding the              
 fate of Harborview.  KAREN PERDUE stated that the disability                  
 community is ready to have a close out plan for every person in the           
 Harborview institution.  The decision of the disability community             
 to place Harborview residents in the community over the next three            
 years should be supported.  If this plan is followed the population           
 of Haborview would be decreased to approximately 38 persons by next           
 year.  She noted that there is a 16 bed nursing home for                      
 individuals that are difficult to place in private nursing homes.             
 The department should review its position regarding nursing homes             
 because they do not operate any besides the Pioneer's Home.  Ms.              
 Perdue pointed out that as the population of Harborview declines              
 the expense to operate the facility increases; there is discussion            
 about the Department of Corrections utilizing some of the                     
 facility's space.                                                             
                                                                               
 CHAIRMAN GREEN asked what the role of the department would be                 
 regarding the implementation and plan for the comprehensive Mental            
 Health Program in light of the settlement.  KAREN PERDUE said that            
 she would need to research the issue more.  She confirmed that the            
 department would not be administering the Mental Health Trust,                
 however, the department would work with the trust.                            
                                                                               
 SENATOR SALO explained that legislators are in an awkward situation           
 when they receive complaints about the Division of Family and Youth           
 Services (DFYS) yet they are not privy to confidential information            
 of the case worker.  Senator Salo suggested the need for DFYS to              
 have an oversight board or some sort of rejuvenation.                         
                                                                               
 KAREN PERDUE stated that the moral of DFYS is low and they feel               
 over burdened.  She informed the committee that she had appointed             
 Diane Woorhley as the Director of DFYS who seemed very qualified              
 for this position.  An oversight board could be a possibility.  She           
 recognized that an oversight board would create ownership, perhaps,           
 improving community relations.  SENATOR SALO said that she would              
 like to discuss these issues with Ms. Perdue at a later time.                 
                                                                               
 SENATOR ELLIS asked Ms. Perdue to comment on the department's view            
 of permanency planning and independent foster care review which               
 would oversee social workers to ensure that children are not being            
 abused by the system.  KAREN PERDUE informed the committee of a               
 pilot project in Anchorage.  She noted that DFYS would be working             
 with the Department of Administration to renew their commitment.              
                                                                               
 SENATOR ELLIS urged Ms. Perdue to give attention to that issue.  He           
 emphasized that internal reviews by the department are not                    
 sufficient or what the law specifies.  He noted that there would be           
 legislation to extend the permanency planning issue for the state.            
 From experience, an external, independent review is necessary to              
 protect the best interests of the children.                                   
                                                                               
 KAREN PERDUE felt that one of her charges was to improve the                  
 management of the agency and keep the agency operating no matter              
 what it faces.  She indicated that this year would require managing           
 a lot of change at the federal level.                                         
                                                                               
 TAPE 95-4, SIDE B                                                             
                                                                               
 Number 576                                                                    
                                                                               
 KAREN PERDUE said that the upcoming changes should be dealt with by           
 both the department and state officials.  She emphasized that the             
 main priority of the agency would be to run efficiently  while                
 serving the Alaskan public.                                                   
                                                                               
 CHAIRMAN GREEN moved without objection to forward Ms. Perdue to the           
 legislature for consideration.  Chairman Green noted that the                 
 committee would be hearing SB 59, SB 58, SB 62, and SB 68 on                  
 Wednesday, February 15th.                                                     
                                                                               
 There being no further business before the committee, the meeting             
 adjourned at 9:55 a.m.                                                        
                                                                               
                                                                               

Document Name Date/Time Subjects