Legislature(2011 - 2012)BUTROVICH 205

03/21/2011 01:30 PM Senate HEALTH & SOCIAL SERVICES


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01:31:25 PM Start
01:32:10 PM Confirmation Hearings for Governor's Appointments
01:58:21 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Governor's Appointments/Confirmation Report TELECONFERENCED
Bills Previously Heard/Scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         March 21, 2011                                                                                         
                           1:31 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bettye Davis, Chair                                                                                                     
Senator Dennis Egan                                                                                                             
Senator Johnny Ellis                                                                                                            
Senator Kevin Meyer                                                                                                             
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Fred Dyson                                                                                                              
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION HEARINGS                                                                                                           
     Mental Health Trust Authority Board of Trustees                                                                          
          Russell Webb - Juneau                                                                                                 
          Mike Barton - Juneau                                                                                                  
                                                                                                                              
     CONFIRMATIONS ADVANCED                                                                                                   
                                                                                                                                
     State Physical Therapy and Occupational Therapy Board                                                                
          Valerie Phelps - Anchorage                                                                                          
                                                                                                                                
     CONFIRMATION ADVANCED                                                                                                      
                                                                                                                                
     Board of Nursing                                                                                                         
          Julie Gillette - Wasilla                                                                                              
          Erin Pringle - Anchorage                                                                                              
                                                                                                                              
     CONFIRMATIONS ADVANCED                                                                                                   
                                                                                                                                
     Board of Dental Examiners                                                                                              
          Dr. Paul Silveira -Valdez                                                                                             
                                                                                                                                
     CONFIRMATION ADVANCED                                                                                                      
                                                                                                                                
     Board of Pharmacy                                                                                                        
          Dirk White - Sitka                                                                                                    
                                                                                                                                
     CONFIRMATION ADVANCED                                                                                                      
                                                                                                                                
     Board of Marital and Family Therapy                                                                                      
          Joann Young - Anchorage                                                                                               
                                                                                                                                
     CONFIRMATION ADVANCED                                                                                                      
                                                                                                                                
     Commissioner, Department of Health and Social Services                                                                     
          William J. Streur - Anchorage                                                                                         
                                                                                                                              
     CONFIRMATION ADVANCED                                                                                                      
                                                                                                                              
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
RUSSELL WEBB                                                                                                                    
Governor's Nominee                                                                                                              
Juneau, AK                                                                                                                      
POSITION STATEMENT: Governor's nominee to the Mental Health                                                                   
Trust Authority Board of Trustees.                                                                                              
                                                                                                                                
MIKE BARTON                                                                                                                     
Governor's Nominee                                                                                                              
Juneau, AK                                                                                                                      
POSITION STATEMENT: Governor's Nominee to the Mental Health                                                                   
Trust Authority Board of Trustees.                                                                                              
                                                                                                                                
VALERIE PHELPS                                                                                                                  
Governor's Nominee                                                                                                              
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Governor's Nominee to the State Physical                                                                  
Therapy and Occupational Therapy Board.                                                                                         
                                                                                                                                
JULIE GILLETTE                                                                                                                  
Governor's Nominee                                                                                                              
Wasilla, AK                                                                                                                     
POSITION STATEMENT Governor's Nominee to the Board of Nursing                                                                 
                                                                                                                                
DR. PAUL SILVEIRA                                                                                                               
Governor's Nominee                                                                                                              
Valdez, AK                                                                                                                      
POSITION STATEMENT: Governor's Nominee to the Board of Dental                                                                 
Examiners.                                                                                                                      
                                                                                                                                
DIRK WHITE                                                                                                                      
Governor's Nominee                                                                                                              
Sitka, AK                                                                                                                       
POSITION STATEMENT: Governor's Nominee to the Board of Pharmacy.                                                              
                                                                                                                                
JOANN YOUNG                                                                                                                     
Governor's Nominee                                                                                                              
Anchorage, AK                                                                                                                   
POSITION  STATEMENT: Governor's  Nominee to  the Board of  Marital                                                            
and Family Therapy.                                                                                                             
                                                                                                                                
ERIN PRINGLE                                                                                                                    
Governor's Nominee                                                                                                              
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Governor's Nominee to the Board of Nursing.                                                               
                                                                                                                                
WILLIAM J. STREUR                                                                                                               
Commissioner Designee                                                                                                           
Department of Health and Social Services                                                                                        
Anchorage, AK                                                                                                                   
POSITION STATEMENT:  Governor's Nominee as Commissioner  of Health                                                            
and Social Services.                                                                                                            
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:31:25 PM                                                                                                                    
CHAIR BETTYE  DAVIS called the  Senate Health and  Social Services                                                            
Standing Committee  meeting to order  at 1:31 p.m. Present  at the                                                              
call to order were Senators Ellis, Egan, Meyer, and Chair Davis.                                                                
                                                                                                                                
       ^CONFIRMATION HEARINGS FOR GOVERNOR'S APPOINTMENTS                                                                       
       CONFIRMATION HEARINGS FOR GOVERNOR'S APPOINTMENTS                                                                    
                                                                                                                              
1:32:10 PM                                                                                                                    
CHAIR  DAVIS  announced  the  first order  of  business  would  be                                                              
confirmation hearings  for the governor's appointments  to various                                                              
boards.                                                                                                                         
                                                                                                                                
CHAIR  DAVIS said  the committee  would first  hear from  nominees                                                              
present in the audience.                                                                                                        
                                                                                                                                
RUSSELL  WEBB,  governor's  nominee  to the  Mental  Health  Trust                                                              
Authority Board  of Trustees, said  he has spent 30  years working                                                              
for  the  Department  of  Health and  Social  Services  (DHSS)  in                                                              
Juneau,  in  positions   ranging  from  social  worker   to  child                                                              
protective  services   provider  and  probation  officer,   up  to                                                              
serving  as  Director   of  the  Division  of   Family  and  Youth                                                              
Services, Deputy  Commissioner of Health and Social  Services, and                                                              
2.5  years  as a  program  officer  for  the Mental  Health  Trust                                                              
Authority Board of Trustees.                                                                                                    
                                                                                                                                
He  said  he is  also  a  family  member of  mental  health  trust                                                              
recipients,  and  he  has the  time  and  energy  to give,  and  a                                                              
commitment to helping mental health trust beneficiaries.                                                                        
                                                                                                                                
CHAIR DAVIS  said it  is always  good to see  the faces  of people                                                              
who want to fill these positions.                                                                                               
                                                                                                                                
1:35:40 PM                                                                                                                    
SENATOR ELLIS said we are lucky to have him.                                                                                    
                                                                                                                                
MIKE  BARTON,  governor's  nominee  to  the  Mental  Health  Trust                                                              
Authority Board  of Trustees, said  he had served  as commissioner                                                              
of  the  Department   of  Transportation  and   Public  Facilities                                                              
(DOTPF)  and  was the  top  official  for  the Forest  Service  in                                                              
Alaska for  ten years. He said  his interest in the  board stemmed                                                              
from  personal  involvement  with  beneficiaries,  and  he  looked                                                              
forward to serving on the board.                                                                                                
                                                                                                                                
CHAIR DAVIS thanked Mr. Barton.                                                                                                 
                                                                                                                                
VALERIE PHELPS,  governor's nominee to the State  Physical Therapy                                                              
and  Occupational Therapy  Board,  said she  has  been a  physical                                                              
therapist for 30 years.                                                                                                         
                                                                                                                                
CHAIR  DAVIS  thanked her  and  asked  if  she was  available  for                                                              
questions.                                                                                                                      
                                                                                                                                
MS. PHELPS said yes, and it is an honor to contribute.                                                                          
                                                                                                                                
1:41:04 PM                                                                                                                    
JULIE GILLETTE, governor's  nominee to the Board  of Nursing, said                                                              
she  was  in the  Air  Force  for  20  years. She  has  a  general                                                              
knowledge of  medical administration,  and saw the  opportunity to                                                              
serve the state.                                                                                                                
                                                                                                                                
CHAIR DAVIS thanked Ms. Gillette.                                                                                               
                                                                                                                                
1:43:08 PM                                                                                                                    
DR.  PAUL SILVEIRA,  governor's  nominee to  the  Board of  Dental                                                              
Examiners, said he  has been a practicing dentist  in Alaska since                                                              
1992, and he is honored to be considered for the board.                                                                         
                                                                                                                                
DIRK WHITE, governor's  nominee to the Board of  Pharmacy, said he                                                              
has been  a resident of  Alaska for 35 years  and has been  on the                                                              
Board  of Pharmacy  for  four  years and  is  up for  renewal  for                                                              
another four year term.                                                                                                         
                                                                                                                                
1:44:48 PM                                                                                                                    
CHAIR DAVIS thanked them both for their willingness to serve.                                                                   
                                                                                                                                
JOANN  YOUNG,  governor's nominee  to  the  Board of  Marital  and                                                              
Family Therapy,  said she  is a  practicing registered  nurse (RN)                                                              
and is currently  working as an RN case manager. She  said it is a                                                              
great honor to be considered for the board.                                                                                     
                                                                                                                                
BETH FRANSTROM, governor's  nominee to the Board  of Nursing, said                                                              
she is  asking to  be reappointed  to the  board for another  four                                                              
year term.                                                                                                                      
                                                                                                                                
1:46:34 PM                                                                                                                    
ERIN PRINGLE,  governor's nominee  to the  Board of Nursing,  said                                                              
she was available for questions.                                                                                                
                                                                                                                                
SENATOR ELLIS  asked what  the current big  issues are  before the                                                              
Board of Nursing.                                                                                                               
                                                                                                                                
MS.  PRINGLE said  the scope  of practice  for nurses  is one  big                                                              
issue, in terms  of what procedures are appropriate  to be done by                                                              
RNs, CNAs, and nurse assistants.                                                                                                
                                                                                                                                
SENATOR ELLIS  asked if  the prime  consideration is  professional                                                              
standards, consumer protection, or patient protection.                                                                          
                                                                                                                                
MS. PRINGLE  said they have to  consider all of those  things. The                                                              
primary  concern  is  the  protection of  the  public.  They  must                                                              
consider the  safety of patients,  and look at standards  of care;                                                              
they  look  at  national  organizations  to  see  the  established                                                              
standards of practice.                                                                                                          
                                                                                                                                
SENATOR ELLIS said thank you for your service.                                                                                  
                                                                                                                                
1:49:16 PM                                                                                                                    
WILLIAM  J. STREUR,  Commissioner Designee,  Department of  Health                                                              
and Social  Services (DHSS),  said he  has spent  35 years  in the                                                              
health  care system,  and  has been  a deputy  commissioner  since                                                              
2007.  He became  Acting  Commissioner  in  December of  2010  and                                                              
Commissioner Designee  in January of  2011. He stated he  brings a                                                              
breadth  of  knowledge to  the  state  as  far as  private  sector                                                              
knowledge,  having   worked  with  four  states,   primarily  with                                                              
Medicaid issues.                                                                                                                
                                                                                                                                
When  he was  appointed  Acting Commissioner  he  went around  the                                                              
state and  talked to  various medical  associations and  community                                                              
groups. After  speaking with all of  them, he believes  there is a                                                              
chance to  do some good things  in a very difficult  and turbulent                                                              
time  in  health  care.  He  said he  stands  ready  to  face  the                                                              
challenge.                                                                                                                      
                                                                                                                                
1:52:22 PM                                                                                                                    
SENATOR  MEYER  asked what  the  number  one  health issue  is  in                                                              
Alaska today.                                                                                                                   
                                                                                                                                
COMMISSIONER  STREUER said the  biggest concern  is access  to the                                                              
right service  at the  right time  and right  place for  the right                                                              
people.  There  is a  Medicare  crisis  in  the state  of  Alaska;                                                              
Medicare  recipients  have  called  him  saying  they  can't  find                                                              
service. Their  doctor has retired,  they are very sick,  and they                                                              
don't know  who to see. Alaska  has spent $70 million  on Medicaid                                                              
transportation.                                                                                                                 
                                                                                                                                
Alaska's  medical  information  technology  is outdated;  it  pays                                                              
claims but  state agencies  don't know what  they are  paying for,                                                              
because there is  no documentation. Electronic health  records are                                                              
extremely important  for the state.  It is impossible to  focus on                                                              
any one thing.  Domestic violence and sexual assault  also need to                                                              
be addressed.                                                                                                                   
                                                                                                                                
SENATOR ELLIS  thanked Commissioner  Streuer for being  respectful                                                              
of the  committee's role  in the  process, and  asked if  he would                                                              
speak about  the need for  a psychiatric residency  program. Money                                                              
for this is proposed in the budget.                                                                                             
                                                                                                                                
COMMISSIONER   STREUER   said   the  state   has   a   significant                                                              
psychiatric shortage,  and issues at Alaska  Psychiatric Institute                                                              
(API)  and within  the court  system  all point  to a  significant                                                              
shortage  of psychiatric  professionals.  A psychiatric  residency                                                              
program  is one  way  to address  this. He  tends  to support  it;                                                              
however,  the   problem  is  that   the  crisis  is  now,   and  a                                                              
psychiatric  residency program  takes four  years to complete.  It                                                              
is  a   significant  investment   but  there   would  also   be  a                                                              
significant future benefit for the state.                                                                                       
                                                                                                                                
1:57:13 PM                                                                                                                    
CHAIR DAVIS  thanked Commissioner Streuer  for taking the  time to                                                              
come. She  said all of  us will  do what we  can to help  you make                                                              
this a  better state for health  care. She noted  the confirmation                                                              
list  would  be signed  by  committee  members  and given  to  the                                                              
[Senate Secretary's] Office.                                                                                                    
                                                                                                                                
1:58:21 PM                                                                                                                    
There being no further business to come before the committee,                                                                   
Chair Davis adjourned the meeting at 1:58 p.m.                                                                                  

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