Legislature(2013 - 2014)BUTROVICH 205

02/26/2014 01:30 PM Senate HEALTH & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SCR 13 FETAL ALCOHOL SPECTRUM DISORDERS TELECONFERENCED
Heard & Held
*+ SCR 14 H&SS REGIONAL BEST PRACTICE MODELS TELECONFERENCED
Heard & Held
Bills Previously Heard/Scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                       February 26, 2014                                                                                        
                           1:35 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bert Stedman, Chair                                                                                                     
Senator Peter Micciche, Vice Chair                                                                                              
Senator Kevin Meyer                                                                                                             
Senator Johnny Ellis                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Pete Kelly                                                                                                              
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE CONCURRENT RESOLUTION NO. 13                                                                                             
Urging the governor to establish and support programs designed                                                                  
to eradicate the occurrence of fetal alcohol spectrum disorder                                                                  
from the state.                                                                                                                 
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE CONCURRENT RESOLUTION NO. 14                                                                                             
Relating to health and social service best practice models and                                                                  
identifying citizen networks to achieve solutions to health and                                                                 
social problems in the state.                                                                                                   
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SCR 13                                                                                                                  
SHORT TITLE: FETAL ALCOHOL SPECTRUM DISORDERS                                                                                   
SPONSOR(s): SENATOR(s) KELLY                                                                                                    
                                                                                                                                
02/07/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/07/14       (S)       HSS                                                                                                    
02/26/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: SCR 14                                                                                                                  
SHORT TITLE: H&SS REGIONAL BEST PRACTICE MODELS                                                                                 
SPONSOR(s): SENATOR(s) KELLY                                                                                                    
                                                                                                                                
02/07/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/07/14       (S)       HSS                                                                                                    
02/26/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
HEATHER SHADDUCK, Staff                                                                                                         
Senator Pete Kelly                                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented SCR 13 on behalf of the sponsor.                                                                
                                                                                                                                
ARLENE BRISCOE, Member                                                                                                          
Alaska Nurses Association                                                                                                       
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SCR 13.                                                                           
                                                                                                                                
RYAN RAY, Staff                                                                                                                 
Senator Pete Kelly                                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented SCR 14 on behalf of the sponsor.                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                              
1:35:13 PM                                                                                                                  
CHAIR BERT STEDMAN  called the Senate Health  and Social Services                                                             
Standing Committee meeting  to order at 1:35 p.m.  Present at the                                                               
call to  order were  Senators Micciche,  Meyer, Ellis,  and Chair                                                               
Stedman.                                                                                                                        
                                                                                                                                
            SCR 13-FETAL ALCOHOL SPECTRUM DISORDERS                                                                         
                                                                                                                                
1:36:11 PM                                                                                                                    
CHAIR STEDMAN  announced that the  first order of  business would                                                               
be SCR 13.                                                                                                                      
                                                                                                                                
HEATHER  SHADDUCK,  Staff,  Senator   Pete  Kelly,  Alaska  State                                                               
Legislature, Juneau,  Alaska, presented SCR  13 on behalf  of the                                                               
sponsor.                                                                                                                        
                                                                                                                                
CHAIR STEDMAN  noted it is the  first hearing on SCR  13. He said                                                               
today  the committee  would hear  from the  sponsor, take  public                                                               
testimony, and set the bill aside.                                                                                              
                                                                                                                                
MS. SHADDUCK referred to backup materials in members' packets.                                                                  
                                                                                                                                
1:39:30 PM                                                                                                                    
MS. SHADDUCK explained that the  resolution was a product of last                                                               
year's mental  health overview in  the Senate  Finance Committee.                                                               
The  focus  of  that  presentation was  narrowed  down  to  Fetal                                                               
Alcohol  Syndrome Disorder  (FASD) in  the  form of  SCR 13.  She                                                               
pointed out  that FASD is  preventable and this  resolution would                                                               
address prevention.                                                                                                             
                                                                                                                                
She provided  background information  regarding FASD.  Each child                                                               
born  with  FASD  costs  the  state  between  $850,000  and  $4.2                                                               
million. She  noted the numbers  were provided by  the Department                                                               
of  Health  and  Social  Services.  Currently,  there  are  112.9                                                               
children  born  with  FASD  for every  10,000  live  births.  She                                                               
stressed the  high cost of  those children  to the state  and the                                                               
services they may require.                                                                                                      
                                                                                                                                
MS. SHADDUCK related  that 90 percent of women do  not drink when                                                               
they know  they are pregnant. The  focus of the resolution  is on                                                               
the  other 10  percent. It  hopes  to raise  a conversation.  She                                                               
showed  the  cover  of  the   Anchorage  Daily  News  on  Sunday,                                                             
February, 2014.  The topic  is raising  the public  awareness and                                                               
the conversation.                                                                                                               
                                                                                                                                
1:40:22 PM                                                                                                                    
MS. SHADDUCK said  the resolution hopes to change  the hearts and                                                               
minds  of Alaskans  and  to  eradicate FASD.  It  calls upon  the                                                               
Governor to establish and support  programs designed to eradicate                                                               
the occurrence  of FASD and  increase rapid screening,  the first                                                               
tool in a lengthy diagnosis.                                                                                                    
                                                                                                                                
She said the  final action item in the  resolution encourages the                                                               
Governor  to take  action to  expand residential  substance abuse                                                               
treatment  services for  women who  are pregnant  and to  explore                                                               
partnerships to  prioritize the admission of  pregnant women into                                                               
homes operated by Indian Health Services.                                                                                       
                                                                                                                                
CHAIR STEDMAN noted one zero fiscal note from the legislature.                                                                  
                                                                                                                                
1:42:37 PM                                                                                                                    
ARLENE  BRISCOE, Member,  Alaska  Nurses Association,  Anchorage,                                                               
Alaska, testified in  support of SCR 13. She  related that nurses                                                               
daily see the devastation of  alcohol and drug abuse to patients,                                                               
their  families, and  to society.  She described  the unfortunate                                                               
effects of alcohol and drugs on infants and children.                                                                           
                                                                                                                                
CHAIR STEDMAN closed public testimony.                                                                                          
                                                                                                                                
MS. SHADDUCK noted that many  people have stories about the human                                                               
tragedy of FASD.                                                                                                                
                                                                                                                                
1:44:27 PM                                                                                                                    
CHAIR STEDMAN held SCR 13 in committee.                                                                                         
                                                                                                                                
           SCR 14-H&SS REGIONAL BEST PRACTICE MODELS                                                                        
                                                                                                                                
1:44:43 PM                                                                                                                    
CHAIR STEDMAN  announced that the  final order of  business would                                                               
be  SCR 14.  He  said  that the  committee  would  hear from  the                                                               
sponsor, take public testimony, and set the bill aside.                                                                         
                                                                                                                                
1:44:52 PM                                                                                                                    
RYAN RAY,  Staff, Senator Pete  Kelly, Alaska  State Legislature,                                                               
Juneau, Alaska,  presented SCR  14 on behalf  of the  sponsor. He                                                               
said as an Alaskan, he believes  that it is the most beautiful of                                                               
states. However,  Alaska continues to  struggle with some  of the                                                               
most severe rates of social ills.  Alaska leads the states in the                                                               
rates  of   suicides,  forcible  rape,   alcohol-related  deaths,                                                               
domestic violence,  and Fetal  Alcohol Spectrum  Disorder (FASD).                                                               
He said  that SCR 14 calls  for the development of  a grass roots                                                               
community-based  effort  to  create  positive  social  norms  and                                                               
institute  regional  best  practice  models  addressing  Alaska's                                                               
social challenges.                                                                                                              
                                                                                                                                
He shared  statistics related to  the cost of those  social ills.                                                               
He  said FASD  costs  the  state over  $100  million every  year.                                                               
According to  the McDowell Group  Report, the economic  impact of                                                               
alcohol and drug abuse was over  $1.2 billion a year in 2010. The                                                               
report  that came  out  in  2005 reported  the  cost  to be  $738                                                               
million, which  shows that the  problem is  growing at a  rate of                                                               
$66 million  a year.  He called this  "social train"  that cannot                                                               
stop, unacceptable.                                                                                                             
                                                                                                                                
MR.  RAY  explained  that SCR  14  establishes  an  on-the-ground                                                               
strategy   for   addressing   Alaska's   social   challenges   by                                                               
accomplishing   two  things.   The  first   is  identifying   and                                                               
empowering "natural helpers," community  leaders who are making a                                                               
difference. The  second step  is to  bring these  natural helpers                                                               
together  to have  a conversation,  find  solutions, and  develop                                                               
best  practice models  to address  social  issues. Best  practice                                                               
models can be shared with other  communities. He said the goal is                                                               
to come back  to the state with best practice  models and develop                                                               
a strategic approach for spending and accountability measures.                                                                  
                                                                                                                                
He  related  that   SCR  14  resolves  four   things.  First,  it                                                               
encourages  the  identification  and  development  of  a  citizen                                                               
network  involving natural  helpers from  the community.  Second,                                                               
the  citizen  networks will  participate  in  the creation  of  a                                                               
positive community and  social norm related to  the prevention of                                                               
FASD,  as well  as  other challenges.  Third,  it encourages  the                                                               
development  of  regional  best practice  models  addressing  the                                                               
state's  critical  health  and   social  challenges.  Fourth,  it                                                               
encourages the Governor  to support the development  and usage of                                                               
the regional best practice models  in an effort to establish more                                                               
effective and  cost-efficient methods  of addressing  the state's                                                               
critical health and social challenges.                                                                                          
                                                                                                                                
1:51:30 PM                                                                                                                    
MR. RAY referred  to a legislative research report  on the public                                                               
funding of programs in Alaska. From  FY 2003 to FY 2012 over $500                                                               
million in public funding was  spent addressing health and social                                                               
issues. The  hope is that  SCR 14  will provide the  strategy and                                                               
infrastructure   to  develop   a  community-based   ground  floor                                                               
solution.                                                                                                                       
                                                                                                                                
1:52:27 PM                                                                                                                    
CHAIR STEDMAN noted one zero fiscal note from the legislature.                                                                  
                                                                                                                                
CHAIR STEDMAN  opened public testimony. Seeing  no one interested                                                               
in testifying, he closed public testimony.                                                                                      
                                                                                                                                
MR. RAY thanked the committee for hearing the resolution.                                                                       
                                                                                                                                
CHAIR STEDMAN held SCR 14 in committee.                                                                                         
                                                                                                                                
1:53:21 PM                                                                                                                    
There being  no further  business to  come before  the committee,                                                               
Chair Stedman adjourned the Health  and Social Services Committee                                                               
at 1:53 p.m.                                                                                                                    

Document Name Date/Time Subjects
SCR 13.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR13-LEG-SESS-02-24-14.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 13 - Sponsor Statement.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 13 - A call to Action Alaska white paper.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 13 - Alaska FAS Fact Sheet.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 13 - Circumpolar Health Study.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 13 - MCHDataBook2012.pdf SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 13 AaNA support letter.docx SHSS 2/26/2014 1:30:00 PM
SCR 13
SCR 14.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14
SCR14-LEG-SESS-02-24-14.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14
SCR 14 - Sponsor Statement.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14
SCR 14 - EconomicCostofAlcoholandDrugAbuse2012.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14
SCR 14 - CDVSAAnnualReport2012.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14
SCR 14 - AMHTA Scorecard2013.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14
SCR 14 - 2012 Annual Drug Report.pdf SHSS 2/26/2014 1:30:00 PM
SCR 14