HOUSE HEALTH, EDUCATION AND SOCIAL                                    
            SERVICES STANDING COMMITTEE                                        
                   March 12, 1998                                              
                     3:02 p.m.                                                 
                                                                               
                                                                               
MEMBERS PRESENT                                                                
                                                                               
Representative Con Bunde, Chairman                                             
Representative Joe Green, Vice Chairman                                        
Representative Al Vezey                                                        
Representative Brian Porter                                                    
Representative Fred Dyson                                                      
Representative J. Allen Kemplen                                                
Representative Tom Brice                                                       
                                                                               
MEMBERS ABSENT                                                                 
                                                                               
All members present                                                            
                                                                               
COMMITTEE CALENDAR                                                             
                                                                               
SENATE BILL NO. 17                                                             
"An Act creating the crime of criminal transmission of human                   
immunodeficiency virus (HIV)."                                                 
                                                                               
     - HEARD AND HELD                                                          
                                                                               
HOUSE BILL NO. 375                                                             
"An Act relating to children in need of aid matters and                        
proceedings; relating to murder of children, criminally negligent              
homicide, kidnapping, criminal nonsupport, the crime of indecent               
exposure, and the crime of endangering the welfare of a child;                 
relating to registration of certain sex offenders; relating to                 
sentencing for certain crimes involving child victims; relating to             
the state medical examiner and reviews of child fatalities;                    
relating to teacher certification and convictions of crimes                    
involving child victims; relating to access, confidentiality, and              
release of certain information concerning the care of children,                
child abuse and neglect, and child fatalities; authorizing the                 
Department of Health and Social Services to enter into an                      
interstate compact concerning adoption and medical assistance for              
certain children with special needs; authorizing the establishment             
of a multidisciplinary child protection team to review reports of              
child abuse or neglect; relating to immunity from liability for                
certain state actions concerning matters involving child protection            
and fatality reviews and children in need of aid; relating to                  
persons required to report suspected child abuse or neglect;                   
relating to foster care placement and to payment for children in               
foster and other care and the waiver of certain foster care                    
requirements; relating to the access to certain criminal justice               
information and licensure of certain child care facilities;                    
amending Rule 218, Alaska Rules of Appellate Procedure; amending               
Rules 1, 3, 15, 18, and 19, Alaska Child in Need of Aid Rules; and             
providing for an effective date."                                              
                                                                               
     - HEARD AND HELD                                                          
                                                                               
* HOUSE BILL NO. 340                                                           
"An Act relating to child abuse and neglect, child-in-need-of-aid              
proceedings, and review of cases involving certain children who are            
in the custody of the state; amending Rules 3, 7, 10, 15, 17, and              
19, Alaska Child in Need of Aid Rules; and providing for an                    
effective date."                                                               
                                                                               
     - BILL HEARING CANCELLED                                                  
                                                                               
* HOUSE BILL NO. 384                                                           
"An Act establishing the Legislative Commission on Family Law                  
Reform; and providing for an effective date."                                  
                                                                               
     - SCHEDULED BUT NOT HEARD                                                 
                                                                               
(* First public hearing)                                                       
                                                                               
PREVIOUS ACTION                                                                
                                                                               
BILL: SB  17                                                                   
SHORT TITLE: CRIMINAL TRANSMISSION OF HIV                                      
SPONSOR(S): SENATOR(S) TAYLOR, Pearce, Miller, Ward                            
                                                                               
Jrn-Date    Jrn-Page           Action                                          
04/25/57               (S)  RLS AT 10:45 AM FAHRENKAMP RM 203                  
01/13/97        18     (S)  PREFILE RELEASED 1/3/97                            
01/13/97        18     (S)  READ THE FIRST TIME - REFERRAL(S)                  
01/13/97        18     (S)  HES, JUD, FIN                                      
04/11/97               (S)  HES AT  9:00 AM BUTROVICH ROOM 205                 
04/11/97               (S)  MINUTE(HES)                                        
04/11/97      1099     (S)  HES RPT  2DP 1NR                                   
04/11/97      1099     (S)  DP: LEMAN, WARD;  NR: WILKEN                       
04/11/97      1099     (S)  ZERO FISCAL NOTES (ADM, DPS, LAW)                  
04/11/97      1099     (S)  JUD REFERRAL WAIVED                                
04/15/97               (S)  MINUTE(FIN)                                        
04/22/97               (S)  FIN AT  9:00 AM SENATE FINANCE 532                 
04/22/97      1383     (S)  FIN RPT  1DP 4NR 1DNP                              
04/22/97      1383     (S)  DP: TORGERSON; DNP: ADAMS                          
04/22/97      1383     (S)  NR: PEARCE, SHARP, PHILLIPS, DONLEY                
04/22/97      1383     (S)  PREVIOUS ZERO FNS (ADM, DPS, LAW)                  
04/25/97               (S)  RLS AT 10:45 AM FAHRENKAMP RM 203                  
04/25/97               (S)  MINUTE(RLS)                                        
04/25/97      1478     (S)  RULES TO CALENDAR  4/25/97                         
04/25/97      1485     (S)  READ THE SECOND TIME                               
04/25/97      1485     (S)  ADVANCED TO THIRD READING UNAN                     
                            CONSENT                                            
04/25/97      1485     (S)  READ THE THIRD TIME  SB 17                         
04/25/97      1485     (S)  MTN TO REMOVE (ADM, LAW)FN ANALYSES                
                            NOT                                                
04/25/97      1485     (S)  ADDRESSING FISCAL IMPLICATION ADP Y14              
                            N6                                                 
04/25/97      1485     (S)  COSPONSOR(S): MILLER, WARD                         
04/25/97      1486     (S)  PASSED Y14 N6                                      
04/25/97      1486     (S)  DUNCAN  NOTICE OF RECONSIDERATION                  
04/28/97      1513     (S)  RECON TAKEN UP - IN THIRD READING                  
04/28/97      1513     (S)  PASSED ON RECONSIDERATION Y14 N5 E1                
04/28/97      1530     (S)  TRANSMITTED TO (H)                                 
04/30/97      1393     (H)  READ THE FIRST TIME - REFERRAL(S)                  
04/30/97      1393     (H)  HES, JUDICIARY, FINANCE                            
03/12/98               (H)  HES AT  3:00 PM CAPITOL 106                        
                                                                               
BILL: HB 375                                                                   
SHORT TITLE: CRIMES AGAINST CHILDREN/FOSTER CARE                               
SPONSOR(S): RULES BY REQUEST OF THE GOVERNOR                                   
                                                                               
Jrn-Date    Jrn-Page           Action                                          
02/02/98      2200     (H)  READ THE FIRST TIME - REFERRAL(S)                  
02/02/98      2201     (H)  HES, JUDICIARY, FINANCE                            
02/02/98      2201     (H)  INDETERMINATE FN (GOV/VARIOUS DEPTS)               
02/02/98      2201     (H)  GOVERNOR'S TRANSMITTAL LETTER                      
02/26/98               (H)  HES AT  3:00 PM CAPITOL 106                        
02/26/98               (H)  MINUTE(HES)                                        
03/03/98               (H)  HES AT  3:00 PM CAPITOL 106                        
03/03/98               (H)  MINUTE(HES)                                        
03/05/98               (H)  HES AT  3:00 PM CAPITOL 106                        
03/05/98               (H)  MINUTE(HES)                                        
03/12/98               (H)  HES AT  3:00 PM CAPITOL 106                        
                                                                               
WITNESS REGISTER                                                               
                                                                               
SENATOR ROBIN TAYLOR                                                           
Alaska State Legislature                                                       
Capitol Building, Room 30                                                      
Juneau, Alaska  99801-1182                                                     
Telephone:  (907) 465-3873                                                     
POSITION STATEMENT:  Testified as sponsor of SB 17.                            
                                                                               
JOHN MIDDAUGH, M.D., Chief                                                     
Epidemiology Section                                                           
Division of Public Health                                                      
Department of Health & Social Services                                         
P.O. Box 240249                                                                
Anchorage, Alaska  99524-0249                                                  
Telephone:  (907) 269-8000                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
SCOT McROBERTS, Outreach Coordinator                                           
131 West Harvard Avenue                                                        
Anchorage, Alaska  99501                                                       
Telephone:  (907) 278-593                                                      
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
DEE JAY JOHANNESSEN, Executive Director                                        
AIDS Care Network                                                              
3650 Lake Otis Parkway, Number 100                                             
Anchorage, Alaska  99508                                                       
Telephone:  (907) 563-2437                                                     
POSITION STATEMENT:  Testified on SB 17.                                       
                                                                               
JULIE CLOSE, Case Manager                                                      
Interior AIDS Association                                                      
547 Sun Way                                                                    
Fairbanks, Alaska  99709                                                       
Telephone:  (907) 457-2170                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
PAT CAHILL, Outreach Worker                                                    
Interior AIDS Association                                                      
1434 Hans Way                                                                  
Fairbanks, Alaska  99709                                                       
Telephone:  (907) 479-7190                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
MICHAEL HUGHES                                                                 
P.O. Box 230072                                                                
Anchorage, Alaska  99523                                                       
Telephone:  (907) 345-3635                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
MARY LEE, HIV Counselor                                                        
Municipality of Anchorage                                                      
8701 Spendlove Drive                                                           
Anchorage, Alaska  99516                                                       
Telephone:  (907) 343-4616                                                     
POSITION STATEMENT:  Testified on SB 17.                                       
                                                                               
CHRIS CARPENTINO                                                               
P.O. Box 55304                                                                 
North Pole, Alaska  99705                                                      
Telephone:  (907) 488-6289                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
CAREY CUMMINGS, Outreach Worker                                                
Interior AIDS Association                                                      
710 3rd Avenue                                                                 
Fairbanks, Alaska  99701                                                       
Telephone:  (907) 452-4222                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
MARCUS ORTELEE, Volunteer                                                      
Interior AIDS Association                                                      
P.O. Box 82252                                                                 
Fairbanks, Alaska  99708                                                       
Telephone:  (907) 457-1272                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
ILENA CRAMER, Women's Outreach Worker                                          
Interior AIDS Association                                                      
P.O. Box 81289                                                                 
Fairbanks, Alaska  99708                                                       
Telephone:  (907) 479-2136                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
SUSAN CARPENTINO                                                               
P.O. Box 55304                                                                 
North Pole, Alaska  99705                                                      
Telephone:  (907) 477-6289                                                     
POSITION STATEMENT:  Testified in opposition to SB 17.                         
                                                                               
MICHAEL COONS, Paramedic                                                       
P.O. Box 4229                                                                  
Palmer, Alaska  99645                                                          
Telephone:  (907) 745-6779                                                     
POSITION STATEMENT:  Testified in support of SB 17 and in                      
                     opposition to HB 375.                                     
                                                                               
DEAN GUANELI, Chief Assistant Attorney General                                 
Criminal Division                                                              
Department of Law                                                              
P.O. Box 110300                                                                
Juneau, Alaska  99811-0300                                                     
Telephone:  (907) 465-3428                                                     
POSITION STATEMENT:  Presented criminal section of HB 375.                     
                                                                               
KAREN LEONARD                                                                  
310 West 76th Street, Number C                                                 
Anchorage, Alaska  99518                                                       
Telephone:  (907) 522-9268                                                     
POSITION STATEMENT:  Testified in opposition to HB 375.                        
                                                                               
YOLANDA BOMA                                                                   
11640 Northern Raven Drive                                                     
Anchorage, Alaska  99516                                                       
Telephone:  (907) 348-0715                                                     
POSITION STATEMENT:  Testified in opposition to HB 375.                        
                                                                               
HARRY NEIHAUS                                                                  
P.O. Box 55664                                                                 
North Pole, Alaska  99705                                                      
Telephone:  (907) 488-9328                                                     
POSITION STATEMENT:  Testified in opposition to HB 375.                        
                                                                               
GENE ALTIG                                                                     
4396 Al Cory Road                                                              
North Pole, Alaska  99705                                                      
Telephone:  (907) 488-4216                                                     
POSITION STATEMENT:  Testified in opposition to HB 375.                        
                                                                               
CATHY BALDWIN-JOHNSON                                                          
P.O. Box 876478                                                                
Wasilla, Alaska  99687                                                         
Telephone:  (907) 373-1184                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
DOUGLAS STUART                                                                 
Box 770                                                                        
Homer, Alaska  99603                                                           
Telephone:  (907) 235-2898                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
JOHN STREET                                                                    
P.O. Box 835                                                                   
Kenai, Alaska  99611                                                           
Telephone:  (907) 262-0454                                                     
POSITION STATEMENT:  Testified on HB 375.                                      
                                                                               
RICK KRUEGER                                                                   
2031 Second Avenue                                                             
Ketchikan, Alaska  99901                                                       
Telephone:  (907) 225-4905                                                     
POSITION STATEMENT:  Testified on HB 375.                                      
                                                                               
NANCY SEAMOUNT                                                                 
Box 33794                                                                      
Juneau, Alaska  99803                                                          
Telephone:  (907) 586-3568                                                     
POSITION STATEMENT:  Testified on HB 375.                                      
                                                                               
KAREN LARGENTS, Representative                                                 
Anchorage Center for Families                                                  
3745 Community Park Loop                                                       
Anchorage, Alaska  99508                                                       
Telephone:  (907) 276-4994                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
DINO ALLEN, Chair                                                              
Citizens Foster Care Review Board                                              
3601 C Street, Suite 260                                                       
Anchorage, Alaska  99503                                                       
Telephone:  (907) 563-6105                                                     
POSITION STATEMENT:  Testified on HB 375.                                      
                                                                               
ANDY HARRINGTON                                                                
4624 Stanford Avenue                                                           
Fairbanks, Alaska  99709                                                       
Telephone:  (907) 479-1990                                                     
POSITION STATEMENT:  Testified on HB 375.                                      
                                                                               
KARRE FISHER                                                                   
520 3rd Street                                                                 
Juneau, Alaska  99801                                                          
Telephone:  (907) 586-1792                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
NORM BLAKELY                                                                   
P.O. Box 537                                                                   
Soldotna, Alaska  99669                                                        
Telephone:  (907) 262-6160                                                     
POSITION STATEMENT:  Testified in opposition to HB 375.                        
                                                                               
LARRY ERICKSON                                                                 
P.O. Box 4045                                                                  
Soldotna, Alaska  99669                                                        
Telephone:  (907) 262-9393                                                     
POSITION STATEMENT:  Testified in opposition to HB 375.                        
                                                                               
LT. BILL GRIFFORD                                                              
Anchorage Police Department                                                    
4501 South Bragaw                                                              
Anchorage, Alaska  99507                                                       
Telephone:  (907) 786-8852                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
JAY BLAIR                                                                      
8963 North Douglas                                                             
Juneau, Alaska  99801                                                          
Telephone:  (907) 586-5775                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
DEIDRE PHAYER, Executive Director                                              
Covenant House                                                                 
609 F Street                                                                   
Anchorage, Alaska  99501                                                       
Telephone:  (907) 272-1255                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
PAM KARALUNAS                                                                  
1401 Kellum                                                                    
Fairbanks, Alaska  99701                                                       
Telephone:  (907) 456-2846                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
LINDA HAIM                                                                     
900 West 5th Avenue                                                            
Anchorage, Alaska  99508                                                       
Telephone:  (907) 269-3521                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
DEBORAH HONEA                                                                  
P.O. Box 10710                                                                 
Fairbanks, Alaska  99701                                                       
Telephone:  (907) 457-7359                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
DAVID LEONE, Executive Director                                                
Resource Center for Parents and Children                                       
1401 Kellum Street                                                             
Fairbanks, Alaska  99701                                                       
Telephone:  (907) 456-2866                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
PATRICIA GEORGE                                                                
3328 Fritz Cove Road                                                           
Juneau, Alaska  99801                                                          
Telephone:  (907) 789-0172                                                     
POSITION STATEMENT:  Testified on HB 375.                                      
                                                                               
                                                                               
BARBARA MALCHICK, Child Advocate                                               
Office of Public Advocacy                                                      
Department of Administration                                                   
900 West 5th Avenue, Number 525                                                
Anchorage, Alaska  99501                                                       
Telephone:  (907) 269-3500                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
MARION HALLUM, Guardian Ad litem                                               
Office of Public Advocacy                                                      
Department of Administration                                                   
900 West 5th Avenue                                                            
Anchorage, Alaska  99501                                                       
Telephone:  (907) 269-3500                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
JANICE BARTA, Guardian Ad litem                                                
Office of Public Advocacy                                                      
Department of Administration                                                   
900 West 5th Avenue, Number 525                                                
Anchorage, Alaska  99501                                                       
Telephone:  (907) 269-3500                                                     
POSITION STATEMENT:  Testified in support of HB 375.                           
                                                                               
DAVE BARTELS                                                                   
General Delivery                                                               
Wasilla, Alaska  99654                                                         
Telephone:  (907) 376-4693                                                     
POSITION STATEMENT: Commented on issues not pertaining to HB 375.              
                                                                               
ACTION NARRATIVE                                                               
                                                                               
TAPE 98-23, SIDE A                                                             
Number 0006                                                                    
                                                                               
CHAIRMAN CON BUNDE called the House Health, Education and Social               
Services Standing Committee meeting to order at 3:02 p.m.  Members             
present at the call to order were Representatives Bunde, Porter,               
Dyson, Kemplen and Brice.  Representatives Vezey and Green arrived             
at 3:04 p.m. and 3:09 p.m., respectively.                                      
                                                                               
SB  17 - CRIMINAL TRANSMISSION OF HIV                                          
                                                                               
Number 0056                                                                    
                                                                               
CHAIRMAN BUNDE announced the first item on the agenda was SB 17,               
"An Act creating the crime of criminal transmission of human                   
immunodeficiency virus (HIV)."  He asked the sponsor, Senator Robin            
Taylor to present his bill.                                                    
                                                                               
Number 0064                                                                    
                                                                               
SENATOR ROBIN TAYLOR, Sponsor of Senate Bill 17, directed committee            
members' attention to the packet of media reports, specifically the            
Associated Daily Press article from the Anchorage Daily News dated             
February 9, 1998, about the transmission of HIV and why many                   
individuals believe it's important to have protections for the                 
citizens of Alaska against this type of reckless and endangering               
criminal activity.                                                             
                                                                               
SENATOR TAYLOR stated there are 27 other states that have similar              
laws.  Senate Bill 17 does not criminalize the disease; it                     
criminalizes irresponsible conduct that puts others at risk.  The              
Department of Health & Social Services reports the majority of HIV             
cases in Alaska resulted from consensual sex.  The question is,                
"Would consent have been given if the risks were known?"  This                 
legislation does not shift the burden of proof to the defendant;               
the state would still have to prove that the defendant knew he/she             
was infected and did not warn the person being exposed.  The                   
provision of an affirmative defense protects the defendant; it does            
not shift the burden of proof.                                                 
                                                                               
SENATOR TAYLOR said the Department of Health & Social Services,                
when asked in the Senate Finance Committee, could not provide any              
substantiation to the claim that SB 17 would have a "chilling                  
effect" on testing programs.  In fact, the Illinois Department of              
Health advised the Alaska Legislative Research Section there was no            
decrease in testing as a result of their law. This statement came              
in March 1995, six years after the Illinois law had passed.  Senate            
Bill 17 is modeled on the Illinois statute which has been upheld in            
both the state appellate and supreme courts.  Senator Taylor stated            
that SB 17 will not affect any needle exchange programs.                       
                                                                               
Number 0249                                                                    
                                                                               
CHAIRMAN BUNDE pointed out the University of Alaska Anchorage had              
started a needle exchange program.                                             
                                                                               
SENATOR TAYLOR concluded that Congressman Tom Coburn of Oklahoma,              
a medical doctor, introduced House Resolution 1062, the HIV                    
Prevention Act, which has 90 co-sponsors in the U.S. House of                  
Representatives, and included in its provisions is sense of the                
Congress language that the states should criminalize the                       
intentional transmission of HIV.  The sponsor statement for HR 1062            
states that 79 percent of Americans believe that those who                     
knowingly infect another person should face criminal charges.                  
House Resolution 1062 has also been endorsed by the American                   
Medical Association (AMA).                                                     
                                                                               
Number 0328                                                                    
                                                                               
REPRESENTATIVE J. ALLEN KEMPLEN inquired if society had ever made              
a policy statement before about the criminal transmission of a                 
virus.  He was thinking in particular about the outbreak of                    
syphilis some years ago and syphilis if it goes untreated will                 
kill.  He wondered if during the time that syphilis was a social               
concern and before public policies were put in place helping to                
mitigate that concern, were there instances of communities                     
criminalizing the transmission of syphilis.                                    
                                                                               
SENATOR TAYLOR wasn't aware of a criminal penalty for the                      
transmission of syphilis.  He added that syphilis is treatable and             
the advancement in medicine has reduced some of the threat;                    
however, he did not want to give anyone the impression that                    
syphilis, gonorrhea and other diseases transmitted in that fashion             
are not still a very serious problem in the United States; they                
are.  With reference to Representative Kemplen's question, he                  
thought it could best be explained through the laws passed by the              
U.S. Government involving the transmission of typhus, which can be             
treated, but it's quite deadly.  The "Typhoid Mary" statutes                   
prevent a person with this illness from working in certain                     
establishments because it could be transmitted to other people.  In            
fact, those people who have failed to be properly certified and are            
found in those establishments, are violating the law.  He said in              
each of the instances, a person had a chance of survival; whereas,             
to his knowledge, no one has survived this infection.                          
                                                                               
Number 0515                                                                    
                                                                               
REPRESENTATIVE KEMPLEN remarked the literature he's seen on HIV,               
just as with syphilis, medical research and technology is moving               
forward very quickly to produce a medical response to that virus               
and treating it as a public health issue seemed to be producing                
results.  He questioned the wisdom of treating the HIV virus in the            
criminal arena.                                                                
                                                                               
Number 0620                                                                    
                                                                               
SENATOR TAYLOR advised that as of December 31, 1997, 412 Alaskans              
had been confirmed to have AIDS, the result of HIV infection.                  
Since tracking began in 1982, 202 of these cases have known to have            
died.  He couldn't imagine that anyone thinking it was anything                
other than a criminal act if their daughter had been infected, as              
the 13 young women were infected by one man on the East Coast this             
last year.  As a consequence, that state believes it's a criminal              
activity.  Twenty-seven other states have criminalized it because              
they have encountered that type of predatory person, who knows full            
well they run a serious health risk to others by their activities,             
recklessly go forward, participate in these activities, and don't              
even have the decency to notify their sexual partner of the risk               
that partner may be encountering.                                              
                                                                               
Number 0701                                                                    
                                                                               
REPRESENTATIVE FRED DYSON asked if Senator Taylor had said or                  
inferred the AMA has endorsed exactly this kind of legislation.                
                                                                               
SENATOR TAYLOR responded, not exactly.  The AMA has endorsed a                 
House Resolution that speaks to the same thing; that resolution                
says as part of its language, "Sense of the Congress statement,"               
that indicates that states should criminalize the intentional                  
transmission of HIV.                                                           
                                                                               
REPRESENTATIVE DYSON asked, "And were they speaking just generally             
- the knowing transmission; in other words...."                                
                                                                               
SENATOR TAYLOR responded affirmatively.                                        
                                                                               
CHAIRMAN BUNDE asked if there were other questions for the sponsor.            
Hearing none, he asked Dr. Middaugh to present his comments.                   
                                                                               
Number 0765                                                                    
                                                                               
JOHN MIDDAUGH, M.D., Chief, Epidemiology Section, Division of                  
Public Health, Department of Health & Social Services, testified he            
is a physician, board certified in internal medicine, also in                  
public health and preventive medicine, and has been in a position              
with the Section of Epidemiology, Division of Public Health, since             
1980.  He stated the first individual in Alaska with the diagnosis             
of AIDS was found in 1982 and one of his responsibilities and                  
duties has been to try to work to prevent individuals being                    
infected with the HIV virus.                                                   
                                                                               
Number 0860                                                                    
                                                                               
DR. MIDDAUGH requested the committee to oppose SB 17 because there             
is testimony from the Department of Law stating Alaska has adequate            
statutes that can take care of an individual who attempted                     
knowingly to cause harm by transmitting this virus but most                    
importantly, because criminalizing an infection is diametrically               
opposed to effective action to prevent disease transmission.  The              
major priority to try to prevent individuals from becoming infected            
with this virus involves getting individuals to volunteer                      
themselves to be tested; and when an individual is found who is                
infected with this virus, to work with that individual to name                 
their contacts and other individuals who may also be at risk of                
being infected; to test those individuals and to work with those               
who are positive.  He said the virus is fragile and hard to acquire            
and partner notification activities are targeted and focused to try            
to interrupt the chain of transmission.                                        
                                                                               
DR. MIDDAUGH said the division would generically oppose                        
criminalizing any infection.  There are many infectious diseases               
that can in fact be transmitted by similar types of behaviors and              
activities; hepatitis B, hepatitis C, herpes virus.  In fact, the              
road of criminalization provides disincentives for people to come              
to public health and medical professionals to seek care and to put             
themselves at a place of identifying their activities and those                
others who may be at risk and that offers an opportunity, as well,             
to put individuals and offer them access to treatment.                         
                                                                               
Number 0910                                                                    
                                                                               
DR. MIDDAUGH stated the tremendous breakthrough that's occurred in             
the last couple years have been the development, for the first                 
time, of drugs that are effective in preventing replication of the             
HIV virus in individuals.  Unfortunately, these drugs are not yet              
effective in curing an individual from the infection; the drugs are            
extremely costly, have numerous side effects, and unfortunately,               
the virus can mutate and become resistant.  Nevertheless, among                
individuals who are taking the drugs effectively, the virus load of            
a person can drop down to zero or near zero, which means the person            
would be far less able to transmit the virus to another individual.            
In addition, once an individual is infected with the virus, it                 
takes an average of six to ten years in an untreated person, before            
illness occurs resulting in symptoms that result in a diagnosis of             
AIDS.  He said with the advent of these new drugs, it's conceivable            
that individuals who are infected and are taking these medications,            
may go many decades without any illness and without an ability to              
transmit the virus to another person.  Because of these advances,              
the Division of Public Health and the medical community have                   
proposed making HIV a reportable condition that is required to be              
reported to the Division of Public Health and the division's goal              
is that every individual infected becomes identified and offered               
these voluntary services of partner notification, case management              
and access to the medications.                                                 
                                                                               
Number 1007                                                                    
                                                                               
DR. MIDDAUGH said SB 17, as written, does not criminalize                      
transmission of the virus, but merely exposure to it.  And in fact,            
the definition of exposure is so broad that it can encompass almost            
any potential exposure to bodily fluid.  The Alaska State Medical              
Association opposes this legislation; the Public Health Association            
opposes this legislation; and most of the individuals involved on              
the front-line with public health and medical training and                     
background are in opposition to the legislation.  In anticipation              
of the interest in and concerns over the egregious incident in New             
York led him to call the Commissioner of Health at Chautauqua                  
County to ask him what occurred there and what his opinion was                 
about the need to criminalize HIV transmission.  He recounted that             
an individual who was infected and had been counseled, so he knew              
of his infection and the risks, nevertheless sold drugs, engaged in            
unprotected sex and shared intravenous drug equipment with numerous            
women of whom many became infected.  The public health response, as            
soon as that incident was known, was to do the partner                         
notification, support the families and those infected, and to                  
remove this individual from the ability to continue this behavior.             
In fact, that individual has been in jail in New York City since               
September on charges of drug abuse and burglary, awaiting                      
sentencing, after which he will be arraigned and indicted in                   
Chautauqua County.  The Commissioner of Health, having gone through            
the trauma of those events in his community and the media                      
inspection and scrutiny, opposes criminalization of HIV.  He                   
offered to answer questions for the committee and reiterated his               
opposition to SB 17.                                                           
                                                                               
Number 1114                                                                    
                                                                               
CHAIRMAN BUNDE asked if HIV was a reportable disease at this time.             
                                                                               
DR. MIDDAUGH responded that AIDS has been required to be reported              
since 1985, and the division is in the midst of the process with               
public hearings to take place on March 25 and March 26, to make HIV            
a (indisc.) reporting a requirement by all health care providers               
and laboratories in the state of Alaska to the Division of Public              
Health.                                                                        
                                                                               
CHAIRMAN BUNDE asked if an HIV positive person is capable of                   
transmitting the virus or is it the person with full blown AIDS                
that transmits it?                                                             
                                                                               
DR. MIDDAUGH replied the scientific ability to transmit would be               
dependent upon the presence of the virus and the virus is not                  
equally present at all times during a person's lifetime.  If a                 
person were taking the medications, then the virus may drop to such            
a low level that a person could not infect another individual.                 
                                                                               
CHAIRMAN BUNDE inquired if an untreated HIV person is capable of               
infecting another individual.                                                  
                                                                               
DR. MIDDAUGH said at different times in the course of the illness.             
Shortly after an initial infection, the virus replicates and it is             
in higher presence in bodily fluids.  Then it drops to a level that            
may or may not be very low, where there may or may not be a risk of            
transmission, and then late in the course of illness when the virus            
destroys the immune system, the virus tends to be in much higher               
quantities in a person, where transmission would be potentially                
more likely.                                                                   
                                                                               
Number 1217                                                                    
                                                                               
REPRESENTATIVE DYSON asked Dr. Middaugh to respond to Senator                  
Taylor's statement that this concept has been endorsed by the AMA.             
                                                                               
DR. MIDDAUGH said he had no knowledge that the AMA has endorsed                
criminalization of HIV.  The Coburn legislation has many components            
to it, but one of the congressman's primary goals has been to                  
establish reporting of HIV infection by name in the United States.             
Dr. Coburn has also proposed numerous other interventions related              
to HIV and AIDS over the last few years, but the Alaska State                  
Medical Association opposes criminalization of HIV.  He offered to             
provide specific information to the committee on the AMA's position            
on criminalizing HIV.                                                          
                                                                               
Number 1265                                                                    
                                                                               
REPRESENTATIVE JOE GREEN asked, "Would there be any advantage to an            
individual who might have lived a lifestyle such that he could                 
suspect that he might have HIV, that with or without this bill                 
would alter his wanting to check.  For example, you have a certain             
lifestyle and you think you might - without it becoming a felony,              
I might go get checked and I may or may not have it.  But with this            
as a felony, if I find that I have it and then do some activity                
that could pass that on, could that in your experience, be a                   
deterrent for checking?"                                                       
                                                                               
DR. MIDDAUGH said his interpretation of the legislation is that if             
an individual was never to be tested, that would be a form of                  
defense that he did not know he was infected, so therefore, how                
could he be expected to ever be prosecuted for any behavior he                 
undertook.  He said, "Part of the concern we have is that our                  
entire goal at the moment is get individuals who may be at risk or             
are at risk through their behaviors to be tested. In order to be               
effective in preventing infection, we have to have at risk                     
behaviors plus infection with the virus.  If individuals choose to             
engage in high risk behaviors and none of them are infected, the               
virus will not be passed on and if the individuals are infected and            
do not engage in high risk behaviors, the infection will not be                
passed on."  He noted that one of the shocking things to the                   
commissioner in Chautauqua County, was the fact that so many young             
women voluntarily chose to engage in high risk behaviors with this             
predatory individual in spite of widespread knowledge of HIV among             
them through extensive efforts between the health department and               
the education department that provided a high level of knowledge to            
those young women.  There was a clear expectation of the need of               
constant affirmation of responsible behavior among all persons.                
                                                                               
Number 1369                                                                    
                                                                               
REPRESENTATIVE GREEN recalled that Dr. Middaugh had indicated the              
level of infection drops and then rises within an infected person              
and he inquired if testing provides any benefit for a person who               
suspects they are infected.                                                    
                                                                               
DR. MIDDAUGH responded during the last few years groups of anti-               
retro viral medications have been developed, which for the first               
time have been proven to be a benefit and intervening to prevent               
the virus from being able to continue to multiply and to attack the            
immune system.  The drugs are expensive, have numerous side effects            
and involve taking a large number of pills on a very rigid                     
schedule.  Great efforts are underway to develop better drugs and,             
in fact, vaccines that might also instead of preventing infection              
where it appears technology will not be able to that, will be able             
to attack the virus through vaccination to neutralize the ability              
of the virus to cause damage to the immune system.  The goal has               
shifted from preventing or curing an individual from infection to              
being able to basically, neutralize the virus in a person so that              
it doesn't harm the individual - the host - and also cannot be                 
transmitted to others.  He said there are great benefits to                    
individuals today from knowing their HIV status and be                         
appropriately put on medications, depending on the individual's                
status.                                                                        
                                                                               
REPRESENTATIVE GREEN asked Dr. Middaugh if a public right to know              
would prevent individuals from being tested?                                   
                                                                               
DR. MIDDAUGH said the diseases that are required to be reportable              
go with a very strong confidentiality provision.  One of the great             
concerns in America and among individuals who are potentially at               
risk, is the balance of having anyone, other than themselves and               
perhaps their primary health care provider, know of this                       
information.  However, it's essential for public health agencies to            
be able to have this information in order to work with individuals             
who are infected and for primary health care providers in order to             
help interrupt these chains of infectious transmission and to                  
assure access to care.  The data that would be reportable would not            
be able to be made available to the public; it would be held                   
completely confidential and used only with that individual and the             
primary health care provider to secure improved treatment and to               
work with individuals on a voluntary basis to identify others at               
risk who are engaging in similar high risk behavior.                           
                                                                               
Number 1542                                                                    
                                                                               
REPRESENTATIVE GREEN asked if SB 17 were adopted and a person finds            
they have HIV and infected another person, would it then become                
public knowledge.                                                              
                                                                               
DR. MIDDAUGH commented that one of the reasons medical and public              
health people so oppose this kind of criminalization, is exactly               
that reason.  The ability to hold in confidence, information that's            
used to interrupt diseases is essential.  He gave the example of an            
outbreak of a disease such as hepatitis from a restaurant, and the             
public health community needed to go in and attempt to discern why             
the outbreak was occurring, what the agent was and how to                      
intervene, and no one would talk to the health department because              
they would have to disclose potential behavior that might subject              
them to criminal penalties.  That is a very important distinction              
between the role of public health and medical experts trying to                
prevent diseases and interrupt transmission versus the interface of            
individuals being asked to disclose activities that might subject              
them to legal penalties.                                                       
                                                                               
Number 1606                                                                    
                                                                               
REPRESENTATIVE AL VEZEY asked what prevents an individual who                  
suspects they may have contracted a terminal disease from getting              
tested.                                                                        
                                                                               
DR. MIDDAUGH said there are many things that motivate people to                
conduct themselves in many different ways and that in the routine              
and normal state of affairs, most individuals behave responsibly,              
cooperate, are concerned about themselves and attempt to do                    
reasonable, logical and rational things.  There are other                      
individuals, who in spite of education and laws, continue to behave            
in ways that are inexplicable.  One of the reasons the person in               
Chautauqua County has not been sentenced is because he's undergoing            
evaluation for suspected mental illness.  There are numerable                  
reasons why individuals may or may not do what we wish them to do              
for their own good and one of the interfaces is the goal of dealing            
with most circumstances.  The event in Chautauqua County, in the               
mind of the Commissioner of Health, is so extraordinary that it's              
understandable the abhorrence of what occurred, but that's not a               
reason to criminalize this disease.                                            
                                                                               
REPRESENTATIVE VEZEY understood that Dr. Middaugh had said that                
some people just behave irrationally and would not get tested.                 
                                                                               
DR. MIDDAUGH said that was true.                                               
                                                                               
REPRESENTATIVE VEZEY commented that if a person can be prosecuted              
under existing law for deliberate or careless transmission of HIV,             
isn't that a deterrent to people getting tested.                               
                                                                               
DR. MIDDAUGH replied given that the interface between law and                  
medicine is somewhat contentious and that many people without                  
knowledge are more than willing to give learned and unlearned                  
opinions in areas they're not familiar with, he suggested that the             
representative of the Department of Law be given the opportunity to            
respond specifically to what laws are available related to an                  
ability to intervene if an individual is knowingly attempting to               
harm someone through the transmission of any infection.  He thought            
that part of the concern with this legislation is the potential                
broad sweep of its definitions and picking out one particular                  
virus, and then trying to understand what the implications to that             
are for individuals both for a defense or under the circumstances              
by which people might argue what was said, what did they know, what            
did they agree to, all of which, are in a way, less of concern to              
intervening, to prevent the infection and to enlisting cooperation             
of individuals in that effort.                                                 
                                                                               
Number 1768                                                                    
                                                                               
REPRESENTATIVE VEZEY said suppose there's a law that allows the                
state to prosecute a person who is exposing others to the AIDS                 
virus in a negligent manner.  The person is locked up in jail where            
they have the opportunity to expose an entire new population and               
there are laws which prevent the individuals exposed from being                
notified.                                                                      
                                                                               
DR. MIDDAUGH said this is a virus that's not transmitted casually              
and individuals have responsibilities for the actions they assume              
and choose to engage in.  That's one of the reasons why one of the             
major efforts in public health is to target individuals undergoing             
high risk behavior and who are getting infected, but there's also              
a tremendous challenge to constantly educate all individuals about             
the need to be responsible.  He noted there's an entire group of               
kids growing up today who have no concept of what the older group              
has gone through in the last 15 years with this virus and these                
dangers.  He thought the fundamental ability to identify and to                
apply appropriate treatment of individuals with the virus is one of            
the great efforts of public health.                                            
                                                                               
REPRESENTATIVE VEZEY asked will a person with the AIDS virus                   
contract AIDS in six to ten years or die in six to ten years.                  
                                                                               
DR. MIDDAUGH explained the virus enters the body and then within               
generally six to ten weeks, antibodies form and are then present               
throughout the rest of the individual's life.  Today, there are                
tests to measure the virus, itself.  Once the virus is in the body,            
there's what's called an incubation period and that's the period               
the virus resides in the body, but no symptoms or adverse                      
measurable effects from the virus are present to make a person ill             
or to make anyone know the person is carrying it, except it can be             
detected with a blood test.  Then, AIDS is a syndrome and what that            
means is it's a constellation of abnormalities related to                      
illnesses, diseases, and effects on the immune system, that when               
they combine together meet what's a case definition of AIDS -                  
Acquired Immune Deficiency Syndrome - and that's indicative of a               
certain level of impairment of the immune system and the subsequent            
diseases and illnesses that then attack and ravage the body.  Once             
a person has AIDS, there's a period which is quite variable, until             
an individual dies from the cumulative impact of the continued                 
virus attack on the immune system and the subsequent diseases and              
illnesses that affect a person. With the new medications, by                   
placing a person on the medications earlier, then those illnesses              
are delayed or potentially, hopefully in the future, prevented and             
the impact of that virus will extend the time of AIDS.  He directed            
the committee's attention to a handout which shows the number of               
deaths from AIDS has dropped dramatically in the United States and             
in Alaska in the last couple years, which is almost certainly due              
to being able to treat individuals with these anti-retro viral                 
medications.                                                                   
                                                                               
Number 1976                                                                    
                                                                               
REPRESENTATIVE BRIAN PORTER said he was somewhat confused on the               
requirement for confidentiality, but he thought some of the                    
potential victims of the individual from New York had prior                    
knowledge or had been informed, but still continued their                      
relationship with him.                                                         
                                                                               
DR. MIDDAUGH commented they knew the person was engaging in risky              
behaviors, but did not know the person was HIV positive.                       
                                                                               
REPRESENTATIVE PORTER understood that current confidentiality                  
requirements would not allow public health officials or anyone to              
communicate to a person that his/her spouse was HIV positive.                  
                                                                               
DR. MIDDAUGH explained how partner notification activities work.               
Individuals are informed that they have been exposed or there's                
reason to believe they've been exposed to an infectious disease,               
but the identity of that person is not revealed so that, in fact,              
on a practical basis, it could be very obvious to an individual the            
source of that exposure.  But the public health professional                   
community does not breach that confidentiality by identifying                  
specific sources of exposure, except in a rare instance which is               
what Chautauqua County faced of having to release this individual's            
name publicly and went through numerous ethics committees and                  
looked at what their duties were to their community and what the               
implications were of protecting confidentiality of that reported               
information.                                                                   
                                                                               
Number 2071                                                                    
                                                                               
REPRESENTATIVE GREEN said, "You indicated that this is not an                  
easily transmitted virus.  So that the public is not at risk if                
people are working in certain fields, is there anything in your                
knowledge that says that someone who tests positive would be                   
restricted from activities - working in a hash house, working in a             
hospital or things like that?"                                                 
                                                                               
DR. MIDDAUGH responded absolutely.                                             
                                                                               
Number 2096                                                                    
                                                                               
SENATOR TAYLOR stressed the other criminal laws which a person                 
could be prosecuted under require knowing and intentional conduct              
to actually try to kill someone; these individuals don't want to               
kill someone; they want to make love with them and will use every              
lie or every inducement to get them in bed and will never tell the             
partner they are HIV positive.  If the drug dealer in New York had             
been required by law to inform the 13 young women that he was HIV              
positive, he would be prosecuted on that.  Apparently there's a                
group of people who want to protect this activity and the excuse is            
that it may have a "chilling effect" on testing.  Of the 27 states             
that have implemented this law, there's no citation which indicates            
that a decline in testing has occurred.  He stressed that he wants             
it to have a chilling effect on the sexual activity of the people              
who are predatory towards Alaska's population.                                 
                                                                               
CHAIRMAN BUNDE announced the committee would now hear public                   
testimony.  He asked Scot McRoberts to testify from Anchorage.                 
                                                                               
Number 2182                                                                    
                                                                               
SCOT McROBERTS, Outreach Coordinator, testified via teleconference             
from Anchorage that he has had HIV for 14 years and is considered              
a long term survivor.  He strongly opposed to SB 17 and urged the              
committee not to pass it.   He said SB 17 strongly discourages                 
individuals from seeking medical treatment.  This legislation                  
doesn't even require transmission for conviction, but just the mere            
cry from a person that they've been exposed.                                   
                                                                               
Number 2249                                                                    
                                                                               
DEE JAY JOHANNESSEN, Executive Director, AIDS Care Network,                    
testified via teleconference from Anchorage, in opposition to                  
SB 17.  He referred to the sponsor statement, "The sad fact is that            
the rate of infection in Alaska is increasing" and said that is not            
true.  According to the State of Alaska Epidemiology Bulletin, the             
rate decreased every year since 1982; starting at 9.9 percent in               
1982 and ending at .2 percent in 1997.  Again, referring to page 4             
of the sponsor statement regarding an increase in testing for HIV              
in Illinois since the passage of legislation, he said the reason               
for the increase in testing was the passage of the Ryan White Care             
Act of 1990, which for the first time in the United States provided            
funding for HIV testing and counseling.  Alaska doesn't have the               
provision but HIV testing went up 250 percent from 1990 to 1997.               
He said this bill targets people living with AIDS.  He referred to             
page 1, line 7, and said, "You have to be a person who is infected             
with HIV, so I, who am HIV negative, could pass off a tainted                  
syringe and you could not prosecute me under this statute; you have            
to be HIV positive to be prosecuted."  He said the biggest issue of            
the legislation is that it's not intended to punish those who have             
contracted HIV, it's intended to protect others who may be                     
unknowingly exposed to the virus.  An individual living in the                 
United States in 1998, who knowingly engages in unprotected sex, is            
not unknowingly being exposed.  We all have a responsibility to                
protect ourselves from HIV infection and we have the ability to do             
that.                                                                          
                                                                               
CHAIRMAN BUNDE thanked Mr. Johannessen for testifying and asked                
Julie Close to comment.                                                        
                                                                               
Number 2333                                                                    
                                                                               
JULIE CLOSE, Case Manager, Interior AIDS Association, testified via            
teleconference from Fairbanks that she currently case manages 20               
individuals who are HIV positive.  She said that many of these                 
individuals are married or are in monogamous relationships ...                 
                                                                               
TAPE 98-23, SIDE B                                                             
Number 0001                                                                    
                                                                               
MS. CLOSE ... and active lives.  She believes this bill attempts to            
legislate morality, intimacy and personal choices and may encourage            
jilted partners to seek criminal and legal retribution once a                  
relationship has ended.  Her main concern is that this bill may                
discourage HIV positive individuals in her office from discussing              
prevention issues and obtaining safer sex materials for fear that              
confidentiality may be breached because of the potential of a                  
future criminal case.  Ultimately, SB 17 puts the focus of                     
responsibility on no one, encouraging ignorance of a person's HIV              
status, and the belief that a law can guarantee a person's safety.             
The responsibility for avoiding transmission of this disease falls             
on everyone, HIV positive or not, aware or not, and cannot be                  
legislated.                                                                    
                                                                               
Number 0050                                                                    
                                                                               
CHAIRMAN BUNDE announced that HB 384 would be held over until                  
Friday, March 20, and in all likelihood HB 340 would be held over              
also.  He requested Pat Cahill to present his comments.                        
                                                                               
Number 0056                                                                    
                                                                               
PAT CAHILL, Outreach Worker, Interior AIDS Association, agreed with            
the remarks of the individuals previously testifying in opposition             
to SB 17.  He finds this legislation upsetting because if he was               
HIV positive and married and he and his wife were having intimate              
relations, he would become a criminal.  He questioned the right to             
legislate what he and his wife do in the privacy of their home.                
                                                                               
CHAIRMAN BUNDE thanked Mr. Cahill for his testimony and called on              
Michael Hughes to testify.                                                     
                                                                               
Number 0085                                                                    
                                                                               
MICHAEL HUGHES testified via teleconference from Anchorage, that he            
is distressed by the inflammatory nature of this legislation to                
attempt to single out a group of people based upon their sexuality;            
i.e., gay men.                                                                 
                                                                               
Number 0120                                                                    
                                                                               
MARY LEE, HIV Counselor, Municipality of Anchorage, testified from             
Anchorage via teleconference that she's been in her current                    
position since 1991 and an Alaskan resident for over 40 years.  One            
of her jobs as an HIV counselor is to help a newly HIV positive                
person to not only deal with the (indisc.) fact that they are                  
positive, but also to notify the partner as soon as possible.  She             
has never had anyone refuse to tell the partner; the HIV positive              
individual goes to the extreme to locate a partner or partners and             
notify them of the HIV positive result.  She stressed these people             
are not criminals; have never been criminals; and the people she               
counsels have no murderous intent.  She strongly supported the                 
comments of Dr. Middaugh, Dee Jay Johannessen and other HIV                    
positive people.                                                               
                                                                               
CHAIRMAN BUNDE thanked Ms. Lee for her comments and asked Chris                
Carpentino to present his remarks.                                             
                                                                               
Number 0192                                                                    
                                                                               
CHRIS CARPENTINO testified via teleconference from Fairbanks and               
said he is an Alaskan resident living with HIV.  While he heard                
many comments at the beginning of the hearing about intentional                
transmission of this disease, this bill doesn't say anything about             
intentional transmission; it just states that if he voluntarily                
engages and seeks contact with another person, he could be                     
convicted of a felony.  He believes that's wrong.  The major things            
in his life, as well as anyone else's life, are food, shelter and              
human intimate contact.                                                        
                                                                               
CHAIRMAN BUNDE thanked Mr. Carpentino for his testimony and asked              
Carey Cummings to present her testimony.                                       
                                                                               
Number 0218                                                                    
                                                                               
CAREY CUMMINGS, Outreach Worker, Interior AIDS Association,                    
testified via teleconference from Fairbanks and supported the                  
comments of her colleagues who opposed SB 17.  She said HIV is a               
public health issue; not a moral issue and certainly not a criminal            
one.  Criminalizing intimate contact further stigmatizes an already            
highly discriminated group of people.  Prevention of the spread of             
the virus will not be accomplished by punishing infected                       
individuals for fulfilling the basic human need for intimacy.                  
Furthermore, less people will be accessing HIV testing services                
because of fear of potential legal ramifications.  Therefore, this             
legislation would undermine current prevention efforts for both HIV            
positive and HIV negative individuals and early treatment for                  
infected individuals would be seriously compromised resulting in               
potential increases of AIDS related deaths at a time when                      
treatments are improving.                                                      
                                                                               
CHAIRMAN BUNDE thanked Ms. Cummings for her testimony and asked                
Marcus Ortelee to present his comments.                                        
                                                                               
Number 0258                                                                    
                                                                               
MARCUS ORTELEE, Volunteer, Interior AIDS Association, testified via            
teleconference from Fairbanks.  He has been a volunteer at the                 
Interior AIDS Association for the last nine years.  He agreed with             
the other witnesses that this bill should not be passed.  He's                 
known people and still knows people who have had AIDS for over 20              
years and are living very healthy lives and are in monogamous                  
relationships.  He said SB 17 regulates private lives which should             
not be done by the state.  He knows of HIV positive individuals who            
have HIV negative partners and engage in protected sex; it's an                
adult decision and should be left up to the individual.                        
                                                                               
CHAIRMAN BUNDE thanked Mr. Ortelee for testifying and called on                
Ilena Cramer to present her remarks.                                           
                                                                               
Number 0298                                                                    
                                                                               
ILENA CRAMER, Women's Outreach Worker, Interior AIDS Association,              
testified from Fairbanks via teleconference and said it is her job             
to help women ask themselves where does their personal                         
responsibility begin.  The government cannot fix all of society's              
woes and shouldn't even try.  This bill makes intimacy illegal and             
more dangerous than it already is for women today.  People must                
learn to protect themselves in this day and age.  Some people would            
rather choose to close their eyes to their own dangerous behaviors             
and point fingers and find blame at other people.  Having HIV is               
not a crime; it is a disease and a government cannot legislate a               
disease.  She said this legislation would take all the                         
responsibility out of the hands of people and place it in the hands            
of courts, clogging up the system with disgruntled ex-lovers.  The             
only way to prevent HIV is through education, behavior change and              
responsible behavior.  This legislation will not cut down on HIV               
transmission rate; it will increase ignorance, increase hatred and             
will punish HIV positive people who have already been punished                 
enough.                                                                        
                                                                               
CHAIRMAN BUNDE asked Susan Carpentino to present her testimony.                
                                                                               
Number 0357                                                                    
                                                                               
SUSAN CARPENTINO testified via teleconference from Fairbanks.  She             
is the mother of an HIV positive young man.  She strongly opposes              
this legislation.  She suggested that if this sexually transmitted             
disease is going to be considered a criminal act, then all other               
venereal diseases should be included because if gone untreated,                
will cause someone to die.                                                     
                                                                               
CHAIRMAN BUNDE thanked Ms. Carpentino for her testimony and asked              
Michael Coons to testify.                                                      
                                                                               
Number 0389                                                                    
                                                                               
MICHAEL COONS, Paramedic, testified via teleconference from the                
Mat-Su Legislative Information Office, in support of SB 17.  He                
understands that Nevada has a similar law and according to                     
television reports, is mainly targeting prostitutes and known drug             
users that are knowingly HIV positive and continue to engage in                
activities.  As a health care provider, he does have concern with              
being infected with HIV.  He related an incident whereby the family            
of an individual who knew he was hepatitis B terminal, refused to              
notify the ambulance crew who did mouth to mouth resuscitation and             
both ambulance crew members contracted hepatitis B.                            
                                                                               
Number 0470                                                                    
                                                                               
CHAIRMAN BUNDE thanked Mr. Coons for his comments and closed public            
testimony on SB 17.  He announced that SB 17 would be held in                  
committee and heard again at a later time.                                     
                                                                               
HB 375 - CRIMES AGAINST CHILDREN/FOSTER CARE                                   
                                                                               
Number 0490                                                                    
                                                                               
CHAIRMAN BUNDE announced the next item on the agenda was House                 
Bill 375.  He noted that Dean Guaneli from the Department of Law               
was available to speak to the criminal section of HB 375.                      
                                                                               
Number 0536                                                                    
                                                                               
DEAN GUANELI, Chief Assistant Attorney General, Criminal Division,             
Department of Law, said he would address three areas of criminal               
law under HB 375: First, being the changes to the homicide laws;               
second, the changes to the endangering the welfare of minor laws;              
and third was the child support laws.  He said as a result of a                
couple of highly publicized homicides of infants in the last year,             
the Department of Law was asked to look at the homicide laws and               
the application with respect to the deaths of children.  In doing              
so, it was determined that some changes could certainly be made.               
Essentially, those changes would, in many instances, elevate                   
homicide offenses that are lower level homicide offenses to a high             
level.  In some instances, crimes that would now be second degree              
murder have been elevated to first degree murder, particularly if              
a felony is being committed and the child dies or if the child has             
previously suffered serious physical injury at the hands of the                
same perpetrator and then dies in the second instance.                         
                                                                               
MR. GUANELI stressed these are not easy cases to prove.                        
Oftentimes, what happens is that when a child dies, the autopsy                
reveals broken bones or other injuries that had been previously                
inflicted, and if it can be proven those injuries were committed by            
the same person, then this in the department's view would serve to             
elevate that from a lower level offense to first degree murder.  In            
other instances, things that would be manslaughter (indisc.)                   
homicide have been elevated to second degree murder if there is a              
history of physical violence with the person who had been                      
previously convicted of an assault on the child.  With respect to              
manslaughter and criminally negligent homicide, the bill elevates              
the sentencing provisions so the presumptive term would go from                
five years to seven years for manslaughter involving a child.  He              
noted the sentence is seven years for seriously injuring a child               
under first degree assault and only five years for committing                  
manslaughter.  It's an anomaly in the statutes, but at least with              
respect to children, HB 375 corrects that.  With respect to                    
criminal negligent homicide,  the legislation makes a C felony a B             
felony and does some minor tempering with the sentencing provisions            
so the judges have a greater range of sentences that can be                    
imposed.  He said that oftentimes with homicide offenses, the                  
differences between criminal  negligent homicide and manslaughter              
and second degree murder often turn on some fine gradations of how             
the law defines the mental state a person has to have in committing            
those offenses.  It's very easy sometimes for juries to give                   
someone the benefit of the doubt and convict them of a lesser                  
offense.                                                                       
                                                                               
Number 0687                                                                    
                                                                               
MR. GUANELI said with respect to the laws regarding endangering the            
welfare of minors, after the incident of the infant dying in                   
Fairbanks, there was a lot of soul searching by the Department of              
the Health & Social Services.  Social workers were commenting that             
the District Attorney's Office never prosecutes cases involving                
criminal neglect of children.  He believed that reflected in some              
ways, a misunderstanding about the criminal laws and there really              
is nothing in current law that reflects criminal neglect of                    
children.  There is endangering the welfare of a minor which is                
intentionally deserting a child under circumstances where the child            
can be injured, but really nothing else.  In looking at those                  
statutes, it seemed appropriate to create a statute that would                 
address some of the more egregious situations.  A couple that came             
to mind was leaving a child with a known sex offender when there's             
no one else present and leaving a child with someone who has                   
previously physically assaulted the child.  Oftentimes there are               
cases where a mother knows or has reason to believe that a                     
boyfriend or the father of the child has been abusing the child,               
and leaves the child in that person's care and the child ends up               
dead.  The boyfriend or the husband is prosecuted, but isn't there             
some culpability on the mother's part as well.                                 
                                                                               
Number 0776                                                                    
                                                                               
CHAIRMAN BUNDE gave an example where a mother and her children are             
in an abusive relationship, the mother leaves and comes back, then             
one of the children is abused to the point of death.  He asked                 
would the mother, by coming back and living with the abusive                   
father, be chargeable under these statutes.                                    
                                                                               
MR. GUANELI responded if the person had been previously physically             
assaulting the children, yes the mother would be chargeable if she             
went back to that relationship and left the children.  The idea is             
leaving the children with the person with no one else available.               
                                                                               
Number 0825                                                                    
                                                                               
MR. GUANELI explained there was another area of neglect that social            
workers often find in cases; that is parents who use drugs and                 
parents who are incapacitated by alcohol to the point of being                 
passed out in the house and there are infants in the home - parents            
who simply leave their infants alone for periods of time.  The                 
issue was should we criminalize that, should that be made criminal             
behavior, is that a criminal justice issue.  This legislation makes            
that a violation; not a crime that a person could go to jail for               
but it's something where if relatives know what's going on, they               
can call the police and the police can take some action.  It                   
essentially brings a person into court who can be cited for the                
offense, the person can be fined, put on probation, ordered to seek            
drug or alcohol counseling, et cetera.  It doesn't put the person              
in jail but it establishes a track record of conduct that's                    
dangerous to the welfare of children; conduct by parents that's                
neglectful.  He noted this is a significant change in the law and              
could potentially have a significant impact on the workload of some            
police agencies.                                                               
                                                                               
Number 0928                                                                    
                                                                               
MR. GUANELI said with respect to child support, in this day of                 
welfare reform and cutting off welfare benefits, the department                
believes an important aspect of child care is having an adequate               
source of income for many single parents and there should be                   
stronger penalties associated with the most egregious cases of                 
criminal nonsupport.  This legislation proposes to make a felony               
level criminal nonsupport for those people who owe an amount in                
excess of $10,000 and fail to pay child support.  He said, "Now a              
couple of things I want to note about this.  First of all, if you              
stole $500 from somebody, that would be a felony offense.  Yet                 
under current law, if you owe your ex-wife $10,000, $20,000 or                 
$50,000 or in the most serious case I've been told of, $200,000+;              
that's not a felony offense.  I think that that is wrong.                      
Secondly, I don't want anyone to get the idea that someone who                 
perhaps is -- an action is filed in an administrative agency that              
makes these determinations or an action is filed in court and they             
calculate back arrearages and let's say the person owes $15,000 --             
I don't want anyone to think that all of a sudden they're a felony             
at that point.  The offense would be committed if they owe that                
amount of money and they are not currently paying child support,               
having currently had a payment schedule that they are trying to                
meet.  That's an important aspect.  The other important aspect is              
in any child support criminal action, the state bears the burden of            
showing not only that the person isn't paying, but the person has              
the ability to pay.  Either they have the assets and they aren't               
paying or they're able to work but they intentionally are not going            
to work.  So we have a fairly high burden; we have to prove that               
the person isn't paying and that they have the ability to pay."                
                                                                               
Number 1035                                                                    
                                                                               
CHAIRMAN BUNDE commented this legislation is about child protection            
and wondered if this portion about criminal child support would                
better fit in other child support legislation.                                 
                                                                               
MR. GUANELI said from a legal standpoint, it certainly complies                
with the single subject requirements under the law and                         
constitution; in other words, he believes this is a legal and                  
proper subject for this bill.  With respect to single parents                  
having the ability to care for their children; i.e., being able to             
get medical care, being able to get a babysitter if needed, he                 
believes that child support really is germane to protection of                 
children.                                                                      
                                                                               
Number 1195                                                                    
                                                                               
REPRESENTATIVE GREEN said, "You also covered the $10,000 in                    
arrears.  There's another bill working its way through that                    
indicates that if the ower [obligor] was not properly notified or              
timely notified, that there could be a significant amount of money             
built up and then all of a sudden that amount of money is due.  Are            
you saying that there is in essentially all cases, an ability to               
work that out instead of just suddenly being confronted with this?"            
                                                                               
MR. GUANELI responded that's what the department envisions.  The               
offense is for individuals who intentionally stop making payments              
and have the ability to make payments.                                         
                                                                               
Number 1238                                                                    
                                                                               
CHAIRMAN BUNDE asked if he was correct in that there's a difference            
between failing to pay child support and criminal failure to pay               
child support.  He understands that criminal failure to pay is                 
where a person is intentionally hiding assets or ....  In other                
words, a person who suddenly lost their job and is behind in child             
support is not liable to a charge of criminally failing to pay                 
child support.                                                                 
                                                                               
MR. GUANELI said that was correct.  The state bears the burden of              
proving beyond a reasonable doubt that a person has the ability to             
pay and is refusing to pay.                                                    
                                                                               
Number 1357                                                                    
                                                                               
REPRESENTATIVE PORTER recalled a constituent who had been paying               
child support directly to the obligee for some time was challenged             
about two weeks before the support would end and was required to               
produce payment records.  In that case, the burden of proof was on             
the obligor, not the obligee, to prove that payments had been made             
over a number of years.  He was unable to produce all the records              
and ended up being stuck for the amount he was unable to verify.               
He asked Mr. Guaneli if this type of situation would constitute a              
felony.                                                                        
                                                                               
MR. GUANELI said he believed the state would have the burden of                
proof of proving that the amount of arrearages is in excess of                 
$10,000. It is, however, a different situation than the                        
administrative proceedings.                                                    
                                                                               
Number 1357                                                                    
                                                                               
REPRESENTATIVE PORTER presumed that the provision that would make              
it a crime for a parent to leave a child with a known sex offender             
is offset if the child is left with a babysitter who is over 12                
years old.  He suggested raising the age level.                                
                                                                               
MR. GUANELI responded it was the legislature's job to draw lines;              
the department drew the line at age 12 because that seemed a                   
reasonable age at which people get sitters and it's difficult to               
find sitters who are 15- or 16-years of age.                                   
                                                                               
Number 1410                                                                    
                                                                               
CHAIRMAN BUNDE announced the committee would begin taking testimony            
via teleconference.                                                            
                                                                               
Number 1448                                                                    
                                                                               
KAREN LEONARD testifying via teleconference from Anchorage,                    
recognized that HB 375 attempts to resolve issues everyone is                  
concerned about, but she said it is too broad.  It goes beyond any             
new federal requirements and it essentially ends up "throwing the              
baby out with the bath water."  She suggested that additional input            
is needed from the private sector, not just the attorney general's             
office and that the minimum requirements of the new federal                    
regulations be determined and then a balanced bill be drafted over             
the next year so it's done right.  She noted over the past year,               
the public has made it very clear that it wants more accountability            
from the Division of Family and Youth Services (DFYS); however,                
HB 375 does not increase accountability, but rather reduces the                
existing accountability to zero with immunity.  If the number of               
children coming into the system is expanded, which HB 375 will do,             
where are the funds going to come from?  She suggested that the                
next year be used to review what the Lower 48 has done to                      
accomplish phenomenal safety records for their children and the                
same be done for Alaska's children.                                            
                                                                               
CHAIRMAN BUNDE thanked Ms. Leonard for her comments and asked                  
Yolanda Boma to testify next.                                                  
                                                                               
Number 1579                                                                    
                                                                               
YOLANDA BOMA testified via teleconference from Anchorage regarding             
the immunity issue.  She said under HB 375, the DFYS would not                 
longer be accountable for obeying sections of regulations and                  
procedures.  This legislation makes the DFYS immune.  She urged the            
committee not to pass HB 375.                                                  
                                                                               
CHAIRMAN BUNDE thanked Ms. Boma for her testimony and asked Harry              
Niehaus to present his comments.                                               
                                                                               
Number 1645                                                                    
                                                                               
HARRY NIEHAUS testified via teleconference from Fairbanks.  He said            
there were two things he didn't like about the legislation;                    
specifically, page 2, line 13 and page 2, line 25 through page 3,              
line 2. He said this legislation is vague and gives broad                      
discretionary powers to social workers.                                        
                                                                               
CHAIRMAN BUNDE asked Gene Altig to present his comments next.                  
                                                                               
Number 1789                                                                    
                                                                               
GENE ALTIG testified via teleconference from Fairbanks in                      
opposition to HB 375.  In his opinion, the legislation is too                  
complex, it endangers the family and children, it's too vague and              
it shows no accountability.  Children are this country's greatest              
asset and their well-being is of utmost importance.  The importance            
of bonding children to their parents before age 6 is (indisc.) out             
in this bill.  It is his opinion that wrongly removing a child from            
the parents would do terrible damage to the child and would do more            
to cause anti-social behavior than minor abuse.  He believed there             
is a need for accountability, not immunity from liability.                     
                                                                               
CHAIRMAN BUNDE asked Michael Coons to testify.                                 
                                                                               
MICHAEL COONS testified via teleconference from Mat-Su in                      
opposition to HB 375.  His concerns are with the child fatality                
review and the multidisciplinary teams.  He urged the committee to             
read his written comments that had been faxed to the committee.                
With respect to funding, he said that correcting the problems will             
require good programs, as well as money, in order to operate                   
effectively.  He's not opposed to funding programs that work, but              
he is opposed to funding a program without a history of quality                
results, such as the case of the DFYS.                                         
                                                                               
CHAIRMAN BUNDE asked Cathy Baldwin-Johnson to present her comments.            
                                                                               
Number 2140                                                                    
                                                                               
CATHY BALDWIN-JOHNSON testified from Mat-Su via teleconference in              
support of HB 375 and said the problems are of enormous magnitude              
and major steps are required to correct it.  She said Alaska's rate            
of substantiated child abuse is three times the national average.              
Child sexual abuse reports in the Mat-Su Borough more than doubled             
from 1993 to 1996 and currently, the local law enforcement agencies            
receive at least one to two reports daily of a child being                     
molested.  Fatal child abuse in this state is on the rise with                 
homicide now the third leading cause of death for Alaskan children             
ages 1-9.  In the Mat-Su Borough, 11 percent of child deaths are               
due to assault or homicide and 8 percent of Alaskan infants who                
died (indisc.-coughing) die because of abuse or neglect.  She said             
that child abuse is a significant risk factor for juvenile crime               
and substance abuse. The local office of the DFYS is currently able            
to investigate about one-third of its over 1400 reports of child               
abuse and neglect each year due to lack of staff.  She stressed the            
importance of local multidisciplinary teams to better investigate,             
evaluate and treat victims and their families.  Better prosecution             
of offenders is needed in addition to better programs to prevent               
child abuse in the first place.                                                
                                                                               
TAPE 98-24, SIDE A                                                             
Number 0002                                                                    
                                                                               
CHAIRMAN BUNDE asked Douglas Stuart to present his comments.                   
                                                                               
Number 0013                                                                    
                                                                               
DOUGLAS STUART testified via teleconference from Homer and said                
House Bill 375 is a comprehensive, well-researched and very                    
necessary piece of legislation and he supports the intent.  When               
adults do not take responsibility for protecting their children or             
their children's rights, the social service agencies must step in              
to protect those endangered.  Children are this generation's legacy            
and that legacy must be protected from neglect, abuse, violence and            
sexual predators.  House Bill 375 empowers the agencies, foster                
parents, birth and adoptive parents with better ability to take                
over when others fail.  Today's society is one of lost values,                 
family values, neglected children, acts of violence.  The                      
inevitable result of all this is what is seen in the breakdown of              
family and family values.  He said that House Bill 375 is the                  
necessary answer to this situation and requested the committee to              
support this legislation.                                                      
                                                                               
CHAIRMAN BUNDE thanked Mr. Stuart for his testimony and called on              
John Street to testify next.                                                   
                                                                               
Number 0110                                                                    
                                                                               
JOHN STREET testified via teleconference from Kenai.  He said                  
there's a lot of fighting going on involving issues that do not                
affect our children.  The main thing that needs to be addressed                
today with this legislation is what's good for the children and                
this is the best thing he's seen to date because the bottom line               
says "best for the child."  The best place for normal children is              
with normal loving parents, all other situations belong to the                 
child, all choices that are out of the ordinary are for the child.             
He asked committee members to consider the good this bill could do             
and even though it's not perfect, it's the best thing so far.  He              
urged the committee to pass HB 375 now as time is everything to                
some children; in some homes there is no tomorrow.                             
                                                                               
CHAIRMAN BUNDE asked Rick Krueger for his comments at this time.               
                                                                               
Number 0308                                                                    
                                                                               
RICK KRUEGER testified from Ketchikan via teleconference expressing            
concern with Section 11.51.115 regarding criminal nonsupport in the            
first degree.  He had provided Chairman Bunde with a copy of the               
Ombudsman's investigation on his case with the Child Support                   
Enforcement Division and as he understands this section, his assets            
could have been seized without him even being aware this debt was              
accumulating by aid to families with dependent children (AFDC)                 
payments.  He reiterated his opposition to this section.                       
                                                                               
CHAIRMAN BUNDE asked Nancy Seamount to come forward to testify.                
                                                                               
Number 0413                                                                    
                                                                               
NANCY SEAMOUNT said she had worked with children's services                    
agencies and education continuously since 1981.  During the 1980s              
she spent five years as an elementary counselor in Juneau schools              
and it was during this time she encountered most closely the                   
problems in Alaska in terms of child protection.  She began to tell            
anyone who would listen that no one should go to bed at night                  
assuming that children were being protected.  She called the DFYS              
daily to advocate with little to no effect for the children.  The              
laws and programs that existed were, and are today, a flimsy cover             
for what actually exists; children living in terror and utter                  
loneliness every day of their lives and an ineffective system that             
keeps mandatory reporters reporting with little to no results for              
children.  In fact, she had vivid memories of reassuring these                 
children after revealing abuse to her, that she would need to                  
report it, but someone would come to help them feel safe and help              
their family get better.  This was essentially a lie.  The feeling             
of great powerlessness and the inability to tell this lie anymore,             
was one of the key reasons she chose to leave elementary counseling            
and work with kids at the high school as a teacher.  Being in the              
small town of Juneau, she has watched these very children she was              
unable to protect grow up and for the most part, lead miserable and            
unhealthy lives.  She looked for some of these adult survivors to              
testify and all of them she contacted were unable to come due to a             
variety of personal reasons including suicidal depression, active              
alcoholism, incarceration, et cetera.                                          
                                                                               
Number 0523                                                                    
                                                                               
MS. SEAMOUNT said after reading House Bill 375, it is her belief               
that it addresses many of the key issues that have undermined the              
child protection system; in particular, the 12-month time limit for            
parents to get their act together before permanent placement                   
occurs, the intervention and treatment in child abuse cases                    
occurring earlier in the family's history, placements for children             
after extreme levels of family violence and that the DFYS would be             
held more accountable.                                                         
                                                                               
CHAIRMAN BUNDE thanked Ms. Seamount for her testimony and asked Ms.            
Largents to present her testimony.                                             
                                                                               
Number 0643                                                                    
                                                                               
KAREN LARGENTS, Representative, Anchorage Center for Families,                 
testified from Anchorage via teleconference.  She is the director              
of the home-based services.  The family support and preservation               
support provided by this agency are based on values and philosophy             
that the best place for children to grow up is with their family               
when safety and permanence can be assured.  She said when the state            
intervenes in a family's life because of risks to a child's safety,            
the state also has a responsibility to parents to make clear what              
needs to be different in order for the child to return, the time               
frame for the changes and then a system in receiving the services              
needed to make those changes.  It has been the personal                        
responsibility of the parent to make the choice to utilize those               
services and make the changes and to do so in a time frame that's              
consistent with the child's well-being.  One of the greatest                   
tragedies for a child is to lose their home and then left to drift             
in the foster care system.  The agency believes that HB 375 and                
companion measure SB 272 appropriately hold both the state and the             
parent responsible and accountable for their respective parts in               
this process.  There's a limit to how long a child can wait for a              
parent to change; the parent's time frame may be too long for  a               
child.  The agency supports this proposed legislation because it               
offers changes in the whole system of child protection and because             
it values the life of the child.                                               
                                                                               
CHAIRMAN BUNDE asked Dino Allen to testify at this time.                       
                                                                               
Number 0682                                                                    
                                                                               
DINO ALLEN, Chair, Citizens Foster Care Review Board, testified via            
teleconference from Anchorage.  He said part of their mission                  
aligns with this legislation, which is the independent review of               
children in foster care.  The agency believes this legislation goes            
beyond that of any other legislation to help children who linger in            
out of home placement get back where they should be.  Resources                
should be combined as much as possible to prevent child abuse and              
neglect and to move toward permanency for children to ensure they              
have a good start at becoming productive citizens.                             
                                                                               
CHAIRMAN BUNDE called on Andy Harrington to comment next.                      
                                                                               
Number 0760                                                                    
                                                                               
ANDY HARRINGTON testified via teleconference from Fairbanks in                 
general support of HB 375 and encouraged favorable committee                   
action.  His one concern was with Section 40; the requirement for              
the department to make reasonable effort in a timely manner to                 
prevent the need for removing a child from the child's home, or to             
make it possible for the child to return safely to the child's home            
following removal.  He said under current law, these efforts are               
required in virtually all cases which he believed was a wasted                 
effort in some cases.  This legislation substitutes a blanket rule             
to the opposite effect based on a finding by a preponderance of the            
evidence that certain offenses have been committed, and the                    
offenses would include, for example, indecent exposure.  He did not            
agree that an incident of indecent exposure proven by (indisc.)                
preponderance of the evidence should suffice to relieve the state's            
obligation to make reasonable effort.  He said this is a minor                 
criticism and overall, the bill makes some very needed changes in              
the child in need of aid system, but he thought the legislation                
would be a hollow promise if it's not backed up by sufficient                  
resources to make sure the DFYS, the Attorney General's Office and             
other agencies involved are able to carry out the responsibilities             
this bill places on them.                                                      
                                                                               
CHAIRMAN BUNDE thanked Mr. Harrington for his comments and next                
called on Karre Fisher to testify.                                             
                                                                               
Number 0867                                                                    
                                                                               
KARRE FISHER testified that she is a student at Juneau Douglas High            
School and would like to see the provisions of HB 375 adopted.                 
She's been frustrated with the reluctance on the part of the DFYS              
to remove endangered children from volatile situations.  She  had              
a friend living in an alcoholic home environment who suffered                  
repeated abuse such as cigarette burns and bruises.  A report was              
filed but the only result was counseling and anger management                  
classes for the parents.  Her friend remained in the home but                  
nothing changed in the home environment and the case was closed.               
                                                                               
CHAIRMAN BUNDE thanked Ms. Fisher for sharing her comments with the            
committee and asked Norm Blakely to testify.                                   
                                                                               
Number 0995                                                                    
                                                                               
NORM BLAKELY testified from Kenai via teleconference in opposition             
to HB 375.  He said there were probably some good things in the                
bill, but he suggested that additional time be spent re-evaluating             
and redrafting the legislation.  He expressed concern about a                  
person being accused of sexual abuse of a child but is innocent and            
hasn't been able to see the child for years.                                   
                                                                               
CHAIRMAN BUNDE called on Larry Erickson to testify next.                       
                                                                               
Number 1085                                                                    
                                                                               
LARRY ERICKSON testified via teleconference from Kenai.  He                    
referenced page 3, line 11 - 28, and said this seems to set the                
philosophy of this legislation and while our children are                      
important, he believed the studies referred to on page 11 should be            
identified.  He expressed concern about the criminal nonsupport                
aspects of the legislature.  In general, he's opposed to HB 375.               
                                                                               
CHAIRMAN BUNDE asked Lt. Bill Grifford to testify next.                        
                                                                               
Number 1144                                                                    
                                                                               
LT. BILL GRIFFORD, Anchorage Police Department, testified via                  
teleconference from Anchorage and said he has seen more abuse and              
neglect than he cared to remember.  Children abandoned, starved,               
slapped, kicked, beaten with belts, burned and branded, caged in               
dog kennels, tied up in bed, broken arms, legs and skulls; killed              
because they would not pick up their toys, cried too much or would             
not stand on their under-developed legs.  He said these are the                
injuries we can see and feel; what cannot be seen and felt is the              
long term emotional harm done to children.  He said this bill                  
allows us, the protectors of the children to act in a quicker                  
manner, to stop the violence, and move to terminate parental rights            
when necessary.  Reducing the time to closure puts the child on the            
road to recovery quicker, demonstrates they can trust adults and               
allows the workers to get on to the next case.  This bill will also            
allow investigative information to be shared and the ability to                
work more closely as a team.  Combining investigative resources                
allows for a more efficient investigation in both time and money,              
reduces the duplication of effort and allows agencies to better                
understand the needs of each other.  This bill will reduce crime in            
the future.  He referred to the long term emotional effects of                 
abuse and said today's abuse victims far too often become                      
tomorrow's criminals.  Many murder suspects describe a childhood               
filled with abuse; children learn what they are taught.  This                  
legislation is a comprehensive package and will help to protect our            
children and be a benefit to our children.                                     
                                                                               
CHAIRMAN BUNDE thanked Lt. Grifford for testifying and asked Jay               
Blair to testify next.                                                         
                                                                               
Number 1265                                                                    
                                                                               
JAY BLAIR testified in support of HB 375.  He told the committee of            
an incident where he was visiting at a friend's house and witnessed            
the grandfather throw one of the younger children across the room              
because he didn't eat his dinner.  While he is no longer a friend              
of this individual, he has observed that the grandfather's abuse               
has rubbed off on the children.  He urged the committee to support             
HB 375.                                                                        
                                                                               
CHAIRMAN BUNDE thanked Mr. Blair for his comments and asked Deidre             
Phayer to testify.                                                             
                                                                               
Number 1418                                                                    
                                                                               
DEIDRE PHAYER, Executive Director, Covenant House, thanked the                 
committee for the opportunity to testify on behalf of children who             
are at risk.  As a professional who sees on a daily basis the                  
victimization of kids she is in support of HB 375.  She said this              
bill promotes zero tolerance for the continuing victimization of               
kids.  These are kids who are vulnerable because the very people               
who are supposed to protect them are often the ones who are putting            
them at great risk and the abuse that she sees all too often                   
continues without consequence.  She is hopeful the resources will              
be attached to make this a piece of legislation that will truly                
improve the quality of life for our children.  She said as we all              
know, children need to be the number one priority because their                
voices are silent and they are very vulnerable.  She concluded,                
"And also please remember, as our elected officials, you are the               
voice of these children and they are dependent upon your wisdom and            
good judgment."                                                                
                                                                               
CHAIRMAN BUNDE thanked Ms. Phayer for her comments and asked Pam               
Karalunas to testify.                                                          
                                                                               
Number 1499                                                                    
                                                                               
PAM KARALUNAS testified via teleconference from Fairbanks.  She                
supports the intent of HB 375 and expressed her appreciation to the            
drafters.  She works with families in which children have been                 
molested (indisc.-child talking).  She has had personal experience             
with the DFYS in that her daughter was taken custody of by the                 
state.  Her primary concern with HB 375 had already been expressed             
by Andy Harrington  on Section 40 on reasonable efforts relating to            
child sexual abuse.  She said what's not acknowledged in the                   
legislation is that with incest cases, part of the reason incest is            
so damaging to children is because they love the perpetrator.  This            
legislation does not allow for that; in fact if anything, it gives             
the perpetrator a bit more ammunition when advising the child not              
to tell; e.g., if you tell, I will no longer get to be your daddy.             
It eliminates any possibility for successful reunification or the              
therapy support for the child as far as the responsibility section             
in hearing the person they love taking responsibility for what                 
happened and the role they had.  She supported increased                       
accountability for both parents and the DFYS.  She encouraged the              
committee to take swift action.                                                
                                                                               
CHAIRMAN BUNDE thanked Ms. Karalunas for testifying and called on              
Linda Haim to testify.                                                         
                                                                               
Number 1636                                                                    
                                                                               
LINDA HAIM testified via teleconference from Anchorage.  She's a               
volunteer working as a court appointed special advocate and said               
in the last year and a half she's been involved in the life of a               
baby who was taken into custody shortly after birth.  She said                 
there are two proposed changes to the law that would directly                  
impact this child in a very positive way.  Those are the changes               
involving the termination of parental rights and the requirement               
that efforts to find a permanent home for children in custody be               
documented.  The child she represents was born with cocaine in her             
system and the mother had also been using alcohol throughout her               
pregnancy, so it is likely the child will suffer from fetal alcohol            
effect.  She was abandoned in the hospital and her mother has made             
no effort to see her since.  This is a woman who has more than a               
13-year history with the state; she had four other children - one              
supposedly died of Sudden Infant Death Syndrome, two were taken                
into custody and subsequently adopted and the other, who is now a              
teenager, is so severely emotionally disturbed that finding a                  
placement for her is next to impossible.  This mother has a history            
of chronic mental health illnesses, substance abuse and has been               
arrested for child abuse.  Termination of parental rights should               
never be done without very serious consideration; however, there               
are times when it is crystal clear that termination is (indisc.-               
coughing); this is such a case.  Why then has it taken over a year             
and a half to file the paperwork - she believed the system was                 
simply overwhelmed and the law does not give clear guidelines.  It             
was obvious from the outset that this mother was an unfit parent               
and since the child is a Native Alaskan, it was clear that Indian              
Child Welfare Act (ICWA) procedures will need to be followed in                
finding a placement for her, which meant the father needed to be               
located.  If he was not found to be a suitable parent, then other              
relatives would be pursued, followed by tribal members, et cetera,             
until a permanent placement could be found.  Initially, she was                
surprised that she was the only one involved in the case making any            
effort to find the father and other relatives; now she's simply                
appalled that after a year and a half she's still the only person              
trying to find a permanent placement.  In her opinion, the proposed            
changes to the law will create accountability which is sadly                   
lacking now.                                                                   
                                                                               
CHAIRMAN BUNDE thanked Ms. Haim for her comments and asked Deborah             
Honea to present her testimony.                                                
                                                                               
Number 1740                                                                    
                                                                               
DEBORAH HONEA testified from Fairbanks via teleconference.  She and            
her husband are foster parents specializing in children from birth             
up to the age of three that have been drug and alcohol exposed or              
affected before birth.  She agreed with the comments of the                    
previous testifiers who supported  this legislation, but in her                
opinion it doesn't go far enough.                                              
                                                                               
CHAIRMAN BUNDE thanked Ms. Honea for her testimony and asked David             
Leone to present his comments.                                                 
                                                                               
Number 1767                                                                    
                                                                               
DAVID LEONE, Executive Director, Resource Center for Parents and               
Children, testified from Fairbanks via teleconference in support of            
HB 375.  He thanked everyone for their effort in putting the needed            
changes in legislation that protects our most precious resource in             
the state.  He agreed with the previous speaker that children need             
to be our priority because they are the future.  He referred to                
page 8, line 6, and suggested the language read, " .... knowing                
that a person at least 12 years old is not present, and knowing the            
other person ...."  He expressed concerned with the verbiage in                
Section 11.51.100 in that he, as a parent or family member in                  
crisis, needs to go to the sex offender registry to ensure that                
he's not leaving his child in an agency or with a group where there            
is a registered offender.  Also, with respect to Section 20, he                
suggested verbiage be added to mandate that agencies partially or              
fully funded by the state do a better job of checking the                      
background of hirees to prevent the hiring of an individual who is             
a registered sex offender.  He referred to page 24, line 18, and               
suggested that "immunization" be added after medical attention.  He            
concluded this is a very strong bill and something that's needed to            
protect the children.  He stressed the need for consistent,                    
continual support for prevention so these issues won't have to be              
revisited in the future.                                                       
                                                                               
CHAIRMAN BUNDE thanked Mr. Leone for his comments and asked                    
Patricia George to present her testimony at this time.                         
                                                                               
Number 1922                                                                    
                                                                               
PATRICIA GEORGE testified that she has been a school teacher for 22            
years; 20 of which have been in Juneau and she wanted to share with            
the committee the reality of the classroom.  She hears stories from            
children of auto accidents because the parents were drunk but the              
children are blamed because they screamed in fear; stories of                  
moving to the AWARE Shelter the previous night and that mom is                 
going to pick up the child up after school, but no one comes, and              
then the boyfriend calls and says send the child home.  Since the              
boyfriend is not listed on the attendance records, the child cannot            
be released.  Calls to the DFYS are unsuccessful; calls are made to            
the police; calls to the AWARE Shelter are unsuccessful because of             
confidentiality; three and a half hours after school is over, the              
mother shows up and is taking the child back to the house.  She                
said there has definitely been an increase in these incidents                  
during the last five years.  One year she had 24 students; 4 of the            
10 little girls had been molested and 6 of the kids had parents in             
jail at various times during the year.  During the last two years,             
she's been advised by the DFYS staff that an investigation will not            
even be done unless the child is in imminent danger, or if the                 
child is not in imminent danger, the dangerousness of the situation            
is evaluated on a scale and may be investigate within 72 hours or              
a week.  She expressed the importance of proper funding for this               
legislation.                                                                   
                                                                               
Number 2042                                                                    
                                                                               
CHAIRMAN BUNDE remarked the agency may need more money and that's              
what the committee is trying to determine, but there also needs to             
be a better management tool so these children don't get lost in the            
system.                                                                        
                                                                               
Number 2085                                                                    
                                                                               
BARBARA MALCHICK, Child Advocate, Office of Public Advocacy, (OPA)             
testified via teleconference from Anchorage.  She has represented              
hundreds of children during her 13 years with the Office of Public             
Advocacy.  She reminded committee members it was the OPA that                  
originally brought to the public's eye that the state's child                  
protection system had not been doing a very good job of protecting             
Alaska's children.  The OPA believes the government system, as well            
as the abusive and neglectful parents, need to be held accountable.            
She expressed support for HB 375 because it strikes a better                   
balance between parents' rights to raise their children as they see            
fit and children's rights to live in safe and permanent homes.                 
Although everyone gives lip service to the best interest of the                
child, the proposed law actually spells out in black and white that            
it's the child's best interests that are of primary concern.  She              
said one of the most important aspects of the legislation is that              
it establishes time lines that are based more on the child's sense             
of time rather than the adult's sense of time.  To a young child,              
six months to a year is virtually a lifetime to them.  The time                
lines give a clear (indisc.) to all the participants in the child              
protection system; i.e., the DFYS, parents and the courts, that                
quicker action must be taken to ensure the child is either returned            
home or placed permanently with a relative or another adoptive                 
home.  This legislation tells the DFYS that timely services must be            
provided to families to either keep the family together or to                  
promote unification and if those services fail, timely efforts must            
be made to find a permanent home for the child and document those              
efforts.                                                                       
                                                                               
MS. MALCHICK continued that to parents, this legislation, while                
preserving all their legal safeguards, gives them one year to get              
into treatment and make the changes necessary to allow them to take            
care of their child.  No longer can they wait for years or until               
the eve of the termination trial to start treatment.  To the courts            
this legislation says that hearings must be conducted in a timely              
manner, decisions made in a timely manner and appellate decisions              
must be made timely.  But most importantly, to children this                   
legislation says no longer will the system make you wait years and             
years in foster care, while your parents get chance after chance to            
make changes.  In conclusion, she read a poem that had been written            
by a child who had been in foster care.                                        
                                                                               
CHAIRMAN BUNDE thanked Ms. Malchick for her testimony and asked                
Marion Hallum to present her remarks.                                          
                                                                               
Number 2210                                                                    
                                                                               
MARION HALLUM, Guardian Ad litem, Office of Public Advocacy,                   
Department of Administration, testified via teleconference from                
Anchorage.  She has worked with children and families for the past             
15 years; the last five advocating in court for abusive and                    
neglected children.  She said research clearly indicates that                  
exposure to domestic violence is harmful to children and that                  
children in violent homes are much more likely to be victims of                
child physical abuse themselves.  These children are more likely to            
end up in the delinquency system or involved in abusive                        
relationships as adults.  Last December she was one of 96 Alaskans             
who attended the Governor's Summit on Domestic Violent.                        
Overwhelmingly, delegates ranging from law enforcement to domestic             
violence shelter staff were contending that exposure to domestic               
violence should be considered child abuse.  She urged committee                
members to pass HB 375.                                                        
                                                                               
CHAIRMAN BUNDE thanked Ms. Hallum for testifying and asked Janice              
Barta to testify.                                                              
                                                                               
Number 2303                                                                    
                                                                               
JANICE BARTA, Guardian Ad litem, Office of Public Advocacy,                    
Department of Administration, testified via teleconference from                
Anchorage.  She has 14 years experience working with the child                 
protection system in Alaska and is currently on maternity leave.               
It is her opinion the proposed law will protect the children.  She             
had spent the previous day helping her replacement worker coping               
with a family which has been in the child protection system off and            
on since the late 1980s.  The mother's substance abuse problem has             
resulted in the removal of her children ten times or more over the             
years, usually late at night by the police.  In each case the                  
children have been returned and a new case plan begins.  Three                 
times the DFYS has tried to terminate this parent's parental rights            
and in each instance, the parent has been given another chance;                
most recently, she entered treatment at the last minute.  This week            
she learned the children's mother is ....                                      
                                                                               
TAPE 98-24, SIDE B                                                             
Number 0001                                                                    
                                                                               
MS. BARTA ... program.  These four children, ages 7 - 11 have few              
options for permanency at this late stage.  She believes the                   
proposed changes to the law may have prevented this tragedy and can            
provide a brighter future for other children once it is passed.  In            
conclusion, she said children grow up too fast to give these issues            
more time and study.  She's seen the current law fail children for             
14 years and the time to act is now.                                           
                                                                               
CHAIRMAN BUNDE thanked Ms. Barta for testifying and asked Dave                 
Bartels to present his testimony.                                              
                                                                               
Number 0034                                                                    
                                                                               
DAVE BARTELS testified via teleconference from Anchorage on issues             
not pertaining to HB 375.                                                      
                                                                               
Number 0073                                                                    
                                                                               
CHAIRMAN BUNDE closed public testimony on HB 375.  He announced the            
committee would again consider HB 375 on Wednesday, March 20.                  
                                                                               
ADJOURNMENT                                                                    
                                                                               
Number 0103                                                                    
                                                                               
CHAIRMAN BUNDE adjourned the House Health, Education and Social                
Services Committee meeting at 5:30 p.m.