ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                         March 31, 2009                                                                                         
                           3:04 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Bob Herron, Co-Chair                                                                                             
Representative Wes Keller, Co-Chair                                                                                             
Representative John Coghill                                                                                                     
Representative Bob Lynn                                                                                                         
Representative Paul Seaton                                                                                                      
Representative Lindsey Holmes                                                                                                   
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Sharon Cissna                                                                                                    
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE BILL NO. 192                                                                                                              
"An  Act relating  to nonpayment  of child  support; relating  to                                                               
certain judicial  and administrative  orders for  medical support                                                               
of a child;  relating to periodic review and  adjustment of child                                                               
support  orders; relating  to  relief  from administrative  child                                                               
support orders;  relating to  child support  arrearages; relating                                                               
to  medical support  of  a  child and  the  Alaska Native  family                                                               
assistance  program; amending  Rule 90.3,  Alaska Rules  of Civil                                                               
Procedure; and providing for an effective date."                                                                                
                                                                                                                                
     - MOVED CSHB 192 (HSS) OUT OF COMMITTEE                                                                                    
                                                                                                                                
HOUSE BILL NO. 71                                                                                                               
"An  Act  relating   to  a  registry  for   advance  health  care                                                               
directives."                                                                                                                    
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
HOUSE BILL NO. 190                                                                                                              
"An Act  privatizing the  Alaska children's  trust as  a separate                                                               
endowment fund; providing for an  administrator for the assets of                                                               
the  former trust;  establishing conditions  for a  grant of  the                                                               
balance  of  the  former  Alaska  children's  trust;  designating                                                               
certain  receipts   as  available  for  grants   to  the  trust's                                                               
successor; and providing for an effective date."                                                                                
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 192                                                                                                                  
SHORT TITLE: CHILD SUPPORT/CASH MEDICAL SUPPORT                                                                                 
SPONSOR(s): REPRESENTATIVE(s) COGHILL                                                                                           
                                                                                                                                
03/18/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/18/09       (H)       HSS, JUD                                                                                               
03/31/09       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
                                                                                                                                
BILL: HB 71                                                                                                                   
SHORT TITLE: ADVANCE HEALTH CARE DIRECTIVES REGISTRY                                                                            
SPONSOR(s):   REPRESENTATIVE(s)   HOLMES,   DAHLSTROM,   MILLETT,                                                               
KAWASAKI                                                                                                                        
                                                                                                                                
01/20/09       (H)       PREFILE RELEASED 1/16/09                                                                               
01/20/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
01/20/09       (H)       HSS, JUD                                                                                               
03/31/09       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
                                                                                                                                
BILL: HB 190                                                                                                                  
SHORT TITLE: CHILDREN'S TRUST GRANT FOR ENDOWMENT                                                                               
SPONSOR(s): REPRESENTATIVE(s) FAIRCLOUGH                                                                                        
                                                                                                                                
03/16/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/16/09       (H)       HSS, FIN                                                                                               
03/31/09       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
RYNIEVA MOSS, Staff                                                                                                             
to Representative John Coghill                                                                                                  
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Introduced HB 192 on behalf of the prime                                                                 
sponsor, Representative Coghill.                                                                                                
                                                                                                                                
JOHN MALLONEE, Director                                                                                                         
Anchorage Central Office                                                                                                        
Child Support Services Division                                                                                                 
Department of Revenue (DOR)                                                                                                     
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Presented a sectional analysis and answered                                                              
questions about HB 192.                                                                                                         
                                                                                                                                
STACY STEINBERG, Chief Assistant Attorney General;                                                                              
Statewide Section Supervisor                                                                                                    
Commercial/Fair Business Section                                                                                                
Civil Division (Anchorage)                                                                                                      
Department of Law (DOL)                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Answered questions on HB 192.                                                                            
                                                                                                                                
PETER PUTZIER, Senior Assistant Attorney General                                                                                
Opinions, Appeals, & Ethics                                                                                                     
Civil Division (Anchorage)                                                                                                      
Department of Law (DOL)                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Answered questions on HB 192.                                                                            
                                                                                                                                
GINGER BLAISDELL, Director                                                                                                      
Administrative Services Division                                                                                                
Department of Revenue (DOR)                                                                                                     
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified about HB 192.                                                                                  
                                                                                                                                
BOB LOESCHER                                                                                                                    
Judiciary Committee                                                                                                             
Sub Committee of State and Tribal Affairs                                                                                       
Central Council Tlingit & Haida Indian Tribes of Alaska                                                                         
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified about HB 192.                                                                                  
                                                                                                                                
JESSIE ARCHIBALD, Attorney                                                                                                      
Tribal Child Support Program                                                                                                    
Central Council Tlingit & Haida Indian Tribes of Alaska                                                                         
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified about HB 192.                                                                                  
                                                                                                                                
MIKE FORD, Assistant Attorney General & Legislative Liaison                                                                     
Legislation & Regulations Section                                                                                               
Civil Division (Juneau)                                                                                                         
Department of Law (DOL)                                                                                                         
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions about HB 192.                                                                         
                                                                                                                                
PAT LUBY, Advocacy Director                                                                                                     
AARP                                                                                                                            
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 71.                                                                               
                                                                                                                                
REPRESENTATIVE ANNA FAIRCLOUGH                                                                                                  
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Introduced HB 190 as the prime sponsor.                                                                  
                                                                                                                                
CRYSTAL KOENEMAN, Staff                                                                                                         
to Representative Anna Fairclough                                                                                               
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Presented HB 190 on behalf of the prime                                                                  
sponsor, Representative Fairclough, and answered questions.                                                                     
                                                                                                                                
CARLEY LAWRENCE, Chair                                                                                                          
Friends of the Alaska Children's Trust (FACT) Board                                                                             
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
SAMMYE POKRYFKI, Vice Chair                                                                                                     
Friends of the Alaska Children's Trust (FACT)                                                                                   
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
ARLISS STURGULEWSKI                                                                                                             
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
DIANE KAPLAN, Board Member                                                                                                      
Alaska Children's Trust (ACT)                                                                                                   
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
GINGER BAIM, Executive Director                                                                                                 
Safe and Fear Free Environment (SAFE)                                                                                           
Dillingham, Alaska                                                                                                              
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
CAROL SIMONETTI, President & CEO                                                                                                
Alaska Community Foundation                                                                                                     
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
PANU LUCIER, Executive Director                                                                                                 
Alaska Children's Trust (ACT) and Friends of the Alaska                                                                         
Children's Trust (FACT)                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
MARGARET VOLZ, Vice Chair                                                                                                       
Alaska Children's Trust (ACT) Board                                                                                             
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Spoke in support of HB 190.                                                                              
                                                                                                                                
JERRY BURNETT, Deputy Commissioner                                                                                              
Department of Revenue (DOR)                                                                                                     
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:   Testified  and answered questions  about HB                                                             
190.                                                                                                                            
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:04:30 PM                                                                                                                    
                                                                                                                                
CO-CHAIR BOB HERRON  called the House Health  and Social Services                                                             
Standing   Committee    meeting   to    order   at    3:04   p.m.                                                               
Representatives Herron, Keller, Seaton,  Coghill, and Holmes were                                                               
present at  the call  to order.   Representative Lynn  arrived as                                                               
the meeting was in progress.                                                                                                    
                                                                                                                                
HB 192-CHILD SUPPORT/CASH MEDICAL SUPPORT                                                                                     
                                                                                                                                
3:04:54 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON announced that the  first order of business would                                                               
be HOUSE  BILL NO. 192, "An  Act relating to nonpayment  of child                                                               
support; relating  to certain judicial and  administrative orders                                                               
for medical support  of a child; relating to  periodic review and                                                               
adjustment  of  child support  orders;  relating  to relief  from                                                               
administrative child  support orders;  relating to  child support                                                               
arrearages;  relating  to medical  support  of  a child  and  the                                                               
Alaska  Native family  assistance  program;  amending Rule  90.3,                                                               
Alaska Rules of  Civil Procedure; and providing  for an effective                                                               
date."                                                                                                                          
                                                                                                                                
3:05:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  COGHILL  moved to  adopt  CSHB  192, Version  26-                                                               
LS0483\P,  Mischel,  3/30/09, as  the  working  document.   There                                                               
being  no objection,  CSHB 192,  Version  P, was  adopted as  the                                                               
working document.                                                                                                               
                                                                                                                                
3:06:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE COGHILL,  prime sponsor  of HB  192, said  that HB                                                               
192  was introduced  at the  request of  the administration.   He                                                               
presented a high level review of  the bill, and explained that it                                                               
emanated  from a  federal  requirement.   He  noted  that HB  192                                                               
included  conforming  language,  a   definition  of  the  Uniform                                                               
Interstate Family Support Act (UIFSA),  and the administration of                                                               
the order  of support  for the  Child Support  Services Division.                                                               
He referred to  Section 3 of the bill, and  ascertained that this                                                               
was  a federal  mandate in  order for  Alaska to  receive federal                                                               
money.   He  directed  attention to  the  definition for  "state"                                                               
contained  in Section  3 (19)  which was  amended to  include "an                                                               
Indian tribe."   He pointed  out that Alaskan tribal  issues were                                                               
based in  enrollment, bloodline,  and corporation whereas  in the                                                               
Lower  48,  the  tribal  issues  were based  on  geography.    He                                                               
explained the intent language in Section 1(b) which read:                                                                       
                                                                                                                                
     In  Alaska, the  scope  of tribal  authority to  enter,                                                                    
     modify,  or  enforce  a  child   support  order  is  an                                                                    
     unsettled legal  question, due in  part to the  lack of                                                                    
     Indian  country in  most  of the  state.   In  adopting                                                                    
     UIFSA conforming  amendments, the legislature  does not                                                                    
     intend  to grant  or  restrict  tribal jurisdiction  to                                                                    
     enter,  modify, or  enforce child  support orders,  and                                                                    
     the  amendments are  not intended,  either directly  or                                                                    
     impliedly, to  acknowledge, expand, or  restrict tribal                                                                    
     jurisdiction.                                                                                                              
                                                                                                                                
He summarized  that this tribal  definition declared  that Alaska                                                               
was different than the 48 contiguous states.                                                                                    
                                                                                                                                
3:09:42 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON  asked if  the Tanana  chiefs were  involved with                                                               
this definition.                                                                                                                
                                                                                                                                
3:10:04 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  COGHILL  replied  that   he  had  worked  on  the                                                               
definition with the Office of  the Attorney General.  He stressed                                                               
that this  definition was  an unsettled  question in  Alaska, and                                                               
that acceptance  of the federal  definition could  create serious                                                               
issues in Alaska.   He expressed his desire that  it not become a                                                               
big issue in Alaska.                                                                                                            
                                                                                                                                
3:10:52 PM                                                                                                                    
                                                                                                                                
RYNIEVA MOSS, Staff to Representative  John Coghill, Alaska State                                                               
Legislature, said that she would  divide the sections of the bill                                                               
into four  categories: Sections 2,  4, 5, 9,  10, 11, and  12 add                                                               
cash medical support for sections of  the law that apply to child                                                               
support  and  health  insurance under  existing  law;  Section  1                                                               
redefines the word  "state" to include "the  United States Virgin                                                               
Islands" and "an Indian tribe";  Section 4 required child support                                                               
to review  cases on a  three year cycle;  Sections 7 and  8 allow                                                               
the  child support  agency  to  correct a  clerical  error in  an                                                               
administrative  order without  a motion  from the  obligor.   She                                                               
noted that  the first  three categories  were required  to comply                                                               
with  federal  law,  or  lose $18  million  annually  in  federal                                                               
funding.                                                                                                                        
                                                                                                                                
3:13:39 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  referred to  cash medical  support orders,                                                               
and asked if  this bill was seeking conforming  language, or were                                                               
these support orders currently issued.                                                                                          
                                                                                                                                
MS. MOSS replied that Alaska  had medical support orders, but not                                                               
cash medical  support orders.   She reported that the  bill would                                                               
include  both.   She explained  that  this would  extend to  both                                                               
custodial and non-custodial parents.                                                                                            
                                                                                                                                
REPRESENTATIVE  COGHILL reported  that it  was currently  assumed                                                               
the obligor had insurance, but  that this proposed bill broadened                                                               
that  both parents  would be  assumed to  have insurance  or cash                                                               
medical support, in lieu of insurance.                                                                                          
                                                                                                                                
3:15:43 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON asked  whether there  was a  necessity for                                                               
cash medical support if there was medical insurance.                                                                            
                                                                                                                                
3:16:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  COGHILL, in  response  to Representative  Seaton,                                                               
said that the cash was for medical coverage.                                                                                    
                                                                                                                                
3:17:40 PM                                                                                                                    
                                                                                                                                
JOHN MALLONEE, Director, Anchorage  Central Office, Child Support                                                               
Services Division,  Department of Revenue (DOR),  said that child                                                               
support  was a  federally mandated,  but state  operated program.                                                               
He  explained the  federal requirements  and the  federal funding                                                               
for  the program.    He described  the three  areas  that HB  192                                                               
addressed  for changes  of the  state  statute in  order to  meet                                                               
federal requirements for funding:   the first area was within the                                                               
Uniform  Interstate  Family Support  Act  (UIFSA),  an act  which                                                               
provided  efficient  procedures  for   the  collection  of  child                                                               
support  in  interstate  cases and  eliminated  multiple  support                                                               
orders, and he pointed out  that the Alaska definition of "state"                                                               
would need  to conform to that  in UIFSA; the second  area was in                                                               
regard to child  medical support, and he pointed out  that HB 192                                                               
added  to existing  law "the  authority to  order either  or both                                                               
parents  to pay  cash medical  support if  warranted;" the  third                                                               
area addressed  support orders,  and he noted  that under  HB 192                                                               
clients  could now  request  a  review at  any  time, that  child                                                               
support orders must  now be reviewed at least  every three years,                                                               
and that language  was removed which limited who  could request a                                                               
correction of (1)  a clerical mistake in  an administrative order                                                               
or, (2) a  decision based on default income, and  not the ability                                                               
to pay.                                                                                                                         
                                                                                                                                
3:23:21 PM                                                                                                                    
                                                                                                                                
CO-CHAIR KELLER  asked if  the state had  been out  of compliance                                                               
since 1996.                                                                                                                     
                                                                                                                                
MR. MALLONEE agreed, with regard for the definition of "state."                                                                 
                                                                                                                                
CO-CHAIR KELLER  asked what  had occurred to  make this  now more                                                               
important than in 1996.                                                                                                         
                                                                                                                                
MR. MALLONEE said that this had  been brought to the attention of                                                               
the federal  Office of  Child Support  Enforcement, which  sent a                                                               
pre-notice letter of consequences  for non-compliance to (Alaska)                                                               
Child Support Services Division.                                                                                                
                                                                                                                                
MR. MALLONEE, in response to  Co-Chair Herron, offered his belief                                                               
that it had been previously overlooked.                                                                                         
                                                                                                                                
3:25:11 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  referred to page  3, line 20 of  the bill,                                                               
which read,  "agency shall issue  a support order," and  he asked                                                               
to define a cash medical support order.                                                                                         
                                                                                                                                
3:26:07 PM                                                                                                                    
                                                                                                                                
MR. MALLONEE  explained that the Child  Support Services Division                                                               
first determined  whether either party had  health insurance, and                                                               
if not, then  a set amount of money was  required as cash medical                                                               
support.                                                                                                                        
                                                                                                                                
3:27:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON asked  if this  was limited  to co-pay  or                                                               
deductibles in addition to the insurance.                                                                                       
                                                                                                                                
3:28:15 PM                                                                                                                    
                                                                                                                                
MR.  MALLONEE, in  response to  Representative Seaton,  said that                                                               
the cash  medical support  was in  lieu of  insurance.   He noted                                                               
that   non  covered   medical  payments,   such  as   co-pay  and                                                               
deductibles, were already  addressed in statute.   He pointed out                                                               
that  this  applied  to  people  who  had  no  medical  insurance                                                               
available to them,  so that some money was  available for medical                                                               
expenses.                                                                                                                       
                                                                                                                                
3:29:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  asked to  clarify the  need for  "or both"                                                               
language in the bill with  reference to "a medical support order"                                                               
and "a cash medical support order."                                                                                             
                                                                                                                                
3:29:44 PM                                                                                                                    
                                                                                                                                
MR.  MALLONEE  replied that  it  was  required language,  and  he                                                               
theorized on the possibilities for the need of both.                                                                            
                                                                                                                                
3:30:58 PM                                                                                                                    
                                                                                                                                
STACY  STEINBERG, Chief  Assistant  Attorney General;,  Statewide                                                               
Section  Supervisor,  Commercial/Fair   Business  Section,  Civil                                                               
Division (Anchorage), Department of Law  (DOL), said that she was                                                               
available to answer questions.                                                                                                  
                                                                                                                                
3:31:30 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  KELLER  asked what  legal  effect  the proposed  intent                                                               
language for the  definition of "state" in HB 192  would have for                                                               
a legal determination to tribal jurisdiction.                                                                                   
                                                                                                                                
3:32:32 PM                                                                                                                    
                                                                                                                                
PETER  PUTZIER,  Senior  Assistant  Attorney  General,  Opinions,                                                               
Appeals, & Ethics, Civil Division  (Anchorage), Department of Law                                                               
(DOL), replied that the legal  question was whether the state was                                                               
changing any  procedures under  the UIFSA.   He relayed  that the                                                               
tribal argument  might be the  implication that  jurisdiction was                                                               
intended.  He said that the  intent language of HB 192 was clear,                                                               
and that this was not  a position, merely a conforming amendment.                                                               
He  said that  the unresolved  issues were  whether the  inherent                                                               
jurisdiction  of  the  tribes  was  extended  for  child  support                                                               
orders, specifically in Alaska.  He  opined that HB 192 would not                                                               
be a central argument for resolution.                                                                                           
                                                                                                                                
3:36:47 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  referred to "other insurance  coverage" on                                                               
page 3, line 24, and asked if that was Denali Kid Care.                                                                         
                                                                                                                                
3:37:33 PM                                                                                                                    
                                                                                                                                
MS.  STEINBERG explained  that Denali  Kid Care  was not  private                                                               
insurance, but a  form of public assistance;  therefore, it would                                                               
not cover this.   She said that Indian Health  Service care would                                                               
suffice, as would military health care.                                                                                         
                                                                                                                                
3:38:24 PM                                                                                                                    
                                                                                                                                
GINGER  BLAISDELL,  Director, Administrative  Services  Division,                                                               
Department  of  Revenue (DOR),  reiterated  that  the first  pre-                                                               
notice letter for non-compliance was  received on March 27, 2009,                                                               
and it stated that block  grant funds for Temporary Assistance to                                                               
Needy  Families (TANF)  would be  at risk  if the  state did  not                                                               
enact conforming child  support legislation.  She  stated that HB                                                               
192  would enact  all the  necessary conforming  laws.   She said                                                               
that the  amount of  money at  risk for the  state was  about $85                                                               
million.   She  emphasized that  it  was critical  to conform  to                                                               
UIFSA.                                                                                                                          
                                                                                                                                
3:40:40 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON  asked if Alaska had  been aware of not  being in                                                               
conformity, even though the federal government was not.                                                                         
                                                                                                                                
3:41:01 PM                                                                                                                    
                                                                                                                                
MS. BLAISDELL said  that Alaska had been aware for  a short time.                                                               
She said that Alaska had requested  a waiver on January 29, 2009,                                                               
which was denied.                                                                                                               
                                                                                                                                
3:41:53 PM                                                                                                                    
                                                                                                                                
MS. BLAISDELL, in response to  Co-Chair Herron, said that she did                                                               
not know when a warning letter would arrive.                                                                                    
                                                                                                                                
3:42:18 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE COGHILL  said that,  unless Alaska was  willing to                                                               
do  something else  for its  citizens, it  was necessary  to pass                                                               
this bill.                                                                                                                      
                                                                                                                                
3:43:45 PM                                                                                                                    
                                                                                                                                
BOB  LOESCHER, Judiciary  Committee, Sub  Committee of  State and                                                               
Tribal Affairs, Central Council Tlingit  & Haida Indian Tribes of                                                               
Alaska,  reported  that  he  had  been  working  on  the  federal                                                               
compliance issue for  several months, and he  stressed the impact                                                               
this would have  on Alaskan families and children.   He discussed                                                               
the  Central Council  of  Tlingit &  Haida  tribal child  support                                                               
program, which did  not use state funds, but  was funded directly                                                               
from  the  federal   government.    He  shared   that  the  tribe                                                               
cooperated  with the  state children  services and  the DOR.   He                                                               
confirmed that  Alaskan tribes were  recognized under  the United                                                               
States constitution, by  the U.S. Congress, and  by the Secretary                                                               
of  the  Interior.    He  pointed  out  that  the  Statehood  Act                                                               
recognized  Alaskan native  peoples,  which was  based on  tribal                                                               
enrollment.  He asked that  the legislature recognize that tribes                                                               
did exist,  as there  was a mutual  benefit for  cooperation with                                                               
the tribes  on programs of common  interest.  He noted  that this                                                               
kept people  working, kept children  safe, and kept  families fed                                                               
and  taken care  of.   He pointed  out that  Alaska was  the only                                                               
state which  did not  include "Indian tribe"  in adoption  of the                                                               
federal act.  He said that  the Central Council supported HB 192,                                                               
but he  opined that Section 1(b)  of the intent language  did not                                                               
comply  with federal  law.   He suggested  that the  jurisdiction                                                               
should  be  decided  by  the  courts, and  not  be  written  into                                                               
legislation.  He  offered his opinion that it was  not helpful to                                                               
the relationships.                                                                                                              
                                                                                                                                
3:52:41 PM                                                                                                                    
                                                                                                                                
JESSIE  ARCHIBALD,   Attorney,  Tribal  Child   Support  Program,                                                               
Central  Council  Tlingit  &  Haida   Indian  Tribes  of  Alaska,                                                               
explained  that   the  purpose   of  UIFSA  was   for  conforming                                                               
procedures  among  states  and  tribal  jurisdictions  for  child                                                               
support orders.  She stated  that Section 1(b) was contradictory,                                                               
and  did not  support  the purpose  of UIFSA.    She shared  that                                                               
tribes  in  Alaska  now  had their  own  federally  funded  child                                                               
support programs.   She  offered her belief  that the  purpose of                                                               
the  program was  to provide  child support,  not to  argue about                                                               
jurisdiction.  She agreed that this was a procedural statute.                                                                   
                                                                                                                                
3:55:54 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON asked to clarify  that Mr. Loescher supported the                                                               
proposed CS for HB 192, except for Section 1(b).                                                                                
                                                                                                                                
MR. LOESCHER  asked to  clarify that  "uncodified" meant  that it                                                               
was proposed  and that  "codified" meant that  it was  already in                                                               
statute.                                                                                                                        
                                                                                                                                
3:57:10 PM                                                                                                                    
                                                                                                                                
MIKE  FORD, Assistant  Attorney  General  & Legislative  Liaison,                                                               
Legislation  &  Regulations  Section,  Civil  Division  (Juneau),                                                               
Department of  Law (DOL), said  that the reference  to uncodified                                                               
law meant that there was not  an AS section assigned, and that it                                                               
was  in a  different section  of the  statutes, but  he clarified                                                               
that it was still law.                                                                                                          
                                                                                                                                
3:58:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  COGHILL,  in response  to  Mr.  Loescher and  Ms.                                                               
Archibald, said  that there were  other tests of authority  to be                                                               
worked  out.   He  affirmed  that this  needed  to  work for  all                                                               
Alaskans.  He  explained that Alaska had  different tribal issues                                                               
than  the  lower  48  states,   and  he  noted  that  Alaska  had                                                               
enrollment based  programs which  were not  geographically based,                                                               
as  in most  other  states.   He  welcomed  the  Tlingit &  Haida                                                               
involvement  with child  support programs  and the  TANF program.                                                               
He explained  that the language in  HB 192, Section 1(b)  was not                                                               
intended to grant  or restrict tribal jurisdiction.   He endorsed                                                               
support for Alaskan families and children.                                                                                      
                                                                                                                                
4:03:38 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  KELLER reiterated  that  the bill  language in  Section                                                               
1(b)  stated  "does not  grant  or  restrict,"  which was  not  a                                                               
statement on tribal jurisdiction.   He considered the rest of the                                                               
bill to be procedural for conformation to federal regulations.                                                                  
                                                                                                                                
4:04:33 PM                                                                                                                    
                                                                                                                                
MR. LOESCHER asked about the  guidance memo from the governor and                                                               
the commissioner of  the DOR.  He reflected that  the language in                                                               
that memo was clearer than the language in Section 1(b).                                                                        
                                                                                                                                
4:05:19 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON  asked that  the guidance memo  be placed  in the                                                               
bill file.   He  noted that  Mr. Loescher  and Ms.  Archibald had                                                               
concerns with Section 1(b), and that  they suggested for it to be                                                               
deleted.                                                                                                                        
                                                                                                                                
4:06:13 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 4:06 p.m. to 4:07 p.m.                                                                       
                                                                                                                                
4:07:06 PM                                                                                                                    
                                                                                                                                
CO-CHAIR KELLER  moved to report  CSHB 192,  Version 26-LS0483\P,                                                               
out  of   committee  with  individual  recommendations   and  the                                                               
accompanying zero  fiscal note.   There being no  objection, CSHB                                                               
192 (HSS) was reported from  the House Health and Social Services                                                               
Standing Committee.                                                                                                             
                                                                                                                                
HB 71-ADVANCE HEALTH CARE DIRECTIVES REGISTRY                                                                                 
                                                                                                                                
4:07:29 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON announced  that the next order  of business would                                                               
be HOUSE BILL NO. 71, "An  Act relating to a registry for advance                                                               
health care directives."                                                                                                        
                                                                                                                                
4:08:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HOLMES   explained  that  the   current  personal                                                               
advance  health   care  directive   documents  were   not  easily                                                               
accessible should someone become  incapacitated.  She established                                                               
that  HB 71  allowed  for  a voluntary  online  cataloging for  a                                                               
personal advance health  care directive.  She  described that the                                                               
document  would be  submitted  to the  Department  of Health  and                                                               
Social Services (DHSS)  and put into an  electronic format, which                                                               
would allow  health care facilities  to access it at  a patient's                                                               
request.    She   noted  that  an  amendment  to   the  bill  was                                                               
forthcoming,  as   the  original   bill  had   placed  unintended                                                               
financial burdens on DHSS.                                                                                                      
                                                                                                                                
4:11:29 PM                                                                                                                    
                                                                                                                                
PAT LUBY, Advocacy  Director, AARP, said that AARP  was in strong                                                               
support of  HB 71.   He explained  that AARP had  long encouraged                                                               
its members to  complete advanced health care  directives, and he                                                               
pointed out the problem of  emergency hospitalization without the                                                               
health care  directive accompanying the  person.  He  stated that                                                               
HB  71 would  alleviate that  problem.   He emphasized  that this                                                               
would establish a means for  health care providers to "follow the                                                               
wishes of their patients."                                                                                                      
                                                                                                                                
4:12:39 PM                                                                                                                    
                                                                                                                                
[HB 71 was held over.]                                                                                                          
                                                                                                                                
HB 190-CHILDREN'S TRUST GRANT FOR ENDOWMENT                                                                                   
                                                                                                                                
4:13:01 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON announced that the  final order of business would                                                               
be HOUSE BILL NO. 190,  "An Act privatizing the Alaska children's                                                               
trust   as  a   separate   endowment  fund;   providing  for   an                                                               
administrator for  the assets of  the former  trust; establishing                                                               
conditions  for a  grant  of  the balance  of  the former  Alaska                                                               
children's trust;  designating certain receipts as  available for                                                               
grants to the  trust's successor; and providing  for an effective                                                               
date."                                                                                                                          
                                                                                                                                
4:13:25 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  ANNA FAIRCLOUGH,  Alaska State  Legislature, read                                                               
that "the  mission of the  Trust [Alaska Children's  Trust (ACT)]                                                               
was to  improve the  status of children  in Alaska  by generating                                                               
funds  and  committing resources  to  eliminate  child abuse  and                                                               
neglect."   She  reported that  the Alaska  Children's Trust  was                                                               
established in 1988,  and in 1996, it was  given an appropriation                                                               
of $6 million by the state  of Alaska.  She discussed the current                                                               
value  of  the  trust,  and  stated  that  the  Alaska  Community                                                               
Foundation  had lost  less investment  value  than the  Permanent                                                               
Fund.    She  identified  FACT  as  the  Friends  of  the  Alaska                                                               
Children's Trust,  a private group which  raised additional funds                                                               
to  address child  abuse and  neglect in  Alaska.   She explained                                                               
that donors to FACT could  not specifically dedicate funds as all                                                               
the donations  went into the state  of Alaska general fund.   She                                                               
described  that  ACT  grants  could   only  fund  to  a  specific                                                               
percentage  each  year,  which  she   opined  was  not  good  for                                                               
addressing the long term issues of  child abuse and neglect.  She                                                               
presented that  the Alaska Community  Foundation would  be better                                                               
suited  to  manage   the  ACT  funds,  and   would  give  greater                                                               
flexibility for  generating and distributing dollars.   She noted                                                               
that  it was  currently  implied in  state  statute that  funding                                                               
could only  be used  for programs of  prevention for  child abuse                                                               
and neglect,  and not for research.   She summarized that  HB 190                                                               
would allow:  a public-private partnership, a  consistent funding                                                               
stream,  a   change  in  fund   management,  and   for  continued                                                               
administrative cost  to be provided  by marriage  licenses, birth                                                               
certificates,  and   special  request  children's   fund  license                                                               
plates.                                                                                                                         
                                                                                                                                
4:19:51 PM                                                                                                                    
                                                                                                                                
CRYSTAL  KOENEMAN,  Staff   to  Representative  Anna  Fairclough,                                                               
Alaska State Legislature, presented  the sectional analysis on HB                                                               
190.   [Included in  the members' packets.]   She  explained that                                                               
Sections  1-5  allowed  the   legislature  to  appropriate  funds                                                               
generated    from   birth    certificates,   heirloom    marriage                                                               
certificates,  and   children's  fund  special   license  plates,                                                               
account  for them  separately, and  to  give these  funds to  the                                                               
endowment fund  held by the  charitable named  recipient grantee.                                                               
She noted  that Section 6  discussed management of  the endowment                                                               
fund, which  allowed the legislature  to transfer the  balance of                                                               
the ACT to  a charitable named recipient grantee, and  to be held                                                               
as  a  permanent  endowment  fund for  child  abuse  and  neglect                                                               
prevention activities.  She discussed  Section 7, which created a                                                               
grant  administrator and  determined  the duties.   She  affirmed                                                               
that  Section 8  was  clean  up language  to  repeal current  ACT                                                               
statutes.   She said that  Section 9 amended the  Uncodified law,                                                               
and explained that it was  contingent on the appropriation of the                                                               
ACT  funds to  a named  recipient grantee.   She  summarized that                                                               
Section 10 explained the effective date of the act.                                                                             
                                                                                                                                
4:25:26 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON  asked for  clarification of  the March  30, 2009                                                               
memorandum   from  Legislative   Legal  and   Research  Services,                                                               
discussing  the   ACT  reference  after  repeal   of  the  trust.                                                               
[Included in the members' packets.]                                                                                             
                                                                                                                                
4:25:50 PM                                                                                                                    
                                                                                                                                
MS.  KOENEMAN  asked  if  he  was  referring  to  the  memo  that                                                               
accompanied the amendment.                                                                                                      
                                                                                                                                
4:26:41 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON agreed.                                                                                                         
                                                                                                                                
REPRESENTATIVE FAIRCLOUGH said that  there were conflicting legal                                                               
opinions  to the  ability of  the legislature  to appropriate  an                                                               
asset and allow another party to manage those funds.                                                                            
                                                                                                                                
4:28:07 PM                                                                                                                    
                                                                                                                                
MS. KOENEMAN  confirmed that the  Legislative Legal  and Research                                                               
Services memorandum  [Included in  the members'  packets.] stated                                                               
that making  this an endowment  fund which referenced  a repealed                                                               
trust that no  longer existed in statute, for the  purpose of fee                                                               
collection, created  an unenforceable provision in  codified law.                                                               
She reasoned  that the  public recognized  the license  plates as                                                               
Alaska  Children's Trust  plates,  so that  maintaining the  same                                                               
name would avoid unnecessary confusion for donations.                                                                           
                                                                                                                                
4:29:45 PM                                                                                                                    
                                                                                                                                
CARLEY LAWRENCE,  Chair, Friends  of the Alaska  Children's Trust                                                               
(FACT)  Board, pointed  out  that  the code  of  ethics for  fund                                                               
raising stated  that contributions  should be used  in accordance                                                               
with donors'  intentions.   She ascertained  that FACT  could not                                                               
guarantee  that  the   donors'  intent  would  be   met,  as  the                                                               
legislature had  control of the  funds.  She explained  that this                                                               
limited the  FACT trust  from generating  additional funds.   She                                                               
offered her support for HB 190.                                                                                                 
                                                                                                                                
4:31:44 PM                                                                                                                    
                                                                                                                                
SAMMYE  POKRYFKI, Vice  Chair, Friends  of the  Alaska Children's                                                               
Trust  (FACT), said  that she  supported HB  190.   She confirmed                                                               
that the primary purpose of FACT  was to raise funds for the ACT.                                                               
She  reiterated  the  ethical dilemma  of  honoring  the  donor's                                                               
intent when they  solicited contributions.  She  stated that only                                                               
the dividends and interest generated  by the trust were available                                                               
for grants, and that this  was an unpredictable amount each year.                                                               
She explained that establishing this  trust as an endowment would                                                               
allow donations  to be spent as  intended, and it would  ensure a                                                               
predictable distribution  each year.   She  said that  FACT board                                                               
members voted unanimously for privatization of the ACT.                                                                         
                                                                                                                                
4:33:53 PM                                                                                                                    
                                                                                                                                
ARLISS STURGULEWSKI  said that she was  a supporter of ACT.   She                                                               
mentioned that she  was a legislator when ACT  was introduced and                                                               
funded.   She offered  her support for  the privatization  of the                                                               
trust, as she  believed that meeting the donors'  intent was very                                                               
important.                                                                                                                      
                                                                                                                                
4:36:46 PM                                                                                                                    
                                                                                                                                
DIANE KAPLAN,  Board Member, Alaska Children's  Trust (ACT), said                                                               
that  she had  been  involved with  the trust  for  more than  12                                                               
years.    She  said  that the  restrictions  of  current  funding                                                               
structure made it difficult to have  an impact on the goal of ACT                                                               
to eliminate child abuse and neglect.                                                                                           
                                                                                                                                
4:40:09 PM                                                                                                                    
                                                                                                                                
CO-CHAIR KELLER asked what the criteria were for funding.                                                                       
                                                                                                                                
4:41:18 PM                                                                                                                    
                                                                                                                                
MS.  KAPLAN said  that the  focus was  on new,  young first  time                                                               
parents  in rural  communities.   She  shared  that research  had                                                               
indicated that young people were not prepared to become parents.                                                                
                                                                                                                                
4:43:02 PM                                                                                                                    
                                                                                                                                
GINGER BAIM,  Executive Director, Safe and  Fear Free Environment                                                               
(SAFE),  stated that  SAFE had  been a  recipient of  ACT grants.                                                               
She  explained  some  of  its  prevention  work,  which  included                                                               
substance abuse and  fetal alcohol syndrome.  She  said that SAFE                                                               
supported privatization  of ACT,  as it  would assure  steady and                                                               
dependable  grant  management.   She  agreed  that  privatization                                                               
would  increase  and  enhance  donors,  as  the  donor  would  be                                                               
guaranteed the  funds were used  as intended.  She  expressed her                                                               
support of HB 190.                                                                                                              
                                                                                                                                
4:46:49 PM                                                                                                                    
                                                                                                                                
CAROL SIMONETTI,  President &  CEO, Alaska  Community Foundation,                                                               
explained  the background  of  the  Alaska Community  Foundation,                                                               
which was  proposed as the  fiscal sponsor of the  endowment fund                                                               
for the  ACT.   She shared  that it had  been in  existence since                                                               
1996, and that it was one  of more than 700 community foundations                                                               
across the  country.   She reported  that it  had $35  million in                                                               
assets in more than 210 funds, and  that in 2008, it had paid out                                                               
more than  $10 million in grants.   She explained that  it was an                                                               
endowment with  a mission to  build charitable resources  to meet                                                               
current  needs.   She  explained  the  reasons  it would  be  the                                                               
appropriate choice to  manage an endowment fund  to prevent child                                                               
abuse and neglect,  which included an assurance  that funds would                                                               
be used  for the  intended purpose, and  that the  foundation had                                                               
expertise in the management of endowed funds.                                                                                   
                                                                                                                                
4:52:03 PM                                                                                                                    
                                                                                                                                
PANU LUCIER,  Executive Director,  Alaska Children's  Trust (ACT)                                                               
and  Friends of  the  Alaska Children's  Trust (FACT),  explained                                                               
that the groups believed that there  was a better way to increase                                                               
grant funds and  reach underserved communities.   She opined that                                                               
privatizing ACT would enhance the  ability to focus grants in the                                                               
highest need  areas.   She said  it would allow  ACT and  FACT to                                                               
merge and  take on  ethical fundraising to  ensure the  long term                                                               
stability  of the  funds, with  a  more efficient  process.   She                                                               
opined  that this  would still  protect the  original legislative                                                               
intent to create a children's trust in perpetuity.                                                                              
                                                                                                                                
4:59:57 PM                                                                                                                    
                                                                                                                                
MARGARET VOLZ,  Vice Chair, Alaska Children's  Trust (ACT) Board,                                                               
agreed that  privatization would allow flexibility  in the choice                                                               
of programs for  prevention of child abuse and in  the pursuit of                                                               
funding.                                                                                                                        
                                                                                                                                
5:03:28 PM                                                                                                                    
                                                                                                                                
JERRY BURNETT, Deputy Commissioner,  Department of Revenue (DOR),                                                               
said  that both  the commissioners  of Department  of Health  and                                                               
Social   Services  and   Department   of   Education  and   Early                                                               
Development voted to  privatize ACT.  He  acknowledged that there                                                               
were  problems  with the  current  management  of  the ACT.    He                                                               
reported that  the trust had  about $7.2 million, which  was part                                                               
of the  $15 billion that DOR  managed, and he detailed  the asset                                                               
allocations  for the  trust.   He  explained that  the trust  was                                                               
divided  into  two accounts,  the  income  account and  the  main                                                               
account.   He stated that  currently only the income  account was                                                               
spendable.   He  said that  legislation could  make the  trust an                                                               
endowment, which could  allow access to more of the  account.  He                                                               
expressed  concern with  the concept  of taking  state money  and                                                               
granting it  to a  private organization  for management  toward a                                                               
specific outcome.                                                                                                               
                                                                                                                                
5:07:48 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  HERRON suggested  that DOR  had not  done "a  very good                                                               
job" with management of the trust.                                                                                              
                                                                                                                                
5:08:37 PM                                                                                                                    
                                                                                                                                
MR. BURNETT, in response to  Co-Chair Herron, said that the asset                                                               
allocation for  the trust  was based on  investments with  a long                                                               
time horizon.   He patiently explained that the  stock market had                                                               
its third  worst performance in the  last 218 years.   He pointed                                                               
out that the trust performance  was similar to the Constitutional                                                               
Budget Reserve  account and  the Permanent  Fund account,  all of                                                               
which had  been professionally managed with  the appropriate time                                                               
horizon.                                                                                                                        
                                                                                                                                
5:09:59 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  HERRON  expressed  concern with  the  longer  financial                                                               
history, and  he opined that,  as the trust  was a small  part of                                                               
the much  larger investment portfolio,  it was not a  big concern                                                               
for DOR.                                                                                                                        
                                                                                                                                
5:11:08 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  asked if  this issue  was parallel  to the                                                               
Supreme  Court decision  which rendered  as unconstitutional  the                                                               
University of Alaska land endowment.                                                                                            
                                                                                                                                
5:12:02 PM                                                                                                                    
                                                                                                                                
MR.   BURNETT  agreed   that   this  was   an   issue  that   the                                                               
administration  was  still  reviewing.    He  detailed  that  the                                                               
account income was appropriated each  year by the legislature and                                                               
transferred to a private account  which dedicated the money for a                                                               
specific  purpose.   He  asked  if  this  was  a way  around  the                                                               
constitutional provision against dedicated funds.                                                                               
                                                                                                                                
5:12:55 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON,  in response to Co-Chair  Herron, asked if                                                               
the  objection   was  for   the  legislature   not  appropriating                                                               
sufficient  money  out of  the  income  fund,  or that  the  fund                                                               
management had not generated sufficient money.                                                                                  
                                                                                                                                
5:13:26 PM                                                                                                                    
                                                                                                                                
MR. BURNETT, in response to  Representative Seaton, said that the                                                               
fund could  only spend  dividends and gains,  which were  part of                                                               
the  income  account.   He  explained  that  the income  was  not                                                               
consistent from year  to year; therefore the grants  would not be                                                               
consistent.   He expressed that  this would be different  with an                                                               
endowment account, whereby a percentage  could be appropriated to                                                               
provide more consistent available income.                                                                                       
                                                                                                                                
5:14:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SEATON  asked if it  was possible for  a statutory                                                               
change to a percent of market value (POMV) for the ACT.                                                                         
                                                                                                                                
5:14:51 PM                                                                                                                    
                                                                                                                                
MR. BURNETT replied that he was  not aware of anything to prevent                                                               
this.                                                                                                                           
                                                                                                                                
5:14:59 PM                                                                                                                    
                                                                                                                                
MS.  KAPLAN  said   that  an  endowment  fund   was  managed  for                                                               
consistency.     She  said  that   ACT  had  been   requesting  a                                                               
legislative change for many years,  but that it had not happened.                                                               
She noted the  hesitancy of donors to write a  check to the state                                                               
of Alaska, when their intent was to donate to ACT.                                                                              
                                                                                                                                
5:17:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FAIRCLOUGH  said  that   she  had  met  with  the                                                               
attorney general, and  was wanting for a ruling.   She emphasized                                                               
that this was a life  changing issue that affected children every                                                               
day.  She explained that putting  the ACT into an endowment would                                                               
still  allow  the   governor  to  appoint  the   board,  and  the                                                               
legislature to maintain the fund in perpetuity.                                                                                 
                                                                                                                                
[HB 190 was held over.]                                                                                                         
                                                                                                                                
                                                                                                                                
5:20:17 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 5:20 p.m.