ALASKA STATE LEGISLATURE                                                                                  
   HOUSE SPECIAL COMMITTEE ON MILITARY AND VETERANS' AFFAIRS                                                                  
                       February 24, 2009                                                                                        
                           1:06 p.m.                                                                                            
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Carl Gatto, Chair                                                                                                
Representative John Harris                                                                                                      
Representative Bob Lynn                                                                                                         
Representative Kurt Olson                                                                                                       
Representative Robert L. "Bob" Buch                                                                                             
Representative Scott Kawasaki                                                                                                   
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Jay Ramras                                                                                                       
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE CONCURRENT RESOLUTION NO. 7                                                                                               
Relating to awarding the Alaska Decoration of Honor to certain                                                                  
members of the military.                                                                                                        
                                                                                                                                
     - MOVED HCR 7 OUT OF COMMITTEE                                                                                             
                                                                                                                                
HOUSE JOINT RESOLUTION NO. 10                                                                                                   
Urging the United States Congress to improve health care for                                                                    
veterans.                                                                                                                       
                                                                                                                                
     - MOVED CSHJR 10(MLV) OUT OF COMMITTEE                                                                                     
                                                                                                                                
HOUSE JOINT RESOLUTION NO. 16                                                                                                   
Relating to federal procurement preferences for small businesses                                                                
in the state that are owned and controlled by service-disabled                                                                  
veterans.                                                                                                                       
                                                                                                                                
     - MOVED HJR 16 OUT OF COMMITTEE                                                                                            
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HCR  7                                                                                                                  
SHORT TITLE: DECORATION OF HONOR                                                                                                
SPONSOR(S): REPRESENTATIVE(S) DAHLSTROM                                                                                         
                                                                                                                                
02/11/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/11/09       (H)       MLV                                                                                                    
02/24/09       (H)       MLV AT 1:00 PM BARNES 124                                                                              
                                                                                                                                
BILL: HJR 10                                                                                                                  
SHORT TITLE: VETERANS' HEALTH CARE                                                                                              
SPONSOR(S): REPRESENTATIVE(S) GUTTENBERG                                                                                        
                                                                                                                                
01/30/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
01/30/09       (H)       MLV, STA, HSS                                                                                          
02/24/09       (H)       MLV AT 1:00 PM BARNES 124                                                                              
                                                                                                                                
BILL: HJR 16                                                                                                                  
SHORT TITLE: DISABLED VETERANS PROCUREMENT PREFERENCE                                                                           
SPONSOR(S): REPRESENTATIVE(S) GATTO                                                                                             
                                                                                                                                
02/09/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/09/09       (H)       MLV, L&C                                                                                               
02/24/09       (H)       MLV AT 1:00 PM BARNES 124                                                                              
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
LAURA PIERRE, Staff                                                                                                             
Representative Nancy Dahlstrom                                                                                                  
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Introduced HCR 7 on behalf of                                                                            
Representative Dahlstrom, prime sponsor.                                                                                        
                                                                                                                                
CHRIS REID, Intern                                                                                                              
Representative David Guttenberg                                                                                                 
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Introduced HJR 10 on behalf of                                                                           
Representative Guttenberg, prime sponsor.                                                                                       
                                                                                                                                
SHELLEY HUGHES, Government Affairs Director                                                                                     
Alaska Primary Care Association (APCA)                                                                                          
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HJR 10.                                                                          
                                                                                                                                
MCHUGH PIERRE, Legislative Liaison                                                                                              
Department of Military & Veterans' Affairs (DMVA)                                                                               
Fort Richardson, Alaska                                                                                                         
POSITION STATEMENT:  Answered a question during the hearing on                                                                
HJR 10.                                                                                                                         
                                                                                                                                
SANDRA WILSON, Staff                                                                                                            
Representative Carl Gatto                                                                                                       
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION   STATEMENT:     Introduced   HJR   16   on  behalf   of                                                             
Representative Gatto, prime sponsor.                                                                                            
                                                                                                                                
AMBER SAWYER                                                                                                                    
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT:  Testified in support of HJR 16.                                                                          
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:06:25 PM                                                                                                                    
                                                                                                                                
CHAIR CARL GATTO  called the House Special  Committee on Military                                                             
and   Veterans'   Affairs  meeting   to   order   at  1:06   p.m.                                                               
Representatives Gatto, Lynn, Olson, and  Buch were present at the                                                               
call to  order.  Representatives  Kawasaki and Harris  arrived as                                                               
the meeting was in progress.                                                                                                    
                                                                                                                                
HCR 7 - DECORATION OF HONOR                                                                                                   
                                                                                                                                
CHAIR GATTO announced  that the first order of  business would be                                                               
HOUSE  CONCURRENT  RESOLUTION NO.  7,  Relating  to awarding  the                                                               
Alaska Decoration of Honor to certain members of the military.                                                                  
                                                                                                                                
1:07:32 PM                                                                                                                    
                                                                                                                                
LAURA  PIERRE, staff  to Representative  Nancy Dahlstrom,  Alaska                                                               
State Legislature,  introduced HCR 7 on  behalf of Representative                                                               
Dahlstrom,  prime  sponsor.   She  explained  that in  2007,  the                                                               
legislature created the Decoration of  Honor medal to be given to                                                               
the  next of  kin  of  a member  of  the  military, stationed  in                                                               
Alaska, who was killed in  action.  House Concurrent Resolution 7                                                               
adds  the names  of six  individuals who  were killed  during the                                                               
period  between January  1,  2008,  and December  31,  2008.   If                                                               
passed,  each of  their  families  will receive  a  medal at  the                                                               
ceremony in Anchorage on May 23, 2009.                                                                                          
                                                                                                                                
1:08:31 PM                                                                                                                    
                                                                                                                                
CHAIR GATTO noted that members'  packets include the names of 171                                                               
individuals previously approved to receive the medal.                                                                           
                                                                                                                                
MS. PIERRE said the resolution adds six names to that list.                                                                     
                                                                                                                                
1:09:30 PM                                                                                                                    
                                                                                                                                
CHAIR  GATTO,  after ascertaining  that  no  one else  wished  to                                                               
testify, closed public testimony on HCR 7.                                                                                      
                                                                                                                                
1:10:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HARRIS moved  to report  HCR 7  out of  committee                                                               
with individual  recommendations and  [zero] fiscal note.   There                                                               
being no  objection, HCR  7 was reported  from the  House Special                                                               
Committee on Military and Veterans' Affairs.                                                                                    
                                                                                                                                
1:10:25 PM                                                                                                                    
                                                                                                                                
HJR 10 - VETERANS' HEALTH CARE                                                                                                
                                                                                                                                
CHAIR GATTO  announced that the  next order of business  would be                                                               
HOUSE JOINT RESOLUTION NO. 10,  Urging the United States Congress                                                               
to improve health care for veterans.                                                                                            
                                                                                                                                
1:10:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KAWASAKI moved  to adopt  the proposed  committee                                                               
substitute  (CS)   for  HJR  10,  Version   26-LS0313\E,  Bailey,                                                               
2/24/09, as the work draft.   There being no objection, Version E                                                               
was before the committee.                                                                                                       
                                                                                                                                
1:11:20 PM                                                                                                                    
                                                                                                                                
CHRIS  REID, intern  to Representative  David Guttenberg,  Alaska                                                               
State Legislature, introduced HJR  10 on behalf of Representative                                                               
Guttenberg, prime sponsor.   Ms. Reid said HJR  10 encourages the                                                               
U.S.  Congress  to  improve  health  care  for  U.  S.  veterans.                                                               
Although  there are  many programs  available  for veterans,  the                                                               
existing  programs  need  improvement,  especially  for  veterans                                                               
living in rural areas of  Alaska.  Furthermore, HJR 10 encourages                                                               
the  U.S. Department  of Veterans  Affairs (VA)  to partner  with                                                               
community health  care services.   She  addressed the  changes in                                                               
Version E  of the  resolution and  explained the  fifth "Whereas"                                                               
now  includes a  reference to  "post-traumatic stress  syndrome."                                                               
In addition, after  research indicated that having  a VA hospital                                                               
in Alaska  would require all  veterans to travel there  for care,                                                               
even though  it may  be better  for veterans  to remain  in their                                                               
communities  with family,  the  reference to  a  VA hospital  was                                                               
deleted  from the  sixth "Whereas."   Ms.  Reid then  pointed out                                                               
that the last nine "Whereas"  clauses have been incorporated into                                                               
HJR  10 with  the  recommendation of  Shelley Hughes,  Government                                                               
Affairs Director, Alaska Primary Care Association (APCA).                                                                       
                                                                                                                                
1:15:04 PM                                                                                                                    
                                                                                                                                
SHELLEY HUGHES, Government Affairs  Director, Alaska Primary Care                                                               
Association,  informed  the  committee  that  her  husband  is  a                                                               
Vietnam veteran  and her  son served  three tours  in Iraq.   She                                                               
then  relayed  that  clinics  across the  state  are  caring  for                                                               
veterans  in outlying  areas  who  do not  have  access to  their                                                               
earned  health care.    The criteria  for  approval of  veteran's                                                               
travel  prevent veterans  from obtaining  health care  in veteran                                                               
facilities;  therefore,  community  clinics  are  providing  care                                                               
without  reimbursement.   The  APCA  is  trying to  resolve  this                                                               
problem,  but progress  is slow  and mired  in federal  red tape.                                                               
She explained  that the APCA is  of the opinion that  there needs                                                               
to  be  collaboration  at  the  federal  level  between  the  VA,                                                               
community  health  centers,  and  Tribal  health  clinics.    For                                                               
example,  one of  the  barriers  has been  the  VA's  use of  the                                                               
Computerized  Patient Records  System  (CPRS).   Ms. Hughes  also                                                               
emphasized  the  need  for  health  care  for  current  returning                                                               
veterans  and for  aging veterans  with increasing  health needs.                                                               
She reiterated her agency's support of the resolution.                                                                          
                                                                                                                                
1:17:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  BUCH, noting  that  a new  VA  facility is  under                                                               
construction  at  Elmendorf  Air   Force  Base,  asked  how  that                                                               
facility would be  defined, and also asked for  its functions and                                                               
capabilities.                                                                                                                   
                                                                                                                                
1:18:26 PM                                                                                                                    
                                                                                                                                
MCHUGH  PIERRE, Legislative  Liaison,  Department  of Military  &                                                               
Veterans'  Affairs,   explained  that  the  new   facility  is  a                                                               
veteran's hospital/clinic, but is  not a full-scale hospital like                                                               
those  in the  Lower 48.    The facility  will be  joined by  the                                                               
existing new base  hospital that serves Elmendorf  Air Force Base                                                               
and  Fort  Richardson  Army  Base   service  members.    The  two                                                               
facilities will be  connected via a sky bridge in  order to share                                                               
care.   Mr. Pierre pointed out  the new facility is  the first of                                                               
its kind in Alaska.                                                                                                             
                                                                                                                                
REPRESENTATIVE  BUCH   offered  his   understanding  the   VA  is                                                               
recognized  as  a  leader  in  medical  recordkeeping;  in  fact,                                                               
because  of  the  transient  nature   of  its  patients,  it  has                                                               
established and  maintained a quality  recordkeeping system.   He                                                               
noted his  personal experience with  the VA and  acknowledged the                                                               
success of that  component.  He disclosed a  possible conflict of                                                               
interest in  that he has  been a beneficiary of  services through                                                               
the  VA.   Representative  Buch  opined  the  issue is  not  only                                                               
finding veterans,  but informing them of  the connections already                                                               
available in the state.                                                                                                         
                                                                                                                                
1:22:35 PM                                                                                                                    
                                                                                                                                
CHAIR GATTO, after ascertaining that no one else wished to                                                                      
testify, closed public testimony on HJR 10.                                                                                     
                                                                                                                                
1:22:46 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KAWASAKI made a motion to adopt Amendment 1,                                                                     
which read [original punctuation provided]:                                                                                     
                                                                                                                                
         Page 2, lines 5 and 6, following "services for                                                                         
     Alaska's veterans,"                                                                                                        
                                                                                                                                
     Delete: "but Alaska remains [one] of three states that                                                                     
     does not have a veteran's hospital that provides acute                                                                     
     care inpatient services"                                                                                                   
                                                                                                                                
                                                                                                                                
        Page 2, line 23, following "Alaska Native health                                                                        
     system"                                                                                                                    
                                                                                                                                
     Delete: ", which is"                                                                                                       
     Insert: "and Community Health Centers, which are"                                                                          
                                                                                                                                
                                                                                                                                
     Page 2, line 25, following "Alaska Native health"                                                                          
                                                                                                                                
     Delete: "system's"                                                                                                         
     Insert: "system and Community Health Centers'"                                                                             
                                                                                                                                
                                                                                                                                
     Page 3, line 25, following "the existing"                                                                                  
                                                                                                                                
     Delete: "community"                                                                                                        
     Insert: "Community Health Center"                                                                                          
                                                                                                                                
                                                                                                                                
     Page 3, lines 28 and 29, following "with individual"                                                                       
                                                                                                                                
     Delete:  "community or tribal health centers"                                                                              
     Insert: "Community Health Centers or tribal clinics"                                                                       
                                                                                                                                
                                                                                                                                
     Page 3, line 30, following "Whereas"                                                                                       
                                                                                                                                
     Delete: "community"                                                                                                        
     Insert: "Community Health Centers"                                                                                         
                                                                                                                                
                                                                                                                                
     Page 4, lines 1 and 2, following "and populations"                                                                         
                                                                                                                                
     Delete:    "and   to    uninsured   and    underinsured                                                                    
     individuals,  low-income  families, veterans,  seniors,                                                                    
     seasonal    workers,     and    non-English    speaking                                                                    
     individuals"                                                                                                               
                                                                                                                                
     Insert: "including  veterans who  do not reside  in the                                                                    
     vicinity of a VA health care facil[i]ty"                                                                                   
                                                                                                                                
                                                                                                                                
     Page  4,  line  18,  following  "quality  health  care,                                                                    
     including"                                                                                                                 
                                                                                                                                
     Insert: "at Community Health Centers,"                                                                                     
                                                                                                                                
                                                                                                                                
     Page 4,  line 18, following "substance  abuse treatment                                                                    
     centers,"                                                                                                                  
                                                                                                                                
     Delete: "and"                                                                                                              
                                                                                                                                
                                                                                                                                
     Page   4,    line   19,   following    "tribal   health                                                                    
     organizations"                                                                                                             
                                                                                                                                
     Insert: ["] and other appropriate local providers"                                                                         
                                                                                                                                
REPRESENTATIVE HARRIS objected.                                                                                                 
                                                                                                                                
REPRESENTATIVE KAWASAKI, after reading Amendment 1, explained                                                                   
that Amendment 1 is a technical clean up in nature.                                                                             
                                                                                                                                
1:25:39 PM                                                                                                                    
                                                                                                                                
MS. REID said [Amendment 1] is important and works with the                                                                     
original resolution.                                                                                                            
                                                                                                                                
1:26:20 PM                                                                                                                    
                                                                                                                                
MS. HUGHES added that the APCA supports Amendment 1.                                                                            
                                                                                                                                
CHAIR GATTO, after  stating that the objection  had been removed,                                                               
announced that Amendment 1 was adopted.                                                                                         
                                                                                                                                
1:26:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HARRIS moved  to  report  the proposed  committee                                                               
substitute  (CS)   for  HJR  10,  Version   26-LS0313\E,  Bailey,                                                               
2/24/09,   as  amended,   out   of   committee  with   individual                                                               
recommendations and  the accompanying fiscal notes.   There being                                                               
no objection, CSHJR  10(MLV) was reported from  the House Special                                                               
Committee on Military and Veterans' Affairs.                                                                                    
                                                                                                                                
HJR 16 - DISABLED VETERANS PROCUREMENT PREFERENCE                                                                             
                                                                                                                                
1:27:03 PM                                                                                                                    
                                                                                                                                
CHAIR GATTO announced  that the final order of  business would be                                                               
HOUSE JOINT  RESOLUTION NO. 16,  Relating to  federal procurement                                                               
preferences for small businesses in  the state that are owned and                                                               
controlled by service-disabled veterans.                                                                                        
                                                                                                                                
1:27:52 PM                                                                                                                    
                                                                                                                                
SANDRA WILSON,  staff to Representative Carl  Gatto, Alaska State                                                               
Legislature,  introduced  HJR  16  on  behalf  of  Representative                                                               
Gatto, prime  sponsor.   Ms. Wilson  informed the  committee that                                                               
currently there  is a  federal law that  stipulates 3  percent of                                                               
federal  contracts  must  be granted  to  disabled  veteran-owned                                                               
small  businesses.   However, but  full compliance  has not  been                                                               
achieved.                                                                                                                       
                                                                                                                                
CHAIR GATTO added  that the [resolution] encourages  the state to                                                               
honor the federal government's requirement.                                                                                     
                                                                                                                                
MS.  WILSON  concurred  that  the  resolution  asks  why  federal                                                               
entities within the  State of Alaska have not  been following the                                                               
3 percent procurement preference.                                                                                               
                                                                                                                                
CHAIR GATTO further  explained that veterans, who  were unable to                                                               
establish  businesses because  they were  deployed in  service to                                                               
their country, deserve "a 3 percent edge" upon their return.                                                                    
                                                                                                                                
1:29:57 PM                                                                                                                    
                                                                                                                                
AMBER SAWYER said that her boyfriend is currently in Iraq and                                                                   
she expressed her support of HJR 16.  She currently serves with                                                                 
Susitna Valley Post 35 of the American Legion Auxiliary and                                                                     
characterized it as "amazing" to see the veterans on Veteran's                                                                  
Day.  There are plenty of disabled veterans who already have                                                                    
enough difficulties to deal with, such as medical problems and                                                                  
educational problems.  Ms. Sawyer shared that her father, who is                                                                
a disabled veteran, asked her to testify and thank the sponsor                                                                  
for this resolution.                                                                                                            
                                                                                                                                
1:33:38 PM                                                                                                                    
                                                                                                                                
CHAIR GATTO, after ascertaining that no one else wished to                                                                      
testify, closed public testimony on HJR 16.                                                                                     
                                                                                                                                
1:33:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HARRIS  moved to  report HJR  16 out  of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
notes.   There being no objection,  HJR 16 was reported  from the                                                               
House Special Committee on Military and Veterans' Affairs.                                                                      
                                                                                                                                
1:33:59 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no further business before the committee, the House                                                                 
Special Committee on Military and Veterans' Affairs meeting was                                                                 
adjourned at 1:34 p.m.