----------------------- Page 1----------------------- ~/ I \.J ----------------------- Page 2----------------------- tvltN~ - t:tJt>E)(.-1914 S8ZiD3, SB IS-I S!>50, e.O.. 54, S0:5"1 382"+, SS2h5 SSU,1.Se.'R2 I~82.14J S8215 $6217 J 1:,,.0.'Yl- J 1). cf E<:L eOMm\$Sia1&' Lind J.\aW\ml:l\Cl tVll\ D'l&~ on $:.kQZ)l BotlNls)SBz~, Sf>Z~~J $Z~4-, 'SBzg~J ~82(,5 'S'S2ioS, JS31O} l}1:.'SSot\ Aid~~cWdttl1J dJcU ~~.fDs-l-b- ~~:S~ 2 I SS~3 z./s- S6 olD,3B30S, ~a307 z/7':5B~05J -SS~--rJ ~82"41 ~B344J ~f>52~ ~B31~ flsgqg 148SQ2> ~~SSIln!r" M~~i.wt.ts. I'SBSZ01 (SB4s), ~25IJ ~e2g~l SB2QQ J~S52.' I ~S32.-&1 ~l~ Jt.. M-bq- ",I 35 , Sf>391,'S~~ I 5814 ~ ItB44 1 'S82S1 1 »szcgO I H-81I'Z, sszg~ I S62.lo7,HCR43, l-\B35~ S~32qJ HeR43 -AK Medial ~O\ll -reStiMO"I $2t\z/ sg3&4 J SB3bZ J 'SS?>43, Se(> 25, ~fA()5f SoWt\ ~\<4. b,\\s: ~82,,3(1leA4I), Ss21.5 '3S3Jq J ~t:t~ ?"'1f t1QcA-r\ ~a.. :2.2.d / Ub~~.A'\ ----------------------- Page 3----------------------- Jt. %. w/S.Ue>s\MeJTAL AE1tCfH J SB3z£t, ~333 SB~101 'SBl-n~BZ77, SS510, -se431,SS423SB442, l J ~s~sq S(~ 3(" ~C.R ~o I'::>845"JSB+S7'SJR SI J '562.'5 J J ~BzqO, -SB2~1 J ~B342, ~S343 I SB'38+, S83"2/S~ ~ls T>HAg ~b;l~+a:h))V\ I SB~ZJ)~8f5 I ~S~5 l se~7 31r2. . Sf>2.15J SBt,01 (~S~u)J SM"S I~62.1£ 3/"5 SSl5 -0/14 SSI5 I 'SB4A-1, ~83S~ I'5845", RkV'a.1 ScL-toois "b/l$ 'R1lt"ol «lu.~Vl !::>/2.0 ~B2cgg 3/2..2I-\-JR'7~ I l+JRg4~ l-\U(Z-J H-JRg~, ~64~~, SB447, \A61"Ol S64~, SB2.~3 3/2.le, Rural~y\ 312.'1H-87bO AWl, HeR 7, ~S4~7 '!>/x6 ~q1 ~f,4-'lg, ~5iqb dolM I SSzClO 4/4 Sf,z.qC 4/5H64Z£ 4f,$82.$4-,CSl-\B4iiQrn 4/t. S(3~~2.. J SE>5SJ, c.r~ 4/t2 l-lB5'1SJH-f>79" 4.W\ 4/1'.5$52$2, c...$ HS 541 am t A 1.1 .... - ... ~ -~. ----------------------- Page 4----------------------- CSHBS41 4m Cc.o"~+); H87Qbo..,.,. SJR'5, SJR~~ t-lJR~\ 1+8~4LI l-+5774 e,SU-f> $144m, i-+C.RQII HeR 13, HeR '8''', H8854, H8114-.~~~;:!r. Iagain, call~!;Hr:' Gallant of.the Insurance Services Office, (was Insul'31lee RatingBoarcl)~~160"Water Sueer, New York,.N.Y., 10003. This 1.s the--same' IndindUl.~ve:c'Cou.taeted in .January,. 1971 for figures on. drivers in Alaska ageE! 650r':older,.,.,~~>" Mr. Gallant. s.ta:b\Q that of 2:1~.507 poli.cies in Alaska,352 are issued to drivers 65 o~·,~qver: for a ratio of 1.3%..This percentageapplied against~ the 1972 regisrrati.on total 'Of 191,,788 calculates to 2,493drivers 65 or older in: Alaska.,:- . ) The Department of Public:: Safety stated that there were 165,,000. licensed. drivers in Alaska at' the end of ~972. The 1 .. 3 percentage applied against 165 ~OOO driverscaleula'tes to 2,145 drivers 65 or older in Alaska .. These calculations do not cons,ider mUltiple drivers' on asingle policy or commercial (truck)policies.' . ' A $53~625 revenue loss will occur (2,145 vehicle$ at $25loss per vehicle). There are noadditional administrative costs to be considered withthe bill. Ratios given by the Insurance Services Office indicate that Alaska still has the lowest ratio of drivers 65or older! ' 1971 1973 , P..laska 1.2% 1.3% Hawaii4.3% 4.3% (large n~~ber of non-driving old timers .. ) 'Nevadan/a6.3% Florida 11.6%,12.5% 'Iowa1.3.2%13,.6%' ' Nebraska n/a 14 .. 0% ne recommend that the bill begiven an effective date of January 1, 1974. cc: C .. L .. Pyles: c. Schroth·;, -- .:..:....,~... '. ----------------------- Page 54----------------------- HEALTH, EDUCATION, SOCIAL SERVICES COMMITTEE MEETING January 29, 1973 - Monday 8:30 aom. Present: All members of the committee except Senator Young. Chairman Thomas called the meeting to ordere SJR 9 -- Senator Hensley moved and asked unanimous consent HENSLEY that SJR 9 (implementation of Indian Act) pass out of committee with a do pass recommendation. The motion was concurred in by all members present and it was so ordered. GeneralSenator Thomas furnished the members of the committee copies of the weekly bills in committee report and requested that they determine which ones they feel ) are priorities. Senator Sackett questioned if there was a policy to hold generci obligation bond bills until the second session. Senator Thomas responded that he believed the policy was to get anything of value out and move it. Senator Sackett asked if the committee was going to check into the matter of last year's bill which made alcoholism no longer a crime. Senator Thomas advised that the committee would look into the matter and informed that Mr. Bill Saville of the National Institute of Alcoholism would appear before the committee on February 6th to testify on SB 350 1/29/73 ----------------------- Page 55----------------------- General Senator Thomas also stated he felt the committee should get on the bills which drastically effect the school foundationacto He announced a joint hearing with the House HW&E Committee 'on January 31st for considerationof the bills dealing with transfer of parole authority;runaway minors, and sale of drugs. CROFTSenator Croft commented that he felt the committee should advise the Judiciary Committeeof all hear- ings scheduled on bills also assigned to Judiciary. SB 85 -= Senator Hensley moved and asked unanimous consent HENSLEY that SB 85 (an Act making a special appropriation ) to the Department of Education,Alaska Educational Broadcasting Commission)pass out of committee with a do pass recommendation. Senator Thomas said he thought the committee should get some information on SB 85 before it was acted upono eSSB 4Senator Thomas moved and asked unanimous consent THOMASCommitteeSubstitute for that/SB 4 pass out of committee with a do pass rec- ommendation. Senators Hensley, Croft and Sackett concurred in the motion and it was so ordered. present SJR 3 All members of the committee/agreedthey did not want to take any action on SJR 3 (proposing consti- tutional amendment to providefor election of 1/29/73 ----------------------- Page 56----------------------- SJR 3 the commissionerof education) at the present time. Senator Sackett asked if someone from the University of Alaska was going to appear to testify on SB 64 (placing student on Board of Regents, University of Alaska). Senator Thomas stated that he would look into the matter. SJR 6 Senator Thomas moved and asked unanimous consent that the committee pass SJR 6, which calls for restor- ation of Title 4 funds, out of committee with a do pass recommendation. All present concurred in the motion and it was so ordered. )AdjournmentThe meeting was adjournedat 9:10 a.m. 1/29/73 ----------------------- Page 57----------------------- HEALTH, WELFARE, EDUCATION COMMITTEE MEETING --February l~ 1973 - Thursday ) 8:~5 a.m. Present: All members of the committee except Senators Young and Sackett.Others present were Bob Arnold, Executive Director, Alaska EducationalBroadcasting Commission; Fred McGinnis,Commissioner, Department of Health and Social Services; and Jeannette A. Pitcherella, Acting Coordinator, Office of Compre- hensive Planning, Department of Health and Social Services. Chairman Thomas called the meeting to order to dis- cuss the Alaska EducationalB~oadcasting Commission and SB 85. Anchor- Bob Arnold said that $556,000 had been appropriated ) age Pub- lic Radio by the Legislature last year for a radio station in Anchorage.However, the Free Conference Committee stipulated that the money could not be released until the Federal match had been obtained.That Federal money has not been granted to Anchorage, and, there- fore, the State money cannot yet be used. SB 85 The amounts of money requested in the bill are higher than what had previously been requested because of the lack of Federal grant money.The proposed new starts are in places which do not now have any kind of radio.It is estimated that $65,000-90,000State money plus $20,000 Federal money is needed for each ----------------------- Page 58----------------------- new station. Training programs for managers and other personnel shouldbe in the local community. According to regulations, a community cannotstart a station until they haveall the moneynecessary to operateit. In the bill,$55,000is requested for the production of "software." Thatwas defined as the production of programs. In the Tanana Chiefs region,thereare radiostations which woulduse programs producedby TananaChiefs. Senator Thomas asked if the University of Alaska wouldbe involved with this production. Senator Hensley repliedthat theUniversity gets a lot of moneyfor production, but he didn'tknow thatthey produceanything for ruralareas. ) Bob Arnold said that the$65,000previously re- quested assumeda Federal grant of $20,000. That amountof moneywouldallow a station toboth start up and operatefor a few months. Anchor- Senator Croft askedif the restriction on the money age Ed. Station for Anchorage wasin the billor if it had been legislative intent. Bob Arnoldreplied that it was by legislative intent. He had askedthe Attorney Generalif the moneycould be released, but was toldhe shouldget the Federal money. If the Legislature woulddecideto holdback whatcould be usedfor matchingmoney,thestations could start up. Thenit mightbe easier toget the Federal money. Resolu- SenatorCroftsuggestedthatthe Committee draft a tion ----------------------- Page 59----------------------- resolutionto free at leastsome of the State money. Bob Arnoldsaid that the Anchoragegroup would like to get either all the moneyor at least an amount minus the Federal matchingmoney,which could be raised locally. SB 43 CommissionerMcGinnis presentedthe Department's positionon SB 43.He distributed the attached informationto the Committeemembers. He said the Council couldbe improved. Doctorshave said that if the Commissioner were not chairman,it would be better. The Councilis not reallygeared to do the job.The Council had listed suggested improvements, and the Officeof Comprehensive Planninghad pre- pared a draft. The best of both was incorporated ) into the Department'ssuggested version of SB 43. Senator Hensleyasked if the Commissioneragreed with the addition on page 3, Section 2. CommissionerMcGinnissaid the Departmenthad eliminatedit in their version. ----------------------- Page 60----------------------- of ALASKA )TO, . r Frederick NcGinnis,.Corr;missicner Dept. Health and SocialServices DATE January 25, 1973 FRO,.A J<:anett:'! A.Pitcher<;\! 1~\.V" SUBJECT: ~f0 ~'---- i\cting Coordinator' 11. 1 .Position Paper -Senate Billr·!o. 43 . C¥18 Office of Comprenens·ive Plann.ing·. The passage of Public Health Services Act P.l.89-749 in 1966 and the re-· ·lateG AlaskaStatut~ in1967 ledto thefirst Comprehensive Hea'lth P\dvisory r '·1 . C • lLj 1-01':"8' ('. t' t .. . . 1 j. f- t~ vOW1Clrrreel:lng 1:1 ;·.aY9:JO- ~ ~1nce na T.lme, 'cne Jaw arK1,,$ suosequen-;.. .' .,t ,... • " • -,-'..I C ·1't amenamen-cs naveunuergone TUt~;:':!r 1n-C€rpretat" 10n arE.! aunC'I, rG2lTIOerS i1ave b2come more experienCed..It isagainst this background that Senate Bill No.43~i s discussed.Highl ights of suggested changes appear as attachment 1; the original billis shown as attachment 2;the proposed changes appear in italics in attachment3; anda complete revision of tile bil"lis s~;;2sted in position paper 1/24/73 in attachment 4~ JAP:dl attachments ) ----------------------- Page 61----------------------- ATTft.CH~1ENT HIGHLIGHTS OF SUGGESTED CHANGESIN S8 43 1.Tit'le of Act:.an act relating to comprehensivehealthplanning. Thisimplicity includes the state health plan.' 2.Intrcductor aragjaph:addedto:(a) bri ng the purposeof the counc i.l intofocus;. b establ ishthatits composition notonly conforms to P.L.89-749,butalso to the requirements of the Hill-Burton Law and theCommun i ty Henta 1 Hea 1th Construct; OilAct; and(c) defi neII consumer ll representative. 3.Numberof consumers and providers:alteredto assurea minimum51 percent consumer majorityof the totalvotingmernbersh'jp) as required by la'll. Thetotal votingmembership includes the 4 governmental members)all. of whomare classified as providers.)aslegally·required. 4.Termsof membership:4 members'termsshallexpirein 1974 and in groups of fourthereafter, a rotation of approximately one-fifth ofthe council in any Oile year. 5.Gove-rnmenta 1 members:. all sta te)1oea 1 and federal emp 1oyees mustbe classified as providers. Governmental members includeone represent~­ ti ve fromthe Oepa rtElent of Hea 1th and Soc i a 1 Serv ices; one 'Borough official; anda Veterans Administrationrepresentative,who is re- quired to be on thecouncilby federalregulation~; andone repre-. sentative from the Public Health-IndianHealthServices, a major ) healthproviderin the State. Representatives fromthe military may function as advisors, but cannotbe bonafide votingmemberson any 'council, pursuant to the commanddirectives. 6.Statutorya.dvisors:eliminated, sincethe composition of the council automaticallyincludes individuals with professional backgrounds i~ health,and furtherconsultation of an advisory nature maybe obtained on anad hoc basis,as needed. 7.Chairman:to be electedfrom amongthe votingmembers, rotatingevery two years between a consumer anda provider, as willthe vice- chairmanship. T\'/o providersor tHO consumers cannothold both positions simulta.neously. 8.Section l8.05~053: . FUNCTIONS A.iJO DUTIES: broadens the role of the council, shifting the ernphas'js from ~health facil ities to include all areasappropriate to the scope of comprehensivehealthplanning. 9.Sec.18.05.057 PLANNING AGEnCY: clarifies that the Office of Compre- hensivePlanning shall 'be re-named the Officeof Comprehensive Health Planningand thatit is the 314(a)unit withinthe depart- ment,delegated theresponsibility for carrying out the purposes of P.L. 89-749. ----------------------- Page 62----------------------- Introduced:·. 1/15/73 Referred: Health, Helfare and Educa tion 1 In THE SENATE BY THor/lAS )2 SENATE BILL NO.43 ·3. IN THELEGISLATURE OF THE STATEOF ALASK}\ .4· EIGHTH LEGISLATURE - FIRSTSESSION 5 A BILL. 6 For an Actentitled:"An Act re1ating to the state health plan." :to Felt an· Ad e..nW-...le.d:. "An Act ltela..ti.ng CompJc.eJ1.eJt-sive. HeaLth Piamwtg." 7 BE IT ENACTED BY THE LEGISLATUREOF THE STATEOF ALASKA: 8* Section 1.AS 18.05.051 is amendedto read: 9Sec.18.05.051.COMPREHENSIVEHEALTH ADVISORY COUNCIL.(a) There 10 is createda ComprehensiveHealth AdvisoryCounc·nIt/hich shallcon- 11sist of governmentaland nongovernmental members. Thecouncil may 12 appointadvisory corrmittees outside·its memberShip. )BE IT El'JACTEV BY THE LEGISLATUREOF THE STATEOF ALASKA: * Se.~UOH. 1. AS.18. OS. 051~. ar.1e.nde.d to /i..e.ad: Sc.c... 18.05.051. CO.'.fPREHENSIVEHEALTH AVtJISORY COUNCIL •.The 6oc.u;~ oS a.USac..tofu tha.t iH;j.tu.. e.nc.e he.o.Lth. ----------------------- Page 63----------------------- wi-tIL P. L. 89-749 and ffi amendmentll,a.nd,take. ~H,tO :the ac.c.ow·it .the. lLe~- ) 51 pe/tc.e.n.:t· 06 c.oun.e-U:membeJlh. A c.ontSwneJt L5a pVWOH w/t6.6e. majo/r..c.a.ll.eeJt OIL oc.c.upa.:tion. M ne.UheA ,the. awrJ.J·iAl>,f'/UI,UOJ1. 06 he.a.t:th -6eJtvic.e.-6no/£. .the. p,'tov..[cUJig 06 heaLth c.a.Jte;who hct6HO -6~du_c.JJvty obUgaUon.:to a he.a.t:th 6a.c.iU.;ty OlL othex he.a.t:th a.g e.nc.y;who ha.h no mcte/r.J..a£, legal eJt6..i.na.heJ..al. ) .6 eAve. Madv~oM eft c.OnJ.:,uLtan;t6 on any c.or.1m'{.ftie:to C.OJt)l.lj ou:t .the. l.n- :tent a S.:the. c.ounc.Lt. (b)The council shall include 21[11J nongovernmentalTi1ernbsrs.) 2.t le2.st12[EIGHT]of 'i'Thomshall oe conSlL-ners of healthservices and ~ ; 15 ~: no mo~e·ttan nine[THREE] of whomshall be representatives of non- ~ ~ 16 n govern~2nt~1 egencies which are concerned ~ith health care servlce~. 11 i7 ![ H ;J !: 'J ,- 1Pmembers toserve a t:'iO-yearter.:7l..I 1~ I 11 i: (1)?iongovern::n2ntalmer:.bersareappointed bygovernor I !: 20 I!subject toconfirmation byamajorityof the members of the 1egisl2..turc :2:. ;, in joint session. I ji t! 22 i~expl~in3 in 1972 and every four All other [O~ TWO I i! 23 "{iYEARS;, FOJR] rr:er:i.bers shall ha-v-e [I~ITIALJ terms~hich shall expire I n ! ?-D F;rou:)sof fiveeachyear[OFYE{).RS,AND IUITIAL -->-- . I TERMS OF?JU~ YEARS]. BEFOR2A??OINTMEN?THEREAFTER,TER~SJ of office are four years, unles3t?:e2.p.:)ointr:~'2ntis for the re;;l2.inder(Iran unexpired t:·:,;o1. Hit~~.t:.-2 ~:~~ C' 0."/ 21 _~ f.to!'::...._Eo '.f~r!!.2 r'~~(: tJ2:~E0_:~ ~]~ ~(~-2L~J~_~---=l~p: t ~~~~.£!:~~.!:.~? L ·In io·'r.·;- ,.,·:'t'.~:r-,., .... ~,.,..,~,-- b-·.... 1-1 ~ . =.:.:_!.!__-=--=...:..;::~~~~~::.:.:..!..:~.). fi1~~t;_~~cnL'':::S 1or'......Q£l.s:.yc:tr eachto 2.11o~" ----------------------- Page 64----------------------- -2- SB43 co~~li~nce ~i~h thissectio~. of t~~ ~8~2rna~ nctwithstandingth2~e~ber's ter~. 1 (2) i~or:govern:TIent2.1 r.~e::-;oer5 rc2.Y carry 0 .1.1:; their dutieson CC:l::-lcil after 2..P·::,ointment butbe-_ToY'... A conf'l" v>~~l-.': 1"\.,., 0 ,.... t· . . r --,- J..~::_V..!.~_t r rc;Jec lon oy the.legislature. (3) i-Jor:goverIl'T!ental mer.:bers receiveno salary but are entitled to perdiec andtravelexpenses authorized byla~ forstate die2 inconnection with the -exercise of their dutiesascouncil· r:er::oersbefo~e their confir2ation or reu.bj e.u may be.. V'..:te.ndzd nOlL OP..e. ye.ai!.. e.a.c.h .to eJ'.1.ow c.amp.u...a.nc.e. wLth thJ.o.6e.c.;tion.. ) ----------------------- Page 65----------------------- -2-(can't) SB 43 (c) The council shall include ~h~ [FOUR] governmentalr,2rr:bers: one fr02the.Depa~t~ent of Health and Soci~l Services; onefromthe Departr.i2ntof Ac<~inistr2.tion; andonefrG:-:! a health' 2gency o.f a local .' governsentunit[; J~nD THECO;·IIl-lrSSIOr.IER 0::'""' ESP~LTH lU;D SOCIAL SERVICES J .. SOCIf~L SERVIC:SS> J 2.re appointed by the go"/ern·~r. T112 CoOii1.ITlissioner of I··· health and soci2.1servi82S [SHALL' LeT AS CI·i).IFl·I.MJ OF TES COUNCIL>] and hisdepart:::entsh2.1l 2.f...rninister the co;::prsh2nsi ves tate health [SERVICE] pl2..n. Cd) Thegovernor shall appoint twoadvisors to thecouncil~ one (e) A~ditional ~e~bers may be appointed underthissection by thego-vernorin c.o:::.pliance H:i. thfederal la~d. The ter;ns of the addltio~al ~e~~ers shall be fouryears,buta f~actianal term of less thanfouryears~a~ be granted wherea full term wouldre3ult in an termssh~ll ~e fQ~r years, or in caseof conflict wIthfederal law, ) ----------------------- Page 66----------------------- -2·- (can't) 5B43 (~) Add; -f{' () ,,~() /-..;.;"") :".. ', h_ :'fLr.~ v.1-\_ /\./l.r. IL.:t....c _-__-:J , '.. '" { Oe. .nOw\.. ye.C'VVJ 1 (g) The. c.cu.nut. /5ha....tR. el.. e.ct a c.hw..mannJtom amoHg th.e.. voting ) ) ----------------------- Page 67----------------------- -3- S8 43 • ~ ~~~. 2.~s 18.05.053 isamended to read: 2Se~. 18.05.053. POWERS 0!D~~7IES.~he Ccsprehensive Health (1) 2C"';lse E~nd cO!lsult i·;ith t~e c.epartm.ent [GOr'IMISSIONEROF (A) progra~s fo~ t~e construction of health facilities fo~ thestate and its politic21 subdivisio~s; (3) thedevelo~~2nt or rules> regulations> and 5ta~jard3 for the operatio~ of health facilities; ee) thedevelo~2ent of aco~?rehensive state health =.s:::::::rirCl::] plan, to be re~..r::e-.-l2d. ct le2.st an!J.ually> andto be suo- ,~. '4=i~t2d to tbeSurgeon GEne~21 of the U~ited Statesfor his 13 CD) thealte.rr:.e.ti':"2s tothe ge~eY>2.1 assistance pro~r2.m ) 15,I * Sec • . Z. AS16.05.053 ~ am~nded to ~~d: Se.c... 18.05.053. FU,"lCTIONSAW 'DUT1 ES. The CompJte.he.n6~ve. HeaLtli (i) c..dvL5e andc.onJ.JtUX ().uh .the. Vepo.rvtmen.t 06 HeaLth and Soc.id (CJ he.a.Uh edu.c..a.:tto n; ----------------------- Page 68----------------------- -3-(can't) SB43 .(2)~e~uest the cooperation of governmental andnongovern- ~e~~~l ~;encies in plannin~ and developing a st~tewide cC~Dreh2n3ive ~ 1"1-:: 2..::" ":2. '81 =r~ t<:! !'·2~;:"e·..iing 2p;2ncy. D lanning, coordinatin~ ac t i vitie 3 2.nu 02.2-::5 of2.ree.:·j2.decO'..u"!.cils endother volunt2.l:'Y "Glanning sroups ..I I eV2.ll=2.~in.; orevi():...:.s pl2.nnin.~z; effo:r~s [PROGR.:1j'lSR2LATINGTO THERE- I I (3) E::':'2rCi3e the2.d.di tional pO:'ier3 and per.fo.l7l theduties wh~~~ ar~ necessary tocomply with appropriate federal programs~ ) ) ----------------------- Page 69----------------------- -4- I I I (4) p::cmote. c!.e.vetopme.vl--t o~ o.Ji..erudde. cu:d .ota.te.-C'v5l>,wted loea£. eomplu!.- ) I ,. } \.7 c'u.LU~ onfa}-the. H-U1.-5u/don AdviJ.:,olujCoune-U,alLtlwJrJ.ze.d u.nde/r.. TJ.fte. VI06 ,thePubLic. HwLth Se/tv-<-c.e.Ar..-t, aHd (b)the Adv-t.60ILlj CounUt auxho/u,ze.d undeJc.. TUte II .the Corr;mu~~:tfj MeY'.4LU Heo.Lth Ce..rl.-te.;'W COnh.:tJw..c:i1..on. Ac.t, Public. Law ) ----------------------- Page 70----------------------- -4- (con't) S8 43 If .1 * <::::.,... ? L."..._ ........ J. i~.SlK.OC:; lOr-: -'-l o ""'o"'cd b-' ~dl' .t ° '·3 il ~~~ c.:...~ •• !1 4'-::f <.! Cl.lng 2.ne:·j seC.Clon toread: \j1 Se c ~18 ° G~ ° 0 ~ ~(. '.' PLP.• ?E·rn·;f....; .rG_'i';J'.?·ICY·. r1~ '-'r' ~ L-' ,• ) Ii--' ...J -- h •- .tl<'_... tE:p2.r'vsenvlS aeslb.n2.ted I 51'! I for purposesof 611 Ccsprehensiv2 Ee2.1thPlanning andPublic E22.1th Servlce8 .lunen.j- 7 If ~ents of 1955 (P.L.89-749). !: Ii * Se.c.. 3.AS1g. 05 JA C'Jne.nde.d by addinga n.e.w -6e.ction :to Itea.d: Se.c..18.05.057. PLANNINGAGENCY.(a) The Veparvtfne..n..t 06 He.a1.th& c.omplia.nc.e. ~i:i..J:h ~the. Pu.blic. He.af..;thSeJt.v-t.c.e Act 061966 (PL·89-749) and ) '- n-i.ngiu.v:.c.tio}"vs 06 ;the ..sale .~ta.:t.C!, a.genc.y deAig;ta.,ted u.nde..'t Sec.;t[oV/. 314(a) on PL 89-749. (Z) The. 066ice.06 Complte.heMive. He.a.Uh.Pfun.Y'vtng, wh.A..c.h JA ;the 374 fa.) .tutU 06 -the. de.paJrheY'..:t, /s~ULtt pi7.ovideP/1..06eA/sional.guidan.c.e a.nd £.ea.de.,'T..,6hvip ':to ;the CompJr.e.he.n.-6ive.He.aLth Adv.L6oity CouneLe. ;toc.fuotn.el ft6 l .the. 06·Sice. 0 S Com,'O te.he.rt6ive He.a.UhPiarllt-i.ng and .the. Comp.,'!.ehzvv5ive He.a1.th Code. ----------------------- Page 71----------------------- 1nL ro auc e a : J / I ':J/1 j "'"Referred: Health,Welfare and Education BYTHO;-'Y\S J. I t I i i SENATE BILL NO.43 IN THE LEGISLATURE OFTHE STATE OFALASKA I EIGHTH LEGISLATURE- FIRST SESSION A BILL For an Act 'entitled: IIAn Actrelatingtocomprehensivehealth planning." BEITENACTEDBY THE,LEGISLATURE OFTHESTATE OF ALASKA: * Section 1. AS 18.05.051 is amended to read: Sec.18.05.051.COMPREHENSIVEHEALTH ADVISORY COUNCIL. The focus of the I COi1iprehens i ve Health Advi sory CGunci 1 ,is the hea 1th status of peop 1e. ThroughI -its recommendations, thecouncilseeks toact ,asanadvocateof the people and to: moderate health care costs; close gaps in-healthservices; prevent frag- ·mentation and oVerlap in healthservices;encourage the~rowth of preventive ) health care; promotebetter distri.bution andwiser us~ of resources; establish -accountability forhealth care; andassure that consumer representatives have ~ voice inhealth planning.Theconcernsof the councilare uniqueinthat th2Yencompass all aspects ofhealth and allfactorsthatinfluence health. (a)There iscr2ateda Comprehensive Health Advisory Council\'Jhichshall reflect the broad geographic, socio-economic, age,ethnic and professional health· elements within thestate. The compbsition mustcomply with P.L. 89-749 andits amendments, take into account the requirements of the Hill-Burton Law, asthe i Hi ll-Burton Counci 1 is an integra 1 part of the advi sory counci 1, as'lIe 11 asthe requ i rementsof the Commu ni ty t',1enta 1 Health CentersCons tru cti on Act.I (b)Consumerrepresentatives must comprise a majoY'ityof atleast 51 per- I centofcouncilmembers.'A consumer is a personwhose major career or occupation isneitherthe administration ofhealth servicesnorthe providingof healthI ,care; \'Iho hasno fi duei ary ob 1i gat; on toa heal th faci l-j ty or other hea 1th agency; who hasnomaterial, legal orfinancial interest in therendering of any component ofhealthservices,research or the teachingof healthscience; \'lho isneither a ,_ ILL , JIO'JA,,1T HWe J- M7 ----------------------- Page 72----------------------- -2- a practicing or non-practicinghealth professional noran officialor employee I i ofstate, local or federalgovernment. (c)Thecouncil .may create special committees outside its membership and mayrecommendpersons who arenot membersof. the council toserve as advisorsor t consultants onany,colillTlittee to carry out theintent of the council. J (d) .Thecounc; 1 shall i ncl ude 20 members from nongovernmentalorgani zati ons or gro;ups, at least 14of \I}hom shall beconsumersrepresentatives andno more than 6 of whom shall be providers of health care services, of whom oneshall be a representativefromtheregionalmedical program,andoneeducator concerned VIi th trai ni ng of h.ea lth professionals. (1)Nongovernmentalmembersare appointed bygovernor subject tocon- firmationbya majorityof the members ofthelegislature in joint session. Four membersshall have terms expi ri ng in 197~r' and every four yearsthereafter. All other members .shall have terms which shall expire in groups of 4 eachyear .. Terms of offi ce arefour years,unl ess theappoi ntmentis for theremai nder of an' un'- ~xpiredterm. With theapprovalof the governor andthe members of the legislature· in joi nt sessi on terms maybeextended for one yeareach to a 11 ow compl i ance \<1/1 th this section. Eachmember holds office at thepleasure of the governor noblJith- standing the member's term. (2)Nongovernmentalmembersmaycarry out their duties on thecouncil after appointment but before confirmation or rejectionbythelegislature. (3)Nongovernmentalmembersreceive no salary butareentitled to per diemandtravel expensesauthorized by lawforstate boards.Nongovernmental membersmayrecei ve travel expensesand per di em in connecti on\l/i th the exerci se of thei r duti es ascounci 1 members before the-j r confi rmati on or rej ecti on bythe legislature. i r I I(e) The councilshall include 4 governmental members \'Iho must, aslocal, State I! I andFederal officials, be countedas providers: oneshall bethe Commission~r or It I representativefromtheState DepartmentofHealth andSocial Services;one shall I ----------------------- Page 73----------------------- -3- ; !'"~) repr'esent alocalBOY'Gugh;' and tvlO shall be federal members, onerepresenting the Veterans Ad~inistration, and onethePublic Health - Indian Health S2rvices~ Federal members \·Jill be designatedbytheir respective agencies. (f) Ac!ditional members' may be appointed under thissection by thegovernor in compliance\'Jith federal law. The tet~ms of the additionalmembers shallbefour' years.,but a fractional termof1essthanfour years maybe granted \'i,hej"e a full term would result in anexpirationdateidentical tothatof anexisting member~ Allfuture terms shallbefour years, orin case of cnnflict with federal law" I those termsrequiredby federal law. i (g)Thecounc i 1 shall elect a chairman fromamong thevoti ngmembershi p to .I I _serve a tHo-year term. Thechairmanship and vice-chairmanshipshal.'rotate bet~'leen I a provider anda consumer member eVery tvJOyears, and at notime Vlillthese posi- tions be held simul taneouslybytwo prov'jder or twoconsumer representatives. * Sec. 2.AS18.05.053 isamended to 'read: Sec.18.05.053 FUNCTIONS ANDDUTIES.TheComprehens oj veHealth Advi sory .... Council shall: (1) advise andconsult withtheDepartmentof Health andSocial Services,in thedepartment1s roleas thestate comprehensivehealth planning agency, regarding: (A) health object'ives, goals, prioritiesand policy; (8) distribution of health resourcesandhealth careservices; (e) hea1th education; (0) developmentandupdating ofa comprehensive state health plan; (E) special needsofhighrisk population groups forpreventive an~ health care services; (F) health needs in thefields of welfare, education and rehabilitation; ) (2) promote thecooperationof governmental andnongovernmental agencies in 7 realizingtheobjectivesof a statewide comprehensive h2alth plan by: fostering coordinated planning efforts amongagencies;supporting andpromoting coordination of activities and plansof areawide councils andother voluntary planning groups; ----------------------- Page 74----------------------- · '. creating ad hoccommittees andtaskforces for specific health problems; and evaluating its pas~ reco~nendations, accomplishments andimpact as a 'state- wide advisory council; (3)perfotTI the additionalfunctions and duties, as requested,whichare necessary toco~ply vIith appropriate state and federal' programs;· .(4)promote developmentof areawide andstate-assisted local comprehensive heal th P 1ann i n9 groups;· (5) revie~\1 and comment, at the request of thedepartment,on .appl ications for pfo.grarrming andfor public funds,asnecessary; (6) alert thedepartmentto health-related public concerns; (7) perforll1 such other functions or duties as maybe requested by the department; (8) per'form,asit "is so designated andempol-'Jered, thefunctions and duties of (a)the Hill-Burton Advisory Counci.l, authorized underTitle VI of thePublic Health Service Act, and(b) the f..dvisoryCouncil authorized under Title IIThe COITmunity Nental Heal thCenters Construct"ion Act,Publ icLay} 88-164. fviembers appointed to the Hill-BurtonandCommunity t-lental Health Centers Advisory Councils shallmeet the respective membershiprequirementsof thesecouncils. *Section 3.AS18.05is amended by adding a nevI sect-iontoread: Sec.18.05.057.PLANNING AGENCY.(~) The Departmentof Health'and Social Services is designatedthe sale state agency responsible forthe administra- tionof state comprehensive healthplanning functions, in compliance with the Public HealthService Act of 1966(PL89-749) and its subsequent amendments. (1) Withinthedepartment,the Office of Comprehensive Planning, which I shallbe known as the Office of Comprehensive Health Planning, is delegated I responsibil ity forcarrying out thecomprehensivehealth planning funct'ions ----------------------- Page 75----------------------- \ .-5- to the Cor;lprehensive HealthAdvisory Counci1tochannel' its effortsin a manner to produce maximum impact. (3)Rulesand regulationsgoverningthe scope and functionsofthe Office , of Comprehensive Health Planningand the ComprehensiveHealth Advisory Council shall bedetailed inTitle 7 of the State AdministrativeCode. , .. I , II I. I ) I I II II ----------------------- Page 76----------------------- HEALTH,EDUCATION,AND SOCIALSERVICESCOMMITTEEMEETING February2, 1973 -- Friday 1:30 p.m. Center for FrankDarnell from the Centerfor NorthernEduca- Northern Educational tional Research at the University of Alaskaappeared Research at an informal meetingof the Committee. Dr. Darnellexplainedthat for the first time the University has a specific unitto deal with educa- tional problems. Thereis a staff analyzingthese problems, and the Centerwould like to respondto the State-Operated Schools question whenthereis legislation introduced. The Center has a cooperative arrangement with the researchdivisionof the Depart- ) ment of Education. People other thaneducation professors are involved. The Center will be able to respondto the proposedlegislation in anobjective way. The Center will presenttheir writtentestimony whenlegislation hasbeen introduced. Regarding State-Operated Schools,Dr. Darnellsaid that muchof their problemhas been with mechanical administrative procedtires~In the concernto see the baseof controlshifted,the mainissue has been lost: the processof education mustbe examined. The process has been the problem. The processmust be the first consideration, then the shifting of control. Senator Sackettasked how the Legislature can change that process. ----------------------- Page 77----------------------- 2 CNER Dr.Darnell said that the Legislaturecanchange con't .. ~ theprocess by removing certain restrictions so that residents of a community couldrequest thatsome regulationsbe waived for their educationalsystem. TheState Board ofEducation couldhavethe power to waive someof thoseregulations. Dr.Darnell addedthattheCenter couldhavea paper to theCommittee in a few weeks regarding the problem of whattodo withState-Operated Schools. ) ----------------------- Page 78----------------------- HEALTH,WELFARE, EDUCATIONCOMMITTEE MEETING February 6, 1973 - Tuesday 1:45 p.m. Present:All membersof the committee exceptSenatorYoung. Also presentwereMr. Bill Saville, Executive Director,National Councilon Alcoholism; Deputy Commissioner EmmettWilson, Department of Commerce; Mr. John O'Shea,Director, Division of Insurance; Mr. GordonEvans,Attorneyfor BlueCrossInsurance Company;and Mr. JohnKeating,Coordinator, State Officeof Alcoholism. SB 35 SenatorThomascalledthe meetingto orderand calledupon Mr. Savilleto makethe openingpre- ) sentationregarding SB 35 -- an Act requiring that the treatment of alcoholism beincluded in group healthand disability insurance plans. SAVILLE Mr. Bill Savilleindicated thefour main reasons the National Councilon Alcoholism requested thatSB 35 be· introduced were: (1)To increase availability of treatment; (2)Removethe excuseof cost; (3)Createa climatein whichAlaskan physicians willtreatalcoholics, and ( 4 ) Dec rea sethe cos t 0 f t rea tme n t • Unavailability of Treatment Generally alcoholics leave the statefor treatment becauseAnchorage CommunityHospital is the only 2/6/73 ----------------------- Page 79----------------------- SAVILLEcontJd Alaskanhospital which treatsalcoholics. (SB 35) CostExcuse A symptomof the diseaseof alcoholism is denial thata problemexists. Since insurance doesn'tcover treatment of alcoholism, alcoholics go to the hospi- tal, butare treatedunder somesecondary, alcoholism related, diagnosis whichtheir insurance will cover. Therefore, alcoholics fail to receivetreatment for theirreal problemsincethe cost of 30 to 60 days hospitalization is prohibitive. GettingPhysicians to Treat Alcoholism Many physicians still don'trecognizealcoholism as ) a diseaseand even if they do won'ttreat alcoholics becausethere'sno insurance and alcoholics are usu- ally poor; and the physicians fear they can'tcollect theirfees. Decrease Cost of Treatment Two-thirds of alcoholics treatedin early stages neverreturnto the hospital. If alcoholism is coveredby insurance companies,peoplecan go into treatment centersratherthan expensivehospitals. Anchorage CommunityHospital Overthe last eight monthsstatistics at Anchorage Community Hospitalindicatethat90 percent of alco- holicsreturning for additional treatmentwerefirst 2/6/73 ----------------------- Page 80----------------------- SAVILLEtreated for some condition otherthan alcoholism. cont'd SB 35 Fifty per cent of the patients in the Intensive Care unitand five per cent of the patientson the Surgical Floor have as their core problem the disease of alcoholism. AnchorageCommunityHospitalis aver- aging a 1-1/2 refusal per week becausethe applicants don't have insurance coveringalcoholism. Mr. Savilleadvised that the Kaiser Foundationand sponsors of the WisconsinLaw confrontedthe same three problems: (1)Attitudinal-- alcoholismconsidered a moral conditionrather than a disease. (2 ) The medicalprofessiongave substitute diagnoses. ( 3) Employersand supervisors considered )it a good idea to use the resourcespre- sently availablefor combattingalcoholism. Mr. Savillestated that if the bill passes, his organi- zation is planning a publicinformationcampaign and a seminarto train MDs in the treatmentof alcoholism. He said union officia~ inAlaska have informedhim they willsupport an alcoholism program for union members by union members.Wisconsinis the only state which now has insurancecoverage of alcbholism. He further informedhe didn't have figureson just how passage of SB 35 would effect insurancepremiums. WILSON Deputy CommissionerWilson requestedthe committee SB 35 to delay actionon SB 35 until his departmentcould 2/6/73 ----------------------- Page 81----------------------- WILSONfurnishstatistics from the industryon how the bill SB 35 wouldeffectthe pricingof groupinsurance. Chairman Thomasresponded that the committeewould haveto set a deadline if a long delayoccurred. SenatorCroft commented that he wouldbe concerned withinsurance companystatements on increasedcost underSB 35 and he thought the state hadsome obli- gationto regulate insurancecosts. O'SHEA Mr. JohnO'Shea,Director, Divisionof Insurance, SB 35 said the divisionagreedwiththe intentof SB 35, butthe practical aspectsof it~ mandatory provision precluded any strongrecommendation for enactment. The100% mandatory featurewould createa crash ) program and Mr. O'Sheaquestioned whether there were facilitiesand/orpractitioners available to render treatment. He requested time to research the Wisconsin Lawand appear beforethecommitteeat a later time whenhe hadfurtherinformation. SenatorCroft told Mr.O'Sheathe committeewould like to know how many peopleare coveredundergroup plansand what therenewaldates on majorpoliciesare. EVANSMr.Gordon Evans,attorney representing BlueCross SB 35 InsuranceCompany, stated thatBlue Crosssupported the intent of SB 35, but saw as problemsthefailure to(1) definewhat wasmeant by licensedtreatment 2/6/73 ----------------------- Page 82----------------------- EVANSfacility, and (2) setout how muchcoverage is SB 35 involved. He recommended the bill beamendedto provide a uniformdefinition of a licensed treat- mentfacility which wouldcovertreatment of Alaskans outsidethe state. Mr. Evanssaid BlueCrosswould submitits' ~finition ofa licensed treatment facility within two weeks. KEATINGMr.John Keating, Coordinator, StateOfficeof SB 35 Alcoholism, stated his officesupports passageof SB 35.He commented that mostemployees withalco- holism are terminated and withthislegislation there should bea savings coupled with earlytreatment.Mr. Keatingsaidthe definition of an approved treatment a ) facility would be one providing/24-hour rehabilitation program for alcoholics.He informed the 21 licensed facilities in Alaskaprovide a bedcapacityof approxi- mately 235. The best treatment leavesthe alcoholic as close to his wayof livingas possible, and,thereby, heis ableto contribute to his owntreatment. Mr.Saville,withreference to SB 35 causing a rush for treatment, remarked thatthe HughesAct(which provides insurance coverage for federalemployees) had beenin effectfor two years,andFAA had nineemployees now undergoing treatment withonly one requiring hospitalization. AdjournmentThe meetingwasadjourned at 2:45 p.m. 2/6/73 r ----------------------- Page 83----------------------- HEALTH, WELFARE, EDUCATIONCOMMITTEE MEETING February12, 1973 - Monday 10:45 a.m. Present:All members of the committee except Senator Young. Senator Jalmar Kerttula was also present. SB 18Chairman Thomas called the Committee's attentionto SB 18 -- an Act making a specialappropriation of $2,000,000 to the scholarshiprevolvingloan fund. Senator Kerttula remarkedthat $2,000,000was a con- servative figure; that the need was there, this was an outstandingconcept and would bring students back to Alaska for training. Senator Thomas moved and asked unanimousconsent that Senate Bill 18 pass out of committee with a do pass ) recommendation. SenatorsSackett and Hensley con- curred in the motion, and Senator Croft had no recommendation. SB 6, 14 &Senator Thomas asked the Commfrtee for its recommenda- 23 tions with referenceto Senate Bills 6, 14, and 23. Senator Croft commented that the bond issues provided for in SB 6 and 14 couldn't be placed on the ballot until 1974 and he thought the Committee should ascer- specifically tain how the University of Alaska/proposes to spend the money, and he felt as to SB 23 that the bill should provide that the oceanographicinstitute be connected to the Universityof Alaska, Anchorage. 2/12/73 ----------------------- Page 84----------------------- SenatorCroftsuggested that the HWECommittee shouldset priorities as to education ratherthan leavingthe matterup to the Finance Committee. SB 6, 14 &Senator Sackett movedthatSenateBills6, 14, and 23 23 pass outof committeewitha do pass recommendation. SenatorThomasconcurred in the motion,andSenators Hensley and Croft votedno recommendation. SB 68 SenatorCroftmovedand asked unanimous consent that SB 68 (a n Act relating to state aidfor retirement of schoolconstruction debt) passout of committee witha do pass recommendation. The motionwas con- curredin by SenatorThomasand Senators Hensleyand Sackettvotedno recommendation. ) SenatorCroftmovedand asked unanimous consent that SJR 19SJR 19(relating toconstruction of a new~hool at Akiak)be broughtout of committee with a do pass recommendation. Senators Thomasand Sackettvoicedobjection and therewas discussion concerning the factthat the BIA had onlyso muchmoneyappropriated for schools and someschoolsnow in the planningstagemightbe cut out to givethe Akiak schoolpriority. SenatorCroftmovedand asked unanimous consent that SJR19 passout of committeewitha recommendation of do passas amended. The amendment wouldat line23 2/12/73 ----------------------- Page 85----------------------- SJR 19replacethe periodwitha commaand add thefollowing: cont'd. "provided implementation of this requestwould not jeopardize present construction priorities." The motionto bringSJR 19 out of committeewitha as amended do pass/recommendationwasconcurred in by Senators Thomasand HensleyandSenatorSackett voted no recom- mendation on the motion. SJR 21SenatorSackett moved and askedunanimous consent thatSJR 21 (relatingto lossof P.L.874 funds)pass out of Committee with a do passrecommendation,and therebeing no objection, the motion carried. SenatorCroftrecommended thatthe AlaskaState MedicalAssociation be requested to furnishthecom- ) mitteeits comments on HouseBill32 (an Actrelating to personsengagedin the healing arts) and Senator Thomasindicated they couldbe contacted. HB 75 SenatorSackett moved and askedunanimous consent that HouseBill75 (an Actrelatingto the scholarship revolving loan fund)pass out of committee witha do pass recommendation. The motionwas concurred in by all memberspresent and so carried. SB 88 SenatorThomasreada letter supporting SB 88 (an Act makingan appropriation of $2,500 to Dept.of Education for AlaskaHealthSciences Information Center)to the Committee. The letter wasdated2/6/73from UrsulaP. Strash,Director, AlaskaHealthSciencesInformation 2/12/73 ----------------------- Page 86----------------------- SB 88 Center, to Senator Cliff Groh. Senator Croft requested that Mr. Bill Vaudrin and Mr. Dave Osterbach be contacted and requested to appear before the Committee at 1:30 p.m., February 13 to discuss State Operated Schools. SB 30 Senator Croft moved and asked unanimous consent that SB 30 be indefinitely postponed, and there being no objection, it was so ordered. Adjournment The meeting was adjourned at 11:30 a.m. ) 2/12/73 ----------------------- Page 87----------------------- HEALTH, WELFARE, AND EDUCATIONCOMMITTEE MEETING February13, 1973 -- Tuesday 8:45 a.m. Present: Senators Thomas~ Sackett,Hensley, and Croft. Bureau of Emil Kowalczyk, Education"Bureau 01''' Indian" ~ffairs, Indian Affairs testified before the Committee. He had been re- quested to comment on the following points: (1) Plans regardingBureau-operatedschools (2) Practicesregarding Bureau schools where a new government has been formed(such as in Barrow) (3) Wildwoodand its future ) (4) How curriculumis developed (5) Plans for constructingschool facilities next season (6) What agreementsthere are between the State and the Bureau regarding new school con- struction (such as Kiana and st. LawrenceIsland) (7) Any new methodsby which a communitycan contract to operatetheir own schools #1 two or three years ago, the State said they couldn't take over any more BIA schools.It was a verbal messagefrom the Departmentof Education.The switch from the Bureau to the State is the result of an agreement between the BIA, the State and the community. The BIA operates 53 day schools now with 4948 students. ----------------------- Page 88----------------------- 2 #1 con't There are536 studentsat the two boardingschools, Mt. Edgecumbe and Wrangell. Thereare 400 students at Chemawaand 170 at Wildwood. In Novemberthey submittedtheir'75 budgetand construction request. The Bureauspends$1901 per student in dayschools, $6106 perstudentat Mt. Edgecumbe, and $6529 per studentat Wrangell. They pay transportation to Chemawa. Theyhave a cost reimbursable contract for $898,000at Wildwood for dormitorycarefor 200 students. Since thereare fewerthan 200, the cost will probably be $750,000to $800,000. #2The schoolsat Point Hopeand Anaktuvuk Pass are state-operated schoolswhichwere to be turned over ) to the North SlopeBoroughJuly1, 1973. The BIA schoolsat Wainwright and BarterIsland wereto be be turnedover July1, 1974,and the BIA schoolin Barrow,July1, 1975. The Boroughplansto take the schoolsoverslowly,and there may be delays. Thereis no highschool in the wholeborough. A high schoolfor 500 students is being plannednow in Albuquerque. Thecost is $19.7 million. Thereare 200-250students going out to high schoolnow. The levelof funding coming out of Congress doesn'tlook bright. Thereis no construction money for Alaska in the '74 budget. Senator Hensley commented that underthe Foundation Programthe NorthSlope Borogghwouldget as much moneyas the BIAis givingthem. ----------------------- Page 89----------------------- 3 #2 con't Senator Sackettaskedwhy therewas reluctance to takeover the operation of the schools. Mr.Kowalczyk said that theyare hopingthatthe BIA will build the proposed high school. Moneyfor it is in the'75 budgetrequest. #3Regarding Wildwood, Mr. Kowalczyk said that thereis no new money. The levelof fundingfor'74 willbe thesame as for '73. At Wildwoodtheysay theywant 200studentsnextyear and250 the next year. How- ever,the BIA andthe Statesay that Wildwood is an interim facility. Thereis a question whether OMB will release the property.Perhapstherewill be no moreleasepermitsgranted. The facility will prob- ) ablyoperatefor another year. #4 Regarding thedevelopment of curriculum, Mr.Kowalczyk said that advisory schoolboardsare to be involved in theschoolsthrougha memo of agreement.The local boardsare to be involved in the budgets. The local boardsserveas the check-off agencyfor TitleI projects. Thereis $2.2 million in Title I funds. The boardsare involved in planning, develop- mentof projects, implementation,and evaluation. Thebilingual project is fundedthroughTitleI. Therehavebeen changes in curriculum at Mt. Edgecumbe, whichhas a courseon Alaskanproblems.There are seven schoolswitha bilingualprogram now. All 34 of theschoolsin the Bethelarea wantit.The childrenstart first grade in their Native language, ~/13/7j ----------------------- Page 90----------------------- 4 #4 con't with a Nativeteacherand teacher's aide. Those teachersare assisted by a certificated teacher. Title VIIo~ ESEAmight be cut backdrastically, but programsare written up for St. Lawrence Island,Barrow,Tetlin~ and Venetie. #5SenatorSackettaskedi~ theacquisition o~ land was the greatest cost of buildingin Chevak. Mr. Kowalczyk said that theywere asking~or 34,000squarefeet withouta high school. That is more thanthe existingspace. The waterand sewer, power plant, etc. will all be inadequate.It will cost over$5 million. Normally the Bureaudoes not purchase land. ) A replacement schoolcosting$1.8 million is planned for Napakiak~rom '73 money.The schoolin Kiana is ~rom '72or '73 money. All elseis ~rozen. The money~or kindergartensfor Gambelland Pilot Station hasbeen~rozen byOMB. Hopefully, it will be ~reed by July 1.However,a wholeconstruc- tion yearwill have beenlost. Dorm money,$9-10 million (half old, hal~ new), is frozenas o~ July1. The Bureauis askingthe Congressional committeeto reprogram that money. $9.7 million had been re- questedto expandMt. Edgecumbe to 1000 students. That moneywas then reprogrammed to regionaldorms. Now the Bureauis tryingto get it reprogrammed for emergency needs ~or local schools. For example,the schoolat Alakanakis 4-10 feetfrom the riverand ----------------------- Page 91----------------------- 5 #5 con'tabout to fall in. Senator Thomas asked if the Bureau had any require- ment to use local labor. Mr. Kowalczyk said that they always use local labor, and they don't have to go through union hiring halls. Senator Thomas asked how the Bureau considers the resolutions passed by the Legislaturerelating to school construction. Mr. Kowalczyk replied that emergencies are their first priority. Resolutionsare usually in line with their overall plans. ) Senator Thomas asked about the resolution regarding Akiak. Mr. Kowalczyk said that the situation in Akiak is bad. It has been a high prioritysince 1959.They have run the school on double shifts for ten years. If the Bureau builds in Barrow, there will be no more building in Akiak for about 15 years. The new facility for Akiak is in the '75 budget, and was in the budget requests for '73 and '74.Money for de- signing a new school for Kotzebue is in the '75 re~ quest.There is planning money now.Many small projects are combining design and engineering. #7 Local schools can be operated in one of three ways: (1)A local community can contract with the ----------------------- Page 92----------------------- 6 #7 con'tBIA and run their own school (2) BIA can operate the school (3) The school can be operated by the State None have contracted,but the procedure for doing so is established.The Northwest Alaska Native Association asked about contractingfor the operation of the schools in that area about a year ago, but have not yet requestedto do so. ) ----------------------- Page 93----------------------- HEALTH,WELFARE, AND EDUCATIONCOMMITTEE MEETING February 14, 1973 -- Wednesday 8:30 a.m. Present: SenatorsThomas, Croft, and Sackett. SB 125 SenatorCroft said that he introducedthe bill in order that the Alaska law on abortionswould con- form to the ruling recently madeby the Supreme Court.The two areas in which the present law does not conform are the following: (1)During the first trimester of pregnancy, the State cannot regulate where the abortion is performed. (2)The residencyrequirement The Attorney Generalwill send down a letter regarding the bill. Fred"'McG'innis,"CommissioneJ?of'Healthand Soeial Services,said that if "where performed"is an issue, then the law should be changed. If abortions may be performedoutside hospitals,there should be some restrictions made. SenatorCroft said that the decision said that abortion may not be singled out regardingwhere it may be performed. For instance,laws do not say where apendectomiesmay be performed. CommissionerMcGinnissaid that all hospitals and two clinics have been approved, and there are special regulationsfor those two clinics. ----------------------- Page 94----------------------- 2 SB125Dr . TomMcGabef'rom"-theDep.artrrrent"-of Heal ttland ~ -. ~ < Social SerVicessaid that thesecond part ofthe current statute gives the MedicalBoard theauthoDity to make regulations about abortions. That is a' possiblesource ofambiguity. TheMedical Board is moving toward using hospitalsonly. SB45 Senator Croft asked the DepartmentofHealth and Social Services representatives to commenton the amount of space infacilities. Commissioner McGinnissaid that theCourt thinks it canputa child in a 'pa'rtic'tilarplace, andthenthe Department hasto bear theburden of budget,facili- ties, etc. The Courtmakes all the placements all ) over thecountry,andthensays it is the Department's problem. There aretwowaystoremedy the situation: (1) The Court should put thechild in the custody of' the Department, which then canplace him; OR (2) Thebudget should comeunder the Court. If they order it, they should payforit. ----------------------- Page 95----------------------- HESS COMMITTEE MEETING February20(, 1973 ~~ Tuesday 8:45 a.m. Present: SenatorsThomas and Sackett PublicMarshallLind, Commissionerof Education,supported School Found.the repeal of mini 874.There are inequalitiesin, Program distribution asit presently exists.He preferreda Foundationbasis allocation. There is no formalposition of the Board on repealing the requirementfor local effort. It shouldstay as it presently exists.There are some problems,espe- cially in determininglocal in-kind match. There will be more problems if we lose the 874 B students. Ten percentis the maximumamount for local effort.There will be an official position in two weeks. ) Senator Thomasasked for his reaction to Joe Mont- gomery'sposition. Commissioner Lind referred the questionto Deputy Commissioner Bob Thomas. Mr. Thomas said that the mini 874 was an attempt to equ~lize the distribution of moneybefore the new Foundation program came into being. The new Founda- tion programrescaled things,and mini874 is now an anachronism. The Departmentdid an analysis,and where there is a high rate of State pay, there is highlytaxable property. The rich districts get it, poor ones don't. SenatorSackett asked how much it would cost. ----------------------- Page 96----------------------- 2 Commissioner Lind said he wouldgive theCommittee the datalater today. SenatorThomascommented that Anchorage wouldprobably lose$600~000. CSSB81 Commissioner Lind said,that in regardto SB 81, the costof livingand an areadi~ferential shouldbe included in Foundation support. SenatorSackett asked wherethe House~igure of $20,300per instructional unitcame from. Commissioner Lind said thatit wasprobabilly a 5.4% increase over $19,250. )Senator Thomas askedif the Department didn'ttake careof areadif~erentials in allocating money. Commissioner Lind said thatit should be morespecific, and take more~actors into account. Mr. Thomassaid thereis no administrative lattitude underpresentlaw. Commissioner Lind said thatCSHB 29 was much better. (A copy of CSHB29 is attached.) SenatorSackettre~erredto CSSB 81~ and askedi~ section (d) wouldtakecare o~ theproblem. ) Commissioner Lind said no. SenatorSackett suggested repealing the present5, ----------------------- Page 97----------------------- 3 CSSB81 10, 15% section and inserting Cd). con't Commissioner Lind said thecost wouldhave to be determined.The Department wouldwork it up.If $20,500plusareadifferential is used, it must also be usedfor SOS. SenatorSackett asked if it couldbe done administra- tively rather than legislatively. Mr. Thomassaid thatundercurrentlaw, theentitle- ment is spelled out.If an area differential and cost of living were includedadministratively,it wouldbe an untenable position. SenatorThomasaskedwhichbill would"do the trick"? ) Commissioner Lind repliedthatsectionCd) woulddo if the 5~10, 15%section were repealed. Mr. Thomascommented that theHouse said theywould use thestatistics without havingthe University of Alaskado the surveyagain. BillOverstreet, Association of AlaskaSchoolBoards, spokeregarding the Stateimpactfunds. In some verysmall districts~ $3200 per pupilis spent;in some majordistricts, only$1600. Some areasare makingno localeffort,whileAnchoragecontributes 33% of its budget. We mustmakesure a change is for the better. He recommended increasing the instruc- tionalunitamount,keepinglocaleffortand mini 874. ----------------------- Page 98----------------------- 4 CSSE 81Senator Sackett asked him how much the amount per con't instructional unit should be. Mr. Overstreet said $20,800. Senator Sackett asked' if the amount were changed to $20,500, it would be an increase of what percent. Commissioner Lind said that $20,300 would be an increase of about 5.4%, and that $20,500 would be an increase of about 6.5%. Senator Sackett asked for Mr. Overstreet's position on CSHB 29. Mr. Overstreetsaid that his Association had not )addressed itself to it.It might not be desirable, but he was almost persuaded by the Commissioner. Senator Sackett asked how much it would cost if the amount were changed to $21,000. Mr. Thomas said about $6-7 million.There are 4150 instructional units. Eob Van Houte, NEA Alaska, said that he supported having ten to twelve differentials rather than three. If the Foundation instructional unit amount were increased to $21,000, that would cover any losses that might be suffered under the loss of State impact money.If there is a low increase in the Foundation program, the impact funds should remain. If there is a higher increase,the impact funds could ----------------------- Page 99----------------------- 5 be deleted. Senator Thomas asked what he recommendedif the increase were to $20,000 or to $20,500. Mr. Van Houte said if $20,000~ keep impact funds; if $20,500, it would just about cancel out mini 874 losses. Senator Sackett asked what effect an increaseto $20,500 would have on Anchorage. Mr. Van Houte said it would have a positive effect. Senator Sackett asked Tay Thomas, Anchorage School Board Member, if $20,500 would take care of many of Anchorage's problems. ) Ms. Thomas said yes, they are faced with a $9 million deficit.The Foundation program never did cover Anchorage.It is only 87% now. Eliminating the mini 874 funding would cause huge problems.Neither a tax increase or decrease was being counted on now. 80S and Senator Thomas asked if the Foundation program would Found. program have to be readjusted if SOS is restructured. Commissioner Lind said they had it computed now on the basis of $19,250.Except for the on-base schools, they used the 5, 10, 15%. Mr. Thomas said that SOS service unit budgets were computed according to CSHB 29. Commissioner Lind said that he preferred to have one system. ----------------------- Page 100----------------------- 6 SB 69 CommissionerLind said hesupported SB 69. I~ the additional money is used~or acceleration,moneywould be saved in thelongrun. I~ the money can bealso usedforenrichment,the Legislaturewillhaveto decide aboutappropriating theadditional money.It couldbeone wayo~ bring abouta rescheduling of theschool year. It would be help~ul if the legis- lation specificallysaid "for acceleration."He said the Department would suggest somewording. SB 48 Mr.Thomas said that SB 48 wouldprovide ~or amajor change thathasn't beenanalyzed. It mayserveto offset anylosso~ mini 874. Senator Thomassaid that i~ dependson moremoney ) being allocated. The reception to thebill ~rom the Finance Committeeseemedcool. Federal Senator Sackett askedi~ there was anynewin~orma- losses tionon thelossof Federal money. CommissionerLind said thatNatColehadbeenin Washingtonlast week.Thereis a potential loss~or I Alaska o~ $4-18 million.The preferential ratefor rural schools is probably in jeopardy. Legislation regarding revenue sharing is beingdra~ted in Washington. In the meantime, wework under the current laws. ----------------------- Page 101----------------------- NEA - ALASKA (ALASKA EDUCATION ASSOCIATION) ROBERT VAN HOUTE AFFILIATED WITH THE NATIONAL EDUCATION ASSOCIATION EXECUTIVE SECRETARY ROBERT C. COOKSEY DEPUTY EXECUTIVE SECRETARY JUNEAU OFFICE 207 SEWARD BUILDING • JUNEAU, ALASKA 99801 • PHONE 586-3090 JAMES C. WRIGHT DEPUTY EXECUTiVE SECRETARY 204 CENTRAL BLDG. (PHONE 279·85441 ANCHORAGE, ALASKA 99501 Of~n \~Et! 1 t:; ~9'71rj DONALD L OlMSCHEID ,,,-0 ur Ll '.. I I 0 DEPUTY EXECUTiVE SECRETARY 127 'h MINNIE ST. IPHONE 456·4435) FAIRBANKS, ALASKA 99701 TO:Senator Lowell Thomas,Chairman Health,Welfare andEducation Committee Alaska State Senate FROM: Robert Van Houte, ExecutiveSecretary NEA-Alaska SUBJECT:PublicSchoolFoundation Program Legislation DATE: February 14,1973 Since' .there have been anumberof bills introduced which affect the presentPublicSchoolFoundationProgram, the following re- commendation is presentedin order to clarify NEA-Ala.d.Ka'sin- terest in andsupport of this very important m~~ter. ) 1. The present$19,250.00per instructicJlal unitamountshould bechanged to$20,500.00 in order to belp offset eiosion in the Ipurchasingpower ofthe. originalf:L;3ure since it wasestablish- edin 1970.Werealize $20,500.00 does not fully cover thein- flationaryfactor but feel it is a responsible requestinlight of yourother budgetary considerations. S"'B-11 /2. The cost-of-living concept in liB29should bewritten into your proposal in ordertoavoid erosion ofState support in the future. An attractive feature ofthis suggestionis the fact that State support wouldbereduced in the event the cost of living should drop. 3~ The five (5)and ten (10) percentarea differentials for central andnorthwest Alaskarespectively should be revised to more accurately reflect theactual cost ofoperating schoolsin those areas. This will beeven more importan-t withthe encour- agement oflocal and regional schooldistricts in the Unorgan- ized Borough. / 4 •.Wefurther feel that theconcept oflocal effort should be retained. Thepresent formulaprovides for a minimumof90% State support andvariesupto almost100% forthosecommuni- ties which have little or no tax base. We strongly encourage )local control ofschoolsand feel that some sort of local sup- port strengthens that philosophy. ----------------------- Page 102----------------------- 5.The $20,500.00 per instructional unit would offset the financial lossesto districts under the Mini874 provisions and also the10% requiredlocal effort, if the local sup- port requirement is abolished. I 6.We supportlegislation to correct thetechnical problems in fundingthe 50% concept of schoolconstruction reimburse~ mente 7.If schooltransportation is to be fundedas in SB 91 then we proposetwo amendments. a.That no schooldistrict with pupil-miles. equalto 72-73 will receive less money for 1973-74. b.That the cost ofliving formula for the Foundation Program would be appliedto the district transportation funds on a district basis. We appreciate your continuedsupport of education and this important fundingmeasurein particular.Our officestands )readyto assist youin any way possiblein the adoption of the aboveproposal. cc: Health,Welfareand Education Committee Members ) ----------------------- Page 103----------------------- ----------------------- Page 104----------------------- Eliason BYTHE HE~'\.LT7-I~. EDUCATIOn AND EOUSESOCIALSERVICE3COMMITTEE CS FOR HO'0SEBILLNO. 29 I!J THE LEGISLA1'UREOFl'HESTATE OF;'\L1\SICA EIGHT::-f LEGI3LA~:PUHE FIEST SESSION A BILL ,I ;; For an.rict entitled: H 1\n Act.relat;ing to the com.putat;lon and allocation of state aid under the public school foundationprogram; 3nd providing for an effective date. H 1:~ ;: Bi:; IT ENACTEDBY rr:IELEGISLA..TURE OP 'J.1r!E STAYS OFAL1'~SXA: '; !I* Section 1. AS14.17 .. 021(a) 13::lmended to read: II ij h II(a) :.rhB-anOlxnt of state aid for 'Hh1cn eachscbooldistrict -::l3.Y :j H L!!qual1fy 1s calculated by multiplying the basic needas defi~ed in (b) q Ii ;1 - ;1 of this3ection by the equalized percentageasdefined in (e)of this \i ) iiSec.2. AS 1~.17.021 is amendedby addjnga new sUbsectionto read: (d)ll'the Y3.1ue of the ba:3e instrnctional unit allotment 3h:.ll be' '. ,; :;i:lnual r~~f'erence to the nest the Consum&rPrlce Ind~x ror the AnchorageNetropo11tan Are~ det~rmlned by th'e United S~~.:l.tes Departmentof Labor,Bureau. of· Labol-- Statisf;ic5 ....... The adjusted value of the instructional unit for each3ucceeding i~i3cal yearshall be in th.~ S3.l'1leratio to the 1970 value of the basein3truc- i : ~tional unitasthe nost recentConsumer Price Index is to the October, 1970:figure. ",) AS14.17.051 1s repealed and re-enacted to read: * Sec...). ) <" ·1'1 1"7 ~ 5'"'INS7RUCTION.AL UNIT ALLOTNENT .. (a)T~e wee.<-f. J .. U..... tional unitallotment for each schooldi:3trict 13 asf'ollo:'fs: (1)if theschool district13 in thatpartofthe • lying t'/ithinthe bounnariesof' election district 1>1, orG, ----------------------- Page 105----------------------- district shall receive thebase instructional unit allotment; (2)l:f theschool district is ia that partof the state· 2 or 9, the dl$trictI sball receive 103.8 per cent; of the ban~ a.llotment; (3)if the school distrl ct i~3in that partof the state I lyIng the boundaries of election districtI the dif;trictshall receive 107.5 per centof the base allotment; I i if the school district is in that partof the stateI lying withinthe boundaries of election district 10 or11. the district of" th.ebase allotment; I (5)· if the school d'istrict is in that part of the state i .I lying 1;:[ithin the boundariesof' election district 6or15 (nenanaon17) ,f I I d1strlct shall receive 115.3 per cent of the I 1 (6)if the school district. is in that part of the state I l I lyingofelection distrIct 5-Wor12, the d13- I i Bh~ll receive120 per cc-!ntof the base a.l1ot~nent; 1 I (7)if the E1chool di3trict :5.sin t:hat part of the st'lte i I i lying \,lithin the bound-al~ie5 of elE::ctio:n di3t~ict 13, the di:3tri~t. shalll rlS'c~-:;ive 124. 7cent of the base al1ctment; I if thd 3C:loo1 di.atrictis in thatP.';!r't of the state , I of election district 13 or15 I . . ! ~1't::ln-:)n'"l)the dl!:rtrict~hal1 receive 129~ If per cent of the baSe allot--4- 1 . J 1 '"' ..... "-'" ~"-~ ,. ~ I 1 f (9)if the school di3trict inin that.part of thestate f lying 1..11thin the bonnd·:>.ries of el~ction district17, the district shal.ll j f cent of the base allotoent; and~ i (10) ir th0 school district is in that part of the stata i I ! ! lyin~~ 1:'fithln thebou"!lGarie3 of election d1strict 111 ~ 16-H,or19, the f d13trict sh~ll receive139.3 pe~ cent of the baseallotment. t i C3H3 29· • -2- I • I ----------------------- Page 106----------------------- I l i I I I 1 It ''') p II 1 I!(b)Theelection districts usedin (a) of this section are those " IJ Ii 2ji designated by the Procla:a3.tionof ReapportionmentandRedlztrictlng of I· J I!Dece::nber 7, 1961, and :t~et3.ined for the house of representativesby q II 4!I procla~ation of the governor September 3, 1965. ;1 5 j!~~ Sec.. 4..AS lIt .17.056 is amended to read: !! H 1 6HSec. I J.17.056. BASEINSTRUCTIONALUNIT..tJ.'habase instructional ij II 71! unit is ~;~O ~ 300 [;~19 > 250] .. ~ i 811,.Sec.5.This Act takes eff'ect July1> 1973. 9!I II Ii n ,J II 11. : j Ii li ) I 'iif. I 1 j ~t , i I I I i' I f I • I I ----------------------- Page 107----------------------- HEALTH,EDUCATION,AND SOCIAL SERVICESCOMMITTEEMEETING February22, 1973 -- Thursday 1:30 p.m. Present: SenatorsThomas,Croft, and Hensley SB 43Dr. Rodman Wilson,Alaska State Medical Association, askedabout the currentstatus of SB 43. SenatorThomas said the Committeewas waitingto hear from the groups concerned. We have heard from the Commissioner of Health and Social Services. Dr. Wilsonsaid the Associationwas in general agree~ ment with the rewriting. The Commissioner rewrote the definition ofconsumer,and the Association rewrote it ) in a positiveway.No memberof the CHAC shouldrepre- sent a particulargroup or association. The Commissioner should not be the chairmanof the council whichadvises him. The councildoesn't do anything;if the chairman were not a government person,perhaps morecould be accomplished. The bill providesfor alternating the chairmanship and vice-chairmanship betweena provider and a consumer. Dr. Carolyn Brownsuggestedthat the Councilshould be able to choose the chairman,and if the Commissioneris chosen, it should be okay. Dr. Wilsonsaid that the compositionof the membership is more importantthan the chairmanship,and the Asso- ciation would trade one. ----------------------- Page 108----------------------- 2 SB 43 Senator Hensley askedwhat wasthe Nixon position on con't Hill-Burton money. Dr. Wilsonsaid therewouldbe no moremoneyafter July 1, 1973. Bob Ogden,ExecutiVe Secreta~y, AlaskaState Medical Association, said that the Nixonadministrationis stressing the importance of planning councils,and will not reducemoneyfor thesecouncilsacrossthe country. Dr. Wilsonsaid it was questionable whethera member of the boardof trustees of a hospital was a provider or a consumer. Mental Dr. Ray Langdon, LangdonCl'iJ1.ic,said,regarding mental Health health,thatlast year wasthe first timea welfare re- cipientcouldsee a psychiatrist. It was made possible throughleft-over money.TheCommissioner says, according to Dr. Langdon,he wouldnot ask for mental healthto be added to Medicaid. The Department is evidently not planningto do anything for mentalhealth outsideof hospitals. Drug Senato"r Be;nsJ~:ey a~~k;~~~Q.}_cwh~Cl:t} I''f?d\ the ASMA' s po sition on Abuse drug abuse treatment. Dr.Wolf said he hadseen about300 peoplecome through theLangdonClinic. Mostof them had beenin the State for five yearsor more. There has beenthe question of whether rne:tha.d:Ql).~~ should be administered throughmeth- adone clinics or through a generalhospital. ----------------------- Page 109----------------------- 3 Drug Abuse Dr. Wolf added that it would be good to set up con't a clinic as a satellite of a general hospital for this purpose. Senator Croft asked if a $500,000 appropriation would stop drugs at the border. Dr. Wolf said that the wrong borders are being discussed. Dr. Wilson said that it was impossible to police all of Alaska's borders. Dr. Wolf said that the most widely used means of getting drugs into the State is by air cargo or 1st class mail. Dr. Brown pointed out that everyoneis avoiding asking the most important question-- why do people take drugs. SB 125 Senator Thomas asked the doctors' opinion about SB 125, relating to abortions. Dr. Wilson made two points: (1) The price could come down if abortions were done in a doctor's office. (2) How appropriate is it for the State to regulatethe practice of medicine, and why single out this one issue? Dr. Brown said that 25% of the abortions done in this State are performed on women under 19.She is in favor of maintaining some standards. ----------------------- Page 110----------------------- 4 SB 125 Senator Croft said that there probably were similar con't statistics for other problems, which are regulated by the Medical PracticesBoard. Dr. Joseph Johnson, President ASMA, said that some regulationsare practical,and that the doctors in this State need sufficient experience with the problem. Dr. Brown said that she was sure the Committee would ask women who have had abortionsto testify before they make up their minds. Mr. Ogden queptioned whether the Board could set up standards. ) Senator Croft said that in New York during the first trimester of pregnancy, it is not required that an abortion be performed in a hospital. Dr. Wilson said that doctors in Alaska were getting better and better at performing abortions,and an abortion in Alaska is the cheapest in the country. Certificate Senator Croft asked their opinion of the certificate of Need of need legislation. Dr. Wilson said that they were opposed to such legis- lation because it would stifle initiative and imagina- tion. In almost every case there will be one anyway because Federalfunds cannot be collected withoutone. Dr. Wilson asked the Committee not to forget about ----------------------- Page 111----------------------- 5 Family theneed for moremoneyfor Family Planning Planning SB 88 Senator Thomas said thathe hadintroduced a bill appropriating$2500for the Health Information Services. ) ----------------------- Page 112----------------------- HEALTH~ EDUCATION; AND SOCIAL SKRYJ:CE.S CO.lJl!YlITTEE ~EETING February 23,1973 Friday 8:30 a.m. Present: SenatorsThomas, Croft, and Sackett SB 122 Ed Frye from Clear testified about the proposed legislation regarding State-Operated Schools.He said he had no objection to "draft #5" from SOS but he did object to SB 122. Some feel that it would be good to go ahead with twelveregions. Senator Thomas said that the bill providesfor district boards,which can give as much power to local boardsas they wish. ) Mr. Frye said that there would be advisorylocal boards underSB 122. The Departmentof Education will make the decisions. Change should not happen overnight,but there should be a limit of five years. Senator Thomas asked if the Tri-valleyarea would be ready now. Mr. Frye said yes. Senator Croft asked about the suit with the Department of Education. Mr. Frye said that last year they wanted a full high school program. The SOS Board approvedthe 9th grade last year, so they will have the 9th grade this year, the 10th next, and the 11th and 12th the next year.The State Board passed the proposal. ----------------------- Page 113----------------------- 2 SB 122 In May the peopleweretold thatthe Department of con't Education decision would be rescinded, and they wouldget justthe 10th grade. Planninghas been done for the 11th and12th grades. The peoplewere given no reasonfor the decision. SenatorThomascommented that the problemwas the NenanaHigh School,because children were, bused up to Nenana. Mr. Frye said thatthe 1970censusshows the same population in Andersonas in Nenana. SB 102 Jim McClain'.fromthe'Department'of Health and, Social Serv~ces said that he agreedwith the concept of the ) bill. "Psychological associate" might notbe the best term to use. He calledattention to the two-yearresidency requirement on pagetwo.He said the mentalhealthstaff in the Department feel the bill is generally in agreementwiththeir personnel policies. Chuck Gib~ort, Senator Sackett's aide, said thatthe bill was originally from Genie Chanceand FrankGold. Thereis a need to register psycho16gistswith MA degrees. The Board wouldestablish standards, and one would be recognized by the Board. The bill is an attemptto establish professionalstandards and guidelines. Dr. Aaron Wolf,LangdonCl~nic, said that he felt ----------------------- Page 114----------------------- 3 SB 102we should "wait and see." The graduate level program con't in Alaska is very new. Senator Sackett said that the graduates are just employed by firms. Dr. Wolf said they can't call themselves licensed psychologists. Senator Thomas asked what the position of the Board was. Dr. Wolf said that two want to wait and see, Al Parker and one other. Senator Croft said that he understooda majorityof ) the Board supported the bill.Al Parkerand Marie Doyle were the only ones who did not. Dr. Wolf said theMAlevel courses don't give enough breadth.One needs a PhDDRegarding jobs, many people with an MA in psychology are up against those with MSWs. SB 149 Senator Sackett said that he introduced the bill on request on the Enep'ut Foundation,a day care center in Fairbanks. Mr. McClainsaid that the statute is not broad enough to include day care.Day care suffered greatly at the loss of Titles IV and XVI.He was concerned about how much it would cost.A quick estimate,he said, is $.5 million. ----------------------- Page 115----------------------- 4 SB 149 Senator Sackett asked how many centers and how many con't children would be affected. Roger Lange~ Comptrollerfo~ the Departmentof Health and Social Services, said that day care is provided for 242 children,178 full time and 64 half time, in 30 licensedday care centers. In Southeast,$.75 an hour is paid, and $.80 per hour is paid in other parts of the State.He estimated that full cost of care would be $22.75 per full day and $11 per half day.He took these figures from proposalsfor Title IV grants. Mr. McOlainsaid there was no question from the De- partment that it was a good thing. Senator Croft moved and asked unanimousconsent that the Committee send the bill on to the Finance Com- mittee.There was no objection,and it was so ordered. SB 35Gordon Evans from Blue Cross said that coverage for treatmentof alcoholism wouldcost 20 cents per person per month, and 20 cents per month for the spouse.It will cost $15,000 per year for State employees. The bill would require that the benefit be made availableif people wanted it.A proposed amendment would providefor uniformityof licensing standards betweenfacilities in Alaska and Outside. He had not yet sent a copy to Mr. Keating. Senator Croft said that the critical part is in- ----------------------- Page 116----------------------- 5 SB 35 patient treatment~ and he didn'tsee any problemwith con't the definition of "facility." Mr. Evanssaid he wantedto makesure that they're qualified places. SenatorThomasasked if the proposed definition would exclude some facilities in Juneau,Anchorage~ and Fairbanks.Thereis a doctoron call in the Juneau program, and it is okay. Mr. Evanssaid thatapproximately 8000 peopleare coveredunder theState program. This includes some municipal employees. JohnO'Shea,Insurance Division, said that he had ) written to some of the majorcarriers,andsome are already providing such a service. It is somewhat akin to psychiatric treatment, and manycarrierstake a dim view. Hospital treatmentis alreadyincluded. He askedfor somelead time becausethereis no uniformity in the regulations of otherstates. SenatorThomassaid he wouldlike to spend moretime studyingthe bill andwould liketo talk with Mr.Keatingagain. ----------------------- Page 117----------------------- TheEnep'ut Foundation Box80452 College, Alaska 99701 February 5,1973 Mr.Lowell Thomas, Jr. Chairman, Health, Education andWelfare' State Senate State of Alaska Juneau, Alaska 99801 Dear Mr. Thomas A year and a half ago a groupofeducated youngpeople began a daycarecenter for chl1c.ren- of.:students and low-income families herein College. Westarted in November of1971 withfive children andsoomgrewtothe limit of twentyeightkidsestablished bythe state fire marshall. We continually have a large waiting list of families who would like to have their children enrolled hereat Enep·ut. During our first yearof oneration wegrewandlearned a lot about thecareoflarge groups of young children whoare forced by theextreme climate to remain indoorsmorethan halfthe year. Wealsoexperienced alf3:rge financialloss during ourfirst year ofbusiness--$20,000. lhis waseffset by several large donations. Weare a non-profitorganization, butwe cannot continue to depend onlarge donations to ensure ou~ survival.. the familieswhouseour facilities are mostly students ar the Universityof Alaska and/or low income families someof whom are enrolled inthe state AFDC andWInprograms.Thestate pays us only $5.00perday 'perchild while our operating expenses are $9.25 per ctild per day. ·We urgeyouto workforpassage'of any legislation that would help the survival of daycarecneters in AlasY.a, especially that 'fbi 11 which would- provide:Ufitll': cost" of care for children whoseparents areenrolled'instate programs •. If youhaveanyother sugfestions as to wherewemiphtbe able toobtain funding, plea~e advise us. Thank you. for your support and anyinform.8tion.youmight be able to provide us. . ...., . A ',:-. -;0 •.. ~. ./ '" ,_., l ".~ ",. 'j : .~J:;;";"'t_1:f 7" ...~-....• ,.... j~- '-'" .' . ....... ~ DermytS. Mehner Enen'ut Foundation ----------------------- Page 118----------------------- HEALTH, EDUCATION, AND SOCIALSERVICES COMMITTEEMEETING February28, 1973 -- Wednesday 8:30 a.m. Present: Senators Thomas,Croft, and Hensley SB 150Rick Garnett and Peter Partnow from the Attorney General'sOffice testified. Rick Garnett said that Sections3 and 5(a) give the Department of Education the powerto withdraw schools from State-Operated Schools. He suggested new language and alternativesfor Sections3, 4, and 5(a). Senator Thomassaid that we should make sure no ) Impact funds are lost until action is taken on the decentralization of SOS. Peter Partnow,looking at it as though there were no other legislation pending, said there are three interpretations! (1)The boroughtakes over the schools (a)if an area is no longer a base (b)if the Departmentof Education approves the operationof the school by the borough (2)SOS will run the schools (3)SOS will operatethe schools until the Departmentof Education decidesotherwise, whether on a base or not. ----------------------- Page 119----------------------- 2 SB 150 Senator Thomasaskedwhy notleaveSection5(a) con't as it is. Senator Croftsuggested waitingfor Senator Rader's comments. Mr. _Garnettmentioned theimportance of the time limit. Regarding thesuggested language changes, he saidthat"and" givestheDepartment of Education maximum discrimination,and"or" meansthat both conditions must exist. Senator Thomas said thathe wasopposedto giving theDepartment of Education the powerto makethis decision withoutthe Legislature. ) Mr.Garnettsuggested striking (2). Mr.Partnowsaidit wouldno longerpertain toan "adjoining borough"but wouldbe partof it. Mr.Garnettsaid that "or" maximized SQS'tenure. Senator Thomas had twoconcerns; (1) to protect Impactfunds (2) to preserve therightof the Legislature to makethesedecisions SenatorCroftsaid thathe wouldpassit out as it is to getit out.Thesituation will probablychange whenwe decidewhatto do aboutSOS. Senator Hensley said he didn't mind passingit out ----------------------- Page 120----------------------- 3 SB 150 as longas it goesto theFinance Committee. con't Senator Thomas askedif everyone was in favorof an amendment incorporating thechangessuggested by Mr.Garnettand Mr.Partnow. TheCommittee agreed to the amendment and to passing out the bill. ) ----------------------- Page 121----------------------- A MEND MEN T BY THE HEALTH,EDUCATION AND IN THE SENATESOCIALSERVICES COMMITTEE TO:CS FOR SENATEBILLNO. 150 Page1, strike outlines 25 - 28, inclusive, and insert: "A military reservation within an organized boroughis not part of the boroughschooldistrict until the military reservationstatus is terminated and, thereafter, untilinclusion in the borough school district is approvedby the Department of Education." Page2, line5, strike out"Unlessexer- n and strike outlines6- 9, inclusive, and insert: "A military reservation within an organized boroughis not part of ) the boroughschooldistrict until the military reservation status is terminated and, thereafter, untilinclusion in the borough schooldistrictis approvedby the Department of Education." Page2, strike outlines 13 - 17, inclusive, and insert: "Theboard of thestate-operated schools manages and controls schoolson military reservations located within an organizedborough until the military reservation statusis terminated and, thereafter, so longas management and control bythe state-operated schoolsis approved by the Department of Education." Page3, strikelines 1-2,inclusive, andinsert: *Sec; 7. "Notwithstanding provisions of this Act,all agreements between organized boroughs and the Department of Education for the operationof schoolson military reservations that weremade priorto the effectivedateof this Act remainin force." Page3, Add*Sec. 8- "This Act takeseffecton the day after its passage and approvalor on the day it becomeslaw withoutapproval."~fJfIl'1J ----------------------- Page 122----------------------- HEALTH, EDUCATION,AND SOCIAL SERVICESCOMMITTEE MEETING March 1,1973-- Thursday Present~Senators Thomas, Hensley,Croft, and Sackett. SB 154Ge·or~e'" E'~s1.~Y," ·Cbhirrii'sslone·r"ofPUb'iic Works, appeared to testify onthebill. Senator Hensley explained why heintroducedthebill andasked what doesit mean if theFire Code is being violatedin these schools. Commissioner Easley said that it wasbetweenState- OperatedSchools and theDepartment ofEducation. They areassuming their ownmaintenance.Twoyears ago, Public Works estimated$2 million plus tocor~ ) rect deficiencies.Itis approximately $2.6million now. Most of thedeficiencies involve minor struc- tural orelectrical changes. Thebuildingsshould meet the Fire Code. Mr.Mar·shaTl :from Alaska Btat·e....Op·eratedSehOG'ls was , < c ..... prese0t. Hesaid he hadbeenonthe job onlythree weeks andfelt at a disadvantage.Hethought the money tocorrect firedeficiencies hadbeenthrown outofthebudget.Hesaidtheonly choice wasto close schools orcorrect thedeficiencies.Hesaid hewould provide the membersof theCommitteewith information onspecific deficiencies. SB150 ~'_ Senator Thomas said that theCommissioner of Education hadnoproblem withtheproposedamendmentsonSB 150. ----------------------- Page 123----------------------- 2 SB 150Thelast one takescare of the situation in Kodiak. con't He askedthe Committee membersif theypreferred to makeindividual recommendations on this bill. SenatorsThomas.and Croftrecommended "do pass with attachedamendment" and Senator Hensley recommended referring the bill to theFinanceCommittee to review thefinancialimplications. SB 139NatCole, Department of Education, said thatthe bill provides thatthe State willgive backto a schooldistrict haveof the second prior year's moneyspentfor construction.Now the cigarette tax, Federal money, and State moneyare ,all deducted,and then that amountis dividedin half. The amountfor )FY73-74 is $12-13 million. In SB 114 the tobacco tax will be deducted. SB 170 SenatorThomassaid that regarding SenatorLewis' bill regarding recall of advisory schoolboard members, he would liketo wait untilafter the Department of Education and on-baseschoolpeople hadgot together. SB 171 SenatorSackettaskedif it wouldprovidemore methadone programs. SenatorThomassaid that it wouldprovidefor whatever drug abuse programs were appropriate. SenatorLewis said he hadstrong reservations but he wouldsupportit. ----------------------- Page 124----------------------- 3 SB 171 Senator Sackett askedif it wouldprovide for con't drugabuseeducation inschools. Senators Thomas and Hensley replied thatit would provide sucheducation on a state-wide basisas well as in localschools. Senator Croft moved to passthe bill out of committee. Therewas noobjection, and it wasso ordered. ) ----------------------- Page 125----------------------- HEALTH,EDUCATION, SOCIALSERVICES COMMITTEE MEETING March5, 1973 - Monday 8:30 a.m. Present: All members of thecommitteeexceptSenator Young. OtherspresentwereMr. Bill Overstreet, Lobbyist, Association of Alaska School Boards; Mr. Bob Cooksey, Lobbyist, NEA-Alaskai Mr.DuncanRead, Legislative Chairman of the Consortium on Early Childhood Educa- tioniand Mr. MelvinCharlie, Directorof the Satellite Mr. Van Houte) Tele-Communications Project. (Commissioner Lindand / Chairman Thomascalledthe meetingto orderand called uponMr. MelvinCharlieto testifyon SenateBill 165. CHARLIEMr. Charlie statedthe Satellite Tele-Commumcations SE 165 Projectwasstartedin 1971 witha ListerHill Founda- ) tionGrant and thedecisionwas madeto putin an educational programinvolving approximately 21 villages. He informed that federalOEO fundswouldbe cut off andSB 165 wasintroduced to continue the project. Senator Croft movedand askedunanimousconsent that SB 165 passout of committeewitha do pass recommenda- tion p and therebeing no objection, it wasso ordered. OVERSTREET Mr. Overstreet advisedthat the Association of Alaska SE 56 SchoolBoards'position was that SB 56 should be changed to provide for a longerprobationary period SB 50and elimination of the five year evaluation.He advised regarding SB 50 that he wouldsuggestit beamendedto deleteall of proposedparagraph fouroIt was his 3/5/73 ----------------------- Page 126----------------------- OVERSTREET position that most school districts in the next few ') SB 50 years are going to be forced to reduce their staffs andtheyshouldbeableto dismiss teachers based on the instructional needs, rather thandismissing/best tea- chersjustbecause of tenure. COOKSEY -- Mr.Cooksey testified thatthe National Association SCR38 and SB 50of Teachers' recommendation onSCR 38 wasthatthe StateBoard andDepartment of Education dealwith the teacher evaluation procedurethrough regulations. He further commented thattheassociationdid notsupport SB 50sincethechildren would get thebruntofreduc- ingstaff and he hada question as to whowould determine instructional needsof thedistrict and thequality of I') SB 56teachers.Asregards SB 56,Mr. Cooksey stated he / supported thebill~ position iri connection with a five yearreview, butfelt the samelogicshould applyto probationaryteachers -- theevaluation procedure should be given a trial periodto ascertain howmany evaluationstakeplace. that VANHOUTE Mr.Van Houterecommended/the committee take SB 56 no action on SB56 untilanevaluation process is developed. LIND--CommissionerMarshall Lindtestified thathe supported SCR38 SCR38 whichwould involve theDepartment in establishing SB 50a mandatory system of teacher evaluation. Hefurther informed thathe feltSB 50shouldbegivenmorestudy. 3/5/73 ----------------------- Page 127----------------------- LIND --CommissionerLind stated he favored a three year SB 56 probationaryperiodfor teachers,but did not favor a five year periodicreview where tenure rights are reviewed. OVERSTREET Mro Overstreetinformed that by definitionall certi- ficated peopleare teachersunder tenure law and any reductionin staff necessarywould include administrators. STIMSON SB 56 Mr. Terry Stimson, Directorof District One Education, said he opposed a three year probationaryperiod and recommendedthat the committee not act on the bill at the present time. AdjournmentThe meeting was adjourned at 9:55 a.m. 3/5/73 ----------------------- Page 128----------------------- HEALTH, EDUCATION,AND SOCIAL SERVICES COMMITTEE MEETING March 5, 1973 - Monday 2:15 p.mo Present:All members of the committee except Senators Sackett and Young.Others present were Mr. John O'Shea, Director, Division of Insurance;Mr. Gordon Evans, Attorney for Blue Cross Insurance Company; and Mr. John Keating, Coordinator,State Office of Alcoholism. SB 35 Chairman Thomas called the meeting to order and called upon Mr. Keating to comment on Mr. Gordon Evans' pro- posed amendments to SB 35. KEATING Mr. Keating objected to Mr. Evarn' proposal wherein it restricts treatment to 24-hour treatmentfacilities since most of the facilities in Alaska courd not work with that provision.He informed that there are only three facilities which could meet that definition-- one in Juneau, one in Fairbanks,and one in Anchorage o These three facilities would be in addition to hospitals, but he asserted that most hospitals are not properly equipped to treat alcoholism per se -- they generally just treat the medicalside effects.He stated that the there would be a minimal effect on/State group policy because most people require only out-patient treatment. However, he thought that eventually regulations should be drawn which would permit coverageof outpatient treatment. EVANSMr. Evans informed that the insurance cost would be 3/5/73 ----------------------- Page 129----------------------- EVANS approximately 20¢ a month per employee or~out SB 35 $15,000.a year as far as the State's programwas concerned. KEATING Mr. Keating,in responseto a query by Senator Hensley, said he wouldresearch the questionof whether or not the Public Health Servicewould be required to treat people for alcoholismunder SB 35. O'SHEAMr. O'Shea commentedthat most insurancecarriers whom he asked to commenton SB 35 indicatedthat they felt the legislationshould limit treatmentto hospitalsand not specialtreatmentcenters. He recommendedthat until it is determined that facilities other than hospitalsare okay, only treatmentin hos- ) pitals be covered. KEATING Mr. Keating stated that underSB 35 those receiving treatmentin hospitalswould only be treatedfor the side effects of alcoholismand then transferredto rehabilitation facilitiesfor treatmentof the disease of alcoholism. Adjournment The meeting was ~journed at2:50 p.m. 3/5/73 ----------------------- Page 130----------------------- HEALTH EDUCATION,AND SOCIAL SERVICESCOMMITTEE MEETING March8, 1973 - Thursday 8:40 a.m. Present:Senators Thomas, Sackett and Croft.Also present were Commissioner Fred McGinnis, Departmentof Health and Social Services; Mr. LawrenceSullivan, Director, Division of MedicalAssistance; and Mr. Ray Manning, Legislative AffairsAgency.Ms. Jeanette Pitcherella, Acting Coordinator,Office of ComprehensivePlanning, was also present. SB 88 and Before taking testimony from witnesses, Chairman SB 154 Thomas moved and asked unanimous consent that Senate Bill 88 (special appropriation,Alaska Health Sciences InformationCenter) and Senate Bill 154 (special appro- ) priation, State Operated Schools to correct fire inspection deficiences)be reportedout of committee with a do pass recommendation. There was no objection and it was so ordered. MCGINNISCommissionerMcGinnis informed that the definliion of SB 43 consumer could be found on page four of Ms. Pitcherella's letter.He further stated that the Feds take the posi- tion that a person who has been a provideror is married to a provider cannot be categorizedas a consumer, but is a provider.The Commissioner had no strong feeling on whether the bill should provide for 3 or 4 govern- ment members on the advisory council, but stated he felt there was no evidence that the commissioner as 3/8/73 ----------------------- Page 131----------------------- MCGINNIS chairman of the advisorycouncil had been harmful. SB 43 Under Federal law 51% of the advisory councilhave to be consumers. PITCHERELLA Ms. Pitcherella said the governmentalmembershipof SB 43 the councilshould consist of one from local govern- ment, one from state government,and one from federal government. The nongovernmentalmembershipwould be composed of eleven providersand thirteenconsumers, for a total membershipof 24. J).CGINNIS CommissionerMcGinnisadvised that if a vaaancy or SB 43consumer death occurred droppingthe/membershipof the council below the federally required5l~ any action of the council during such a periodcould be questioned. ) SACKETT Senator Sackett movedand asked unanimousconsent SB 43Committee Substitutefor that/SB 43 be reportedout of committee witha do pass recommendation. There was no objectionand it was so ordered. MCGINNIS-CommissionerMcGinnis recommendedthat SB 196 (relating SB 196 to medicalassistancefor needy persons)be passed since the additionalwordingnand intermediate"would make it possibleto get federal matchingfunds.The Commissionersaid if there were sufficient funds available the Departmentwould recommend~ding mental he and dentalservices to the bill, but/didn'tfeel such a recommendation was advisablethis year. SULLIVAN Mr. Sullivaninformed that intermediatenursinghomes SB 196 3/8/73 ----------------------- Page 132----------------------- SULLIVAN willhave to meet bothstate andfederalstandards. SB 196 SenatorThomas movedand askedunanimous consent that SB 196 be reportedout of committee with a do passrecommendation; therebeing no objection, it wasso ordered. section 21 of MANNINGMr. Manning recommended that/SB35 (requiring treat- SB 35 mentof alcoholism be included in group healthand disabilityinsurance plans)be left as originally drafted,but acceptchangeproposedby Mr. Gordon Evansto sectiontwo. SenatorThomas requested that Mr.Manningre-draft Senate Bill35. Dr.Krause testifying in supportof SB 156(relating to bilingual education) stated thatthe increased cost ) createdby SB 156 wouldnot be due to loweringthe minimumnumberof pupils (thus creatingmoreschools whichare eligible to participate in program), or hiringmoreteachers,but to building more schools; and thiswould dependon how manyschool boardsrequest a nativelanguageteacher. SenatorThomasstated SB 156 wouldbe hold for further consideration on a later date. Adjournment The meeting was adjournedat 9!36a.m. 3/8/73 ----------------------- Page 133----------------------- HEALTH, EDUCATION,AND SOCIAL SERVICES COMMITTEE MEETING March 17, 1973 - Saturday 8:45 a.m. All members of the committee except Senator Sackett were present. The committee agreed to pass out of the committee the following bills and resolutions: SB 64 do pass recommendation SB 208 do pass recommendation SB 170 Senator Thomas, do pass; Senators Croft and Hensley, no recommendation SCR 38 do pass recommendation The meeting was adjourned at 9:00 a.~: ) ----------------------- Page 134----------------------- HEALTH, EDUCATION,AND SOCIAL SERVICES COMMITTEE MEETING March 20, 1973 - Tuesday 8:35 a.m. Present:Senators Thomas, Croft and Sackett. HB 314 The committee unanimously agreed to report HB 314 (relating to medical assistancefor needy persons), which is identical to SB 196 (previously passed by the Senate) out of committee with a do pass recom- mendation. SB 102 The committee considered Senate Bill 102 (relating to the licensing of psychologistsand psychological associates) in view of receiving additional written testimony, and unanimously agreed to report it out ) of committee with a do pass recommendation. Those who have endorsed SB 102 are The Department of Health and Social Services; the Association of Psychologists; Dr. Koutsky, of the Alaska Psychiatric Institute,and Dr. Cliff Hunt of the BehavioralSciences Division, University of Alaska. SB 125 The committee also considered Senate Bill 125 (relating to abortions)and passed it out of committee with the following individual recommendations: Senator Thomas - no recommendation,a JUdiciary Committeedecision Senator Craft - do pass recommendation Senator Sackett - do pass recommendation Adjournment: The meeting was adjourned at 9:00 a.m. 3/20/73 ----------------------- Page 135----------------------- HEALTH,EDUCATION, AND SOCIALSERVICES COMMITTEE MEETING \March 21,1973 -- Wednesday J 8:45a.m. PresentwereSenatorsThomas, Croft,and Sackett. FrankEaton,OlderPersonsActionGroup,testified before the committee.The minimumpaymentfor Old AgeAssistance has been $250. Afterthe Federalgovernment takesoverOAA January1st, everyone will get only$130. The peoplewho need it the most aren'tgetting what they need. The minimum paymentneedsto be $350.Therehas beena Housebill introduced to provide for $350. The FosterGrandparent Programis in jeopardy. Thirty-two peoplehavebeen involved. Duringthe firstsix monthsof the program, there-has been a 93% attendance rate,five daysa week. The program has been a successful one. However,the ) $1.65 per houra personreceives is deducted from hisOAA payment. Many peoplewon'tbe able to affordthatdeduction. The Veterans Administration can disregard the longevity bonus forone year, but then musttakeit into consideration when providing benefits. The waiverforOAA was denied,and ended last Thursday. The longevity bonusis considered income for determining eligibility for foodstamps,too. Mr. Eatonemphasized "holding theline on $250." The meeting was adjourned at 9:15. ----------------------- Page 136----------------------- HESSCOMMITTEE MEETING March 22~ 1973 -- Thursday 9:00a.m. \ } Present:Senators Thomas, Croft, and Sackett HB255 Representative AndyWarwick testified on HB255. He said that theone change would clarify what was passed last year. Thebill affects about 100teachers acrosstheState.It willcost$100~000 from the teachers' retirement fundthis year,butit willcost lesseachyear. The actuariansare notoverly con- cerned aboutthecost. He suggested an amendment to make the effective date retroactiveto the1st of thisyearwhen the lawwent intoeffect. Thatwould makeit moreconsistentwith the intent of thebill. Senator Croft askedwhatwasthe problem withthe language being deleted. Representative Warwick said that it would clarify the intent of the bill. It mayentail a rateadjustment, but it wouldn't be much. Senator Thomasaskedif the members agreedto pass out thebill with thesuggested amendment. All present agreed. HB 277 Senator Thomas mentioned thatthis bill wouldbe of helpto Jamie Loveand hisproject in Anchorage. ) Marshall Lind, Commissionerof Education,said that the bill would begoodfor foreign study programs,for contracting with the University,andfor many other ----------------------- Page 137----------------------- 2 HB 277 programs.He stronglysupports the bill. It will be con't especially helpful for smalldistricts. It willopen up opportunities fordistricts totry newthings. Dan Turnerfrom Dillingham supports the bill. It wouldmakeit financially feasible for smallschools to offer special courses,suchas aviation.It should not cost any moremoney. Commissioner Lindadded thatdistricts will have to negotiatewithproviders of the educational services. It would not increase the numberof instructional units to whicha districtis entitled. SenatorThomasaskedif the members agreedto pass )the bill out of committee.All presentagreed. The meetingwas adjourned at 9:20 a.m. ----------------------- Page 138----------------------- HEALTH,EDUCATION, AND SOCIALSERVICES COMMITTEEMEETING March23, 1973-- Friday 9 : 00 a.m. Present:SenatorsThomas, Croft,and Sackett SB 213 Bill Overstreet,. Ass'o'ciatitJno'f AlaskaSchoolBoards, said thatnearlyeveryoneendorses and supports the bill,including schooldistricts, the JC's, Native associations, the National SchoolBoard Association, and the StateSchoolBoardAssociation.This bill is the biggestbargain in government. A district must havea planacceptable to the Department of Education in order to receive a grant. Marshall Lind,Cbmmissionerbf Education, supported ) the bill. SenatorCroftmovedthat the bill besent to the FinanceCommittee witha unanimous "do pass"recom- mendation. Therebeingno objection, it was so ordered. Mr. Overstreet commented thatthe Anchorage REFOCUS had recommended the concept. A similar bill is still in the HouseFinanceCommittee; the onlyopposition is to the $375,000. HCR63Representative LavellWilsontestified on his reso- lution. He presented to the Committee a written statement detailing why Delta Junction needs addi- tionalfacilities in its highschool. He said that it seemsthat the mainobjection tothe resolution ..3/~31'1 ----------------------- Page 139----------------------- 2 , HCR 63 is thatit is "robbing Peter to payPaul." However, con't he noted,thebond proposal did notspecify the locations. Senator Thomas askedthe Commissioner aboutthe statusof thetwelvedesignated areas. Commissioner Lindsaid thateight projects will be started this summer, and planning has beendonefor eightor nineareas. Thisis the first timethata bondissuepassedin November and the projects began the nextsummer. He said he knowstheneed at Delta, but hedidn'tthinkthe moneyshouldcomefrom this already-designated $16 million.He opposesthe ) resolution.TheDepartment is goingaheadwith planning for theothersites. He didn'tknowthe feasibility of DeltaJunction starting this summer if money wereavailable. Senator Sackett requested thatthe resolution be discussed thenext day. Senator Thomasagreed, and said thatthe tenurebills wouldbe helduntillater,also. Senator Croftasked whichprojects willnot start thissummer. Commissioner LindnamedKipnuk,Kwethluk, St. Lawrence Island, Nunapitchuk, and NelsonIsland. He saidthat planning andsite acquisition will go ahead. Usually ----------------------- Page 140----------------------- 3 HCR 63 there is a 36 month time period from passing of a con't bond issue to completion. There is no high school facility in nearly every location on the list of twelve sites.If $1.5 million comes out for Delta Junction,Commissioner Lind felt that the Committee should also recommend which location will not get its school. Senator Croft mentioned the bill to correct fire deficienciesin State-operatedschools, and said that the bill, requiring$2 million, probably won't come out of Finance.There are 143 communities which don't have any school at all. It is a question of priorities. )Senator Thomas asked what effect a merger or contrac- tual arrangement between Ft. Greeley and Delta Junction would have on this problem. CommissionerLind replied that it would not help. New money is needed for Delta Junction. SB 225 By unanimous agreement of the Committee,SB 225 was passed out of the Committee. ----------------------- Page 141----------------------- HEALTH,EDUCATION, AND SOCIALSERVICES COMMITTEE MEETING March24, 1973-- Saturday "\ J 9:00 a.m. Present:Senators Thomas,Croft,and Sackett. C8HB181am Stuart Hall,. Legislat"iVeAffairs Agency,explained the changes the bill wouldmake: (1)Therewould bea policycommittee, rather than a selection committee. (2)Membersappointed by theGovernorwould serve at his pleasure. The committee's name is changed throughout. The committee was not to be subject to theAdministra~ tiveProcedures Act becausethechairmanof the subcommittee for HigherEducation, Ed Merdes, thought it would be too cumbersome forthis com- mittee. As long as the students get a summary,it is sufficient. Senator Croft thought the APA shouldapply. Mr. Hallsaid thatSection6 was a matter of clarifi- cation. The changein Section7 was because students at Sheldon Jackson paid lessin fees thanstudents at the community college in Sitka. The new language in Section 8 provides for a fiscalcommittee.The changein Section 9 clarifies language. In Section 10 "non-public sources"is moreclearlydefined. RepresentativeBeirnesaid that"tuition, fees, room and board" should notbe includedin "non-public ----------------------- Page 142----------------------- 3 CSHB 181am than the grantitself is worth.Section 16 defines con't a consortium. Add betweenlines 28 and 29 a technical amendment,to change the name of the committee. SenatorSackett asked about reducing 22.5% to 20%. Mr. Hall said that the figure was a compromiseone. SenatorGroh had felt that 15% was right to Sheldon Jackson becauseit is a small school. CSHB 180Mr. Hall said that under this bill the Commissionis (Finance)am authorizedto appoint an executiveofficer and staff as it feels are appropriate. There is a question about the legislatorson the Commission. The Finance Committeereduced the number of public membersto includetwo legislators. Legislators should be added to the Commission,which would raise the membership to 13.The State must have such a Commissionin order to receive Federal planning money,especially for vooationaland technical courses. In the past, the directorsof the higher educationalinstitutions have gotten togetheronly as the result of crisis or on a whim.This will be the first voice communitycolleges will have had.The fiscal note for the House Finance Committeeincludes three positions. The Tuition Grant Programwould come under the Commission. Charles Ferguson,UniVers'ity of Alaska, said that the U of A would support the bill but that they have several concerns about the version which was passed by the House. He ~as particularly concernedabout ----------------------- Page 143----------------------- 4 CSHB 180the language on page 4 (b) (1) which says that the (Finance)am -\ ) con'tCommission "shall" assist in the development of a comprehensive coordinated plan. Senators Croft and Thomas suggested changing "coor- dinated" to "coordinating"on page 4, line 29. Mr. Ferguson said that he favored five at-large or lay representatives. Mr. Hall said that there was a problem with having all the members confirmed by the Legislature because at least two~ and perhaps three, members would already have been confirmed.He said that members should serve at the pleasure of whoever has appointed them. He suggested an amendment on page 3~ to line 2 (b). Senator Thomas asked if there were any objections to the amendment.There were none, and it was adopted. Mr. Hall said that no interest group had been left out in the drafting of this legislation. Senator Thomas, with the concurrenceof the members, held both the bills until the Committee could meet again. ----------------------- Page 144----------------------- HEALTH, EDUCATION, AND SOCIAL SERVICES COMMITTEE MEETING March 29, 1973 - Thursday 8:40 a.m. Present: Senators Thomas, Croft and Hensley.Others present were Representatives Fritz, Specking, Haugen, and Dr. Roy Box, an optometrist practicingin Juneau. Chairman Thomas called the meeting to order and called upon Representative Ernie Haugen to comment on CSHB 42 (Fin.) amended. HAUGEN - RepresentativeHaugen stated that the original request CSHB 42 ~ended for each community owned hospital was for $25,000, but sometime thereafter the formula of $1,000 per bed was developed.He advised that the Alaska State Hospital Association, The Alaska State Medical Association,and )the Department of Health and Social Services all fully supported CSHB 42 (Fin.) amended (revenue sharing for hospitals and health facilities).CSHB 42 amended will cost approximately $300,000 and it specifies in the definition of hospitalthat the Department of Health and Social Services determines what constitutes a general hospital. FRITZ -RepresentativeMilo Fritz said that passage of CSHB 33 CSHB 33 amendedamended is needed so that a board can be established for the licensing of dispensing opticians.At the present time anybody can legally advertize himself as an optician and with a prescriptionmake artificlil eyes and fit con- tact lenses.The bil~ through establishmentof a boar~ 3/29/73 ----------------------- Page 145----------------------- 'r \ FRITZ - setsup basic educational,professional and technical CSHB 33 amendedrequirements for opticians,and thereby protects the public against amateurs.Representative Fritz further informed thatthere is presently no control overwho canfillcontact lenses andeyeglasses prescriptions. Also, the bill requiresno funding. BOX- Dr.Boxcommented thatthe optometrylaw implies that CSHB 33 amended people,suchas opticians,whofit contact lenses cannot doso without a license (an optometric license), however, theAttorney General refused to prosecute. (Dr. Box readanexcerpt froma letter and presented proposed amendmen~to thebill-- both of theseareattached.) Dr.Boxstated he couldonlysupport CSHB 33 amended ) withhisamendments making it illegal for opticiansto fit contact lenses, since professional judgments were required in thefitting of contact lenses, andopticians arenot trained or qualified to makesuchjudgments. FRITZ - Representative Fritz testified thathe wanted the bill CSHB33 amended left the waythe committee received it since it now provides thatopticians areto be under the general supervisionof a licensed optometristor opthamalogist. He stated the bill would upgrade opticians, butwould notgivethemanything they don'talready have -- they cannot diagnose; theycanonlyfill prescriptions.~ """'" GIIltA~ CSHB33 am By unanimous consent thecommittee passed CSHB33 am~and and CSHB42 am CSHB42 am outwitha do passrecommendation. AdjournmentMeeting adjourned at 9:32 a.m.,reconvened at1:50 p.m., and then adjourned at 2:17p.m. 3/29/73 ----------------------- Page 146----------------------- PHONE 586 :2 13~ OR 586 25U! DR. ROY A~ BOX andDR. GILBERT H. KEMP OPTOMETRISTS 61 1 WiLLOUGHBY A VO'.JUE j\Y--JEAU AL/~SKA 9980 i' -3- Page7, line 29 is probably the mostimportant sentence in th~ entire legislation.and would allow a layman toassumeprofessional responsibility for whichhe is not trained. Thereis no requirement to showcompetency underthisact to fit contactlenses. Coursesgiven bycontactlens companies do not provide adequatetraining in this fieldand usually are a salestype of program. The fitting of contattlensesrequires a high degreeof professional skill andknowledge whichin my opinioncan not be learned by the apprenticeship method. If you will examine the previous testimony presented to the Healthand Welfare Corrnnittee concerning the fitting of contactlensesit is considered to bea mechanicalprocessby theopticianthe sameas assembling a pairof glassesis a mechanical process. Anytime a personwhoattempts to adapta foreignbodyto the tissuesuchas'thecornea which has a highly complexand sensative:system of metabol.ism considersthisa mechanical processthereis demonstrated lackof appreciation for the function of this tissueand certainly a lack of sophistication inthe approachto the problem. The problem of who shallfit contact lensesis furthercomplicated by a relatively complex formof contactlensfittingcalledOrthoKaratology.This is a rapidly )developing field wherein a seriesof contact lensesare fit overa period of timeto reducerefractive errors. The practioner who fitscontact.lenses to purposely changetheshape of the anterior segmentof the eye,the cornea, mustbe a welltrainedhighlyskilled individual. Do theopticians intend to engage in thisfieldof con~act lens fitting if this bill is passedas it is presently writteri. If this legislation were rewritten to eliminate someof discrepancies so thatwho may and may nottake the examination for opticianary and the requirementsfor examination were specifically stated so thatthereis no opportunity by the Boardof Opticianary to decide whois and whois not qualified to take the examination, and; if the grandfather clause were written so that the persons grahtedlicensure underthe grandfather rights hadat leastthe same qualificationsas the person applyingfor licensure then it approaches a point whereit would be acceptable to the profession of optometry.Thislegislation certainly is also not acceptable if the opticians with no academic trainingor background in thefeildof health care is allowedto engagein the art andscienceof contactlensfitting because he considers a contact lens a highlyvaluablepieceof meichandi~e. Whenlicensure is grantedto barbers, beauticians, etc.they must meetspecific academic ·requirements and theirtraining is uniformthrough out the nationas is the training for .the ~ajor health care professions. Thislegislation does not require any uniformity of training which in my opinion is vitally necessary if the Stateis goingto licenseopticians \ ,as a gr~up of people. No other profession or licensed vocatiqn presently hasthis latitude in our State. *If the grandfather rightclauseis held iri its presentformI could applyforlicense? Afterall I have pastexperience in yourofficeand. we havea lab. Gayle Bodda3/:).,Q/13 t.JE~S·~ ----------------------- Page 147----------------------- , > ~ I The ALASKA OPTOMETRICASSOCIATION ) " ......ILI"TED WITH AMERICAN OPTOMETRIC AS.OCIATION i ProposedAmmendments For HB No. 33 Submitted by the Alaska Optometric Association Page3, line 6 delete following: Contactlenstechnology, Page8, line25 add period 'after humaney~ delete remainderof line Page8, line 26 throughline 29 delete Page9, lineland 2delete Page8, line25after above deletion add: Thisact shall not be interpreted to allow the fitting of contactlenses by anyone otherthan an optometristor physician. ) ~ .7~~{~~~~..~y{~1~· 1 , ----------------------- Page 148----------------------- A MEN D MEN T ) Offeredin theSENATE By H(~al th I Education· and Social Services Commjttee To: SENATE BILL NO. cs HOUSE BILL NO.33 .Af·IENDMENT :Page 3Line14'~J. q Dente items"(1) through (4) ,.a:ldrenumber accordingly. ( \ ----------------------- Page 149----------------------- HEALTH, EDUCATION, AND SOCIAL SERVICES COMMITTEE MEETING March 31, 1973 - Saturday 10:00 a.m. Present:Senators Croft, Hensley and Thomas.Also present were RepresentativeMilo Fritz; Dr. Don Dafoe, Vice President for Public Service, Universityof Alaska; and Mr. Don Magnuson, Lobbyist for Alaska Retail Association. Chairman Thomas called the meeting to order for considerationof House Bill 161 (relating to eyeglass and sunglass lenses) and House Bill 216 (relating to separate statewideadminiaration,U of A). FRITZ -- RepresentativeFritz stated HB 161 would bring our HB 161 safety lenses and glass lefise~ into conformity with new federal regulations. HB 161 andThe committee unanimously voted to pass HB 161 and CSHB 151 CSHB 151 (Alaska Council on the Arts -- Grants for youth cultural activities)out of committee with do pass recommendations. DAFOE -- Dr. Don Dafoe testified in support of HB 216 (relating HB 216 to separate statewide administration,U of A). AdjournmentThe meeting was adjournedat 10:30 a.m. 3/31/73 ----------------------- Page 150----------------------- HEALTH, EDUCATION, ANDSOCIALSERVICES COMMITTEE MEETING ---\ / ( April1, 1973-- Sunday 1:00 p.m. Present:Senators Thomas, Hensley, Croft,andSackett. GSHB86 RepresentativeChance said thatthe bill allows the Boardof Nursing to hirea personwithout a BA degree as theirexecutive officer. RepresentativeBeirne said thatthe bill alsopro- videsfora nurseto become a sortof physician's assistant. Therewereno objections to passingthe bill out of Committee; it was so ordered. ) CSHB128 RepresentativeBeirne explained the bill. It defines "group home" and allowsthe Department of Health and Social Services to make regulations especially for grouphomes. All licenses willbe issuedfora period of oneyear andthey mustthenbe renewed.A license maybe revokedat anytime without noticewhenthe "health orwell-being of children is in jeopardy." Otherwise the Department mustgive30 (instead of 90) days'notice. Therewereno objections to passing the bill out of Committee; it was so ordered. HB 70amRepresentativeChance said thatthe bill hadbeen worked on for two yearsby theJuneauBar Association ----------------------- Page 151----------------------- 2 HB 70amand theadoptions people. It is endorsedby the con't American Bar Association and by the Department of HealthandSocialServices. A position paper by the Department is attached. BarryJacksonpresented an amendment which wouldallow an adopted child to inherit from hisnaturalparents. Senator Croftsaid thathe wouldreally like to get to thisbill thisyear. He thoughtMr.Jackson's pointwas a very goodone and wouldliketo see it considered. RepresentativeBeirnesaidthat the billstill allows for private adoptions, butit says "a person" should lookover the home. ) RepresentativeChancesaid thatthe Department approves of the bill andit has beenstudied bya numberof groups aroundthe State. Senator Croft movedto passthe bill andMr. Jackson's amendment outof the Committee. Therewereno objec- tions, and it wasso ordered. HCR79The members of the Committee ag~eed to passout of Committee HCR79. ----------------------- Page 152----------------------- POSITION PAPER RELATIVETO HOUSE BILL 70 The Departmentis in favor of House Bill70 becauseit is comprehensive, pertinent, and speaks to ,the needs of children. House Bill 70 is based on a revised uniform adoption act drafted by the National Conference of Corrnnissioners on uniform state laws. It also received approvalof the American Bar Association. Several sections of this bill attempt to deal with the so-called '~lack market"operationsin children. While the bill does not prohibit private placementof children,it attemptsto discourage black market adoptions and cavalier planning when a child's future life is at stake. Section 20.15.100established the procedure for investigations. In private placements, the first opportunity to secure knowledge of the existence 'of the child mayarise as a result of the adoption petition.The assumption : of this section is that the court is entitled to the"expert'I judgementof ., the placementagency or ,other official making the investigation.It speaks to fue rights of the child to have an obj ective opinion that related to his future welfare. )Only 'one-seventh of the total numberof adoptions in Alaska areagency related. In other states, the reverse is true because they have statutes that offer some safeguardsto the placementof children. The total number of completed adoptions in 1970 in Alaska was742.Of this number,only 106 werethrough the aegis of an agency. (For 1971 a total of 733 adoptions werecompleted.) 'Breakdown by Court All Cases Agency Cases Juneau 49 7 Ketchikan 34 4 Anchorage466 64 Fairbanks 15227 Nome ':-414 742106 Of the 742, 321 had a step-parent involved in adopting the child of their spouse. , This section of the bill is not concerned with this group but with the 315 cases that neither an agency or a step-parent were involved. The finalsections of the bill relate to subsidized adoption. (Section 20.15.190- 20.15.240), ----------------------- Page 153----------------------- -2- Subsidized adoption must be seen asan adoption case, not as· a case of· continued foster care.An evaluation of thefamily's capacity to be adoptive parentsis theessential first step. Consideration of the need forsubsidy should follow the evaluation, not precede it, and become the determining factor. Whoare someof thechildren in Alaska who could benefit bythe passage of thislaw? '~~'-" .. Two brothers, ages14 and 16 years , Native Alaskan and Caucasian, .......wholived in one home for the past five years. Yhrit godyrt mother. nolonger has a husband and she cannot afford to raise the children without financial help. But she would be willing to adopt them and they look on her as their mother. Aneight year old Caucasian girl. Hercentral nervoussystem was extensively damaged by a difficult birth. Thefirst two years of her life she was grossly neglected by immature parents. She was placed in her present foster. home whenshe was2-1/2 years old but she tested at the mental age of three months.Her foster mother became involved in an educational coursedealing with neu- rologically impaired children. BySeptember 1969, the child's vocabulary included several hundred wordsand she knew the lyrics } of 40 songs. Shecan spell many wordsand count to 50. Her speech is labored and stilted and she is on medication for the convulsions that she occasionally experiences.Therelationship between this little girl and her foster father is necessaryfor ., her survival.They would like to legally adopt her,but they have five biologicalchildren and a modestincome. Theyfear that by :."."'l...:, •adopting her, they would deprive her of advantagesof special schooling and tn1limi ted medical care. Society has assumed the responsibility for protecting children who lack families of their own. Manychildren have been legally and permanently separated from their biological parents for years. They face a bleak futureas they grow up in institutionsand agency boarding homes.They are stmject to the hazardsof multiple placements involving'new adjust- ments.and to feelings of rootless and beingdifferent. There would be no increased cost to theState, since the public findsare already availableand in use for foster care.There is also strong evi- dence that subsidized adoption would representsavings in community money nowspent to repair the damage children sustain when deprived of pennanent family ties. KS/amc ) ----------------------- Page 154----------------------- HEALTH, EDUCATION,AND SOCIALSERVICES COMMITTEEMEETING April6,1973 - Friday 1:35 p.m. Present:Senators, Croft,Harris, Hensley, Sackett and Thomas. Also present was RepresentativeHelenBeirne. Chairman Thomas calledthemeeting to order for con- sideration of SenateBill 256 (exclusionofcertain incomefrom the computationofstate old age assistance), and SB258 (administrationof theprogram ofaid for preschoolexceptional children). SB256SenatorCroftoffered anamendment to SenateBill 256 whichatline 17woulddelete"as a stipend by parti- cipation inafostergrandparent orsimilar program." andreplace with "in any manner." ) The committee byunanimousconsentvotedtoreport SB256 out ofcommittee with a dopass as amended, and it wassoordered. SB258Informationreceived onSenateBill 258 indicates '. "<~~ that it transfers funds from the DepartmentofHealth»", ;.. and SocialServices tothe Departmentof Education, if any funds are available. The DepartmentofHealth andSocial Services and the DepartmentofEducation supportthe bill,and there isno cost involved.* AdjournmentThe meeting was adjournedat 2:05 p.m. * SenateBill 258was, by unanimous consent,passedout of committee with a dopass recommendation. ) 4/6/73 ----------------------- Page 155----------------------- ) ----------------------- Page 156----------------------- S6Zlo~, sa IS-, sf>50, E.O.54, SqS.l :SS2fc4., SB2~ SB~71 se.R2 J -:SS2.74JSS215$5217 J E.. a ·~ •1). ~ Ell ~ eOlftV)\\Ssf£n?l- Lind J.\4W\mtt'C\ ~M ()~reet OVl.~Ob\ Bo4...dS) S'BzU, ~2<1.~1 $.2~4, SBzg~1 ~8.2lD5 '5'52105, J831O} i+"SSOf\ A\d·bl~ cLJatq1J c.ktiJ r.tre. ClPfDs-kr ~.~ 0~2 I SSzM,3 z/s- SB ale I '3B30S, ~a307 z/7 -:55505, ·~:lo~(J1J ~82"4/SB344J ~~5Z7J ~S31(j ) itsSqg H8SQ1> ~ssAi. t:ommiss~ f\;\eGt\N\~t ISS5Z.0 , (S'S4S),~2.5J} ~e2g"l SB2QQ J ':SS32.I, ~S32..tl ~I.t\ Jt.. Mbt· '-'I 'S~ t\ess ~: 1>R~~~ rtpt-f on pvt.k~ e1aA&tfin". t(~4f sckoJ ~blb1t$ 3&3241 S'B344,SB3Z1 SS>3S, Sf>39l, 'S5a64. '5574 ~ ItB441 SB2S1 1 1-ts2.~O I H-81l'Z, sszg~ I 'S62k7, HCR43, HB55~ 5(2)32.<;'I Hei<-43-AK Medi~ ~b;I;h:th'oVl, S8~ZJ)~815, ~S"305 1 SB~7 3/rz. .Sf> 215J Sf:>~1 (~S~u), $134"5 f"':)627£ 3/15 SSIS -0/14 "5B15 I 'SB4A-1, '5855:' I 'S845~, 'R14Y6J ScLtools 2,/11> '1<"'1"01 ~~Vl ~B2Zg )~12.0 3/2..2 I-tJR '7<& I l-\-J'RS4; l-\e.J(2-, HJRgecg I ~64~~, SB447)~ \+61"01. S64~, 5B2.cgg 3/2.4, Ru.ral ~V\ .3JZ:1 U87t,(} 4"" I HeR7, ~&4*17 ~12Z ~q1~e,4<}g, ~5 79" t\~ 1 4/15 $52$2,(,$ HS541 ~J 4/1~ C~H8 54l (lWl ----------------------- Page 159----------------------- ) ----------------------- Page 160----------------------- (/ I. HEALTH, EDUCATION,ANDSOCIALSERVICES COMMITTEE MEETING January 23,1974 9:00a.m. Present:Senators Thomas, Croft and Hensley GENERAL:Priorto meeting being called toorder,there was a general discussion.betweenSenators Thomas and Croftconcerningthe runaway children's billand drunkin public' bill. Richard Hackett, the Committee'sStaff Assistant, wasaskedto obtain current informationon these~roblems and present it to thecommittee. The meeting comme~ced with a general discussionof bills in committee from last sesslOllt with~enator Thomas askingthe·· members togo overthe ..list to see which onesshouldreceive immediate attention. SB 263 Senator Thomas'askedSenator Croftif there would bean appropriation bill to go with SB 263,and Senator Croftstated that hadnot be~n resolved as yetandthathe wouldha~e Ken Humphriesin Legis- lativeAffairs checkonit. SB 15& Senator Thomas.stated that Senator Harris hadcome SB 30 in priorto themeeting.--he was presentlyattending another committee meeting -- arid Senator Har~is had ----------------------- Page 161----------------------- indicated he would like to rliscuss SB 15 and SB 30 ) at a subsequent committee meeting.Senator Croft asked if SB 30 had not been indefinitely postponed at one of the committee meetings last year and requested the secretary to check on that. He also stated that he would have no objection if Senator Harris wished to bring the bill up before the committee again.(NOTE:Secretary found that on February 12, 1973, a motion was made and unanimously pa~sed to indefinitely postpone handling of SB 30.) EXECUTIVESenator Thomas informed the committee that Commis- ORDER NO. 34' sioner Lind would appear before the committee at a meeting on January 24 in Committee Room No.5at ) 9:00 a.m., to testify concerning Executive Order No. 34. He said he had talked briefly with Comm. Lind over the telephone, and that Commi~sioner Linddid not seem to have any objections to the transfer of the Museum to the Department of Education, that it seemed to be a good idea because of the educational aspects involved.Senator Thomas stated that unless someone had an objection, he would suggest taking no action on E.O. 34. He stated that ~f the committee did not take any action within 60 days, the order would automatically go into effect.Senator Thomas also remarked that if any of the members had any ) other questions to pose to Commissioner Lind, con- cerning other matters, they would be able to do so at tomorrow's meeting. ----------------------- Page 162----------------------- SOSSenator Hensley asked what resulted from the I hearing in Anchorage on SOSashe wasinWashington andnotable to attend the meeting. Senator Thomas said hehadbeen unable to attend thatmeetingalso,but thatthecommitteewould have a fullreport fromDr.Darnell,Center for NorthernEducational Research,about thefirst week in February. Healsostated that he felt the co~mittee's first task, after receivingthis report, would beto decide what action should be taken, but hedidnotseehowthecommitteecould be very effectiveinthisregard until thereport was received. Senator Thomas stated he felt thelargest ) issue inthecommitteeright now wasrural schools andSOSandhowtorestructure thatentity. SB264 Senator Thomas asked if SB264 had theGovernor's approvalandSenator Croft saidthat it did. SB265 Senator Croft asked if anyone knew whattheback- ground wason Senator Ray's bill, SB265. Senator Thomas asked theStaff Assistant tolalk toSenator Rayandobtain anybackgroundmaterial hemight have f6rthecommitteeon SB265. SB267 Senator Croft explainedthat he had, been requested byDr.Carol Brown to introduceth~s bill, and ----------------------- Page 163----------------------- suggested that the committee hold this bill for consideiation until such time as Dr. Brown could come to Juneau to testify.There was no objection. SCR 2 Senator Hensley referredto SCR 2 and asked if this had not been taken care of previously and Senator Croft stated that he understood it had been.Senator Thomas said he felt it was related to the longevit~ bonus. SB 274Senator Thomas explainedthat he had been requested to introduce SB 274, that it related to diseases in horses that are broughtin from out of State and ) then contaminateshorses already in Alaska.He suggested that the committee defer consideration of this bill until the interested parties could appear before the committee to testify.Senato~ Croftsuggested that some of the guides might be interestedin testify- ing on this bill also.Senator Thomas said that some of the guides brought in horses from Canada, which was a problem, and also that some guides turned horses loose during the winterand if they ftid not survive, brought more in from Canada in the spring. He also stated that another bill relating to humane treatment of animals was being introduced in ihe ~ession today and suggested that both bills be taken up by the committee at the same time, at a later date. -4~ ----------------------- Page 164----------------------- SB 275Senator Croft referred toSB 275and stated that he } wasintroducinga billtoday~ alsoconcerning the Professional Teaching Practices Commission. Senator Thomas stated he understood there wassometrouble concerningthe relationship of theschool board and teachers, butSenator Croft said hedid notthink it would change the relationship of the school board withteachers. SB 277Senator Thomas referred to SB 277,asking if this wereforfunding of library facilities, or what, and Senator Croftstated he understood this was for buildings in Anchorageand Fairbanks--resource ) libraries, etc. Senator Thomas stated the committee couldask Commissioner Lindaboutthisat the meeting tomorrow morning. Meeting adjourned at 9:40a.m. ) ----------------------- Page 165----------------------- -) SB 282, SB 283 Senaior Thomas stated that the Committeehad been & SB 284 scheduled to consider ~B 282, SB 283, and SB 284, but that the interested partiesin these bills were unable to testify at this time, and that the bills would be taken up at a later meeting. SB 288 Senator Thomas said he had talked to Commissioner McGinnis concerning Senator K. Miller's bill, SB 288, rel~~ing to the creation of a Departmentof Health, and that Commissioner McGinnis was not ready to testify on the bill at this time, but would like to testify in the very near future. ) SB 265 Senator Thomas said he discussed Senator Ray's bill, SB 265, relating to standardizingassistance payments for child care, with CommissionerMcGinnis, and that the Commissionerwould like to appe~r before the committee tomorrow· morning (February I, 1974·) and give testimony concerning this bill. GENERAL Senator Thomas said he felt the Committee should divide the work load by each Senator taking certain bills and doing the necessary background work and then report to the full-Committeeon their recommendationsas to hand- ling of the bills.·It was agreed each Senator would look over the list of bills in committee and would indicate at tomorrow's meeting which bills they would prefer to work on. Meeting adjourned at 9:15 a.m. ----------------------- Page 166----------------------- HEALTH, EDUC~TION, AND. SOCIAL SERVICES COMMITTEE MEETING January 24, 1974 9:00 a.m. PRESENT:All members of the committee.Also present were Commissioner Marshall Lind, Department of Education, W. D. Overstreet, ~ssociation ofAlaska School Boards, Robert Van Houte, NEA- Alaska, William W. Hopkins, A~aska oil& Gas Association, and other i~terested guests. Senator Thomas called the meeting to order and stat~the purpose of the meeting was to talk to Commissioner Lind and listen to his thoughts on educationfor this year. He asked )Commissioner Lind to give the committee his general view or comments on education throughout the State, and also perhaps on bills that might be of particularinterest to the Depart- mente He also requested the Commissioner to inform the committee on his view concerning the transfer of the State Museum to the Department of Education. EXEC.Commissioner Lind stated that the Departmentof Education felt ORDR. NO. 34 that since the prim~ry functionof the museu~ was educational, that it was logical fo have it transferred to the Department of Education.He stated there was one program in particular that he felt was very effective and would like to see its services increased, and that is the traveling school.He felt ----------------------- Page 167----------------------- he had, but that SenatorRay had declined--said it was a simple bill,and he did not feel he needed to testify on it. SB 265 &Mr. McClain statedthat Senator Ray's concern was justified-- SB 310 that there were inequitiesih the AFDC and Foster Children Programs. Many times the mothersfeel there is more incen- tive' to place their childrenin foster homes becausethere would be more monies providedto take care of a child than under the AFDC Program. He felt these inadequacies had come about becauseof the fact that the AFDC Programhad not been reviewedsince July1970, whereasthe foster children'sprogramwas reviewedannually,there had. been an increasein the foster care rates annually--rate hearings the )a~e heldin Februaryof each yearfor/fostercare program. He submittedto the Committee(copies attached)tables showingthe presentrates and proposed rates underSB 265 and SB 310 for the AFDC programs,and also the rate struc- ture for the foster home program.Mr. McClainstated the Departmentfelt there should be some upward adjustmentin the AFDC rate structure. He said there is an increase in the budget this year to makesome upwardadjustmentto the AFDC rates and he felt this would help correctthe inequities betweenthe two programs. There was then a generaldiscussionconcerningthe minimumand maximumrates listed on the tables,and how -2- ----------------------- Page 168----------------------- they were ;applied. Mr. McClain pointed out that the variance in the two figures was based on what area of the State the child resided in. Senator Sackett said he felt there was still a policy decision to be made as to whether AFDC and foster program rates should be kept on the same level or keep them separate and raise both of them. Mr. Harris explained one reason foster parents receive more funds was because of "supply and demand" and the fact that the rates were reviewed annually and reflected increased living cost adjustments.Mr. McClain said he ) felt the foster parents program was a good one, it was more desirable,and that it was actually less costly than institutional programs, so they had tried to keep the rates high for that reason.He felt that comparing the costs between foster plan and AFDC plan might not be fair in that the costs would be more, for instance, in putting a teenager into a foster parents home, as opposed to the costs under the AFDC plan where the child was already in the home--costs of living, i.e. under foster'parents plan--child must have private sleeping quarters, whereas under AFDC he may share room with other members of the family. Senator Thomas asked if there was an appropriation bill to go with SB 310, and Mr. McClain said the money was in the budget, half of whi~h would be federal funds.Senator ----------------------- Page 169----------------------- Thomas askedMr. McClain if he thought partof SB 265 shouldbe incorporatedinto SB 310,and Mr.McClain said he would like to talkto Senator Rayabout thebilland study it a little more. SenatorCroftbrought up the point thatfor yearsthere ~;C:/)ve~ hasnot beenenoughmonies available in thej~Le88Fe program to adequately carefor a childand thatSB 310 would not provide enough--less thanhalfof what would be necessary to properly carefor a child. SenatorSackett askedMr. McClain if SB310 followed the OEO guidelines. There wasextensive discussion concerning )the OEO guidelines for Alaska, particularlyconcerning the estimated 15%increase as of May1974whichthe Department hadusedin settinguptheirtable~ Thequestion was brought up by Senator Sackett as to whether thereshouldn't bea costdifferential within Alaska, sincecostswereso varied throughout the State. Senator Thomasmentioned the cost differentialusedin teachers salaries and feltthis same basis could be usedin thiscase. Mr.McClain said hefelt thiswasa validconsideration. Senator Sackett said thereasonhe had brought thisup was thatin his villages, it seemed the minimum paymentof$125 fora mother and one childwastoo low where the costof livingwasso muchgreater as compared to otherareasof theState. Mr. Harrisexplained that thispayment structure wasset by law, according to theage of the child, i.e.a childunder5 - 4- ----------------------- Page 170----------------------- $125, age~ 5 to 13 $150, and over 13 = $175.SB 310 would alleviate this problem. Senator Thomas asked Mr. McClain to check into the cost differentialthroughout the State and see if something could be work~d out and possibly be incorporated into the bill.Mr. McClainsaid he would do so. GROUP Senator Hensley asked Mr. MqClain about the Group Foster FOSTER HOMES Home program--how many children were in these homes, whether the Department felt it was a good program, etc.Mr. Harris said there were between 5 and 10 ch±ldren in these group homes and that adolescents seemed to -do very well in them. Mr. McClain said he felt the ones in the northern portion ) of the State were very good programsand it was a much better solution, rather than taking the children to Anchorage or elsewhere--he felt there was a great advantage in placing them close to their homes. SCR 2Senator Thoams stated that Senator Ziegler had introduced a resolution, SCR 2, for a study on the aged and asked if th~ Departmentfelt there was a need for such a study.Mr. McClain said he felt there would be value in the study, especiallyin relation to the longevity bonus.He explained that the waiver of the longevity bonus as income was to have been-terminatedin December73, but that new legislation was passed in Congress the first of the year which amended certain portions of the Social Security Act which includes a provision for continuationof certain demonstration projects, ----------------------- Page 171----------------------- He stated that Governor Egan had written to the Secretary of Health, Education & Welfare and asked for consideration of continuing this particular,demonstration project, thus allowing the waiver for the longevity bonus to remain in effect for Alaska.Mr. McClain had talked to people in Region 10 and they were optimistic that the waiver will be continued and have extended the waiver to cover January and February, pending a final decisionoThere has been no decision as yet as to whether the waiver will be extended on a permanent basis, or even beyond February1974. Senator Thomas asked the committee if they would be agreeable to passing this Resolution out of committee. Senator Sackett ) pointed out the~portance of keeping the aged in the State and the housing problem they have.Senator Croft indicated he would like to prepare an amendment to the resolution specifying the problem and how it affects the longevity bonus, and Senator Thomas asked him to prepare such an amendment. Senator Harris said he would like to prepare an amendment to reflect the importance of keeping the older people in Alaska so that we may have the benefit of their experience, knowledge, and ~articipation onadvisory boards, etc. Senator Thomas' asked him to prepare such an amendment. The Committee agreed without objection to pass SCR 2 out of committee with the amendments discussed. SB 263Senator Croft asked the Chairman if he wanted to discuss the old aged assistance bill at this time--raising the assistance -6- ----------------------- Page 172----------------------- from $250 ,to $350, and Senator Thomas asked Mr. McClain if he had any comments on S8 263. Mr. McClain said he felt it was very necessary, but that the $350 level gets right back to the longevity bonus issue. He also pointed out that under the present statute the pay- men~s were$250, as opposed to the $125 for AFDC--that the Departmenthad to set spending priorities,and that if the old age assistanceprogram was extended,then it would widen the gap between the two programs. Senator Sackett asked if the longevity bonus issue would be affected as long as Alaska has the waiver.Mr. Pagenkopf ) said that as part of the State's supplement of HR I, it is not considered as income providedthat the income is based NOT on need, but that the longevity bonus says it is/based on need so those two BWS conflict.He felt any additional monies put in by the State would be taken by the Federal governmentas income.He said this was a very complex issue and almost had to be handled case by case as there were other factors involved,i.e. the income and source of the income. WORKLOAD The committee then discussed the possibilityof each Senator OF BILLS taking specific bills he might be interested in, researching them, and then reporting back to the committee as a whole with his recommendations. Senator Harris stated he was very iriterested in bills relating to drug and alcohol rehabilita- ion and treatmentfacilities and said he would like to start ----------------------- Page 173----------------------- with SB305, SB307 and SB 299. SenatorCroft indicated he wouldlike to workon SB290.Senator Hensley said he felt SB251 shouldhaveearlyactionand wouldworkon this. SenatorSackett was interested in billson higher education and said he would work onSB 123. The meeting adjourned at 9:35a.m. ) ----------------------- Page 174----------------------- HEALTH,EDUCATION, AND SOCIALSERVICESCOMMITTEE MEETING January 31, 1974 PRESENT:All membersof the Committeewere present. Also presentwere Jay Hammond, former President of the Senate,and Bill Overstreet, Association of Alaska SchoolBoards. HAMMONDSenatorThomascalled the meeting to orderat 8:45 a.m. TESTIMONY RE: SCHOOL He stated thatformerSenate President Jay Hammond BOARDPROBLEM would liketo talk to the Committeeconcerning a prob- lem that has arisenin his area in regardto education. ) Mr. Hammondstated hiscommunitywas havinga problem with the schoolboard-assembly relationship, in that the schoolboard had takenactionwhich willqommit the municipality to a large debt. He then gave detailed background information to the effectthat the schoolboard had dismissed some untenured teachers, who then filedsuit againstthe schoolboard. The case went to the SupremeCourt wherethatcourt handeddown a deci~ion that the SchoolBoard mustgive the teachers a hearing. Thereis a possibility that a judgment could be grantedin the amountof approximately $500,000 and that the schoolboard wouldbe obligatedto pay this ) judgment,whichthey couldnot do due to lackof funds, and thus th~ payment wouldfallon the municipality. ----------------------- Page 175----------------------- Mr. Hammond told the Committee he was seeking some kind of action that would help protecta relatively unsophisticatedschool board from committing a ~unicipality tosuch debts.He explained that the school board budget was not sufficient to cover such a judgment, and that the municipality was facing economic devastation in that area.He requested that the Committee consider drafting legislation to take care of this problem--limiting a school board's powers to commit a municipalityto large expenditures of monies.He felt that the State should participate in this type of debt since the school board was acting under State law. ) Mr. Overstreet was asked by Chairman Thomas to comment on this type situation.Mr. Overstreetsaid he was not familiar with the case.Mr. ~homas asked him "if he knew of any way to. solve the problem and he said he did not. Senator Croft asked if there might be insurance to cover this type of problem. Mre Hammond stated that school superintendentswere bonded and asked Mr. Overstreet if that would cover this type situation.Mr. Overstreet replied it did not as far as he knew. Senator Croft suggested that possibly the State could pick up insur- ance premiums to cover these entities alloverthe State. -2- ----------------------- Page 176----------------------- SenatorCroftasked Mr.Hammondwhat thetotal school budgetfor the year wasin hiscommunity and Mr. Hammond repliedthatit wasabout fiveor six hundredthousand dollarsa year. Mr. Croftcommentedthatthe amountof the suit wasabout equalto one year'stotalbudget. ,Mr. Hammondstated hefelt thatif a judgmen~ was rendered againsta schoolboard who hadgotteninto troubleby following a State law,' thenthe 90-10relationship should hold withpayingoff any such judgment. SenatorThomasaskedthe Committee if they wouldbe willingto checkwith the Legislative AffairsAgency ) concerning this problem and see if legislation could be draftedto solvethe problem. TheCommitteewas in agreement and SenatorThomassaid he wouldcheckwith them. SenatorCroftasked theCommittee Staff Assistant to checkand see what insurance might be available to coverthis problem. REGIONAL SenatorThomasinformed the Committee that Senator HEALTH& SOCIALSERVo Harris,ViceChairman,was planning to attenda regional MEETINGIN SEATTLEmeetingin Seattle onFebruary 7, regarding healthand socialservices--Mrs. Beirnewill be attending to repre- sent the HouseHESSCommittee--and asked if therewere othermembersof the committeewho wouldalsolike to ) attendthe meeting. None of the othermembersof the Committee indicated interestin attending the meeting. ~3- ----------------------- Page 177----------------------- I '-" ~ PRESENT AFDCPROGRr'\H PROPOSED SB 265PROPOSEDSB310 other B.nd: MIX H/'-:.X AVER.J\GE HIN l0".u-'\X AVEfu\GEAVEPJI..CE c11:LJ.d $125$175 $150$166$254 $210 $345 childx'en $175 $275 $225$420 $403 ... ""t OJ ctlJ_.Lcren $225 $375 $300$630 $460 $1+50$362 /$52'0 cr.il:::i.:ren. $275 $8 +0 s-.,- cllilc1ren$325 $500 $412 $1050 .::;;::; cllildrer1. $375 $5)0 $L:·62$1260 $633 c:1iJ_dr e~l$'::~25$600 $512$1162$1778 $1480 $690 '\. "'. ~l=';lrec~. DYl)i',7isio-;'1ofF2,rf:ily & Childre::'lServices i>~pa;~-:':1;:~;!1 ':: of Heal th &Soci:.:ll Services Ja~u2ry 31, 1974 ----------------------- Page 178----------------------- Il\S J;\~ ALASKA q- FOSTER' HO~rE l'..N.. .ROUPFOSTERHONE ............ ~" ...,...._....4 "'-' '--J' R.<\TE SCHEDULE (Effective July 1, 1973) JU:~Ei\U AREA (SE)KETCHIKlu'1 AREA (SE) SOUTRCENTR:\LAREA~ 0 ~::r ~ ::: ?~\ ?.=c ~ ( _T""""U,lpc:.. L.,-_ u __ "?=>!"":..l..J __ .. FOSTER HO~IES "":, . /' "]:" l.7 ';) .. OLnRATE NEHR:\TE OLD~\TE NE\~ RATE OLDR:,\TE NE~J Rt\TE OLDP.... ·\TE 1."_ ....___ 161.00 166.00 166.00 l.:.c;,;:/ 167.00 1 -" ., & (:'10)170.00 159.00 157.00 ..... J 0 • \. 5. L 4 . 5.445.49 ...; ., icr(D<1Y) 5.29 5.585.23 t 5.16----- (:10) . 1t1 &228.00241.00227.00233.00221.00 233.00.235.00r'5/, 248. : , 7.507.46 7.67 7.73 Q . ~r (Day) 7.917.27 7.67 v •. GIZQUI)FOSTERHOHES &C-io) 170.00174.00 167.00170.00 164.00 170.00 175.00 lc'J. ( 5.59 5.725.49 5.39 5.58 5.75 ier\DC1Y) 5.~S5. : J. &Uto)240.00247.00235.00239.00232.00 239.00248.002S~. ( Q ' ~:-(Day) 7.89 8.117.73 7~86 7.63 7.86 8.15 v •. CES:1.{a)Newfosterh08e ratesreflected above include a 5.5% COLA (Cost of LivingAdjustment) over current year r~:~s. Groupfoster hO!i1cra.tes are2.5i;above fosterhome rates.Included \.Jitllin above rates is alnonthlyclothi~gl . , spending ollo'.\',1oceof $20. 00 forch iid ren 12 andunde rand $2 5.00 forcbildren13 and' over-. (b) Initial plJcc~lent clothing allowanceremains at $150.00 perchild. 2. CrippledandhJ.ndicapped childrenplacedin fosterhomes by the HcnprogrC1r:l of Divisionof Public He.::.lthare e :.: c r:1 p t fro m p r u vis ion S 0 fn h 0 v esche du 1e . F0 S t e r par c n t senr in g for the s e s pee i n 1cat ego r ys h 0 r t- t ~ r;:1 ? 1;;. c e - r.: en t s\V i 11 b c a tl tho r i zed $ 7 . 9 5 perdayper chi 1 d\..;r i tho u t r e (? a r d to agein theSOU the e n t r Cl1 Cl 11. d S0 u. t h 2 as t 2 r n • 0 Rc ~ i 0 :-" S ~ T 11 c[ ~ t ~ 0 f $ S • SSpc rday\.J i 11 b cp C1 i din t 11 c~0 r the r n Re g ion. J • T11 C <1 b a vcr ':'1t esch l: J u 1cis .:l P P 1i c 2. b 1 eon 1 y to fa s t c r par en t s res i din gin AL1 S k.:\ .The r? t cst0b (;P .1 i df 0 S t: c r ----.~-"--~. po ren ts··· res i ding' in·,·thc"contiguous- Un i ted··Stntes ··,(Jill···be.-the-snme.-rare-·-paid. by·-the "ci ty, - s t::l te;' or CO'.l;:·C y "..-- .. ,.,r21 f 2 re .Dcp[u:tlrlcnt in which thefos ter po ren t resides .. 4. ThenC\J. r.:J les app 1y to the geo~ r.:iphic loca t ion (ci tyor regional are;:r) of thefos ter p.:1 r2n t -- r.ott () the Districtor Region to whicll thecase is assigned.Forexample: the Southcentral area r;:rte ~oulJ apply to a [oster parent residingin i\nchoragev:ho is c~ring for aKetchikan districtchild. Themo.] linr 3dJress of . -:;.:....:..:..; thefosterp.:.lrcntis thedeterminingfactorin all questionaolc cases • ~ .... 5.. Petersburg,Kuke andWrangellareconsidered to be in the Ketchikan ratherthci~ Juneau 3rca~ T!ll~ detcr~i~cti t: I .shall apply to all program divisions, including Corrections. ) "., ----------------------- Page 179----------------------- Lt.McLaughlindiscussed thenecessityo~ having some type I of modified driver's license,and requestedtheCommitteeto consider the possibility of having an occupational license rather thana modified license. He explainedthat with an occupational license, a drive~ would be allowed to d~ive to andfromworkproviding hisdri~ing record remainedclear during,theperiod of timehis license hadbeen suspended. If there is aninfractionduring thisperiod oftime,his occupational license willbetaken awayandhe will not be allowed todrive at all. These are forthose caseswhere it isconsidereda "last chance"is needed fordrivers whose licenses havebeensuspendedoneor more times. Lt.McLaughlin saidthestate of Washington hasresorted to this occupational ) licensing andit seems to work quite well. There wasfurther discussionandexplanationof license suspensions, modifications by thecourts andhazardousdrivers.Senator Thomas asked Lt. McLaughlin is he would provide theCommittee with a copy of theWashingtonlawand hesaid he woulddoso. Senator Thomas askedthemembers of theDepartmentof Health andSocial Services f6rtheirviews onincreasingthe penalties, and Mr.Adams said'he had noqualms about increasingthe by thejudges penalties,sincediscretion/wouldstill be provided. There wasextensive discussionon penaltiesandtheneedto remove hazardous(multiple offenders)drivers fromtheroads. Senator Thomas stated therewasnotimelefttoconsider further testimonyor discussionduetothe fact it was almost timeforthesession.Meeting adjourned at9:50a.m. ----------------------- Page 180----------------------- ') Introduced:1/30/74 Referred:Health,Education and SocialServices : BY THE RULESCOHNITTEE BY IN THE SENATE REQUEST OF THE GOVERNOR SENATEBILLNO. 310 IN THE LEGISLATURE OF THE STATEOF ALASKA EIGHTHLEGISLATURE - SECONDSESSION A BILL ) For an Actentitled: "An Actrelating to aid to fami:lies'-lith dependent children; andproviding for aneffective date." BE IT ENACTED BY THELEGISLATURE OF THE STATEOF AL.A.BKA: Section 1. AS 47.25.320 is repealed and re~enacted toread: , l~d=- ,f 171 cJ c( /-..;,;- c;::,f S'5 r5 / -1,v CcC ' (a)The department shall determine the afuountof assistance for a dependent childand therelatives with tolhom the dependent child ) is living, ~vi th regardto the resource and necessary expendi tures of thefamilyand the condition existing in each case. Assistance issufficient if, \vhen addedto all otherincome and support available to the child,the child and relatives havereasonable subsistence compatible with decency and health., However, the amount of assistance ~ay notexceedthe1973state assistance standard, established under Title IVA of the Social Secutity Act ( ttl 2 601) d·"'1 U.S.C.sec. et seq., as adjusted by the epc.rtmentIn ,·ay andeffective in July,of each yeartd reflect the cost-of-living changesas determined bythe UnitedStated Departmentof Labor statistics. ) ----------------------- Page 181----------------------- D?on(lSED 2uB~,~Ir-=,ur"[1F wOP P.2 1.!7. 25.320 (b) ') (b) The amount of assist2nce fora dependent child ~ho is otherwise eligible for ai~ under sees310 -- 420 of thi~ chapter, or who is de~endent or neglected and committed by thecourtto the department, ?nd,who is p12ced by thedepartment in thehome of a relative otherthana parent (as listed in sec. 410(3)of thisc~apter),may not be lessthan theamountestablished,' underAS 47.95. nlO(14), by thedecartmentfor the careof a denendent child in a foster horne. ~o beeligihle for p2yment under .thissubsection, the ho~e in 'Wllich thechild is placed must reetDininum foster home requireMents as establish~d bythedepartn~nt.For addition~l siblings or other related children in a singlehorne, theadditional paymentundersees.310 --420 of thischanter shallcorrespond to theassistance standards established by the departr;lent. ), j.• . ----------------------- Page 182----------------------- r"':'\ 1'"\ ~, I ,Iilli'l ,1 I ,. II 1 ~ '/. ! f - I, ,) qit ~,J d "... ~ '\;) .~' !'I\\~'l iI; \II "/ ~~~ 1/) M •£. li \J ~:J \JU ~ 1'1 _._._.- ..--__--_---~__________ iL_ ..:;~..;~---;;:- ---~•.: --------~ ~~~. I I ......... &~;;;;.,.;,;_;:,:;.;;;)0,A.::",;;;;:;..,I!';;:;.;;;:;;;;;;:...;;:;'"=.........:.w~;;:::;,:::::::=.:::::.::::::::.:::;::::::::==;;:;;;:... =-'::--.:::':=::;.J.,::;:~::;;;... i) X-73-8-6-200 From: ErnieHood Office of Information Room 2034, ArcadePlaza,MIA202 Seattle, HA 98101 Office Telephone:(206)442-7620 Home Telephone: (206) 284-2699 FOR RELEASE:A.M. Editions He.dnesday, August8,1973 u. S. VillOR DEPARTHENTRAISESINCOHELEVELSDEFINING POOR FAl'rILlES The U.S.Departmentof Laborhas raisedthefamily income levelstheManpower Administration uses in determining eligibility for some training programs. The ne\Vlevelsrange upto$250 higher than those published in December 1972. The level for a nonfarm family offour in the Continental U. S.increased from $4,200to.$4,300. ) The change follows a revision ofthe povertyincome guidelines bytheOffice of Economic Opportunity.The 1972 &~endments to the Economic Opportunity Act require anannual or morefrequent revision ofthe incomeguiqelinesto reflect increases in the cost ofliving. Forprogram eli'gf1Jility purposes, a personis considered Door, or ... 05\ f?; (/:) 1? n n.. ;-r ~ . "disadvantaged,"if he or his family receives welfare paymentb~r ififl!!tirJiluUl \1'~ 10i adjusted gr9sscash income does not exceedthefollowing limits:AUG 07 1973 UdJ D2ce:Jber 1972 July 1973 r?"J('_~~ .. 1 r, - ____________..:...I-____•...;,.~=.._'_.l.:..~ .-:~~ ~~- ,I "~.J FarililyCO:1::i~..... eatal U.S. C07i. t i:-.2t1 tal :5.S.;:~~;aii __('.~........ c.;:::,c:.. ....... 1: l~on i':1 ~ r,j,l Fer.:. Size i~onfanil F&:l7l.~Onl.&rlliFa r-:Tl 1$2,100 $1,8QO$2)200 $1,870$2,530$2,150 $2,750 $2,340 ,2 2,7252,325 2,900 2) {JoS3,340 2,830 3,620 3,080 2,950 3,6001 ,500 3,820 3 3,450 3,060 4,140 3,520 1 4 4,2003,575 4,3003,655 4,940 it- -' 2005,380 4,570 5 4,9254,200 5,000 '4,250 5,750 4,890 6,250 5,310 6 5,550 4,725 5,700 4,845 6,560 5,570 7,120 6,050 7 q.,200 5,275 6,4005,440 7,360 6,260 8,000 6,800 _UI"lD'!1_ ... --- .. ----~. ----------------------- Page 183----------------------- -2- Income limits forfamil-ies of more than seven persons canbedetermined by adding forthe nonfarm nnd£ann levels these amounts for eachadditional person:$700 and $600 fortheContinental U.S.,$800and $680for Hawaii, and$370and$740for Alaska. Theincome guidelines were originally derived froma definition of poverty develope' bytheSocial Security Administrationin 1964. ·The~uidelines are used in Federal programsin which poverty level is an eligibili yfactor. I)/I ) •• ----------------------- Page 184----------------------- HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING February I, 1974 8:30 a.m. PRESENT: All members of theCommittee, Alsopresent weremembers of the Department of Health and Social Services:Deputy Commissioner James F. McClain, Mr. Stanley P. Harris, Director of Division of Family & Children Services, and Mr. RayC. Pagenkopf, Division of Family& Children Services. SB 265 Senator Thomascalled·the meeting to orderat 8:45a.m. and stited the committee would hear testimon~ from the representativesof theDepartment of Health& Social ~\ ) Services on SB 265,Standardizing Assistance Payments for ChildCare,introduced by Senator Ray. Senator Thomassaid he had talked to Senator Ray aboutthisbilland thathe understood that Senator Ray wasconcerned aboutthe payments madetofosterparents in relation to relatives, i~e. if a child is going intoa foster home~-why couldnft a relative (suchas a cousinor uncle) get. as muchfor taking care of a childasa totalstranger?Senator Rayfelt it would be better fora childto be withrelatives than total strangers. SenatorThomas agreedwiththis,butsaid hefelt SB 265did muchmorethanthisand wouldliketo haveMr. McClain's comments.on the bill. ) SenatorCroft askedif anyonehadinvitedSenator Rayto come testify on behalf of the bill,andSenator Thomassaid ----------------------- Page 185----------------------- there were other things that shouldalso be done, i.e. museum ifems should be taken out across the State and into classrooms. GENERAL Commis s ioner. Lind then addressed hims e If to the Departmen t' s view of educationalpriorities. He stated they had been doing some planningand assessing of what local school districts wanted and needed throughout the State. He felt that in the ~ast the Departmenthad been too involvedin regulatory functions and that they needed to work with the local communi- ties.He said he felt educational issues could be taken care of withoutadditional statutoryacts.He was very interested in standardachievementtesting, educationalskills,etc., to determine needs and prioritiesfor students. ) SPECIALHe stated he was very pleasedwith what is happeningin the EDUCATION districtsin regard to special educationexceptionalstudents. Each district is on a "plan of service," whichis an attempt to identifystudents who qualify for special educ~tion. He stated the Department was taking a different approach--a consultingrole--not saying that you must do this or that, but asking what are you doing and how may we help you.It was the Commissioner'sfeeling that they could not have the expertise neededon a full time basis to address all the prob- lems of the local communities,but that the State does have the necessarytalent in teachers throughoutthe State, and that they (the teachers) can be utilizedas consultantsin different districtsthroughout the State.He said this plan has been very receptive among teachersthus far. -2- ----------------------- Page 186----------------------- S.O.s. CommissionerLind stated they have many concerns about Sos. One of his concerns was related to the unorganizedboroughs. He felt it was necessary to have equalized funding for all districts.Ee said during the next year they would like to determine what the impact would be for some type of full State funding that would apply equally to all areas. Senator Thomas made the comment that the committee was awaiting a reportfrom Dr. Darnell, and that it was expected during the first week in February. CommissionerLind felt that as areas assess their prriblems, they must take into account what services they want to pro- ( )other than educational. ON-BASE The Commissioner stated that an early decisionin regard to SCHOOLS on-base schools would be very helpful, especiallyfor the Fairbanks and Anchorage areas, because of the costs and lead time necessary to make an orderly transition~He said that Fairbanks has indicated they do not want to assume the Fort Wainwrightand Eielson schools because of the pipelineimpact, and the Commissioner. plansto meet with Fairbanksand get their specjfic views andfuformationin the near future. DOMESTICCommissionerLind stated that there were six area high schools SCHOOL PROGRAM under constructionnow and there would be others.He stated the Bethel dormitory was being used by the local native corporationand that the program was doing very well.He ~3- ----------------------- Page 187----------------------- stated the Same kind of thing was also being done at Kodiak. ) RURAL Cc~missioner Lindsaid he felt that the rural secondary SECONDARY EDUCATIONeducation is' one of the top prioritiesof the State. He said they were looking for ways of educatingstudents at home without a shoddy program and he felt that in a matter of a couple of years that the satellite program could be .developed.He said in the communitieswhere there are only ten to fifteen students, they would not be able to have a full scale program, but other means were available -- such as correspondence courses, itinerantteachers, etc., what- ever possible~He felt good programs can be developed for these students in rural areas, but it will take imagination and hard work. Senator Hensley asked the Commissionerif the Governor had included funding for this in his budget.The Commissioner said he could not say, but that the State Board did request funding.Senator Hensley asked if additional funding had been requested for the SOS program and the Commissionersaid that it had been. He said he thought they were thinking of seventeen new commun~ties or programsin varying parts of the state; adding 9th and 10th grades, or adding on an additional grade where they already have a 9th and 10th grade and have enough students to justify it. Senator Thomas asked the Commissionerto elaborate on fuller State support as in Nome, and Commissioner Lind said what he -~- ----------------------- Page 188----------------------- meant wasthatif fundingwas madeavailable for small secondary programs aroundthe State,hefelt theState's levelof supporthadto be equalto whatthey weredoing at such places as Nome. He felt theyhad to workfor a degreeof equality in funding. Also,alongwith this,he. said he feltit was' necessary to lookat the BIA schools and workout an arrangement to pickup thoseschools so .that thereis nota big loaddropped on the Stateat one time. SenatorThomas askedif the Governorwasgoingto ask for one hundredpercent support for the foundation programthis year andCommissioner Lind saidno -- therewere verycomplex \ )issuesinvolved in this. He felt thebiggestproblem was how ~ they wouldworkout the equalizationformula. EDUCA- SenatorCroftaskedCommissioner Lindif he wouldcare to TIONAL T.V. commenton educational T.V. Commissioner Lindsaid theywere workingclosely with ATSF,whichis beinghandled out of the Governor's office and are extremely interested in it from two st~ndpoints: (1) How doesthe te~hnology lenditself to educational use throughout Alaska, and(2) whatkindof re- actionis ~eceived from teachers andstudents. He said they were alsolooking for ways to tieinto the Canadian Satellite system. He said he wouldliketo see one State-wide system for mediadistribution in one central location, and he felt ) it shouldbe a centrallibrary--he did not feellibraries were for booksonly. ----------------------- Page 189----------------------- -) PIPELINE Senator Croft said the Anchorage Senators had met recently IMPACT RE: EDUCATION with representativesof the Borough School District about their legislative program and they had given the senators var~ous figures about increased costs, etc. I but did not really address the impact of pipelineconstruction or influx of st~dents .... they felt they did not have enough information for this, and several legislators asked them to get the facts. Senator Croft asked if the Department was working on costs along these lines.Commissioner Lind replied that they were working with the office of planning and research and Governor's office, and were trying to estimate the number of additional students for various areas.He then discussed possiblesolu- tions to the impact problem,such as double-shifting,opera- )tional cost determination and distribution of funds, construc- tion of buildings in Valdez and other areas, and stated that he felt the impact would be greatest in Valdez 'and Fairbanks. RURALSenator Hensley asked if there was redrafting being done on SCHOOLS the agreement between the State and BrA on the rural schools? CommissionerLind said it was being examined and needed to be redrafted as the last edition was 1968. S.O.S. Senator Hensley asked about the schools in the Kobuk Valley-- if SOS was going to try and ge~ moniesin the budget for necessary materialsfor the schools during this session. CommissionerLind said yes, and that they were working on plans as to how to tie these three schools together.He said ----------------------- Page 190----------------------- )it would be 'necessary to have a sharing and transferof people to be able to have the type of programthey want. Teacherscould be shared between the schoolsso that adequate programscould be available to the studentsa Senator Hensley asked if a bond issue had been recommendedthis year and the Commissionersaid no, but there was a requestfrom SOS for constr~ction of additional facilities. Senator sackett asked if that was where requests usually come from and the Commissioner ~aid yes. Senator Sackett asked if the Department had any schools this year that will be transferredto the BIA and the Commissionersaid he was not sure but thoughtsos and the Bureau would be entering into a transfer agreement in those communitieswhere the high schools would be opening next year. ) Senator Thomas said that since it was almost time for the Session to begin, it would be necessaryto adjou~n themeeting. Meeting adjournedat 9:55 a.m. -7- ----------------------- Page 191----------------------- HEALTH,EDUCATION& SOCIAL SERVICESCOMMITTEEMEETING February7, 1974 8:30 a.m.' PRESENT: Senators Thomas,Croft, Sackettand Hensley. Also present was Mr. John Spencer,attorneyfrom Anchorage. SB 305Senator Thomascalled the meetingto order at 8:40 a.m. and asked the Committee whatthey would like to do aboutSB 305 and SB 307 in lightof the testimonygivenat the committee meetingon February5. He suggestedthat the terminology in SB 305°to include"narcotic,stimulant,hallucinogenic, or depressantdrugs"not be includedas he felt it wouldbe unworkable. He suggestedthat the current language (driving ) a motor vehiclewhile under the influenceof intoxicating liquor) be retainedand possiblyincreasethe penalties. 'Senator Croftsaid he would like to have one of the city court judges from Anchorageappearbefore the Committeeand give his views. There was discussionas "to whether one of the Judgeswould be able to come to Juneau to testify. Senator Thomasasked the Staff Assistantto check on this, and alsosuggested that a local judge be asked to come testify. Senator Croftstated he wouldalso like to have someonefrom the Officeof Alcoholism testify on this bill.Therewas some discussionof possiblechangesto the penaltysection, but it wasdecided to withholdaction untiltestimonycould be heardfrom a local and/or Anchoragejudge. ----------------------- Page 192----------------------- SB 307 Seriator Thomas asked what was being rihanged specifically in SB 307 and the Staff Assistant stated the wording "not less tha~" was being inserted, and the penalties were Broken down for first, second and subsequent offenses rather than con- solidated.Senator Thomas said he felt this should be deferred until such time as testimony was obtained from the judges. The committee was in agreement. SB 264 Senator Thomas directed the Comm~ttee's attention t6 SB 264 relating to an appropriationfor WAMI and asked the Committee for their opinion on this bill.Senator Croft'stated the University of Washington is becoming crowded and there had been some pressure to restrict attendance to Washington State )residents only. The thinking behind this bill was that if Alaska continued participationin"the program by' this appro- priation of $100,000, attendance for Alaskan students would be assured.It was pointed out that there are ten students participating in the medical studies ~t the University of Washington this year.The Staff Assistant passed out ccipies of figures showing how monies had been allocated for the University of Alaska and WAMI and said in the past it had been difficult to determine where monies allocated to U. of A. for WAMI had been spent. Senator Cro£t explained to the Committee that this special approprjation'would allow the Department of Administrationto have some control over the monies for WAMI, and he moved that the bill be passed out of Committee with a do pass recommendation ..! The Committee was in unanimous agreement. ----------------------- Page 193----------------------- SB344 SenatorThomas said he had beenunableto reach. Senator Palmer tohave himtestifyonSB 344, andsince Senator Harris,one oftheco-sponsors ofthebill was out o£ town, that discussion ofthis'bill should bedeferred until thenext meetingof the Committee.Other memberswere inagreement. SB327 SenatorThomas stated that SB327 ~as similar. to SenatorRay's &SB 310 bill, SB 310, and felt this bill could bediscussed andhandled when theCommittee takes upSB310next week.There was some discussion conce~ning paragraph (b)oftheproposedsubstitute (by the Department ofHealth & Social Services) forSB310. SenatorSackettfelt paragraph (b)changedtheconceptof paymentsand hestated he wanted tobesurea minimumpayment was includedin the bill.There wasfurtherdiscussion ) concerning paragraph (b),andit was agreed furtherresearch wasnecessary.onthis subject. It was alsopointedoutthat \ it wouldbenecessary to wait until thefiscal note waspre- pared before further discussion of thebill. HB398 SenatorThomas introduced Mr.John Spencer,anattorneyfrom Anchorage, andstated Mr.Spencer would like togivehis views onthealcoholic problem. Senator Thomas stated it was his understandingthat theMunicipal Le~gue was preparing proposed legislation concerning this problem. Hesaidthe Committee hadHB398beforeit, which seemed toturn thewhole thing around sotheDepartment would nolonger beobligated totake ) care ofalcoholics, andalso that arrests and/or detention of -3- ----------------------- Page 194----------------------- aldoholics by peaceofficers would be at theirdiscretion. He askedMr.Spencerto givethe Committee the city's views on thisproblem .. Mr.Spencerstated his comments wouldnot be restricted to thecity's viewpoint,since he wasalso Chairman of the Legislative Committee of theMunicipal League, and a bill was being draftedwhichexpressed their solution to these problems.He statedthe proposed legislationshouldbe ready in a few days. Mr.Spencer statedtheirattitude was notto repeal the UniformAlcoholism Act butto makeit moreworkable as theyfeltthe Department of Health & SocialServices was notdoingtheir job. He said he had talked to Commissioner McGinnis aboutthisand thatthe Commissionertold himthere ) werenot enough fundsavailable to handlethe problems effectively. Mr. Spencer gave extensiye testimony concerning the problems of caringfor alcoholics.Hefelt facilities wereneededwhereintoxicated people~ould be takencare of without beingarrested and placedin jailforsome alcohol- related infraction ofthe law. He. fel t the _doctors and hospi- talswerenot receptive to thefact thatalcoholism wasan illness and did notwantto treat alcoholics.Mr. Spencer statedit wasnecessary forfunds to be provided for treatment centers wherecounseling and medicalhelpwouldbe available. Hefelt if this wasdone,many of theproblems withthe present statutes would be minimized.Senator Croftstated hehad requested draftingbedone on a billto provide fundsforsuch facilities, andSenatorThomas said theCommittee shouldask - 4 - ----------------------- Page 195----------------------- Commissioner McGinnis if any monies had"been putinto his budgetthis yearforsuchtreatment centers. Meeting adjournedat 9:30a.m. SECRETARY'S NOTE: Prior to themeeting, Senator Hensley requested ameeting of the Committee for Tuesday morning, February12, to hear testimonyon SB 320. ) I / - 5- ----------------------- Page 196----------------------- .\...... ,,'J- :'j ../::', ..; ~,;·.'t:·r~ r··;,: ,~~_f.,~':<';',. Ci'~·~PONEW: OPH't,ilf\,(. ',NOITURES BY013JECT GROUP RUN Ot~TE Ol/171i4 ;E 132 . f, . ! . .' '. . '.; '.) , , ~ ~ " "" tT-/:'1 GF -r .GCi:·H'Q;..jt; :.,:4:, j .~,~ ~ '7 C3-1,4 -OO ....:•..._._ ...QU.DG r: T ~. E0.U ~_U~;.I.L. ~.:?_.1.2-:J ~O~.::- 00.-:-00..._ ._AGF NCJ,y tiN I VcR Sr TY nFA-.:1i $ XA .1 C!\ jr (' r ,: 'f . PRCGr.:MJ,SU[\-PRC-G"A~I ElEt~ENT .,J'. SUi\-flE.~r:ki Je /;,7 I (~, PCl ST. SE Cf.AOUL T .J D .........._.Q~G.AN r.l f;; 0 r,.·,r;i.~~;:B·cH'X"~"::==·i··i''J'dA.VjJ ....... -', '. ...,".-..... ,,':;:1. .. .... .:. . '.)( '{D -Q ~~/>l..rt ~ tCtl\i'; , .. :T r~JrCi G~L'UP . F I S C f\lYE AP.19 7 :3. ..F l.2.1.4 ..'l" (' .",. .f-I-..s.-'=",A...l.-.:.L..Y_._LJj_~~?......2 .fI f C. C~ P T 1(;;'J •.~ ......~:i'-p'P'Rlny:.:-::r I ;\jI\C...-:-AUTJ3 ....:':-~C:rUAC.1l.lJ TJiOR I ZE o.._1~1.A.IN r E,N ANC E. CHI. NGE.Rf:;OUr: sr .. COV. /; lJD(. r lEG. At LO\.{. j;! :. p r k ~ r r,:. L ~ ( ? V rCES 14.6 . 2.61.0 15.. 316.5 :)1: i~' 1!). E3 1(,. S no' h 'J f t 5 .. ~ 3 ... 6 3.8 5~"7' _. --r"· "-"'~7'.. 3:.,[.;;. 1.U- (.11';' ~. 5 ~'. t, :.J,::: ('r;,i~/r:T·lJ/.L· ~F~VICf=S't.7 ? .. 7 •._____ . 2. 33.14.23.7 ..... ~-1.0-.' 'I'" 3. 2 cc;:~··(·{ ! T ! 1= S2.0 2.0 .. 22.04 .. 5 4. ') EC~ i p~.. r: ~J T0 .. 0 6. 0" ......_._. S .. 2 5.02.0 ·i'lt::: 1.J /'-~'...\ l/.:~r:$, ::1I TLOI:'GS, 1~/;)!·:!1VF···H:NT$ .14. 1'16.5 ';:·;t, 1I •• c, 1 ('. ~) . ..._.."" .......-...................-..... ...__._._. --. .. ..... .... ·r!I·; (j ,I .. ~. 1 :~ , (L ;'. p~ S • sr: f. ~ f- n ~ EV f t\ UE. >J:: ... --_.-_. ... .._ ..........- ..........__ ....__ . .. .....-.......-~... .... _-_ .._. -. ... ...... ... .. ::':! i'; roll $ (FI. L t. .. r C' u:; .16 of 72 .. 7 1 • 9 2 • 7 . .• l. '" 5. .'/f"; 1. ~1.. 's , ?i' , ~--)., C)/.;....~ ',1:: eord 4 ~::-~~~~~~:~.~~-. '~~-~:~:J.=.. "~-:-':~'-~....~~_='.: .... Ci~E::'- . . '..'.' :'>1'" •• t I " ' i !r~:~ . _.. _..___. '.' _....__...... ____ .~..__ ..._._._ ....._.___ .___ ._.._______ ._____..____ .__ .__ ~~I.'- ...-----._...... . P::~·)I·~.c:\jrFUll TV'IF.. ..... . ......... ~ ....... ' .... .' __ ::. ,,. ;."I f ;:;. \. p tr!T ::> /\:." T . T Hoi, ~ _ ... ;•..•_ .. ~___•. _ .•.5~_. " "___ '_~.] ._._.':':"~__ .... ?_.__ .:....... ..~.? .,....... ... ~..5.._- ... .. ':"'_.~:l~_'_... •.2...:..:..:._:~~~........? ... _" _ _ . _......._ .. .;'! ~. iF:"r'\'~ M~Y (rUll T1:·1[:EOUIV.' .':J:L\~I ~U,," (' C'I' :< A"- M'1 r, T "S....••~ •• =.. ·~;·o.•- ....:'~~~~~~:.·=~:2·~~:~~~ .~~= ~~~~~~..__ ..=·=~O~··-..;~:·~~.-.;t; IliF 6".: ..:: .~~ 6. a , .0 144 1..;': :;' ..."....._..--.....-......__........_......--.--...- ...... -.---......-....~~.-.-.-------... ···-·--·------·-·;~Ili.· ..._-- ............ ----------------------- Page 197----------------------- HEALTH, EDUCATION & saCIAL SERVICES COMMITTEE MEETING February II,1974 9:00a.m. PRESENT: AllSenators present.Alsopresent totestify fromthe Department ofHealth & Social Services were: Commissioner Frederick P. McGinnis, Deputy CommissionerJames F. McClain, and Charles Ramage, AlcoholismOffice. HB398 Senator Thomas called themeeting to order at 9~15 a.m. and asked theCommissioner, Mr. McGinnis,to give the Committee his ~iews onHB 398. The Co~missioner stated it was hiaunderstanding thatHB398 wasdeveloped bythe HouseHESSCommitteeand that therewasDepartmental concern as to whether the State should render direct aidor provide localentities funds to provide foraid tocombat alcoh6lism problems. Hestated another concern wasfromlawenforcement officials, having todo withtheir ability to holdsomeone ~or a 48 hourperiod. The Commissioner discussedthesepoints androId theCommittee hefelt the Statewould be veryill advised to render direct aid orservices, butshouldprovide fundsforlocal communitiesto doso. Senator Thomas told the Commissioner thattheintent of the bill had beento have theStateresponsible. TheCommissioner did notseemto be awarethatthishadbeentheintent ofthe bill, andstated thiswouldrequire newfunding proceduresanda newlookat the problem fromtheDepartment1sviewpoint. Sen~tor Thomas askedtheCommissioner whataffect there would be onthe .~...' . ----------------------- Page 198----------------------- Federal matching fund~ and Mr.Ramageresponded that the HughesActdoes notrequiretheState's to renderdirect aid. Senator Croftaskedthe Commissionerto givethe Committee his reasons for notwantingtheStateto render directaid. Commissioner McGinnis felt thelocalcommunities wouldbe moreawareof the problems in theirarea, and thus wouldbe morecapableof handling them thancouldbe donefromJuneau. He feltthe Statecouldsetstandards and manage the funding, but thatthe actual directservices should be doneon a local level. Therewas extensive discussion. concerning local communities whereit was dssiredthatStateassumerespon- ) sibility for various reasons, primarily lack offinances and facilities. SenatorSackett askedwhatpercentage matching fundswererequired by localcommunities and Mr.Ramagestated it was25 percent. Senator Croftstated hefeltsocie kindof grant program 'to enablethecommunities to provide facilities wasnecessary. Commissioner McGinnis statedif fundswereavailable to assist thelocal governmentsin building facilities, the Department wouldhaveno objection, buthe did notwantto see the State be responsible for direct treatment.Therewasextensive discussion concerning building facilities, cooperating with )otheragencies and sharing of facilities, andthen discussion of the.problem whereno otherfacilities wereava~lable • . ~ -2- ----------------------- Page 199----------------------- ) SenatorThomas askedtheCommissioner to givehisviewson J theportion of tne bill pertainingto arrests, and if he thought theyhadfoundsomesolution to thisproblem.The Commissionerstated he'felt thecommittee should solicit inf6rmationfromlaw enforcementofficials as he hadnot heard anything in the pastfewmonthsin regard to this problem.Senator Harris statedthathearings hadbeen held last summer by the DrugAbuseCommittee andit wasevident atthat timethatthisstill was verymucha problem for lawenforcement agencies. There was further discussion concerning the 25 percent matching fundsby; localcommunities andCommissioner McGinnis stated that percentagewasnot necessarilya cashmatch, but "in kind ll • Healsostated that the percentage figure mi~ht be adjusted ona population basis, whichwouldhelpthesmallvillages. HestatedtheDepartment would have noobjection to a change inthe formula so thatthe smaller villages would be ableto come up withmatching fundsin some proportion. Meeting adjourned at 10:00a.m. ) ----------------------- Page 200----------------------- I HEALTH,EDUC'ATION& SOCIALSERVICES COMMITTEE MEETING February12, 1974 8:30 a.m. PRESENT: AllCommitteemembers. Presentto testify on SB 320 were Mr. LeeHayes fromS.O.S.,Mr. Emil Kowalczyk, AreaDirector of the B.I.A., and Mr. Bill Thompson from the Department of Education.Also present to testify from the Department of Health& SocialServiceswereCommissioner McGinnis and DeputyCommissioner McClain. SB 320Senator Thomascalledthe meeting to order andstated the Committee wouldfirst consider SB 320.He askedwhy the ) Statesh~uld rebuild thisschoolif it was a BIA school. Mr. Hayesexplained that SOS hadthe schoolunder a use permitwLththe BIA, and thatthe terms oj the permitwere suchthat the State mustcarrya certainamountof insur- ance(in this case$60,000)and thatafter a catastrophe of thissort, the BIAhad no moniesotherthan theinsur- ancewith whichthe schoolat Deeringcouldbe rebuilt. Mr. Kowalczyk statedthatthe BIA was unableto transfer title tothe schooluntillegal issueswereresolved (Alaska NativeClaimsSettlement Act), but had issuedthe Statea 'use permit. Underthe terms of this permit, the State was responsible for damagesto the school. Mr.Hayes toldthe Committee he understood from the Department of Administration thateven though$60,000insurance had beenrequired,that actually therehad been closeto $130,000in insurance and ----------------------- Page 201----------------------- I that moneywasava~lable totheStateforreconstruction ) of the school.SenatorHensley expressed concernabout construction of theschool, and whether it would be possible to havea facility available foruse bynextfall. He askedif the$400,000would be sufficient to provide adequate facilities and Mr. Hayes gaveapproximatecost figures for the structure, roughly $100to $120persquarefoot. He wasconcerned aboutbeingableto bring waterand sewer facilities up to Statestandards. Therewasfurtherdis- cussion concerning whatwasbeingdonenowwiththe students and it was explained thatonebuilding hadnot burned and classeswerebeingheld--double shifting--in that building. )Senator Croftmovedthatthe bill bepassed outof Committee with a do passrecommendation.Therewereno objections. GENERAL Senator Thomassaid hehadaskedCommissionerMcGinnis to HEALTH & SOCIALappearandgive testimony on someof thebills before the SERVICES Committee, as wellas his general viewof Health & Social Service legislation. He askedtheCommissionerfor his viewson the runaway minorbill which is now inSenator (SB 45) Ziegler's JUdiciary Committee.Mr.McGinnis stated hefelt the chronic runaway was a difficult problem andshould be dealt with, but he didnotfeel theoccasional runaway should bearrested and dealt with in thesamemanneras the chronic runaway. Senator Thomas askedMr. McGinnis to give ) histho~ghts to Senator Ziegler. -2- ----------------------- Page 202----------------------- I (Medicaid) SenatorThomas asked the Commissionerto give the Committee ~-~ his thoughts on Medicaid. The Commissionersaid he felt it was good--thatmore people were getting more serviceson a more equitablebasis than ever before,at less cost to the State. He gave the Committ~e somefacts and figuieson this subjectand statedthat a comprehensive~eport onMedicaid would be submittedto the Committee withina few days--the. reportis now at the printers. (Pipeline SenatorThomas asked the Commissionerwhat the Department Impact) was doing about pipelineimpact.Mr. McGinnisstated they had requestedadditionalspace and stafffor the Anchorage area, they have started intensivetrainingfor both new and ) old staff, and they were planning to request the same for the Fairbanksarea.The Department was tryingto plan ahead and determinewhich communitieswould actually be impacted and what their needs would be. SB 251Senator Thomas asked about Health MaintenanceOrganizations and Mr. McGinnis statedthe Departmenthad no objectionto the bill, but commentedthat the cash reserve neededto set up HMO's might be excessivein some cases and suggesteda bond might be written to cover this, without having to tie up cash reserves. He stated he felt that HMO's could actually be formed under existingstatutes, but he had no objection to the bill and felt every Stat~ shouldbe able to organize ) HMO's. -3- ----------------------- Page 203----------------------- Langdon SenatorCroftaskedCommissioner McGinnis aboutthe Langdon \ Clinic& )Methodone Clinicin Anchorage and if it wasnow operating. Treatment statedthey had beengivenan extensionsincethe last in- spection showedthe clinic hadclearedup the deficiencies, and thatthe Department wouldextendfundinguntilJune 30 if no new problemsarose. There wasextensivediscussion on the clinicand methodone as a treatment. The Commissioner pointedout thatthe clinicdealswith only 25 peopleand that according to the Anchorage Boroughthereare approxi- mately500 heroinaddictsneeding treatment. He said he had talkedto officials in .the boroughin Anchorage to see what theywere goingto do about the problem, but no answers were forthcoming at the presenttime. He stated hefelt the Department shouldsupplyfunding, when available, and set ) standards, but thatthe localcommunities shouldbe giving directaid. SenatorCroftasked if the Department hadany figureson expenseper person for the LangdonClinicand. the Commissioner indicated the Department wouldfurnishthis information to the Committee. SB 288 SenatorThomasaskedthe Commissioner for his viewson creating a Department of Healthand Mr. McGinnis said he did not feelit wasin the publicinterest tocreatea new Department.He felt this wouldbe a step backward20 years. There wasextensive discussion on a separate department and th~ administrationof suchdepartment being in the handsof ) doctorsvs.administrators.He gave the Committee statistics on states whopresently have departments of health vs. those A_ ----------------------- Page 204----------------------- under the "umbrella" concept as Alaska is now, and the Commissionerdid not feel it was in the State's best interest to pass this bill.(36 states have "umbrella" agency; 19 of the 36 have health departmentas part of the "umbrella" agency i rest of States have separate departmentof health.) SB 299 Senator Thomas asked about work furloughs for prisoners and Mr. McGinnis stated he did not feel the Court should make those decisions--he did not feel they were adequat~ly staffed to handlesuch a program.He stated the Department would hav~ a report on this program within a week or ten days, which would be made available to the Committee. ) SB 321 Senator Thomas asked for comments on amending the Uniform Narcotic Drug Act and Commissioner McGinnisstated he would like to defer testimony on that bill until he was able to study it further.There was no objection by the Committee. SB 328 Senator Thomas asked for comments on SB 328 and the Commissionerstated he was wholeheartedlyin agreement with this bill.He felt it was imperative to have funds pro- vided for researchand planning F especiallyin a Department where so many different programs were carried out. There was discussiQn pertaining to the percentage of budget that should be used for planning and evaluation,and whether this should apply only to the Department of Health & Social Services or all Departments;whether the percentage should -5- ----------------------- Page 205----------------------- be 2%,1%or 0.5%. After furtherdiscussion, Senator j Croft moved thatthebill be passed outofCommittee with individualrecommendations. There wasno object~on. SCR14 Senator Croft asked for commentsonSCR14 andMr.McGinnis stated theDepartmentwasinsupport of thebill and felt" sucha study waslongoverdue. senator Croft movedthat theCommittee pass thisResolution outofcommittee with a do pass recommendation withanamendmenttoadd: "and to theFirst Session of theNinth StateLegislatur€" on Page2,Line1. There werenoobjections. GENERALCommissioner McGinnisstated the Departmentwould prepare (SB310 )~ SB 344) position papers on thevarious bills in Committee. Senator Thomas remindedDeputy Commissioner McClainthattheCom- mittee waswaiting forthefiscal note forSB 310,.and Mr. McClain saidit would beavailablein a fewdays.Senator Thomas asked about SB344 andMr.McClain said therewasa slight change in thelanguage ofthebillthat theDepartment would liketosubmit forconsideration by theCommitteeand it would beready for review ina couple of days. Meeting adjournedat 9:50 a.m. ) -6- ----------------------- Page 206----------------------- JOINT HEALTH,EDUCATION & SOCIAL SERVICES COMMITTEES MEETING Februaryl~, 1974 1:30 p.m. PRESENT: SenateHESS: All members;HouseHESS: Mrs.BeLrne r Dr. Fritz, Mr. Wingrove, Mrs. Chance (possibly otherscame in} Mrs. Beirnecalledthe meetingto orderand Lntroduced Mrs. MarionLampmanof the Association of HospLtals, who introducedMr. PaulRame~ asking hLmto explainthe pro- posedhealthagencycenter. Mr.Ramey saidin effect they wouldconstruct abuLlding ) whichwouldhouseall health agencies--specifically designed and located,and rest~icted to use of-health agencies. He went into greatdetailconcerning the concept,pla~nLng, designingand fundingof sucha center. He stated that if the State wouldfund the feasibility study,the actual fundingfor the rest of the projectcouldbe acquired from nationalphilanthropic organizations and the federal govern- mente Mrs. Lampmanthen introduced theirLegislatLve ChaLrman,- -WIIN62.Jc10hd' d . b' 11 dh' .. Gary n . N,w 0l.scussevarl.OUS l. s ant el.r opl.nl.ons concerningthosebills. Summaryof hiscommentsis listed below: SB 32 - Indicated support HB 114 - Do not support. ----------------------- Page 207----------------------- HB 280 - Extremelyexpensive bill to administer so do not support .. HB 285 - Support this program. (Passed both bodies and sent to Governor.) HB 288 - Endorse this program. HB 302 - Felt this not needed. HB 552 - Good concept but not needed. HB 306 - Do not support this bill. HB 307 - Do not support this' bill. HB 35& - Would like to drop this one and replace it with HB 549 or SB 329. HB 438 and/or SB 438 - Do not support. HB 548 and/or SB 328 - Support on preliminarybasis. HB 440 and/or SB 264 - Endorse this bill. ) HB 441 and/or SB 263 Endorse this bill. HB 112 (also proposed Hospital Assoc. Bill) - Certificate of Need - Support this--feelit very necessary_ (Senator Thomas and secretary had to leave meeting at this point -- Association of Hospitals supposed to furnish their writtencomments on above legislation and any other discussed at meeting after we left.) ----------------------- Page 208----------------------- JOINT HEALTH,EDUCATION & SOCIAL SERVICES COMMITTEES MEETING February14, 1974 1:30 p.m .. PRESENT:Senate Hess: All membersi House Hess: Rep. Beirne, Fritz, Wingrove, Malone,Hackney & Hartig. SenatorThomascalled the meetingto orderand introduced Dr. Darnellof theCenterfor Northern Educational Research, Universityof Alaska,who prepared the InterimCommittee on Prehigher Education reportand recommendations. Dr. Darnellwent over the reportand recommendationsbriefly ) for the Committee. Dr. Darnellfelt it wasimportant for the Legislature to give direction to the Departments--possibly througha Resolution--but recommended that legislation per se not be drawnup at this time. He felt that the Departments of Education and Community & RegionalAffairs could work togetherto implementthe recommendationsin the report. He alsosuggestedthatthe Departmentof Education set up a separatedivisionto handlethis problem. He felt it was necessaryfor representativesfrom each Department to work togetherout "in the field"to instructthe localcommunities in how to set up schooldistricts, how to organize,to teach them the mechanics and bookkeeping necessary, etc., but that the decisionsas to the form of educational priorities and schooldistrictsshouldcome fromthe local communities and not be directed bythe State. ----------------------- Page 209----------------------- Commissioner Lindstated hefelt the reportand recommendations were excellent and agreedwith Dr.Darnellthat the matter could be handled withoutspecificlegislation; possiblya Resolution that woulddirectthe Department. Mr.Lind felt there wasa largeproblemwiththe on-baseschoolsand dis- cussedtheir problems, the concern of the military in general, and how their problems and concerns could be alleviated. He then discussed the fundingnecessary, and the complications with federal funds. He felt that SOS couldcontinue applying for the fundsuntilsuch time as they are phasedout of con- trol and at thattime the Department of Education could apply for the 874 funds. He did notsee any problem wi th 'this arrangement.There wasextensivediscussion concerning the on-baseschools, decentralization of SOS and how bestthis ) could be accomplished. Mr. Stan Freese stated the military did not want to merge into civilian schools,but wantedto have theirown schools with localcontrol. There wasextensivediscussion concern- ing the military, on-baseschoolproblem. Mr. PeterPartrowf~om theDepartment of Law testified that in his opinionthe existing statutesallowthe Department of Education to contract withanother Departmentor school districts for services, so thatth~~ recommendationcould be implemented.He hadreservations on fundingproblems and )other problem areasand felt a Resolutionshouldbe drawnto show legislative intent,as well as havinga committee report attached. -2- ----------------------- Page 210----------------------- There was extensiv~ discussion concerningthe mechanics of solving the SOS decentralization, the phasing out of BIA schools, the local entities assuminglocal control, and funding matters. Dr. Darnell told the Committee he felt C.N.E.R. should do a £inancialstudy of the schools and discussed the possibilitiesof undertakingsuch a.study. 'Meetingadjourned at 2:50 p.m. ) ----------------------- Page 211----------------------- HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING February 15,1974 / 8:30a.m. PRESENT: Allcommittee members.Alsonresent wereDr." FrankDarnell, E. DeanCoon& KathyHecht of CenterforNorthern Educational Research, University of Alaska; ByronMallott and Jack Chenoweth of theDepartment of Community and Regional Affairs; RobertIssac, Department of Education; PeterPartrow, Depart- ment of Law; Peter E. Flisock, Galena CitySchools;"E. W. Borgen, Sr., Ketchikan PulpCompany, andJanetBorgen; Stuart Hall,Legislative Affairs; and BillOverstreet, Association of Alaska SchoolBoards. ) RURAL Senator Thomasstated thatthis meeting wouldbea continua- SCHOOL PROBLEMS tionof the discussion heldduringtheJointH.E.S.S. Committee M~eting on February 14, "concerning theruralschool problem. Senator Thomas askedwhy theNativeRegional Corporationsdid notform boroughs and takethe education problem in hand. He stated someof the urban areasdo not understand why theydo not wanttoform a tax base. Dr. Darnell stated the regional corporationboundaries might not workforschooldistricts, thatthe regional corporations wereset up ~ith profit motive in mind,thatth~y have other charges to dealwith,and arenot necessarilysocialagencies. He feltthat while the boundaries of regional corporations are recognized to be themostlogical divisions of Alaska, ----------------------- Page 212----------------------- that they are not necessarily what school district boundaries should be. i He felt local interests in the larger corpora- tions vary quite widely and that the school districts should not cut across regional corporation lines. Senator Thomas stated that the recommendations in the report were broken down in three phases with two years as a transitional period and he wondered why this shouldn't move more quickly. Dr. Darnell felt that a two year period was needed for special physical considerations,time for the communitiesto establish its needs and desires, adequate training for those who will be in charge to know what school operationsentail, and time for the whole community to become involved and know what to expect. ) He said he felt it was very important that a special division within the Departmentof Education be organized and that it be independent of the rest of the Departmental functions so it would not be bogged down with other functions in·the Depart- ment--and suggested that this Division(or whatever it is called) might even be located out of Juneau. There was extensive discussionconcerning areas that were ready for immediateacceptance of responsibility for ed~cation; the pros and cons of areas establishing second class cities for purposes of taking on school districts only; and possibility of changing requirements of first class cities on a population ) basis so that the basic s~ructuring of first and second class cities would'remainthe ~~me, but the criteria would be less for becoming first class cities--as that relates to educational needs. -2- ----------------------- Page 213----------------------- SenatorCroftaskedif an analysishadbeen madein regard to the legalaspects- of the problem in 'regard to equalization of education. Dr.Darnellsaidthat it hadbeentaken into consideration, especially in the provisions of the localareas assuming authority, but thatfinancing was a problem and that this hadnot been adequately studied. He wouldlike to see a financial study doneas a sequelto thisreport. There was furtherdiscussion onschool boards askingfor moniesfrom the legislature, but not wan~ing any controls over wherethe monieswerespent. SenatorCroftindicated he wouldbe interested in seeingan evaluation of the success of SOS in termsof educational attainment, comparedwithBIA schools, rural~chool districts, ) with Anchorage schools--oti a quantative basis. Dr. Darnell feltit wouldbe very difficult to comparethe effectiveness of urbanareas andrural areasgenerally; that it might be possible to comparespecific things, but felta comparison mightbe more of a disservice thanservice. SenatorHensley said he was concerned ab9ut the' possibility of ~mall districts rather than largeones,becausethe larger districts might be, more effective in getting things done~ Dr. Darnell agreed withthatand said he did notwant to implythat the emergence of smalldistricts ratherthanlarge borough districts would be better--that one type wouldbe betterthanthe other--but what they wantedto emphasize was thatthe emergence of schooldistricts needs to be field initiated rather thanlaid down bythe State. ----------------------- Page 214----------------------- Senator Th6mas askedif thatdecision wouldn't actually comefromthe Departmentof Community & Regional Affairs, and Dr.Darnell answered in the affirmativeandexplained thiswas whytheyfeltit imperative theDepartmen~ of Community & Regional Affairs and Departmentof Education workclosely together. Mr. Mallott expressedconcern aboutthe possibilityof establishinglocalgovernmentsto handle onlyeducational needsandhe feltthe problem hadto be looked atin the wholecontext ofthe wellbeingof thepeople in the community.He wasconcerned aboutthird classboroughs thatcarryon onlyeducationalfunctions and donot ) address the problem of whatthesearea will needin other service areas. Senator Thomas askedMr.Mallott if he did notthinkthethird.class borough might leadon toa ~ full borough. Mr. Mallot said hewasn't against this onlyconcerned whether a third 'class borough in this concept hadany realmeaning, and if it shouldn't bea transitional measure. Senator Thomas said hehad thefeeling thatif thelegislature was notdefinite in defining the wayit wanted thetwo Departmentsto act,thatone mightwanttoset up entities to handle education and theothermightholdoutuntil all othergovernmentalservices couldbe supplied, andthat might takeforever.Mr. Mallott said hewasnotopposed to the mechanism that would allowthese needsto be met,butwas ----------------------- Page 215----------------------- opposedto imethods that wouldstopthat development. SenatorThomasasked Mr. Mallott if he felt thetwo Departments could worktogether on this problem and Mr. Mallott said his Department had workedwiththe Education Department in the past-- that hisDepartmental policy hadalways beento gatherinformation and providehelp whichwouldenablethe localentities to settle their own problems -- and he did not foresee any problemsin working with the Department of Education. SenatorSackettintroduced Mr. PeterFl~sock from Galena City Schoolsand askedhim to tellthe Committee the problems his area wasexperiencing.Mr. Flisock gave ) extensivetestimony on the problems in Galena: why they becamea firstclass ci ty i fundingproblems; conce.rn of being incorporated into a thirdclass borough; difficulty of operating schools, etc.;and expressed a desirefor legislation that wouldenable~ny school underthe size of twelve instructional unitsto receive $50,000from the State to helptake care of utility costs in the schools. He ~lso expressedthe opinionthatforcingschoolboundaries on thelocal peoplewouldbe a disastrous step for the State to take. He alsosuggested that a program be set up at the University of Alaskawhereby individuals from communities arourid the statecouldcome and learnhow to cope with the problems and technicalitiesof theschools the and then returnto theirlocal communities and inform/rest of their community -- this in lieuof thetwo Departments ----------------------- Page 216----------------------- sending peqple from-their respective Departments to the local communities. Senator Thomas said the Committee would take this suggestion under consideratio~. Senator Thomas said he would like the Departments of Education and Community & Regional Aff~irs get together and propose draft legislation, whether by Resolutionor otherwise, to implement the recommendationscontained in the report. Dr. Darnell gave the Committee copies of a CNER proposal for a study of School Finance Planning and also copies of a proposed Resolution for that study.Senator Sackett asked Dr. Darnell if he had draft legislation based on the ) recommendations in the report, and Senator Thomas expl~ined that Stuart Hall of Legislative Affairs had been assigned to help the Committee with this problem. Meeting adjourned at 9:45 a.m .. ----------------------- Page 217----------------------- I HEALTH, EDUCATION ANDSOCIAL SERVICESCOMMITTEEMEETING February19,1974 9:00 aom. PRESENT: SenatorsThomas, Harris, Sackett& Croft. SB 324 Senator Thomas called themeeting toorder andasked the committeetoconsiderSB324. There wasa verybrief discussion of thebill andSenatorHarris moved that it be passed outofcommitteewith a dopassrecommendation. There wasnoobjection. SB 344 Senator Thomas then asked thecommitteetoconsiderSB 344. ) Hegavethe committeemembers copies of suggested changes in the languageof thebill received fromCommissioner McGinnis. There wasdiscussion onthechanges inthe languageandit was decided toamend thelanguage. Senator Harris moved that thecommitteedraft a Committee Substitute toincorporate thelanguagesuggestedbytheDepartment of Health andSocial Services andpass CSSB 344outofcommittee with a do pass recommendation. There were no objections. SB 321 Senator Thomas brought upSB321,AmendingtheUniform NarcoticDrugAct, andsaid there hadbeen discussion in a previousmeeting concerning having a hearing on this.He asked thecommittee fortheir thoughtson having such a hearing inAnchoragerather than in Juneau so that it might be possible to have someofthejudges in attendance to ----------------------- Page 218----------------------- testify on their views concerning the drug problems. There --~was further idiscussion on this matter and a tentative date was set for a hearing in Anchorage by both Senate and House HESS Committees on March 1. The Staff Assistant was requested· to contact the House HESS Committee to see if this would be agreeable with them; to contact Jamie Love, Family House, and the Department of Health & Social Services.Senator Harris stated he would contact the judges in Anchorage.The Staff Assistant will also obtain a place for the meeting.andmake ~ll arrangements for the hearing. Senator Thomas then reminded the Committee of upcoming meetings:with the vocational Advisory Council at 8:00 a.m., February 20i Joint HESS meeting with the State Medica1 Associa- ) tion on February 21; and also informed the committee that he and Mrs. Beirne would be meeting with the SOS Board at 1:30 p.m. today and any member of the committee would be welcome to attend. Senator Thomas informed the Committee he had asked for a study on teachers' retirement fund from the Departmentof Education and the study is supposed to be furnished by the end of this week.This was due to the fact that there ~re several teachers' retirement bills pending before th~ Committee at the present time. Meeting adjourned at 9:15 a.m. ----------------------- Page 219----------------------- JOINT HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEESMEETING Fe~ruary 21,1974 1:30 p.m. PRESENT:SENATE HESS:Senators Thomas .and Harris HOUSE HESS: Reps. Beirne, Fritz, Hackn~y & Petersen ALASK~ MEDICALASSOCIATION: Dr. Rod Wilson, Chairman of LegislativeCommittee, and Doctors Albrecht, Fraser, Langdon, and Wallner of Anchorage;Dr. Hedges of Juneau DEPARTMENTOF HEALTH & SOCIAL SERVICES: Commissioner McGinnis, Deputy CommissionerMcClain, and Dr. Donald K. Freedman, Directorof Division of Public Health. )Senator Thomas called the meeting to order. Introductions were made and then Dr. Wilson gave a brief summary of the topics to be discussed. No-faultinsurance - Dr. Wilsonstated the Association hoped this would pass.He expressed concernedthat the free con- ference committeemight rewrite the dollar amount in the bill, and felt if lowered it could no longer be considered"nofault". He also expressedconcern that the torte ceiling might be changed .. SB 35 Treatmentof alcoholism in group health plan~ - D~. Wilson said the Associationfavored this bill except for some minor changes in wording concerning hospitals. ----------------------- Page 220----------------------- SB 359 Coveragefor newborns - The Association is in favor of this bill and stated it was their understanding there would be no great increasesin the costs, bas€d on" information from other states.They would like to have the bill passed this year.Senator Thomas requested Dr. Wilson to furriish the committee with statistics from other states on costs, etc. SB 264 WAMI Program - Dr. Wilson stated he hoped the committees continued to look with favor on the WAMI program; that in the future the State would probably be asked to participate to a larger extent in the program. Senator Thomas said the bill had passed out of Senate HESS and was now in Senate Finance Committee. Representative Beirne said there was ) also a bill in the House. Alaska Health Sciences Information Center (Medical Library) Dr. Wilson felt this facility was used by many different agencies, not just the medical profession, and was a very important contribution to Anchorage. He said it had been mostly funded by the Public Health Service; some funds from other sources, such as the National Library of Medicine; but funds from State a~e increasing each year~Total amount needed this year is $47,000, thus a supplemental appropria- tion has been requested for an additional $17,000 (only $30,000 in budget) which will provide the sa~aries fortwo of the six employees (other salaries are funded from other sources).Dr. Wilson said the facility is used by all Alaskans in all walks of life. Dr. Beirne asked Dr. Wilson ----------------------- Page 221----------------------- to furnish the commit~ee withstatistics showinghowmany doctors use thefacility, from whatpartsof theState and Dr.Wilsonstatedthat80 percent of the doctors in the Stateuse thelibrary. He felt thiswasa verylargeper- centage indeed,andhopedthe committee would look favorably ~ on thisfacility in light of extrad~dinary benefitsforlow cost. Medicaid - Dr. Wilsondistributed copies of a result 'of a surveydoneby the Chairman of theirMedicaid Committee, Dr. Robert Whaley,on attitudes concerning theMedicaid program. Report showedpatients represented aboutfiveto six percent of the doctors' practice.Alsoshowedthatthe doctors' billsare discounted by 20 to 30 percent. It ) wasalso indicated thatpayments to doctors were "low and survey slow". Therewas discussion concerning the/report and was determined at the timethe surveywasmade,payments to doctors wereslow, butthe problem had beenrectified and at the present time,payments are madewithin elevendays of receipt of bills. Therewasfurtherdiscussion concerning thedoctorsgetting their bills in soonerfor payment, par- ticularly at the end of the year. Dr. JohnDalton,Medical Officer for the Division of Medical Assistance statedthat thelaw requires that theypay no morethanwhat Medicare paysfor similiar services and theydo pay100 percerit of thatfigure. SB 74 & Coroner's Inquests - Dr. Wilson saidthis bill would replace HB 44 coronersdetermining causeof deathwitha modern medical -~- ----------------------- Page 222----------------------- examiner.H'e felt thebillshould bedelayed fora year toenablethe Associati~n to workon the billa little more. Theywere notsatisfied with it asit was. SB 251H.M.O.'s - Dr.Wilsonstated the Associationwas against thisbillas it is written.They werenotagainst H.M.O.'s andencourage thedeve~opment ofH.M.O. IS,but didnot feel thebill wasneeded. Hefelt thefederal legislation would- supersede thestatelegislation anyway, and hefelt this particular bill would discourage rather thanencourage H.M.Oels. Rep.Beirne statedthattheLegislative Council is working onthis--that Region 10 hadindicated thefederal legislation didnot prohibit state's from having an enabling actand ) guidelines. Therewasfurther discussion concerning this subject-- CommissionerMcGinnis stated hehad beentold thebill wasneeded, thatstateguidelines wereneededin formation of H.M.O.'s. HB 280Alaska health security plan for catastrophe health insurance; establishing Health Security Commission -Dr. Wilson stated theAssociation wasagainst this bill. He feltit wasunwise for the statetoget in thisbusiness thisyear because of pending federal legislation. HB 112 Certificate of Need- TheAssociation disfavors this bill. SB 288 Creation of separate Department of Health - Extensive testimony wasgivenby Dr.C. EarlAlbrecht (copyattached).Dr.Langdon A ----------------------- Page 223----------------------- stated therewere di1£erencesofopinion in theAssociation concerningthisbill. Some support the bill, others do not. Hefeltthere were- twopoints ofcontentioninthebill: one wastheAdministrative Board concept andtheother was taking the part of theDepartmentjhowever hefelttheBoard wasthe rna j 0 r J? 1;0bl em. Hefeltit was imperativethat theBoard members should not serveatthe pleasureof theGovernor,but should serve forfiveor six year terms and. onlybe removed forcause. "He felt the Departmentshould bekepttogether as the"umbrella"concept, withpossiblya policy making board. Senator Thomas asked about theadvisory board the Departmenthadnow under thepresent set-up, andDr.Langdon stated he wastalking about an administrative board--a policy ) making board.Senator Thomas asked how many states had separate DepartmentsofHealth nowandwhat the trend was. Dr. Albrechtsaidthere weretwenty-some-oddstates with separate departmentsnow; thatthetrend hadbeentohave more"umbrella"departments formed buthefelttheir effective- nesshasgonedown. There wasfurther discussionconcerning funding ofa" separate deparment,andpresent budget figures for "health programs in theDepartment of Health & Social Services. Mr.McGinnis stated thatthe present budget for all health programs wasapproximately $61,000,000andhe suspected that $70,000,000forhealth programsthroughout theState would notbefar wrong.Rep. Fritzstated he felt thetestimony given byCommaMcGinnisfavored thecreation of a separate Department of Health.Dr.Wilson said in the pastDepartments of Health helped to control infectious _ c::: _ ----------------------- Page 224----------------------- diseases and thatis not reallyneedednow,and thatas new programs are neededit'must be decidedwhichhad priority. He felt it wasimperative thatthere bea professional hoard to determine theseneedsand priorities. SB 267Healtheducation - Dr. Langdon read a statement preparedby his wife,presently President of theState P.T.A., stating that health education was badlyneededin theschools,but thatshe felt SB 267 wouldnot begin to accomplish the desiredresults.Dr. Langdonsaidshe suggested a Resolution encouraging the development of healtheducation and making fundingpossible wouldbe moreappropriate than a mandatory hill. Dr. Wilson said he felt health education was an )appropriate ,topicin the schools,butfeltit waSunwise to specifyfamily or whateve~ topicso Hefelt the topics to be discussed in the schools shouldbe anatomy,and physiology--structure and function of the body--studentsshould grow up knowing whatit is and how it works? and thesesubjects can be taughteffectively andinterestingly in all gradelevels. He agreedthatthis shouldbedone by Resolution rather than mandatory bill. Dr.Fraserstatedshe feltit wasmost important to havepreventive education--students shouldlearn how to takecare of themselves, and thatthereshould bea closerworking relationship 'betweenthedoctorsand schools. Therewas extensive discussion concerning thissubject. HCR 43Dr.' Wilson urged supportfor several health-related resolutions, (1973) suchas HCR43 from1973 pertaining to stretchers of a uniform - h - ----------------------- Page 225----------------------- typein publicbuildings and hospitals foruse in timesof disasters. GENERALDr. Wilson saidthey werealsoin favorof havingmore medical programs in the pioneer homes; that the~ssociation wasin favorof theResolution introduced last yearconcerning health planning--hefelt thatall doctors and all health agencies shouldbetalkingtogether and planning what"to do about" health problems. HB 358Community mental healthclinics - Dr. Langdon stated -the SB 329 Association,in general,wasin favorof thisbill,but he )personally did notfeel it was neededdue to theadventof Medicaid. HCR 43Rep.Beirnestated that theHospital Association had indicated (1973) therewas noneed forthis bill. Dr. Fritzexplained this wasemergency equipment foruse in timesof disasters.He gavean example of an airplane crashwhere manyliveswere lost because stretchers were not available and theycouldnot getthem in time. Meeting adjourned at3:00 p.m. - 7- ----------------------- Page 226----------------------- ~1\:~8tilnony by Dr. C. Earl '/\lbrechi:, r1.D~ beforethe COffdni ttc.es considering Bou ~~e Bill if l} 3 8 It An A:-t Cre.a t ing the Department of Health, prescribing its o~ganization) power8and duties; a.nd providing, an effective date". Thankyou for the opportunity to .appear beforethis committee .. By testimony is in su.ppor~ of this bill in princ.iple. Thereare some important, modificationsor amendm~nts thatI feel verystrongly, needto be changed. r', Hill direct myremarksto theseat a later I a~ testifyingon myoen behalfand also as thecurrent president of the Alaska PublicHealthAssocia~ion.In the latter r;ole I willbe veryspecific asto the corrunents being madeas thepresident of the /\laska PublicHealthAssociation. ) It is my personalconviction that it wouldbe desirable for ~he Stat~ of Alaskato establish a Boardof Healthas provided" by theconstitution 1n Section 26.Health is co~sidered by all of us as a very precious possession and onlywhen we loseit temporarily or for longerperiods of time,do we realize in very clear perspective ho~ valuable our healthhas been. Thefunction of government is clearly defined in our constitution; namely, that the Stateshall promote and protectthe publichealth in i,ts braadest terms. This cov~rs the maint€nance of healthas well as the deliveryof health services. One responsibility' of any department of health,therefore,is to maintainhealt~ and to preventillnessfroIn becomi ng rnOY 1 e Sel"J.OUS 01'"\ froJI'.. occurring at all. The l'esponsibili.ties, programsand activities assignedto the Divisionof Healthareof such importance thata separate dC'partGent::)'~eras des irable so that a sharperfoelE; on heal tll can be achieved. ----------------------- Page 227----------------------- -2- The promotion andprotection of health 1S undergoini rapid advancement andcharigenot onlyin Alaska butin everystate as health well ~s at the Federal level. A greiter~ emphasis is developing and willintensify in the·future. For' example, l1edicarev,Jas adopted recently, thencame Medicaid, andnow weare anticipating national health lnsurance. Thesenlan~ pressures for thechangein the delivery of health services deserve thehighest fulltime attention by the executive bra~ch of government as wellas the legislature. Suchmajorresponsibilities should be vested ln a.cabinet member as is provided forin thisBill. Another reason thatI advocate thischangeis thedesirability of removing all ofthehealthprograms fromthe othe~ social servicesand welfaref~nctions. No matter how muchonetries there is theindelible association between health and welfare whenthey ) are ln thesamedepartment. Theconcept and theperceptions that peoplehave in general is thatin welfare, relief is given, public assistance is offered toa certain percentage of the popUlation who arein needandare deserving of thistypeof assistance. However, whenit comes to theadministration ofthepublichealth, .- thisreaches beyond the level of welfare need. It mustbea serVlce program to all peopl~ ofthe State without regard to theneedfor eligibility forwelfare assistance. An argument against such separation is thatsocial services are often needed by people who are notnecessarilyon relief or receiving assistance underthe welfare programs.Theidealis to treat any person or individual to meethisphysical, socialandp~ychological needs in onepackage. Thereis noreason~hy ·aseparate Department of Health carinotbe concerned witha patient's physical, mental, psychol6gical and indeed social service requirements. In manygooddepartments ----------------------- Page 228----------------------- -3- 1 for'exaTIlple,the1 e are medical social serv icestaff to meet those' '., ( ) special l1l2eds.Thus it is possible tooff8rthe totalservices to any individualneeding the services related tohealth. the HealthDepartment .can and wouldcooperatewith this Department ofSocial Services wheneversuch needsexistInapatient coming totheirattention. It is myfeeling that all of the health programsshould be adminisiered together thus pulling out the health programs fro~ the Departmentof Healthand SocialServices. Health is an imp~rtant program and lSnot asmallpart ofahuge program asmeasuredin dollars. I understand that the total Department of Health and Social Services budgetthis year may be inthe neighbourhoodof onehundred n:.~'-«-~~,", million dollars, ~dhereas the total Heal t.h1ie:.t.~~ appropriation ) will beapproximatelysix milliondollars. This is a verj small / proportionof the total whichcausesan.overshadowingby The huge appropriations that must go into the so-calledsocial services or welfare programs. Onthe other hand, aDepartmentwith abudget ofsix million dollars and the many responsibilitiesassigned to such a Department ofHealth justifies Cabinet status and special consideration. This wouldnot beasmalldepartment for there are several rlepartments presentlyinour AlaskanStato ~overnment . . that are smaller butwhichdoenjoyCabinet status. Another reason fora Department ofHealth isthat this isa specialized type of governmental program. There is a closerelation- ship with all of the programsin health administration whichare i~cluded in the Bill before you.All ofthe Mental Hygiene pro- gramswould be carried out inadistinct Division. Other[;ealtil related responsibilities de~l withalcoholism and drug abuse. Health Services under Medicare and Medicaid wouldbe included and ----------------------- Page 229----------------------- -'}- \"hen Nat iona.l Health Insurance becomes a reality thisvlould naturally be administeredhere. Thusall aspects of health would (' be convenientlyhoused in one Department withtheExecutive having Ca.bii1et status. My opinion andconviction for a separate department comes fromhaving beenan administratorat cabinet 6r assistant cabinet levelin public health 2nd mental health in thr~e states with seven governors, fourdemocrats andthreerepublicaris.I havealso had theopportunity overtheyear 'ofhavingpersonal knowledge of many ofotherstate commissioners ofhealthandam familiar withtheir programs. I havepersonal knowledge ofthe situation that has developed 1n some states where health has beena partof a large umbrella typeDepartment suchas we havein Alaska. Rarely do wefindsupporters of thistypelargeadministrativedepartment )amounghe-a 1th administrators. In Pennsylvaniaattempts have been madeto bring HealthandWelfare Departmentstogether but when it was attempted it wasfoundnot to besatisfactory largely because of the hugewelfare program as compared to the Health Dept.primarily measured in dollars expended for the manyvaried programs.Whenone looks at the numerous programs presently housed l.n Depar~ment of Health and Social Services, one is amazedat thebroadscope of the manyvaried, complicated~ difficult programs to administer. Totestify .insupport of thisbill I recognize thatit is pulling out a majorportion of thepresent department. I hesitate to speakso firmly at· thet ifile \·.,ihen Comrni3sioner FredMcGinnis 1S the l'esponsiblc. cabinet mernberfor theseprograms.I havethe gredtest respect forhim andfind th2.t he hasdonean outs·tanding dnd remarkable administrative piece of workwiththe numerous responsibilities andvariedprograms that he mustadminister. Not ----------------------- Page 230----------------------- -0- everyone can alwaysagreewithany administrator and leaderandI am surethat ComDlissioner~ UcCinnishas at timesnot had agreement -)of a.ll incJ i v idu.als . J But let me make it very clea-r tha t any good a.oministrator doing his jobis subjectto this in r'E:_alit~y. I certainly \-lishto commend - COJ1uniss ione.r HcGinnis for the br"load knowledge he hasof histotaldepartmen~. I have heardhim speak on severaloccasions whenhe has demonstrated a grasp of this largeDepartment's scopeof responsibility whichcan onlybe considered extraordinary and remarkable.My testimony todaythat all health programs shouldbe groupedtogether into a distinct Department has no bearingwhatsoever on the method that Comnissioper McGinnis has administreredhis programs. I am looking at the long rangevalueto Alaskacitizens of -the establishment of a Depar-tment of Health. )As the president of the AlaskaPublicHealthAssociation I have I Gt~t~~ 2.Co) requested commentsfromthe membepshi~~nd I have received a fair number who have objected to two features of the bill In its present form. One of them dealswiththe requirement tha~ at least four of themembersshall bemedicalor o~teopathic physicians licensed to practice in thisstate. On this pointtherelS strongobjection that the majority of the membersbe physicians.lam in agreern~nt. The Boardof Health shouldhave competent concerned personsrep- ~¢k). resenting the l-1edical ~Tursing, PublicHeal t:1:. and Allied Health professiollSas wellas other deliverers of medical services such as the hospitals, nurslnghomesandthe VoluntaryAgencies.Finally, the consumer or nonprovider should havea voiceon thisboard. I believethatthere wouldbe verylittle objecTion if two physicians were on the.board sinceas a profession they are a pivotalfactor in all aspectsof medicine and the delivery of HealthService. The mem- bershipof the Boardof Health' isa detailof importance that this ----------------------- Page 231----------------------- -6- 1egis121ti ve bodycanin.it S \!lisdom determine , onetoJhich ct~ri:airlly ~vill be inthebestintcrests ofl\laska. . . ) Theotherpoint about ,\olhi.ch there is obj ect ion andin v:hichI concur is that "the commissioner of health shall be a medical Or' osteopathicphysician. I feelthatthissection should be amended dS do ~ substantial numberof·the AlaskaPublic Health Association membership. Hereagain, I feelthat if a compe~ent board is appointed theywill seeksomeone who hasadministrative ability, competencein public health, in mental hygiene, aswellas the otherprogram fields that he willadminister. Morethanlikely this will bea physician whohasadministrative experienceand competence. Thishasbeenthepattern in the U.S. for many years at,the state level; in fact at thepresent timewith onlyone exception_physician administrators serveasthe Executivesofthe )Departmentsof Health. Whether or notthequalification of the Commissioner.of Health should be enumeratedin thelegislationis a matter forthelegislature to decide. Cer~ainly a competent Board of Health will appoint a wellqualifiedexecutive. Insumma.rythen I would sayfor myself thatI am. infavouI") of thepas~age of HB #438with· the t00changes which I havesuggested. SimilarlyI feel thata large numberof theAlaska Public Health Association membership would bein favour of theconcept of having all the health programs of ourstate government brought together· intoonenewdepartmentwitha section 26 board as theadministrative bodywhich would havetheauthority asstated in theconstitution toappoint the .executive officer withtheapproval of thegovernor. Someofthe membership havealsodesired the twochanges be 2ade tfhichhavebeendescribedabove.Finally, there ar'e somemembers of theAlaska Public Health Associationwho donot wish any.changefrom thepresent urabroellaconcept and-the legislature may indeed hear") from ·them ----------------------- Page 232----------------------- I HEALTH, EDUCATION ANDSOCIALSERVICES COMMITTEE MEETING ) February 25,1974 8:30 a.m. PRESENT:All committee members.Also present were: Mr. RobertGates, Retirement & Benefits Division, Department of Administration; Mr.RobertC. Cooksey of NEA-Alaska; Mr.wRobert Van Houteof NEA-Alaska. SenatorThomas calledthe meeting to orderandintroduced Mr.Gates,andaskedhim to givethe committee information on the teachers' retirement bills. SB 342 Mr. Gatesaddressed himself first toSB 342,explaining that thisbillshouldbe passed in oiderto clarify the ) intentof bills passed last year(SB101 and HB 65)--there was somedoubtdue to timeelement in passageof thebills last year--and SB342 is merely a clarification ofintent. SenatorThomas askedif the samethingcouldn't be doneby SB 384 passageofSB 384 and Mr.Gatessaid thatit could,butthat therewere nocost implicationsin SB 342, whereas there werein SB 384--that therewas a considerable costimpact. He stated the totalcost of SB 384 would be 96.6 million; it would reducetheretirement agefrom 60 to 55. Senator Thomasaskedif therewasany way to determine how many teachers wouldbe eligible to retireat age55.Mr.Gates state~ there wouldbe over900 eligible, and further explained thatthe coststo localschooldistricts wouldbe approximately ----------------------- Page 233----------------------- $343,000 and the remainderof $729,000 would be the State's ) responsibility. He also explainedthat the percentage of 1.11 applies to the total payrollfigure, so that the per- centage figure does not change, althoughin future years the dollar amounts would change as they are dependent on total payroll. Senator Thomas indicated he had been told that the Associa- tion of School Boards were in favor of SB 384. Mr. Cooksey said NEA favored passage of SB 384 and also brought out that the cost figures that Mre Gates had given was based on the premise that all 900 eligibleteachers ) would retire and he did not think they all would. Mr. Gates explained that there was no way to determ~ne just how many of the 900 would retire, but that it was necessary to set aside the money in the event they elected to do so. s~ 362 Mr. Gates then addressed himselfto SB 362. He stated this bill. was somewhat confusing as it showed a reduction in service from 30 to 20 years, when in reality it should be from 25 to 20 years--pointing out again that SB 342 was needed to clarify that point.Mr. Gates stated that under this bill, there was no change in employees'contribution, but that the employer's rate would go from 11.22 percent (current) to 14.77 percent--an increase of 3.55 percent of covered payroll for $3,429,000. The breakdown for local school districts -2- ----------------------- Page 234----------------------- would be $1,,097,000 and theState's responsibilitywould be $2,332,000. Mr. Gates alsopointed outthatthepresent systemenables a t~acher tohavetenyearsprior service in another State, so thatthislegislationcould enablea teacher who hastaught in the ~tate only10 years, andwho has10 years priorservice, to havefulfilled thiscredit- ableservice requirement. He alsopointed outthatthere is presently a provisionthat makes thisretroactiveto thosewho have already retired, so anyone who hada reduc- tion previously,would haveto beadjusted. Senator Croftasked Mr. Gates if he knewhowmanyteachers would be eligible to retire under this bill and he stated )therewere512. Senator Croftpointed outtherewere almost . . twiceas manyunder SB 384,butthatSB 362costsmoreand askedhimto explain where SB384 allocates any portion ofthe increased costto theteachers. and thathecouldnotunder- standthegreatvariance between thetwo bills. Mr.Gates responded thatSB 384doesnot reduce the number of yearsof participation.Therewasfurther discussionon thedifferences in the twobills.Senator Thomas said theAnchorage School Boardhadinformed himthiswouldbea bigproblem forthem unlesst~e State allocated morefundsas there was already a deficit in their budget. Mr.Cooksey statedthat if someteachers retired and were replaced bylowerpaidteachers, thentheschoolboards might not havea funding problem. -3- ----------------------- Page 235----------------------- There was extensive discussionon whether to move all of the teachers'retirement bills out of committee and on to finance, or just one or two of them. After discussionit' was decided to hold the bills until informationcould be obtained from the Associationof SchoolvBoardsand teachers and other interested parties,and then to try and combine all the desired features of each bill into one bill. SB 343 Mr. Gates s~ated thatSB 343 essentially removes a former maximum percentage that could be granted in the post- retirement adjustment. He felt there was a conflictas to what cost of living index was to be used in determininga cost of living raise.Mr. Van Houte suggested that the )Consumer Price Index be used and suggested this wording it could be incorporatedinto the bill by adding/after U. S. Bureau of Labor Statistics, since the Constimer Price Index was put out by them.Mr. Gates also stated that the bill as drafted would not presenta funding problem as it is not mandatoryfunding under the present law.He did inform the committee that a bill introducedin the House would make -~~the funding mandatory,but SB 343 does not. Senator Sackett asked if the different organizations that are supportingihis bill realize it is not mandatory and Mr. Van Houte said he felt they wanted to get the 1-1/2 per- centage limitation removed. It was decided to hold this bill also and to. incorporate all ----------------------- Page 236----------------------- desirable features, i£ possible, into one bill. Senator Thomas announced that the Committee would meet at 8:30 a.m. tomorrow morning(Feb. 26) to discuss the on-base school bills, SCR 25 and SB 405. 0eeting adjourned at 9:20 a.m. ) ----------------------- Page 237----------------------- HEALTH, EDUCAiIONAND sacrAL SERVICES COMMITTEE MEETING February 26, 1974 8:30 a.m. PRESENT: SenatorsThomas, Sackett, Croft and Hensley; Representatives Beirne, Hackney,Wingrove and Fritz. Also present to testify were:Commissioner Marshall Lind, Departmentof Education;William Overstreet, Associationof-- School Boards;and Stuart Hall, Legislative Affairs Agency. SCR 25Senator Thomascalled the meeting to order and asked if there were any questionson the resolve clause inSCR25. There were none, so Senator Thomas asked CommissionerLind ) if the Fairbanks North Star Borough School District would have to incorporate the on-base schools within their distr~ct by next year, since there was nothingto so indicatein the Resolution. CommissionerLind stated he had set up a meet~ng with the NorthStar Borough School District on Friday, March 8th to work out the ~roblems and make all arrangments--he felt there would be no problemsin solving this issue. Senator Thomas asked if there would be 100 percent funding of this absorption and Commissionersaid yes--they were work- ing on that now. Senator Hensley expressed concern about any possible reper- cussion of funding on rural schools and Commissioner Lind stated he felt the opposite would be true. To alleviate Senator Hensley's concern, Senator Croft suggested an amendment ----------------------- Page 238----------------------- I to SCR 25, page2, line 28, to read: nprovided that this levelof fundingwill notimpactrural education in Alaska." The Committee votedunanimously to passSCR25 out of committee with a do pass recommendation,with theabove amendment. SB 405 SenatorThomasthenbroughtup SB 405 and askedstuart Hall to explainthe reason for this bill. Mr. Hallwent into. detail explain~ng that SB 405 was a "clean up"bill that basically revisesthelanguagethat m£ghthavean inhibitive affecton a contract between thelocal schooldistri~ts and the on-base schools ..He saidit also regularizes the election of the military schoolboardsto the same timeas the regular )borough school boardelections. Therewas considerable discussion concernin~ the membership of the military advisoryschoolboardand election to that board. Mr.Hall broughtout thefact that therewas a question of Constitutionalityif the Statetriedto regulate membership, or votingof the military, in regardto the advisoryboard. Afterfurtherdiscussion the Committee agreedto an amendment on page 2, line1 -- remove"shall"andinsert"only may". The Committee v6tedunanimously to passSB 405 out of committe~ witha do pass recomm~ndation, with theabove amendment. Meeting adjournedat 9:20a.m. -">- ----------------------- Page 239----------------------- I JOINT HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEEMEETING February27,1974 1:30p.m. PRESENT:SenatorsThomas, Sackett,Hen~leyand Cro£t. Representatives Beirne, Fritz, Wingrove, Hackney andMalone. Present totestify from theDepartment of Health & Social Serviceswere:Commissioner McGinnis, Deputy Commissioner McClain,Stanley Harris andRayPagenkopf (Divisionof Family & ChildrenServices). Also present totestify were: Mr. Donald E.Clocksin,Deputy Director,Alaska Legal Services;Mr.Vince Vitelli,Member ofGovernor'sAdvisoryBoard; andother interested parties. ) Mrs. Beirne called themeeting toorder, madethe introduc- tions, andasked fortestimonyonthesocial service bills. SOCIAL Mr.Clocksin,Deputy DirectorforAlaska Legal Services,said SERVICE BILLShewould like to give testimonyinreferenceto: SB 263 (HB 441), SB 265, SB 310, SB327(HB547), andSB334(HB554). Hefeltit was imperative that a standard ofneed for Alaskan \ assistance paymentsbe impleme~ted and thatthegrant levels becommensurate with standardof need.Asexamples,hestated thestandardofneedfora mother andonechild is presently $300 permonth~ butthatthegrant levelwas·$125. per month; however,theadult programs (old ageassistance) iscurrently $259 permonth--twice thatofa mother andonechild.Mr. Clocksinwent intodetail on thedifferences in thebills. ----------------------- Page 240----------------------- I He stated hesupported SB 334,with an amendment to reflect the standard of needand grantlevel wouldbethe same. Senator Croft askedif figures were available that reflected the increase of the various programlevels. Mr. Pag-enkopf informed the Committee the totalfigure for the current programwas$14,881,000 and the totalfigurewouldincrease to $17,730,000, an approximate increase of twomillionin the grantprogram. Therewas considerablediscussion con- cerningthelevelof f?nding,the breakdown of this funding as it appliedto SB 310and SB 265 and theamountof increase in the program. Partial breakdownis as follows: SB 310 - Moniesin current budget$4,600,00 SB 265 - If SB 265 is incorporated as a ) portionof SB 310,with no limit on numberof children - addto current budget 1,301,500 SB 265 - If SB 265 is incorporated as a portion of SB 310,with a limit of five children - add to cur- rent budget 528,300 Totalneededin budgetif SB 310(with SB 265 incorporated)is passed $6,698,400 Therewas further discussion concerning these figures and Commissioner McGinnis statedthe Department wouldhave a fiscalnotereadywithina few- days. Mr. VinceVitelli stated hefelt it wasverynecessary for the committees, whenconsidering thesebills,to keepin minda costof livingincrease--possibly tied to theCon- sumersPriceIndex. -?- ----------------------- Page 241----------------------- --~B 263 Mrs.Beirne! askedCommissioner McGinnis for his viewson )(HB 441) thesebills. The Commissionerstated hefeltthe $350 was better than $250per month,butdid not knowwhether the statecouldafford the increase. Hestateda temporary waiver for the longevity bonushadnow beenobtained, extending it untilDecember 1974, pending legislation in Congress to establish a permanent waiver for thelongevity bonus. The Commissioner was· requested to submit a fiscal noteon thesebills. (SenatorThomas and Secretary left themeeting at this point.) ) ----------------------- Page 242----------------------- JOINT HEALTH, ~DUCATION, &"SOCIAL SERVICESCOMMITTEEMEETING February28,1974 1:30 p.m. • I. PRESENT:Senators Hensley, Harris andCroft; RepresentativesBelrne, Fritz, Wingrove,Peterson,Hackney Mental Health Division~ Joyce Munson & Buddy Eckles; Dr. Schrader, Directorof Divisionof Mental Healthj Commissioner McGinnis;MargaretWolf fromWelfare Advisory Committee, and Robert Gregovich,Coordinator, Office ofDevelopmental Disabilities. (Minutes typed fromnotes taken byStaff Assistant to Senate ) HESSCommittee,Richard Hacker.) MENTAL Theconcept ofcommunitymental health wassupportedby HEALTH everyone giving testimonyatthemeeting. SB329Everyone testifying "supportedthis bill, includingDepartment of Health & Social Services. Mr.Howard Siple, Consultant forInterim Committee submitted a proposedamendmentto SB329 which would create an AdvisoryBoard.There wasdiscussion concerningthepossibility of putting thepassage oftheb~ll in jeopardyif thisamendmentwere included. There wasother discussionindicatingamendmentshould be included-~that risk, of failure wasnottoogreat.Commissioner McGinnisindicated theDepartmentwasnotagainst the"amendment, butfelt the trendwasnot to have advisory boards. ----------------------- Page 243----------------------- ., ~ 333 Those testifyingonthis bill were insupport ofit. Mrs. Wolf was in supportofthe bill, butoffered a proposed amendment setting out ~he make-up oftheboardandits powers. Meeting adjourned atapproximately 3:30p.m. ) ----------------------- Page 244----------------------- HEALTH,EDUCATION AND SOCIALSERVICESCOMMITTEE MEETING MarchI, 1974 9:00 a.m. PRESENT: SenatorsThomas, Harris,and Hensley The Committee met brieflyto go over billsthat wouldbe discussed at the hearing being heldin Anchorag~ at 2:00 p.m. Fridayafternoon (today),and to~make certainall arrange- mentsfor the hearingwere completed. RichardHacker,Staff Assistant, told the members he would" be takingcopies of all the billsfor distribution a~ the hearingto interested parties.Mr.Hackerthen gave the committee a briefsummation of the textof the bills under discussion. Thesebills were: SB 15Penalties--sale of drugs SB 120 Penaltyfor possession of ca~habis SB 305 Drivingwhile underinfluence of liquor or drugs SB 307 Penaltiesfor drivingwhileunderinfluence of liquoror drugs SB 321 Amending the UniformNarcotic Drug Act HB 89 Publis~ing of namesof juveniles for certain offenses HB 571 Harboring of minorsevadinglegalcustody HB 572 E~asion of custody by minors Meeting adj9urned at 9:20a.m. ) ----------------------- Page 245----------------------- HEALTH, EDUCATION& SOCIAL SERVICES COMMITTEE MEETING March 5, 1974 8:30 a.m. PRESENT:Senators Thomas, Harris, Croft and Sackett. Also present to testify were CommissionerMcGinnis, Deputy CommissionerMcClain, Stanley Harris and Ray Pagenkopfof the Department of Health & Social Services; and, Mr. Donald E. Clocksin, Deputy Director, Alaska Legal Services. SB 310 Senator Thomas called the meetingto order and stated the Depaitmentof Health & Social Services had submitted a fiscal note for SE 310, which ~hould bediscussed at this ) time.He asked Richard Hacker, fue Staff Assistant, to give the committee his suggestions concerningthe wording of the bill and questionshe might have pertainingto the fiscal not~. Mr. Hacker stated that if the Committee desiredto equalize the grant level with the State assistancelevel, the bill would have to be changed to reflect that intent •. He then suggestedwo~ding which would establish that intent in the bill by establishinga floor as well as a ceiling. Senator Thomas asked the Committee if they wanted to consider having a floor (or minimum payment) inserted in the bill. There was. considerable discussionconcerning the current and proposed paymentsunder SB 310, and whether or not a floor ----------------------- Page 246----------------------- and ceiling (minimumand maximum) shouldbe incorporated into the bill. Mr. Clocksin pointedout thatunlesswordingwas inserted into the billconcerning a costof livingadjustment, thatthe bill wouldprobablyhaveto be amended each year. Commissioner McGinnisstated hefeltthis wouldnot be a problem, and that whendealingwith moniesof thisamount,it probably should bereviewedeach yea~. SenatorCroft pointed out thatwordingcould"be insertedsuch as is usedin SB 334, settingthe minimum grantat the samelevelas the OED guid~­ lines. In discussing the increased cost of SB 310 as reflected in thefiscal note,Commissioner McGinnis pointedoutthat the choiceswereeithera supplemental appropriation, whichhe ) was notin favorof, or the Legislature wouldhaveto fund the difference between the Governor's bill and the proposed CSSB310, incorporating SenatorRay'sbill,SB 265,and recognizing the increased case load sincethe" first estimates weremade. The amountof this additional fundingwoulddepend on whethertherewouldbe a ceilingequalto the levelof payment for five persons ($996,300), or no ceiling ($1,769,500). He statedthe Department preferred to avoidsupplemental appropriations if at all possible. Therewas then. considerable discussion perta~ning to the $500per familyassistance standardlistedin the proposed CSSB310, ratherthan using$520 whichis the proposed payment listedin the fiscalnotefor five persons. Mr. Harrisstated that$500 was usedsimplyas an arbitrary cut-offfi~ure. It ----------------------- Page 247----------------------- wasthe concensus of the Committee thatthisshouldbe changedto $520. Commissioner McGinnis expressed concern thatsincethe Federal regulations prohibit~eduction in assistanc~ pay- ments, that theremightbe futureproblems afterenactment of th~ bill, since anyone applyingforassistance subsequent to theeffective date bf the billmightbe receiving lesi assistance thanthose whoare alreadyreceiving assistance. He didnot knowof any solutionto thisproblem. SenatorThomasaskedMr. Hackerto gettogetherwiththe Department of Health& SocialServices and go over the bill, incorporating the changesdiscussed, and to havea ) Committee Substitute draftedby Legislative Affairs; and healso askedthe Department to update theirfiscalnote to show the increase from$500 to $520. Senator Thomas suggested the Committee meetin themorning(March 6) at 8:30 a.m.to make finaldisposition of the bill. Meetingadjourned at 9:25aom. - ~- ----------------------- Page 248----------------------- HEALTH, EDUCATIDN& SOCIAL SERVICES COMMITTEEMEETING March 6, 1974 8:30 a.m. PRESENT: Senators Thomas, Ha~ris, Croft, Sackett & Hensley. Present to testify from Departmentof Health & Social Services were:Commissioner McGinnis,Deputy Commissioner McClain, Stanley Harris, RayPagenkopf,andLawrence Sullivan;also, Mr.Donald Clocksin,Deputy Directorfor Alaska Legal Services. SB 278 Senator Thomas called the meeting to6rder andasked the committeeto considerSB 278,Humane Treatmentof Animals. Senator Thomas stated thatthebill would help protect the health ofanimals, andwasespeciallydirectedto those people whoturn horses loose during the winter tofendfor~ themselves. Senator Harris said hehadnoobjectionto thebill, but would liketocontact someone.whom he knew wasinterestedinthebill. It was"decided to holdthe bill withoutfurther consideration until tomorrow morning's meeting. SB 221 ·Senator Thomas asked thecommitteetoc6nsider SB 277, General ObligationBonds forlibraries, andasked Senator Croft if he hadanycomments concerning the bill~Senator Croft stated thefigures had'been supplied byth~ Library Association.and alsoexplainedthat theResources Library would, in effect, ) be astorage facilityformicrofilm,etc., forresearch pur- " - poses.Senator Sackett moved thatthebill be passed outof committeewith a "do pass" recommendation. There was no ----------------------- Page 249----------------------- objection. SB 310Senator ThomasaskedRichardHacker, Staff Assistant,to go overthe proposed Committee Substitute for SB 310 and pointout thechangesmadein theCommittee Substitute as' discussed in the meeting yesterday (March5).Mr.Hacker explained thatthe new language, beginning on line16, establishes a floor(minimum) and the furtherlanguage in the nextfew linesestablishes a ceiling (maximum). He briefly referred to other minor changesas discussed in thecommitteemeeting of Marrih 5.Commissioner McGinnis passedoutcop~es of the corrected fiscalnotefor CSSB 310, andindicated the corrections therein. Senator Croft moved ) thatthe committee passSB 310 out of committee as a Committee Substitute for SB 310, witha do passrecommendation. There was no objection. SB 437Senator Thomasrequested the committee to consider SB 437, and" asked Commissioner McGinnis for his viewson the bill. Mr. McGinnis stated the Department was not against the bill but wasconcerned that theremightbe futureproBlems since the billcoveredonl~ refractions and not purchase of glasses; however, he felt thatthe Statecouldnot, at thistime, afford to includepurc~ase of glasses in thebill. SenatorSackett askedthe Commissioner how manypeoplewouldbe eligiblefor refractions underthis bill,and Mr. McGinnis said he would ) estimate about10,000. He said hefelt the "committeecould makean assumption thatof the10,000only ten percentwould ----------------------- Page 250----------------------- wouldactuallyhaverefractions lat an estimated cost of approximately $35,000. SenatorSackett stated that insome areasthe LionsClubs had provided glasses for needy persona~­ SenatorHarrisaskedif optometrists performed refractions and was informed by Mr. Sullivan that theydid on persons- under21 yearsof age. SenatorHarris said one of his reasons for introducing this bill wasthat he had beentold only ophthalmologistscouldperfo~m refractions. Mr.Sullivan explained that optometrists wereservicing those under21 and thatophthalmology is designated as a serviceunderthe federalregulations for medicaid, and therefore, ophthalmologists serviced those over21 years of age. Senator-Harrisstated he felt the bill would enablemore peopleto obtaineye ) examinations.Senator Sackett moved that theCommittee·pass SB 437 out of committee witha do pass recommendation,with an amendment to line 14, deleting the words"ophthalmologists or." There wasno objection. SB 423SenatorThomasaskedthe committee to lookat SB 423 and stated herecalled that whenthis programwasinitiated or discussed ihat thefeelingwas unlessa.communitf would participate at the2~ percent level,they werenot willing to participate in a meaningful way. He askedif the ratio shouldbe dropp~d to 10 percentin viewof this and asked Commissioner McGinnis for the Department's view on SB 423. Mr. McGinnis stated thisbill would enablethe smaller ) communities to participate in the programsinceit would probably be easierfor them to comeup withten percent ----------------------- Page 251----------------------- / insteadof i5 percentmatchingfunds. Therewas di~cussion concerning fundingfor this billand SenatorCroft pointed out that there is a companionbill presently in the Senate Finance Committeewhich provides for generalobligationbonds for fundingthe bill. SenatorHarrismovedthat the bill be passedout of committeewitha do pass recommendation. There wasno objection. SB 442· SenatorThomas askedCommissioner McGinnisfor the Department's viewon SB 442. Mr. McGinnisstated hefelt that physician ~ assistants were doing a lot of goodacross the country,pro- vidingsophisticated first aid to accidentvictims. Senator Thomas askedthe Commis~ioner if he wasin favorof the bill ) and Mr. McGinnisrepliedhe wasnot againstit.There was furtherdiscussion concerningtrainingof physician assistants or paramedics by licensed physicians, medicalschoolor mili- tary service. Mr. McGinnis stated he would be concerned if the trainingof these individuals were by other thanlicensed physicians.Senator Harrismovedthat the bill be passed-out of committee with a do passrecommendation.There was no bbjection. SB 359SenatorThomas askedCommissioner McGinnisfor his comments on SB 359 and Mr. McGinnisstated hehad not studiedthe bill thoroughlyand wouldpreferto defertestimony untila later meeting. The meetingadjournedat 9:30 a.m. ----------------------- Page 252----------------------- HEALTH,EDUCATION & SOCIALSERVICESCOMMITTEE MEETING ·March·7,1974 8:30 a.m. PRESENT: Senators Thomas,Harris;Croft& Hensley Also present to testify were: Mr. MarshallLind,Commissioner, and Dr. Nathaniel Cole,DeputyCommissioner, Department of Education; Mr. RobertVan Houteand RobertC. Cooksey,NEA~ Alaska. SCR 36 SenatorThomascalledthe meeting to orderand askedMr. Lind for his viewson SCR 36.The Commissioner said the Department was in favorof this bill;that a study should bedone;that ) he f~lt $20,000 wouldbe justa beginning, but that other· foundations hadindicated interest and thoughtfurtherfund- ing wouldbe providedthrough foundations. S'enator Harris movedthat SCR36 be passedout of committee with a do pass recommendation,' and an amendmentto add the word"proposed" be fore "decentratization" •There was no objection. SCR 30 SenatorHarris statad he wouldlike to have thecommittee .considerSCR 30.He felt passage of thisbill was neededto insureconstruction was begunthis year,and pointed out that if construction wou:ld be delayeduntilnext year whenpipeline construction is going on,it may wellbe impossibleto find contractors to do ariy school construction.Commissioner Lind pointed out that by usingstandardized plans for schools, ----------------------- Page 253----------------------- muc~ timeand money could be sa.ed in design and construction of many rural schools.Senator Harris moved that SCR 30 be passed out of committee with ado pass recommendation. There was no objection. SB 456 Senator Thomas asked the committee io consider SB 456 and. requestedthe Commissionerto give his views on this bill~ Mr. Lind stated he had not had ,time to fully analyze this bill and would like to d~fer' testimony until a later time. SB 457 Senator Thomas asked CommissioIler Lind for his views on SB 457· and Mr. Lind stated the Depaitment recommendedpassage of the bill.He felt there were inequitiesin the boarding home' program in the State and that this bill would help solve those )inequities. Senator Thomas asked if there was anyway to estimate the fiscal impact and th~ Commissionersaid it would be approximately$150,000; that they were working on a fiscal note.Senator Harris moved that the bill be passed out of committeewith a do pass recommendation,and hold it untii the fiscal note could be provided. There was no objection. SJR 51 Senator Thomas asked the comfuittee what. they wanted to do about SJR 51, and M~. Van Houte stated he felt there was no 'need for this bill due to a U. S. Supreme Court decision handed down on a California case pertainingto education in Chinese. He further stated this decision was not based on' the Constitution buton the civil Rights Act. but that the impli- cation was very plain.Senator Thomas suggested tbat the.bill be held until Senator Sackett returned from out-of-town. - 2- ----------------------- Page 254----------------------- SB 275 SenatorThomas asked the committee to consider SB 275 and said hethought the Board'~ feeling onthis bill was that it should be a State resporisibility andnotteachers' respons~bility,for expenses incurred.CommissionerLind said hetooktheopposite viewonthis bill---he felt the costs shouldbethe Boa~d's obligation. Hesaid there were onlyfiveteachers involved andthatas the Departmenthad hadproblems in obtainingfundsto runthe PCTCas a Commission,th~t the localschool districts should bewilling to pickup ~hese costs. Therewasdicsussion as to howmany daysperdiemwouldbe involved, andthe Commissioners~id he thought no morethanten to fifteen days. Mr.Van Houte stated he feltfifte.endayswouldbesufficient inmost cases i thata principal or superintendent ~ould be automatically ) covered, and thatnotall ofthe staff would be traveling at thesametime. Hedid notfeelit would be a burden for the local schooldistricts to bearresponsibility forthisfund- ing. Therewasfurther discussion andit wasdecided that Senator Croft wouldprepare a Committee Substitute forSB 275· andpresent it at tomorrow's meeting for thecommittee's' consideration. SB290·Senator Thomas stated that hewouldprefer to delaydiscussion ofSB 290 untilMr.Overstreet returned to townand could appear bef'orethe committee for testimony onthis hill. There wasno objection. ) - 3- ----------------------- Page 255----------------------- SB 267SenatorThomas calledthe attention of the committee to the proposed substitute for SB 267, prepared by the Department of Education'. Mr.Cole stated that the Department had previously thought of holdingout for a Resolution only,but this language did notchangethe statutes too muchand they feel they can live withthis language.SenatorCroftasked if therewas a fiscal notefor thisbill,and Dr. Colesaid one couldbe provided. Senator Croft movedthatthis bill be passedout of committee as a committee substitute, which he wouldhave prepared this afternoon for presentation to the committee at its nextmeeting, and also obtain a fiscal note. Therewas no objection.The committee willconsider proposed CS SB 267tomorrowmorning. ) SB 342Therewas briefdiscussion on SB 342, concerning the fact thatit wasa "clean-up" billand should- notbe heldfor reviewof otherteachers' reti~ement bills. SenatorCroft movedthat SB 342 be passedoutof committeewitha do pass recommendation. Therewas no objection. SB 343SenatorThomasaskedthecommitteewhatthey wanted to do aboutSB 343 and SenatorCroftsaid hethoughtthe committee was 'waitingfor a fiscalnnte. SenatorHarrismovedthat the committee passSB 34i'out ofcommittee with a do pass recommendationand hold it for a fiscalnote., (NOTE:After committee meeting, secretary checkedwith Mr.Gateson fiscal ) noteand was told nonewas necessary for thisbill since therewas no mandatory funding~, Theref6re,bill was passed on to SenateSecretary on March7,'l974.) ----------------------- Page 256----------------------- SB 384 Senator Thomas asked. the committee whatthey wanted to do w~th SB 384andSenator Croft moved thatthebill bepassed out ofcommittee witha do:. passrecommendation. Therewas no objection. SB 362 Senator Croftmoved thatSB362 be passed outofcommittee withindivid~al recommendations. Senator Thomas objected, butagreedtopassing it outwithindividualrecommendations. SB 389 Senator Thomas asked Senator Croft if he would liketo explain SB 389 tothecommittee andSenat6r Croftstated the bill did notactually require attendanceforstudents ona four- day basis--that the title was misleading;that is, thestudents ) havefourdaysof ins'truction andoneday ofsomeotherkind of school activity. He stated this had been triedinschools in thenortheast andseemedtobe .workin.gout verywell. He fe~t this concept might be of helpincoping withimpact problems in Alaska during constructionof pipeline. Mr.Lind stated he liked the poss~b~lities of thebLIIin relation to standpointof teachers and st~dents, but did not feelit would helpwithimpact problems.Hestated achievementtests, in hisopinion, would showno differenceLf taken fromthose schools using thisprogram andthoseschools usLngstandard program.Aftermore discussiontSenato~ ~homas suggested the .. committee holdthisbill until. furthert.estimony could be obtained. GENERAL Senator Thomas stated he feltthecommitt~e should takeup ----------------------- Page 257----------------------- the rural school problem--possiblynextMondayor Tuesday. He stated there wouldbe acommittee meeting in the morning (March 8) at8~30 a.m.and that the committ~e would consider the two commit·teesubstitutes(SB 267andSB 275), aswellas the law and order billst,hatwere discussed at thehearing held in Anchorage onMarch 1. Meeting adjourned at 9:30 a.m. ) / ) ----------------------- Page 258----------------------- I HEALTH,EDUCATION & SOCIALSERVICESCOMMITTEE MEETING March8, 1974 8:30a.m. PRESENT:SenatorsThomas,Harris, Croft & Hensley Presentto testify wasMrs. MaryBeth Hilburn, Coordinator, Office of DrugAbuse,Department of Health & SocialServices. GENERAL SenatorThomascalledthe meetingto orderand statedthe DRUG RE- HABILITA- Committeewoulddiscussthe l~w andorderbillsthat had TION received teitimony at the Anchoragehearing on March 1.He also stated hehad been ~mpressed with the testimony given at thathearingby TerryStahlmanof FamilyHouse,as well as testimony by the two judges. SenatorThomassaid he now understood whythe judgeswantedtough sentences--so they ) could forcedrug addictsto go throughFamilyHouseor some other drug rehabilitationcenter. He askedMrs. Hilburnto tell the committee about the drugprogramscurrently being presented aroundthe State. Mrs.Hilburnstatedshe felt treatment of alcoholism was not too muchdifferent from treatment of drug.addiction and that she would liketo see facilities treatingbothalcoholism and drug addiction,. especiallyin the smallercommunities wherefinancing, facilities, and staffing areproblems. She felt adequateprograms could be initiated at a savingsin manyareas. Mrs. Hilburn statedthat her officehad been in the process of evaluating programs whichcame underthe $500,000appropriation made last year9 She statedthere were twelveprograms and each one had beenevaluatedat ----------------------- Page 259----------------------- leas·t twice.She stated she had spent 24 hours at Family House to observe the whole routine there and had been very impressedwith their program.She felt Family House was an excellent program and should be expanded,but only at the rate Mr. Stahlmanfeels it should be ex~anded. She stated she felt many addicts,rather than rehabilitated, should be habilitated--thatthey have never learned the maturationsteps other? have learned.She also stated that Family House deals with "hard core addicts"and that there was a definite need for programs for those addicts who are not II hard core " as yet. Mrs. Hilburn told the Committee about a proposedintermediate programwhich would last only one year, and she felt there was a definiteneed for such a program;however, due to lack of funds, new programs could )only be initiatedafter funding was providedfor all current programs. Mrs. Hilburn said she had also spent 24 hours at Arctic Cache in Fairbanks and found profounddif~erences in that program and Family House.She said she would have to make several recommendedchanges to the Arctic Cache program as it was not now adequate.Mrs. Hilburn said she would like to see additionaldrug programsinitiated, but ones that will do some good. Senator Thomas asked if the State should do somethingmore at this time, or wait until the evaluations of the present program were completed. Mrs. Hilburn stated the programs now were to help addicts, and she felt there ·was a definite need for drug prevention programs. Senator Thomas asked if this was something that should be in the schoolsand Senator Harrisstated that it had been tried in some schools and the resultswere oppositeto what had been intended. ----------------------- Page 260----------------------- Mrs. Hilburn indicated she would like to do a pilot program around the State rather than initiate seve~al prevention programsand have them fail to do what was needed.She said the need for the programs was there, but it should be done carefully.Mrs. Hilburn also pointed out that they. would have $5,000 less funding in the budget this year, with two new programs to be initiated, and she felt they would not be able to do any expansion of the present programs. Senator Harris asked if Family House would be fully funded and Mrs. Hilburn stated she did not know--that she expected Family· House -to apply for twice as much this ye ar, and she did not know how the Advisory Board would apportion the funds.Senator Harris stated he felt that rather than go into new programs, they should fund those that are presently working. Mrs. )Hilburn stated that was their first priority. Senator Thomas stated the committee had two bills which dealt with penalties and rehabilitationand ·that this testimony tied SB 321in with those bills, SB 321 and SB 15. The committee discussed the minor changes made by SB 321 briefly, and decided to direct SB 15their attention to SB 15.Senator Harris stated many people were making a great deal of money selling drugs and this bill was directed at the pushers.He felt strong penalties were needed.He also pointed out that judgSscould force addicts to enter Family House for two years where they could be rehabilitated,or send them to jail for five years.Senator Thomas stated that in testimony during the Anchorage hearing, he understood the judges felt they should have the option of placingan addi~t in a rehabilitationprogram rather than a ----------------------- Page 261----------------------- )mandatory sentence.-Senator Harris stated he did not want an option in the bill for a defendant to be able to choose jailor rehabilitation,but that he would not object to leaving it to the discretion ofa judge. Senator Thomas requested Richard Hacker to take the bill to Legislative Affairs and have language drafted that would provide for judges to have the option of sentencing addicts--eitherto a rehabilitationcenter or j~il. GENERAL Senator Hensley asked Mrs. Hilburn how much had been budgeted for the drug programs this year and she replied $500,0000She also stated that Family House would probably receive approxi- mately $200,000 of that and stated more money would be needed )if the current programs were to be funded. There was dis- cussion concerning putting in a supplementalappropriation and in what amount.The committee decided to have a supple- mental appropriation drafted by Legislative Affairs in the amount of $300,000 for drug rehabilitation programs. SB 15There was further discussion concerning the definitionsection of SB 15, and Richard Hacker was requested to come up with suggested language to clear up the definition section of this bill. SB 305Senator Thomas asked the committee to look at the DWI bills, SB 305 and 307, and stated that the testimony ·given previously was that licenses should be revoked if drunk drivers were to be taken off the highways.There was discussion concerning ----------------------- Page 262----------------------- theinclusion of narcotic,stimulant, hallucinogenic or - , depressantdrugs (rather thanjustintoxicatingliquor) in ) SB 305,andthecommittee decided toeliminate "stimulant, hallucinogenic ordepressant drugs" fromSB305,so thatit would dealonlywithintoxicating liquor. There wasfurther discussionconcerning thepenalty section of thisbilland Senator Harris pointed outthatevenif a drunkhadhis license suspended,it ~id notkeephim offthehighways if he wan te d todri ve. Sen a-tor Harris suggestedthe commi ttee- defer further discussionof SB 305anddirect its attention to SB 307. Therewasnoobjection. SB 307 Therewasdiscussionconcerningeliminationof any reference to narcot~c drugs in thisbill. Senator Harris moved that ) thereference to"narcotic drugs"onlines6 and7, 11 and I l2be deleted.Therewasno objection. Richard Hacker pointed outthatbydeleting thereference to narcotic drugs in SB307,it would alsobe deleted fromthepresent law. Therewasfurther discussion andthecommittee decided to delay further consideration of thebilluntilnextweekwhen testimony could be taken fromthe State Troopers, oneof the judges andanyone elsewho might be interestedin thisbill. Themeeting adjournedat 9:30a.m. -t;- ----------------------- Page 263----------------------- / / HE~LTH, EDUCATION & SOCIALSERVICESCOMMITTEE MEETING March12, 1974 9:00 a.m. PRESENT: Senators Thomas,Harris,Croft& Hensley Alsopresentto testifyfromthe Department of Health& SocialServices were: Commissioner McGinnis,Deputy Commissioner McClain, and Lawrence Sullivan,Director, Division of MedicalAssistance. SB 275Senator Thomascalledthe meetingto orderand reminqed the members this bill hadbeen discussed at the Committee Meeting on March7, and the Committee Substitute prepared ) by SenatorCroftwas now readyfor consideration. The Committee Substitute was briefly reviewedby the members and CSSB275 was passedout of committee with a "do pass" recommendation. SB 307Senator Thomasinformedthe members that sinceSB 322 had (SB 3"22) passedout of Senator Ziegler'sJudiciary Committee yesterday (March11), that he felt ther~ was no needto furthercon- siderSB 307. RichardHackerpassedout copiesof a comparison sheeton SB 307 and SB 322 and explained the differences and similarities of-thetwo bills. Aftera brief discussion, Senator Harriscioved thatthe bill be "passed out of committee withindividual recommendations. Therewas no objection~ SB 465Senator Thomasasked the members to considerSB 465 and ----------------------- Page 264----------------------- I stated the Department of Health & Social Services had recommended iquick action on this bill to avoid loss of ~ federal funds.Mr. Hacker.pointedout that the last sentence in the current statutes had been left out of this bill and a~ked CommissionerMbGinnis the reason ·for this. The Commissionerresponded he felt it was inadvertently left out during typing--that it was not intended it be omLtted.It was unanimously agreed that this sentence would be added to the bill. Commissioner McGinnisstated the Department had prepared a proposed Committee Substitutefor SB.465 and they had asked the Attorney General's office-to prepare a report on the revised version wh±ch should be available to the ) Committee today or tomorrow.The Commissioner stated there was some necessary change in the language of the bill to conform to federal language, that they had con- tacted the necessary people in Region 10 and were awaiting word from Washington before they felt they could prbceed with the Committee Substitute for SB 465.The Commissioner also stated this bill would need a fiscal note and that was being prepared.After further discussion,Senator Thomas stated the Committee would hold SB 465 until the Department had a corrected Cdmmittee Substitute for SB 465 (after they have heard fro~ Washington),and would take the bill up for considerationat a later time. -2- ----------------------- Page 265----------------------- GENERAL Commissioner McGinnis statedthe Departmentwould like to DEFINITION ---, OFhave legislation passed clari fying the defini tion of a_ )HOSP ITAL "hospital". He stated th~re wasa suit pending against the Departmentat the presenttime concerningthis; that the currentlaw statesa hospital provides24 hoursof servi~e per week.He felt the intentionhad been that a . hospitalprovide24 hours of service per day, and he felt this shouldbe cleared up.The C6mmissioner stated the Departmentwould providespe~ific language in a proposed bill,and SenatorThomas stated the Committee wouldcertainly consider it. GENERAL Commissioner McGinnisstated another problem the Department MEDICAID PAYMENTSwas having was with Medicaidpayments. He said physicians )were sendingin billsfor payment that were as much as three or four years old--that yesterday (March 11) the Department had receivedbills for services renderedin April 1971. He pointedout that it takes a special _legislativeaction in orderto pay bills over two yearsold, and also that it cr~ates problems in their budgetingsince they have no way of knowingin advance when these cld bills will be submitted; They are requiredto set aside funds in their budget to cover Medicaid paymentsand then have problemswith these -"holdover funds" when billsare not submitted promptly. The current law sta~es that billsshould be submitted promptly, but no time limit is set.Mr. McGin·nis stated he would like to see legislation passedwhich would requirethat bills be submittedfor payment withinsixty days.He stated he has discussed this problemwith_Dr. RodmanWilson and that the -3- ----------------------- Page 266----------------------- / I doctor had indicated he could see no reason why sixty days would not be a reasonable length of time in which physicians should submit their billings. Mr. McGinnis stated they were having trouble only with individual physicians--not institu- tions. Senator Thomas stated the Co~mittee would consider a proposed bill if. the Department would like to submit one with specific language directed to ~his problem. SB 278 Senator Thomas requested the ~ommittee toconside~ SB 278 and stated the only change fro~ present law in this bill was the addition of the word "shelter"--requiringthat shelter be provided.Senator Harris stated he had seen horses turned loose during the winter by guides and felt this bill was )necessary to stop that practice., Senator Thomas stated .he had talked with someone (Carrol Martin) from the Juneau Horseman's Association and this gentlemen had suggested the penalty be raised from $100 to $500, and requested the committee to consider an amendment to that effect.Senator Hensley expressed concern that there was no definition shown in the bill, and he did not feel shelters were necessary for husky dogs.After discussion r Senator Thomas moved that the committee pass SB 27B out of committee with an amendment to ~ncrease thepenalty from $100 to $500, and with individual recommendations.Thera was no objection. Meeting adjourned at 9:30 a.m. ----------------------- Page 267----------------------- HEALTH,EDUCATION & SOCIAL SERVICES COMMITTEE MEETING March13, 1974 9:00 a.m. PRESENT: SenatorsThomas, Harris,Croft & Hensley Also present to testify wasMr.Jamie Love,Anchorage Councilon Drug Aid. SB 15 SenatorThomascalledthe meetingto orderand askedthe Committee to considerthe Committee Substitute for SB 15 whichhad been draftedto reflecta provision for rehabili- tation. Mr. Hacker stated this provision for rehabilita- tion was directed to the user of drugsand not the pusher, sincehe was notaware of the committee's feelingon this ) point whenthe bill was beingdrafted. SenatorThomassaid his feelingwas thatif it could be determined that ~ pusher was also an addict,thatthe pushershouldalso be included in the rehabilitation provision. Therewas discussion concerning this provision and Mr. JamieLove stated hefelt tough penalties for usersof heroinwere very necessary and did not feelthere wereadequaterehabilitation programsor facilities in the state to copewith heroinaddicts. Mr. Hackerstatedthat by deletingthe wording: "whenhis possession or controlis for his own use",the rehabilita- tion provision wouldthen applyto bothusersand pushers. Therewas no objectionto deletingthe wording sugge~ted by Mr. Hacker. ----------------------- Page 268----------------------- Mr. 'Love pointed out to the Committee that all narcotic drugs have been "lumped" together; that he was in favor of tough penalties for heroin addicts, but that he did not feel tough sentences should be imposed for use of depressants,balluc~no- genic or stimulentdrugs.He stated that some of the users of these type drugs were legitimateusers--that is, these drugs had been prescribedby physicians,and he felt there was a double stand being effected--that hallucinogenic drugs were not a serious threat to society.He did not feel mandatory penalties 'f~r these type drugs would serve a useful purpose. Mr. Love also pointed out that judges should have the option to refer an addict to a rehabilitationprogram, but even if the judgesdid not make this referral, that under the present law, the Departmentof Correctionscould do so.Senator )Thomas pointed out that the judges do not have to pay any attention to mandatory sentences,and that the present statute relating to hallucinogenicdrugs providesfpr penalties--and asked the committee for their feelings of leaving the current statute as it is. Senator Harris suggested the committee delete Sections 3, 4, and 5 from the proposed Committee Substitute,and have Mr. Hacker draw up another Committee Substituteincorporating the changes discussed. There was no objection. Meeting adjournedat 9:30 a.m. (SB 457)(SECRETARY'S NOTE:The fiscal note for SB 457 was received today and since CommitteeReport had been signed for SB 457, the b~ll was passed on to the Senate Secretaryfor further referral. ) -?- ----------------------- Page 269----------------------- BYTEE HEAltfH ~F.DUCATIO': Ml'r::' ! .. ,. .;...... :T.. SENATESOCIA!,R!:nVIGES CO~!~IIfrTEE "" ErGE~n{ L2CISLA':'URE A BILL Fer anAct entitled: ~l AnAct relating to perlalt1esfor the sale or drugs; a~nd providing for ane·ffect1ve date. t1 .C:. t1 Section 1. AS 11.10.20a(a)1s amended to read: e provlsion relating to thf~ keepin~ or records) uponconviction, is· . -'- pun1sha~)le byt:1 fine or not more than$5.000 and by imprIsonment for eont~01 of 8 n~rcotie rlru7. when h19 n05s~ssion or control is forthe _.,__~... 1If' ~ _ • _.... __~...~ ....... -.-... V'or asecond offense,or for a.first offenfH?tIherethe offender hasprev:t.ouslybeen convicted or a. .violation of" th€:la\~·s or the Unit~d States or of any other state, territory or district" relating to narcoticdrugs, the offender 1s puni sha~)le by afine of not more than 51 ~ 500 andb:;1 inprisonn:ent for not less than10 nor more than 20years..For athird 01" subsequent off\;:t1se t or if the orfer:der has previously been convlcted t~lO or more t:t:-~es: of a viol:-t_t:rcn of the 10.'l.-r8 or the United States or of 1~~r150~~ent for notless than20nor morethan 40 years. .. s.~"!e. 2.is nmendedto read: ·-1..., cnsn15 ----------------------- Page 270----------------------- and prob'lt1on or p~role sha.ll not be granted until the n1n1m!lM tr~qt~ent. ------ * Sec. 3. AS 17.12.110(b)(1) is amended to read: ~ (1)for the f1rs:t o:ffense,-hy1mprlson.~~ent for not ;J?6re tha.n or~ by afine or' not mar#! than t20, 000 ~ or 'bi" both; the nos;~~ss. on or control of deu!"e3s~nt~ hnlluci~f)r0ni~ O~. stiru.l~pt ~.""~~""""......-............ __.-.-....~. •". '"0011, I'"~~__.~....... . _ ..............._. ft dru?$ ~\';'hr.-r1 h ..d1 l1osse3nionor cont:.?ol1sfortr}0 n~!rntfSC of" snle' or ___...-....-........_,.......~ <\' __",-~~~.' .J ~8I~. _ .~-.-.~.",_~_~~ 2...~~"::.e:- disY)c.~,~~l t·~ ..nnotl.~~~ p~r2on) uncn cO:171.ctlon" .. ..i]i,: .. i!1 ,p1::118!]8.£le ) $Bee. 4.to read: '7 i i (2).fol" t.he se·condnnd subsequent of'fqnaf:;s,by 1:rrprisonment for B.ny tel"m of years or life, or by a fine of'not mor~~ than 325,OQO. 19 or by both;ho-;,:;ever, tr ~. person violate,s a prov1 n.1o~"! or this c~ante!' ...................., .... I' I ..... ..~_ • ."'. ........ _,4 .... ~ ?O relatin~ to the nosgcssion or eo~trolof ~enreS~0nt. hRl1uc1~o~en1e ___.~~__~.;..,_ "AC..,I11..", ,... ........... _.~_....~~._....""",......,.....____•_____~_......___ pur,r0s,e: nnnin1:'::-2,ble f0'Pt:'le fl.~CO!1(~and sq~r~('u€nt <-'_ ..............--......, ........... ~ •. ''I:I.---'--.~~~'"'''''.:'~''''~''' * Sec. (c)A p:::rSO!1'who violates aprovisic}n of th1.s· chapter by selling ) I -2';'" t ----------------------- Page 271----------------------- Thin P.ctta1:es.efrect -on the daya-fter its pnssa::e and .a:r:rrov2.1 or on the day it beC07~.es Itn1 1':1thout appro~lal. ) 19 :~5 -i-CSSB IS ----------------------- Page 272----------------------- ) HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEEMEETING March_14, 1974 8:30 a~m. PRESENT:Senator Thomas, Harris, Croft & Hensley Also present to testify were Commissioner Marshall Lind, Departmentof Education, and Mr. Robert Van Houte, NEA- Alaska. SB 15 The committee members briefly reviewed the corrected CommitteeSubstitute for SB 15 (see minutes of March 13) and then signed the committee report with individual recommendations. CSSB 15 was passed out of Committee. ) SB 447 Senator Thomas asked the committee to consider SB 447 and stated Mr. Overstreet had told him the School Board Associationdid not object to the bill, but that he did not see any real need for it.Senator Thomas asked the Commissionerfor the Department's views on the bill. Mr. Lind stated he did not have any strong feelings, one way or the other, toward the bill but that the school principals felt it was needed tb clarify their positions.Mr. Lind pointed out that in some areas the principalsdo not have authorittto recommend that personnel be hired or fired and this bill would provide principalswith this authority. Senator Harr~s asked if the· principals in remote areas now have ~he authority to hire and/o~ fire teachers or custodtal personnel. Mr. Lind stated that no principalhas tlie ----------------------- Page 273----------------------- authority to hireand/orfireany personnel, but thatin mostareastheycan make suchrecommendationsto the super- intendent orschoolboard. He explained thattherewere someareaswhere,at the present time,the principals did not havethisauthority to make reco~mendations and that was thereasonthe Principals Association had passeda Resolution lastfall to request this legislation. It was therecommendation of CommissionerLind thatthe committee deferfurther consideration of the bill until theywere contacted by thePrincipals Association. SenatorThomas stated that thecommitteewould deferfurtheractionif therewareno objections -- therewerenone. )SB 353Senator Thomasdirected the committee's attention to SB.353 andstated Mr.Overstreet hadexpressed no objection to this bill. Commissioner Lind stated the Department hadno objection to the bill. Mr. VanHoutestated NEA-Ala?ka was in fullsupportof thisbill-- that theyfelt it was a "clean-up" bill whichwouldremove a 1971restriction on teachers' leavesof absence. He feltthis restriction was inadvertentlyput in the bill.a year or two ago. Senator Thomas askedif ther~ would be anyfinancial impact,and Mr. VanHotite stated there wouldbe no increase in funding; thatthis~ wouldme.rely allowthe people involved to pay themsel v'es. SenatorHarrismovedthatSB 353 be passedout of committee witha "do pass"recommendation. Therewereno' ) ob j ~ c·tions. -2- ----------------------- Page 274----------------------- Senater Themas asked thecemmitteeto. considerSB 456. Cemmissiener Lind stated th~Department did net have any o.bjection to.· the bill andthatheknew theScheel Beard As sociatienwa.s infaver of it. Senater·Thomas peinted eutthatthebill was subject tolegislative apprcpriations. Mr.Va~ Houtestated NEA-Alaskahadnocbjecticnto. the bill, butfeltthat legal counsel sheuld be consulted as to whethertherewculd·belanguagein thebill that might 4 jeopardizetherelat.j.onshipb etween boreughsandschool districts, i.e.inthose areaswhere boroughsarenot responsible ferwhat geesonin sthoel districts. It was the·concensus of ep~nion of thecommittee, after further discussicn, that the bill should beheld until suchtime )asCommissiener Lind cculd consult with Peter Partnow ccncerning any possiblelegal ramificaticns inthebill. GENERAL Senator Thomas stated the Committeewould meet at8:30a.m. RURAL SCHOOLS enMonday morning to. takeup the rural schcol prcblem. Ccmmissioner Lindstated he felt there were many things that could bedoneandgave a brief explanation cf some of the areas thathadbeen considered.Senator Thcmas said the committeewould like to. have theCommissioner's thoughts onMonday morning an~ he agreed to beatthemeeting. Meeting adjournedat9:20a.m. ) -3- ----------------------- Page 275----------------------- HEALTH,EDUCATION & SOCIALSERVICES COMMITTEEMEETING March18, 1974 8:30a.m. PRESENT: SenatorsThomas,Harris,Croft& Sackett Also presentto testifyfrom theDepartment of Education were Commissioner MarshallLind andNat Cole; fromthe Department of Community& RegionalAffairswereCommissioner Byron Mallott and John Chenoweth; also,Mr. Bill Overstreet, Asso6iation of SchoolBoards;and Mr. Stu Hall,Legislative Affairs. RURAL SenatorThomascalledthe meetingto orderand stated the EDUCATION ) meetingshouldaddressitself tothe problemof rural education. It was SenatorThomas'feelingthat boththe Education Department and Community& RegionalAffaiLs Department had indicated there was no needfor new statutes to handlethe problems of education in the ruralareas,and asked th~m to commenton whatthey felt wasneededat this time. Commissioner Lindstatedthe resources of the Department were limitedin the" matter of goingout into -the communities and- explaining problems;that they wo~ld need additional peopleand travelmonies. He felt thatthe local areas neededincentivegrantsfor planning what levelof control ) they want~d. The Commissioner recommended planning grants basedon a per capitaamount. He also Buggested that a lookat boundaries in termsof regions for infor~ational ----------------------- Page 276----------------------- purposes would be a beginning, and he feltthat local patterns and concernswouldforminto sometype of boroughs. He did not feelthat boundaries shouldbe dictated by the State,and thatstartingat the regionlevelwouldbe for information purposes only. He felt thatthesestepsshould be takenover a two or three yearperiod,i.e.a planning processwhereStatedollarsare goingout to regions for planning purposes, after whichtime something musthappen withinthe regions -- contracting with BIAfor schoolsin ·those areas untilsuchtime as they canform a boroughor cityto handletheirown problems. He stated hehadfound thatwhen peopleunderstand how the Statecan assist them to form theirown localcontrol, that they arethen anxious ) to take hold. SenatorThomasaskedCommissioner Lind how he feltabout havinga separatedivision withinhis Department _tohandle this,as was recommended in the CNERreport. Mr.Lind stated hedid not feela separate divisionwasnecessary; he felt thiscould be handledby threeor four ·full time peopleand did notfeel that warranted a separate division. Commissioner Mallottthen testified thatthe letter hehad sentto thecommitteewasa policystatement fromthe Department.He statedthe Department was trying-now to respondto municipaiities on specific problemsratherthan ) a generaloverallviewof problems and theywere having' financial difficulties and staffing problems in tryi~~' to -2- ----------------------- Page 277----------------------- respondto the problems, since they were movingbeyond the informational stage.He referredto two recommendations contained in his letter: (1) th~ thirdclass boroughs'can by referendumadoptother servicesthan educational;'(2) thirdclass boroughschool districtscouldcontractwith communities within the boroughsfor educational services. SenatorThomasasked if it wouldn'tbe possibleto havea community that would be ideal for formationof borough for educationpurposes, but not for otherservices. Mr. Mallot saidin order to do that, there wouldhave to be major surgerydone on the muncipalcode because the codegoes beyondwhat is needed for educational purposes, but he did ) not feel this was a large difficulty.Mr. Mallottexplained that underthe presentregulations, a petition is brought up at the locallevel and presentedto the local boundary' commission,who have the statutoryand constitut~onal responsibility to make judgmentson that petition. The boundarycommiss~on can modifyboundariesor expandthe powersthat the petitionersmightdesire, with.theunderstanding thatit goes back to the voters in the area for final deter- mination. Senator Sackettasked how much money would b~ needed this yearto implementtheserecommendations. Commiss~oner Lind ) stated he felt approximately $250,000 wouldbe needed,for funding of positionsand travel,and about $900,000for -<- ----------------------- Page 278----------------------- planning grantsto lo~al communities. Mr. Mallotstated he wouldneedtwo additional peopleon his staff andpointed out that he had referred to HB 404in hisletterto the committee -- thit "if HB 404 werefrinded it wouldtake approximately $250,000. Commissioner L~nd pointed out that hisfeelingwas thatthe planning grantswouldgo to theDepartment of" Community& RegionalAffairsratherthanhis department; that these grants wouldbe for all services--not justeducational. Commissioner Mallott stated thiswould"allow the communities to lookat all servicesand to be ableto assumethe initative ) that is required. There was further discussion concerning "HB404--whether it wouldsufficiently solvethe problems, and Commissioner Lind stated he feltthat he and Mr. Mallott could gettogether withStu Halland go overthe billand suggestany necessary changes. Mr. Mallot stated he had mentioned HB 404 because it w~s the only bill introduced that addressed the problem of grantsto the communities--that the bill provides for ten dollars perpersonfor planning purposes. Mr. Mallott said the bill passedoutof theHouse Community & Regional Affairs Committee just last weekand he thoughtit wasnow in theHouse Judici~ry Committee. -4:- ----------------------- Page 279----------------------- SenatorCroftstated ~t washis understanding fromthe testimony given,that both Departments feel there is no needfor significant structural changesin statutesat thistime, and thatit is a· questionof financingplanning grantsto meet the varyingproblems of thecommunities. Mr. Mallotsaid thatwas true; thatthey felt the State neededto createthe properincentive in the local communities -- thatif there ~as aneedfor roads,sewers, water,electricity, and otherservices, that thesecould be achievedwithproper planning and the State neededto helpthe peoplebe awareof theiroptionsin solvingthese problems. ) Senator Croftasked howS.O.S. feltabout thisand Mr.Lind stated he could notspeak for them, butfelt they wouldbe in agreement with this move towards recognizing local control. He stated hefelt that the city or boroughformof government worksextremelywelland could not see any reasonfor changing it or tryingto createsomething else as long as they have something that is workingwell. Therewas furtherdiscussion concerning fundingand budgeting. and Mr. Overstreet pointedout thatif the State wasreally tryingto mike it possible for the localcommunities to serve themselves then theyshould not hav~ constraints put on them, theyshQuld be able to use theirmoniesfor whatevereducatlonal purposes they need--notprimarily for teachers' salariesas it is now stipulated. -5- ----------------------- Page 280----------------------- Mr. Hallasked what~djustment wouldbe madein thoseareas that do not havea tax base-- asfar as localeffort was concerned. CommissionerLind pointed out thatit did not ~~ have to be a cash basis lthat it couldbe in kindservices and he did notfeel this wasa problem at the present time. Mr. Overstreet stated hefelt thisinformation wasreaching the smaller communities and thatit is makingan impact. He felt thefoundation planning pretty well recognizes that most of theseareasdo not havea tax base. SenatorThomas statedthen thatwhat was needed by the Departments wasmore moneyand thatthe committee should introduce a Resolution givmg direction to the departments. ) .He suggested that thecommittee draft a Resolution; submit an appropriation measure; and handlethe matter of incentive planning grants. He requested StuHall to get together with Commissioners Lindand Mallotand comeup with thenecessary draftsof legislation.Thecommitteewasin agreement with this procedure. Meetingadjourned at 9:45a.m. -6- ----------------------- Page 281----------------------- HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE HEARING March 20, 1974 (8:30 a.m. & 3:l5.p.m.; March 21, 1974 @ 8:30 a.m.) March 20, 8:30 a.m. PRESENT: Senators Thomas, Harris, Croft, Sackett & Hensley Pres~nt to testify from the University of Alaska Planning Office were Donald Moyer and Richard Holden.Also present were Morgan DeBoer and James Woodard, Students from U. of A. SB 283Senator Thomas stated the committee had received a recommendationto add additional funds to the G. O. Bond bill (SB 283) to allow the purchase by the University of Alaska of 80 acres of land owned by Rogers & Babler.He asked Mr. Moyer to explain why this land was needed and )where it was located. Mr. Moyer stated it was the University'sfeeling that they must consider long range plans for the University now and that lands for expansion would definitely be needed.H~ presented a copy of a small map to the com- mittee (copy attached) and then showed the committee on a large map which portion of lands the University was considering as necessary.He stated they might possibly work with the City of Anchorage on including a cultural, sport and research complex within some of the proposed land for purchase,assuming it was acquired by the Un~versity. Basically the lands presently under consideration are -the 80 -acres owned by Rogers & Babler and for an additional ----------------------- Page 282----------------------- I longrangeview,a parcel of the northend of theCampbell airstrip. Senator Thomas' askedhow muchmoneytheyfelt wouldbe neededto acquire the landand Mr. Moyer stated approximately 4.8 million dollars. Mr. Moyerthenreferred to the Proposed FY 1975CapitalBudget Statewide andRegional SummaryrepDrt, showing $29,200,000 in G.O.Bondsfor University of Alaska capital improvements.He gaveeach member of the committee a copy ofthis summary (copy attached) andthen proceeded to discussitemslisted therein. ) Senator Croftstatedthe majoritemsof constructionin the Anchorage areadid notseem to be for moreacademic facilities, and Mr •. Moyerexplained they wereexpecting to havea bond issueeverytwo years, and pointed out thatthereseemedto be a feelingat the' pre's'ent timethat thepuhlicschool facilities shou~d be used rather than providing more new faci~ities atthis time. Mr. Moyer also pointed out that in theiroriginal submission to the Governor they hadin- cl uded$4.. 5 m.i.l,lion.fo,r 'a he.al:u.;h~5',c·ie,nc.e. building but that had beendeleted, so they nowhave2.4 million for a health- science building and 1.5 million for a maint'enance building whichwouldinclude shopsand a warehouse. Therewas dis- cussion a~ to squarefootage of spaceinvolved in the deletion of the4.5 milliondollars~for ahealt~-scieride building and -2- ----------------------- Page 283----------------------- I Mr. Moyerresponded that originally there hadbeen75,000 squarefeetand that had beencut to about30,000square feet. Senator Croft askedmow muchof .the deleted45,000 squarefeet wouldhavebeen usedfor the Community College and how muchfor the SeniorCollege. Mr. Holden responded thatthere wasa theoretical divisionbetween t~e Community Collegeandthe SeniorCollegebut thatit wasdi~ficult to define. Mr. Moyerals6 pointedoutthat theywere dealing witha philosophy of whether the full college should have theirown facilities, or use public schoolfacilities which wouldbe available to them. There wasfurtherdiscussion concerning this--necessities and convenience factors,and relationship betweenCommunity College and SeniorCollege. ) SenatorCroftsaid he wasnot convinced thatthe University shouldn't consider usingthe present facilities as a stop- gap measure. andtry and findland in another locationfor a full four-year college. Mr. Moyerresponded th~y did not feelthere wasanothercentrallocation that wouldbe avail- able. Therewas further discussion concerning possible locations of landand SenatorSackettaskedif the University couldtra.d,e land for landelsewhere. Mr. Holden responded thatthe Division 9f Landscontrols all Unive~sity landsand theyhad indicated. therewereno landsin theAnchorage area of comparable valueto the presentUniversity land. Also, thatthe Division of Landsdid notapproveo~ tra~ing rural landfor urbanland,· or viceversa. Senator Thomasasked why theUniversity couldn'tmakethat determinationand if therewas a reasonthey shouldnot be allowed to do so. ----------------------- Page 284----------------------- I Mr. Holdenresponded thatthe University had no powersof eminentdomain,butthe law couldbe changed. SenatorThomasstated it wouldbe necessary to adjournthe meetingdue to theSenateSessionand that thecommittee wouldmeet againat 2:00 p.m.to continuethe discussion. Meetingadjourned at 9:45a.m. SB 283 3:15 p.m.(Couldnot meetat 2:00 p.m. due to SenateSession.) (Cont'd) PRESENT:Senators Thomas,Harris,Croft,Hensley -- SenatorHohman, Senator Palmer, Rep.' Malone. From theUniversity of Alaska: Mr. Moyerand Mr. Holden and ) also Dr.Dafoe. Senator Tho~as statedthat beforethe committee asked questions, that Mr.Moyershouldfinish hispres~ntation begunduringthe meetingthismorning. Mr. Moyerreferred to the summaryreportdealingwiththe Southcentral Regionand pointedout thatin additionto the G.O. Bonds, there werethree Revenue Bond itemsproposed: $6 millionfor a S±udentCenter; 1.5 millionfor a Total Energyutilities System;and3 millionfor a parkingstructure. out He also pointed/that therewas $80,000in G.Q. Bondsfor site improvements andequipmentat Bethelthat wereneeded ) for the Community College under construction there. -4- ----------------------- Page 285----------------------- I SenatorThomasstated that before proceeding to another Region,that Senator Palmer,SenatorHohmanand Rep.Malone wouldliketo speak on concerns in their areas. He asked SenatorPalmerif he wouldliketo testifyconcerning Kenai Community Collegesinceit was in theSouthcentral Region. SenatorPalmerstated hehad receiveda recommendation from the AdvisoryCommittee for an expansion of facilities in the amountof $1.350 million due to studentgrowth. He asked Mr.Moyer howthe University felt aboutthis. Mr. Moyer stated thatsincethe time the Regents had submitted their ·requests,therehad beena tremendous growth in students, particularly in the KenaiCommunity College. Dr. Dafoe pointed out thatat the timethis reportwas prepared, they )did not have thefall enrollment figures. Mr. Moyerstated there was no question that therewas a need for expansion of facilit~es there. SenatorCroftstated he wouldliketo enquire about the Phase IIIthat appliesto the Matanuska-Susitnaarea,and Mr. Moyerstated tha~ Kodiak, Kenaiand Mat-SuCommunity Collegeseachhave PhaseI and II constructions--that both phases have beencompletedfor Mat-Su, and that PhaseII's are underconstruction at Kenaiand Kodiak--and thatthese were shopfacilities. He stated theywerenow fac~ngthe need for Phas~ III construction to provide more classrooms, librarie.sand some ~dditional shopfacilities. He also pointedout thatKuskokwimhad experienced the most phenomenal growththey had ever experienced -- thatthe credit hours ----------------------- Page 286----------------------- had doubled duringthis yearand were expected to go higher nextyear. Dr. Dafoe pointed out thatthis increase was in academicprograms and didnot reflectchanges. in vocational programs.SenatorThomasasked Mr. Moyerto relate credit hoursinto numbercl students, and Mr. Moyerstatedapproximately 189 studen~ this yearand about 250 predicted for next year. SenatorPalmer stated he wouldliketo see the figurefor the Research Centerin Homerincreased~rom $300,000to $2.5 million, as the peopleinvolvedhadindicated this amount was neededto complete facilities properly. Therewas discussion at this pointas to whetherto increase ) the totalamountof SB 283 and let the University decidehow the moneywas to be spent,or whetherit shouldbe designa~ed by Regions ,. or how. Dr. Dafoepointedoutthat the lawnow statesthatthere be a descriptive pavagraph concerning each majoritem. Afterfurtherdiscussion SenatorThomas requested Mr. Holdento prepare a list of the projects and thedollar amounts for each one thatcould be considered for incorporation in a Committe~ Substitutefor SB 283, and present it for the Co mm itte e 's con s i d,e rat ion in th e m0 r n in g • Mr~ Holden agreed to do this. Therewas furtherdiscussion of the Kenaifacilities and Mr. Holdenstated their estimate forPhaseIII construction at Kenaiwas $1.350. -h- ----------------------- Page 287----------------------- Senator Hohman stated Kuskokwim Community College also needed additional facilitie~, and stated a need for $1,620,000 for Phase II construction,which would include the $80,000 presently listed in the budget for site improvements and equipment.There was discussion on how estimates of space were made and the relation to construction costs and budget preparation, etc.There was also discussionconcerning the addition of Phase II ,construction for Kuskokwim, and Phase tIl constructionfor both Kodiak and Mat-su.The committee agreed that"the following should be added: Kuskokwim ~ Phase II - $1,620,000 Kodiak - Phase III 1,000,000 Mat-Su - Phase III 750,000 )Senator Croft asked if an appropriation was made for a law school in Anchorage if there would be any problem from a planning pO,int of view. Mr. Moyer said from a planning point of view there would be no problem, brit from a pro~ram. view which they felt should precede facilities, there might be a problem. Dr. Dafoe pointed out that President Hiatt had testified l~st week that a study was being made in con- junction with the Criminal Justice Division and he would like to see a comparable ~tudy of a law school tied in with that so that there worild be planning as well as a facility. Dr. Dafoe also stated that if the Legislature appropriated funds for a law school the Univ~rsity would 'see that it was done, but they did not feel a law school was a priority item. There, was further discussion concerning a law school and the WICHE program.It was pointed out that there weie -7- ----------------------- Page 288----------------------- currently ten studentsparticipating in the WIeHEprogram, another50 who had applied this year,and another46 students beingsupported. under student loans. The discussion continued concerning facilities neededand numberof studentsthat might attenda.lawschool. Mr. Moyerreferredto theStatewideResearch items listed in the summaryreportandstated thatSenatorPalmer had indicated a needfor $2.5 million for the Homer Research Center. He pointed out that $~50,000 in construction was just beingcompleted in Homer and thatthe agricultural peoplewho had beenworkingon the planningfor that.facility indicated they feltthe $300,000listed inthe summaryreport PhaseII of wouldbe sufficient for/that project. ) SenatorHensley asked if the University plannedto provide dormitory spacefor studentsin Anchorage apd Mr. Moyer said the Boardof Regentsdid not want to provide for hou~ing facilities in this bondi$sue,but that housingfacilities wereincludedin the six-year plan. Therewas considerable discussion concerning housing facilities, i.e. apartment-type complexes ratherthan dormitory-type facilities. SenatorHensley ask~d what the Universityplanned for the Nome,Kotzebue,·Barrow,AnatuvikPass,and the rest of his partof thecountry. Dr. Dafoestated theUn~versity had a fulltime man in Nome now and plansfor a small building thisSpring. He stated hefelt that eachof theseareas shouldhavea fulltime personand a small center--for a -R- ----------------------- Page 289----------------------- beginning and see what interest could be generatedon the local level--that a request for a community college had to come from the local level. Mr. Moyer then briefly review~d theitems for South~astern Region contained in the summary report and then reviewed the items in the Fairbanks area; pointing out that most of the items there were maintenanceitems with the exception of a warehouse building. -Senator Thomas asked if Mr. Moyer~d obtained further informa- tion since the morning meeting concerning the proposed land acquisition.Mr. Moyer stated they had received information that the land in question was Section 16, that it was a school "trust" land that the Legislaturecould not pass a statute transferinq this land to the University, that there would have to be a fair market compensationsince it was a ntrust" land. He stated the price discussed with the Division of Lands was $400,000 for 160 acres. (O'Malley Road). Senator Thomas stated the meeting would. be continued in the morning (March 21), at 8: 30 a.m. Meeting adj6urnedat 4:00 p.m. SB 283March 21, 8:30 a.m. (Present: Thomas, Croft, Hensley, Sackett (Cont'd)and Richard Holden from U. of A.) Senator Thomas called the meeting to order and asked Mr. Ho1~en to review the listing of items to be incorporated into SB 283 which he had prepared l-astnight. -9- ----------------------- Page 290----------------------- Mr. Holden statedthe totalamountwas now $39,448,000 and pointed out the new items: Kotzebue- Extension Center& Community CollegeBuilding$750,000. Anchorage - HealthOccupations Building4,500,000 Bethel- Kuskokwim Community College PhaseII1,600.,000 Kodiak- Community College, PhaseIII 1,000,000 Mat-SuCommunity College, PhaseIII 750,000 Mr. Holdenthenbrieflydiscussed theother itemslisted and madea briefexplanation of some of them. Senator Thomasasked theCommittee what theywouldlike to do withthe bill -- if a Committee SubstLtute shouldbe ) drafted to includeall of theseitems prepared by Mr. Holden. Senator Croft movedthat$2 millionbe added fora lawschool in Anchorage.SenatorThomasdid notagree. Senator Hensley stated hedid notfeel someof theother itemswereneeded, but thatif money wasappropriated for a lawschool,he felt a definiteneedhad beenshownfor one.Therewasconsiderable discussion concerning the addition of " a law school, whether therewas a need for oneat the presenttime,' etc. After further discussion SenatorCroftwithdrew his motionand made a new motionto deletethe Classroom and Laboratory Btiilding in the amount~f $2,400,000and replaceit with a LawSchool in the amountof $2;000,000.Senator Thomasvoted no,and ) Senators Croft,S acke tt and Hens ley' voted "Yes". Senator Croftthen move~ that the"billbe passedoutof committee ----------------------- Page 291----------------------- asa Committee Substitute withindividual recommendations. There werenoobjections~ (NOTE: Committee substitute will bedrawn upandCommittee Report signed at time CSSB28~ isready.) There wasbrief discussion concerning theneed tochange the amounts inthebill tocover the sale of the G. o.Bonds and Richard Hacker was asked toobtain correctfigures from- Mr.HoldenandLegislative Affairsandincorporate that change into theCommittee Substitute. - , SenatorThomas stated thecommittee would meet~in the morning at8:30 a.m. Meetingadjourned at9:15a.m. ) -11- ----------------------- Page 292----------------------- HEALTH, EDUCATION & SOCIALSERVICES COMMITTEE MEETING March22, 1974 8:30 a.m. RRESENT:S~nators Thomas, Harris & Croft.Also present was Rep. Laktonen. HJR 78Senatqr Thomas asked the Committeeto consider HJR 78 and asked Rep. Laktonenif he wished to comment on this bill. Rep. Laktonenstated that-the purpose of the Resolution was to urge Congressto pass legislationto provide funding to upgrade native schools. He said many of them are in a deterioratedcondition or need replacingand the State would not accept transfer of the schoolsin their )present condition. Senator Croft moved that the committee pass HJR 78 out of committeewith a "do pass" recommendation. There was no objection. HJR 84Rep. Laktonenstated that HJR 84 was introduced becausethe school at Akiak seemed to be in worse conditionthan any of the others and needed immediate attention. Senator Harris moved the committee pass HJR 84 out of committeewith a "do pas s" re commen'da tion. There was no objection. HCR 2 Senator Thomas stated he had talked to CommissionerMcGinnis concerning HC~ 2 and the Departmenthad no ~bjections to the .bill. Senator troft moved that HeR 2 be moved out of Com.mi ttee with a "do pass n r·ecommendation.There were no objections. ----------------------- Page 293----------------------- SenatorThomasdirected the attention of the committee to HJR 88.Aftera briefdiscussion, SenatorCroft moved that HJR 88 be passedout of Committee witha lido pass"recommen- dation. Therewasno objection. SB 487 SenatorThomasaskedthecommittee to considerSB 487, dealing with humanetr~atmentof animals,especially dir- ectedto horses. Richard Hackerstated hehad talked to Dr. Honsinger aboutthis bill,and he hadno objections to SB 487--hisobjections had beendirectedto theprevious "horsebill". Therewasa briefdiscussion of thebill and SenatorHarris movedthe Committee passSB 487 out withoutrecommendation. Therewasno objection. ) SB 447 SenatorThomas statedthis bill hadbeendiscussed previously and the Committee hadbeen awaiting information from the principals.He stated hehad now received a telegram from the Principals Association.expressingtheir desire for passageof the bill: Testimony given previously did not show anyobjection to' the bill. Senators Harrisand Croft were concerned thatthe localschooldistricts should clarify theposition of ~he principalsand npt by statute. SenatorThomasmovedthatthe bill be passed out of committee with individual recommendations. Therewas no objection. ~ENERAL SenatorThomas staeedthat Commissioner McGinnis had indicated ) he could meetwiththe Committee at lO:30a.m. to discuss the Medicaid bill(SB 465), andasked thecommittee to meet at ----------------------- Page 294----------------------- that time. HB 760Senator Thomas stated that Rep. Milo Fritz wanted to testify concerning HB 7~O, but since he was in session at the ti~e, the committee would consider HB 760 sometime next week. Meeting adjourned at 9:00 a.m. Senator Thomas called the meeting to order at 10:30 a.m~ Present were Senators Thomas, Croft, Hensley, and Senator Hohman.Also present was Commissioner McGinnis. SB 465Senator Thomas asked the committee to consider the proposed )committee substitute for SB 465 which the Commissioner had passed out to the members.Mr. McGinnis stated the language in the proposed committee substitute had been approved by the Attorney General's office, Region X people and also the Washington people.He stated the sentence which had been inadvertently dropp~d in the previous bill had been put back in and also a change in the language had been made on page 2, line 12, as the Attorney General's office felt this would clarify that in the future no groups or services could be added without legislative action.After further discussion Senator Thomas asked that a Committee Substitute be drafted over the weekend and the committee could take action on it ) on Monday.Mr. McGinnis reminded the committee that if this were passed before March 31, the State could apply for funds retroactive to January 1. ----------------------- Page 295----------------------- (SECRETARY's NOTE: SB 465. was passedout·of Committeewith do pass .recommendationon Monday, March25,1974) SB 283 Senator Thomas statedthe Committee Substitute forSB 283 wasreadyto be reviewed. After a briefdiscussion it was movedthatCSSB·283 be passed out of committee witha lido pass ll recommendation. Meeting adjourned at 11:15a.m. ) -4- ----------------------- Page 296----------------------- -l HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING March 26, 1974 8:30 a.m. . PRESENT:Senators Thomas, Croft, Sackett & Hensley . Present to testify from the Departmentof Education were Commissioner MarshallLind, Robert Isaac and William Thompson; from the Department of Community & Regional Affairs were CommissionerByron Mallott and John Chenoweth; and Stuart Hall from LegislativeAffairs. RURAL Senator Thomas called the meeting to order and asked the EDUCATION committee to review the proposed bills drafted by Stuart Hall as a result of the meeting of March 18th.He suggested that the committee discuss each bill separately. ) #1 - Providingfor advisory school boards in borough school districts. There was considerable discussionas to whether this bill was actually needed.Commissioner Lind stated he felt it was not needed and that the districtsshould have latitude to set up boards as they saw fit. Commissioner Mallott said he did not like the concept of advisory school boards, but that the language had been extracted from an existing statute.After further discussion, Commissioner Lind suggested incorporating the concept of this bill into the present statute(Sec. 14.14.090), dealing with the duties of" local school boards which sets out six powers, by ad~ing a new section (#7) stating the dist~icts could providefor advisory" school boards, but leaving the mechanics up to them. There were no objections. ----------------------- Page 297----------------------- #2 -Providingfor planning, platting andzoningin third classboroughs.Senator Croftasked if thiswouldbe effective onlyafter an area-wide .election and was assured this· was ·the case. Therewas furtherdiscussion concerning the differences betweensecondclassand thirdclass boroughs and whatservicesare provided undereach. Senator Thomas askedif there wereany objections to thebill and there were none. #3 - Relatingto schoolboardsin thirdclassboroughs. Mr. Hallstated thisbillsimplyallowedthe boroughs to hav~ the size of schoolboardthey desired.There wasa briefdiscussion and the committee hadno objection to this bill. ) #4 - Prov i ding for s tate aid to unin corporate d comm~..n.i ties. Mr. Hallstated thisbill wasbasically a committee sub- stitute for HB 404, as discussed last week. Mr.Mallott statedthe amountshadbeen changed from $1,000percommunity in HB 404 to $1,500in this bill,and $10 percapitain HB 404 to $15.00in this bill. He saidthat HB 404 was presently in the HouseJUdiciary Committee. Therewas discussion concerning the paymentsection, i.e. whether communities have to be lncorporated, etc. SenatorSackett expressed concernoyerthis section of the bill,and stated someareas wereafraidof incorporating~ discussion it was agreed to inserton pageI, line 21 "or traditional councils". Therewere no objections to the bill. -2- ----------------------- Page 298----------------------- Commission~r Lindstated hewouldliketo present$ome suggestions to thecommittee in writtenformwithina few days pertaining to this bill some ideason whatthey mightwant to do in education services and specific duties. He did not thinkit wouldbe necessary to hold thisbill and had no obj€ction to it. #5 - Making a special appropriation to the Department of Community & RegionalAffairs for the unincorporE:ted communities governmental orga~ization andservices account.Therewas a briefdiscussion of the billand SenatorCroftsuggested that 'theeffective date clausebe changed to read"takes effecton the effective dateof 43.18.500" so thatif the )CS for HB 404(bill #4) doesnot pass,then therewouldnot be a problem with this. There wereno objections to the change. There wasfurtherdiscussion concerning the amount of appropriation($700,000), whetherthiswas for one,or threeyears,and whether any surplusshouldlapseintothe general fund.Afterfurther discussion it wasthecommittee's decision to leave thebill as drafted as far as the appropria- tionamountwas concerned.There wereno furtherobjections to the bill. #6 - Making specialappropriationsto the Depar·tment~~ Education and Community & Regional Affairsfor thedissemina- tionof information concerning futurelocal governmental 'and ) schooldis·trict or~jc1l1iz.at.i.on to u~ganized communities. Commissioner Lindstatedthe amountshownin the bill($250,000) -3- ----------------------- Page 299----------------------- should be reducedto $130,000-- he felt thisamount would be sufficient after making a study since last week. He also requestedthat the effectivedate clause be changed fro~ JulyI, 1974, to immediately upon· passageas they had already receivedseveralrequestsand needed the funds as soon as possible. There were no objections to these changes. Mr. Hallstated he could have all of the billstyped by this afternoonand Senator Thomassaid if it was agreeable the committeewould introducethem tomorrow. Therewere no objections. Meeting adjourned at 9:30 a.m. ) -4- ----------------------- Page 300----------------------- H~ALTH, EDUCATION & SOCIAL SERVICESCOMMITTEE MEETING March 27, 1974 8:30 a.m. PRESENT:SenatorsThomas, Harris, Croft, Sackett & Hensley Also present to testify were RepresentativeMilo Fritz; Mrs. V. Lennonof the Alaska ~ursing Boa~d; Mr. V. -L. Iverson of Departmentof Health & Social Services; and Mrs. Dorothy Benson,Administrator,Violent Crimes CompensationBoard. HB 760 Senator Thomascalled the meeting to order and requested am the Committeeconsider HB 760am.He asked Representative Fritz to testify on the bill, and Rep_.Fritzstated that acupuncturewas a form of treatmentand anaesthesiathat ) has been practiced in the Far East for many centuries and has recentlybeen of interest in this country.He then explained brieflywhy it was importantto restrict acupunctureto licensed physiciansand dentists,i.e. the fact that it could be dangerous if not used correctly. There was considerablediscussionconcerning the bill and then Senator Thomas moved that the bill be pa~sed out of committee with individualrecommendat~ons. There was no objection. HCR 7Senator Thomasasked the Committeeto consider HCR 7,. and asked Mrs. Val Lennqn to testify concerningthis bill. Mrs. Lennon passed out to the Committee a positionpaper pointingout the necessityof having refreshercourses and relicensureof nu~ses (copy attached). Senator Harris ----------------------- Page 301----------------------- asked if th~ State presently required a test of some sort for nurses .who come into the State from other States and Mrs. Lennon stated they could come in by endorsement from their home states, and she felt this was one of the prob~ems, i.e. under the present law the Board cannot deny a license to nurses who have come in under endorsements.·After further discussion, Senator Croft moved that the bill be p~ssed out of Committee with a do pass recommendation. There was no objection. SB 477 Senator Thomas asked the Committee to consider SB 477 and said Mr. Iverson and Mrs. Benson would like to testify on this bill.Mrs. Benson passed out copies of a position )paper (copy attached) supporting recommendedchanges to the present statute.Mrs. Benson discussed these changes to be made, which is the basis of SB 477. She then explained what the Violent Crimes CompensationBoard had been doing and gave each member a copy of their first annual report. The committee then reviewed SB 477 and suggested changes, as amendments, were made.Senator Croft was concerned with the wording on page 2,. lines I and 2, referring to the decision of the board not beirig subject to judicial review- and felt the board would have problems with that wording. It was agreed that "and is not subject to judicial review" would be deleted by amendment.There was discuss·ion con- cerning Section 3, page 2, line 5, and it was agreed for purposes of clarification that after the-word "responsible" on line 5, that "or who had been responsible"would be added. -2- ----------------------- Page 302----------------------- Also in Section3, and for the purposeof clarification, it was agreed to 'delete the "i ll at the end of line 6 and add "or death; ". In Section 4 on page .2, it was agreed· that in order to give the Board necessarydiscretion,.it would be necessaryon line 20.todelete all materialon that line which followedthe comma and insert instead "the board may requirethat. he refund".SenatorCroft then moved that SB 477, with amendments,be passedout of committee with a do pass recommendation. There were no objections. Mr. Iverson stated that there might be future problemswith fundingand wantedthe committeeto be aware of the fact that there might possibly have to be a supple- mentalrequest at some time in the future, due to the fact )that the Board was receivingmore claims than previously, thus the workloadof the board. was increasing,and due to the fact that monies cannotbe encumberedbeyondthe end of the fiscal year,thus havingto lapsefor one particular year. Meetingwas adjournedat 9:25 a.m. -3- ----------------------- Page 303----------------------- HEALTH,EDUCATION & SDCIALSERVICESCOMMITTEE MEETING March28, 1974 8:30 a.m. PRESENT: Senators Thomas,Harris& Croft. Also presentwasSenator Hohmani Stuart Hallfrom Legislative Affairs; and Represen- tativeGenieChance(who camein duringdiscussion on SCR39). SB 497 SenatorThomasaskedthe comm~ttee to considerSB497 and SB 498, whichweretwo ofilie billson ruraleducationthat had beendrawn up by the committee and discussed in the meetingon March26.He askedthe membersof the committee if therewere any questions or discussion on SB 497. Senator Croft movedthat SB 497 be passedout of committee ) witha "do pass"recommendation. There was no objection. SB 498SenatorThomasstated thattestimony given duringthe meeting of March26 on SB 498 by Commissioner Lind wasthat thisbe includedin 14.14.090. He askedStuart Hallwhy the bill hadbeen drawnup as beingunder 14.12.035.Mr. Hallexplainedthat14.14.090 concerneddutieswhichwere mand~tory, and it was his understanding thatthe committee desired this to be piscretionary,and that 14.12.035 was concernedwith discretionary powers. The committee agreed unanimously this was the correct placement. SenatorCroft recommended that the bill be passedout of committee with a "do pass"recommendation.Therewas no objection. SCR 39SenatorThomasasked the committee to consider SCR 39 and ----------------------- Page 304----------------------- asked Rep.Chance if shewould like to testify onthebill. Rep. Chance ~eclined .to testify andSenator Croft stated that heand Rep. Chance hadmetwith several people the previousafternoonforapproximately five hours, working onHB70 concerning theadoption code.He requestedthat thecommitteedefer further discussionofSCR 39 until. such time as they could complete work on a bill thatwould remove someoftheobjections to HB70. Senator Thomas stated he would not object to holdingSCR39fora reason- able length .of time, ,but that dueto thesession nearing anend,hedidnotfeel it should beheld toolong.It wasunanimously agreed to hold SCR 39 fora reasonable leng'th0 f time. 9:00 a.m. ) BOARDING PRESENT: Mr.Dan Johnson, Supervisor of theDormitory HOME PROGRAM Program;Mr.Weinberg,RegionalSuperintendent ofBethel sch061s; andMrs.Murphy,representing t~e Native Cdrporations; (allfrom Bethel, Alaska, who cametotestify on theBoarding Home Program);also to testify were Commissioner Lind and Bill ThompsonfromtheDepartment of Education. Senator Thomas made theappropriate introductions andasked for testimony. Mrs.,Murphy pointedoutthattheboarding home program would notbefunded byJohnson-O'Malleyfunds this year, that the Johnson-O~Malley Committee (of whi~h ahe is secretary) andtheRegional Corporations felt that the educationof thechildren was theresponsibility ofthe '\ /. State.Shesaidtheonlyreason that Johnson-O'Malleyfunds hadbeen usedwas dueto anemergencysituation where about ----------------------- Page 305----------------------- )1500 students would nbt be able to go to school had not the funds been provided by the Johnson-O'Ma1leyCommittee.She said last year they had funded about $190 per student.- Mrs. Murphy also stated another factor that enters into the picture is the fact that parents do not want their children- sent away from home for their schooling, that they felt the children should be educated at home whenever possible.But, due to the fact that there were not high schools in the small villages, that if the children were sent to Bethel they could at least have the children home on weekends and holidays.She stated they had, at parental request, also looked into the possibility of mandatoryattendance areas within the State. Mrs. Murphy stated they were requesting the H.E.S.S. Committee to recommend an appropriationthat had been made by the Department of Education, but that also they did not feel the appropriation was large enough, since it was predicated on several schools be~ng completedand ready for use this fall, and she did not feel these schools would be ready at that time. Mr. Thompson stated the Department had requested 1.8 million dollars based on about 780 students for the boarding home- program this year; that Johnson-O'Malley had funded about 2.3 million dollars for 1100 students, and there were about 1300 students in the program this year. He stated the figure of 780 students had been made on the assumption that the new high schools in that area would be operating next year. -3- ----------------------- Page 306----------------------- SenatorThomas said thathe felt it wouldbe imperative ) that they appearbef~re theFinanceCommittee becauseif the Departmenthad requested 1.8 million dollars,it would be difficult toincreasean appropriation without justifica- tion. The group indicatedthey wouldlike to appear before the FinanceCommitteewhile they werein Juneau. There was considerable discussion concerningthe boarding home program,i.e. improvemen~s made withinthe last year in the dormitoryin Bethel,and discussion of the program in general. Mrs. Murphyreferredto the reportdone by JudithKleinfeldand said she questioned the validity of the report,that she did not feel a reportshouldbe based on a programonly one year old, and she felt the report ) was unjustlycritical ofthe boardinghome dormitoryat Bethel. Mrs. Murphyalso pointedout that they realizedit wasnot feasibleto have high schoolswhere onlya few children wouldattend, but that therewere areas where50 to 60 stu- dentscould attend if schoolswere availa~le. She also stated theywere very much againstthe correspondence courses in lieu of classroo~ educationi citingsome reasonswhy the correspondence course-typeeducationwas not feasible -- no adequatelibrariesor readingmaterials,no guidanceavailable, etc. She stated that educationby T.V. and satellite was ) . a possible solutionfor the future, but theirproblem was immediate and pointedout that in the long run it wouldcost the Stateless moneyto educate thesechildren,ratherthan ----------------------- Page 307----------------------- have them grow up as additions to the welfare rolls or )overcrowded jails and be supported by the State in that way. Mr. Johnsonstated the Depart~ent ofEducation was requesting an increasefor boarding home students in Anchorageto $220 1 and that the increase for Bethel which had been requested was an increaseof only $36 -- he felt Bethelshould receive an increase to $250 per student. Senator Hohman asked Mr. Thompson to explain why the Department did not request funding for the dormitoryat Bethel for this year and Mr. Thompson stated because of the high cost factor )of the boarding home program per student and because of the social and academic problemsresulting from living in an institutionalizedsituation. There was further discussion concerning the report by Judith Kleinfeld and the .differences in the boarding home program this year as comparedto last year when the report was made. Mr. Weinberg stated he felt the report was non-scientific; . that in the Bethel. area it was based on 20 students with no prior background on the students; and he questionedsome of data contained in the report.He then gave some comparisons of operationof the dormitory at Bethel in the pa~t y~ar. Mr. Weinbergtold the committee that, based on the period between October to January,the absentee rate at the high school last year was 16 percent --this yearit was 5%. -~- ----------------------- Page 308----------------------- He said the ,drop out rate last year had been 26 students, ) whereas this year only 10 students had withdrawnfor various reasons -- this was from a total of 440 students~ Mr. Weinberg stated that during the first semester of school this year, students who were ~n school last year and returned this year, those students had earned more credits this .year than iast over the same period of time. ·He also stated that· last year they had serious drinking and drug problems in the school, and especiallyat class dances; whereas, this year they have had no incidentsat all. Senator Thomas asked Mr. Thompson to clarify the reason the Department did not request sufficient fundsto operate )the boarding home program--ifit was based on the high schools that were to be opened next year.Mr. Thompson stated there was a note in the budget document that says if those high schools are not ready, that the add£tional monies will have to be put into the boarding home program. Senator Thomas asked CommissionerLind if he could clarify this further and Mr. Lind stated it was a complicated arrange- ment as to what was to be funded.He pointed out that their budget document had been preparedlast fall,. and actually started in August and September,and had been based on the assumptionthat these schools would be ready ·by n~xt year. He said if the boarding school program was to be funded for next year something would have to be done because the figures were not in the budget. Senator Hohman asked the Commissioner. ----------------------- Page 309----------------------- )if the Department wouldsupport a request for additional fundingforthe dormitory at Bethel, andCommissioner Lind repliedtheywoulddo everything theycouldto see that the students wereeducated in Bethel. Therewas further discussion concerning thisneedfor additional funding. SenatorThomas announced thata definite appointment had beenmadefor thegroupfrom Bethel withthe Finance Committee for later intheday, andhe hopedthey would' beable to explain the problems to themembers of that committee.He stated, that it wasalmosttimeforthe sessionto beginandthat thediscussi9n would have to )come to a closeveryshortly. SenatorHohmanpointed outthat fuere wasapproximately C.v $7 millionleftfromAbond issuein'72 and thatconstruction had not beenstarted, consequently those funds werebeing erodedby inflation.Commissioner Lindstated that the bond issue($16 million) hadbeen passed in the fall of1972and that in thespringof 1973thereweresevenschoolsready to go out to bid. He saidSOS had requested remaining funds betransferred to them to complete projects alreadyunderway and the Department had transferred thesefundstoSOS. Since that time,Mr., Lind stated he had askedseveral timeswhat problems were beingencounted and why theconstruction had not beendone. Therewas somefurther discussion concerning this, butdue to timefactorit wasdecidedtheissuewould be discussed withSOS and theDepartment at a later date. ----------------------- Page 310----------------------- HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING March 29, 1974 11:10 a.m. PRESENT: Senators Thomas, Harris, Croft & Hensley Present to testify was Mr. Alfred Kehl, Director of Forest Lawn Memorial Chapel & Crematory in Anchorage. CS SB344Senator Thomas stated that Mr. Kehl was appearing before Amended the committee to give testimony concerning CSSB 344 am. Mr. Kehl stated he would like to see this bill "die" in committee thi~ session. He said that while he did have the Alaska Funeral Directors' Associatio~ approvalof the ) bill, it was their feeling they would like to work on the bill this year and have a new bill introduced during .the next session that would be more understandable. Senator Croft asked if that was the official positio~ of the Association and Mr. Kehl replied that it was. Senator Hensley moved that CSSB 344 am be buried in committee. There was no objection. Meeting adjourned a~ 11:15 a.m. ----------------------- Page 311----------------------- / 1 HEALTH, EDUCATION& SOCIAL SERVICES COMMITTEE MEETING April 2, 1974 8:30a.m. PRESENT:Senators Thomas, Harris, Croft, Sackett & Hensley •. Also. present totestify was Representa~ive Hackney. HB 796am Senator Thomas called the meeting tQ order andaskedthe ~ommittee membersto consider HB796am. Hesaid that Rep.H~ckney .wasappearing td testify on HB796amand asked Mr. Hackney for hiscomments. Rep.Hackney stat~d thatHB 796,inits originalform, ') had been a mandatory death bill,but failed topassthe House; thataneff6rt had b~en made· to putin a substitute bill;that had failed alsoandthe ·resulting bill is HB 796am.· He stated that intalking with judges· in two cities of theState, he hadbeentold thei~ feelings oh mandatory death pen~lty wasthatit would never.be ~sed not because thejudges wouldnotuseit~ but bec~use juries ·would notbring in a convictionif they felta deathpenalty wouldbeimposed~Rep.Hackney stated he felt that if a jurywereto bring .inconvictions withlifesentencesin mind,that th~y might occasionally doso, buthe felt they wouldnotbring in ~. conviction if a death penalty wo~ld )be imposed.Hepointed outthatif a jury brings ~n a conviction,it isthe judge who· imposes thesentences. Rep. Hackney s·aid hehadbeentoldthatsomeofthese criminals ----------------------- Page 312----------------------- arebackon the streets in fiveor ten years. He felt f thepublicis wo~dering 'aboutourjustice system. Therewasfurther discussion concerning the mandatory death pro~ision, andSenator Thomaspointed out thattheother committee of referral hadindicated to himthatthe bill would' notbe passed out of thatcommittee.Afterfurther discussion Senator Harris movedthatthe bill bepassed out ofcommittee withindividual recommendations. Motion fail~d. Senato~ Croft stated hewouldliketo knowwhether there hadbeenany instances in .the pastten yearswhere a criminal hadbeenconvicted of anyof the crime~ listed in thebill and had notbeengivena life sentence.Rep.Hackney stated he hadbeentoldihis hadhappened but wasunableto cite specific cases. Richard Hacker stated Mr. Snowden of the CourtSystem from Anchorage was intown andhad beenrequested toappearbefore the committee thismorning, buthad notshownup. Senator Croft said he would like toobtainthis' informationbefore further considerationof thebill. SenatorThomas askedRichard .Hacker tocontactMr •. Snowden and ask himto appearbefore the committee in themorninq. SB 290 SenatorCroft askedthat thecommittee consider SB 290 on Thursday morning, and it was agreedto doso. Meeting adjourned at 9:00a.m. ----------------------- Page 313----------------------- HEALTH, EDUCATION & SOCIALSERVICES COMMITTEE MEETING April4, 1974 9:00 a.m. ?RESENT: Senators Thomas, Harris,Croft& Hensley Alsopresentto testify were CommissionerMarshall Lind fromthe Department of Education; RobertVanHoutefrom ~EA-Alaska; PeterPartnQw ~rom Attorney General's Office; and Robert LintottfromPTPC;Mrs.SharonLobaugh, Juneau SchoolBoard. SB 290Senator Thomascalledthe meeting to orderand askedthe committee to consider SB 290,and askedfor testimony on the bill. Mr. Lintott statedthisbill hadbeen requested bythe PTPCCommission because they had had problems in policing thedecisions that havebeen madein casesand thereseems to be too muchdistance betweentheagencies makingthe determinationof casesthat comebeforethe PTPCand the agencies thatdeal outthe punishment or whatever is merited in thecase. He explained that theCommission had requested the bill because they feltthey needed the authority to suspend or revokecertificates--not because everycasewould merita suspension or revocation, but because thosematters of lesser severityaredifficult to policeand theyhave no wayto makesurethe recommendationsare carried out. He \ alsopointedoutthat theCommission feltthey shouldhave ) thesame control that BoardsofControland Licensures have overtheir professionalgroups. ----------------------- Page 314----------------------- Mr. Lintott pointed out that the second half of this measure )provides for bringing the PTPC procedures in line with the Administrative proceduresand also would allow the PTPC to have legal council to serve as a hearing officer.There was considerable discussionconcerning the points Mr. Lintott had brought up and then Senator Thomas asked Dr. Lind for his views on the bill. Commissioner Lind stated they did not feel the commission should have. the power to suspend or revoke these certificates as he felt that power would make them both judge and jury and there would be no process for review by another agency, therefore, their decision would be final. He stated the Commission is relative new and there had been only one case )where they have asked for a revocation, but that the Department had revoked four certificates--only one of. which came from the PTPC as a recommendation.He stated t~e Department would like to see this portion of the bill deleted, and that they supported the rema~nder ofthe bill completely. Mr. Partnow went through the bill and pointed out some minor technical changes that should be made for clarification purposes. Senator Thomas asked Commissioner Lind if the letter the committee had received from Mr. Robert Jacobs was a Depart- mental view and the Commissioner stated that Mr. Jacbbs was speaking strictly for himself--n6tfor the Department even though he had used departmental stationery. -2- ----------------------- Page 315----------------------- There was then a brief discussion as to the appointmentof members to the PTPC Commission,and Mr. Van .Houte pointed out that any group of teachers could submit a list of names to the Governor for his considerationfor appointment-~that there were no restrictions on who could submit the list of names. Mrs. Lobaugh, a member of the Juneau School Board, stated she felt the PTPC should not have the authority to revoke or suspend certificates,and cited an example of a case in the Juneau School District that had been given only a cursory investigationand no satisfactorysolution to their problem.She felt that the Commissionerof Education should ) have greater powers in dealing with teacher problems.Senator Croft asked Mrs. Lobaugh if the Juneau School problem had been brought to the PTPC before or after it had obtained an Executive Director and Mrs. Lobaugh stated it was before. There was further discussionconcerning the portion of the bill dealing with revocation and suspension of teacher's certificatesand Mr. Lintott asked CommissionerLind,. in order to assist the' Commission in policing those findings of fact in cases of lesser severity than revocation, if he would be willing to support an authority of suspension of some sort for i limited time by the Commissiori rabher than authority of revocation by the Commission.Commissioner Lind replied that if the Commissi9n were to recommend a suspension,and the Department could legally do so, then -3- ----------------------- Page 316----------------------- then theDepartment I s position \",ould be Il yes ." Mr. VanHoute askedthe Commissioner if he wouldsupport the billif the word"revoke"wereremovedfromthe/bill, and Mr.Lind stated "possibly". Mr. Partnow suggested a possible compromise mightbe found by addinga fourthparagraph underAS 14.20.030 whichwould say in effect" ••. ethicalor professional teacher performance, contractual obligations, and professional teaching mis- conduct, upon investigationand recommendationby the PTPC ••• " Afterfurtherdiscussion, it was agreed that the bill would be redrafted and thecommittee wouldmeet on April5 at 9:00 a.m. to reviewthe bill. ) Meetingadjourned at 9:45 a.m. -4- ----------------------- Page 317----------------------- ) HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING AprilS,1974 9:00 a.m. PRESENT: Senators Thomas, Croft & HensleyoAlso present were Repo Banfield and Rep. Chance; Robert Van Houte, NEA-Alaska; Peter Partnow, Attorney General's Office;and Mr. Nat Cole, Department of Education. CSSB 290Senator Thomas asked the committeeto consider the redraft of SB 290, and after a brief discussion,it was agreed to move it out of committee as a committee substitute. CSSB 290 was passed out of committee with a "do pass" recommendation with no objections. CS SSHB Senator Thomas asked Rep. Banfieldto commefrt on CS SSHB 428. 428 Mrs. Banfieldstated this legislation had been introducedat the request of local peopl~ who had had problems with animals coming in on the ferries, and also by the local Veterinarian, Dr. Lobaugh. She stated that when the bill went to the House H.E.S.S. Committee they had added a section "Evidence of Ownership",and then when the bill went to House Judiciary,it was suggestedby Dre Honsinger that this section be removed, which it was, ex~ept for the title on page I, line 13. She requested that the Commitieedelete that wording by amendment. Mrs. Banfieldalso stated that specific diseases had not been listed in the bill, at the suggestion of Dr. Honsinger, due to the fact that one or more might inadvertentlybe omitted. ----------------------- Page 318----------------------- After~ brief discussion, the committee agreedwithout -) objection to moveCSSSHB428 out of committee with a "do pass"recommendation, with amendment to delete"Evidence of Ownershipllon page 1, line 13. At this timeSenatorHensleyhad to leave the meeting, and sincethere was no longera quorum,no furtherbills couldbe discussed. SenatorThomasassuredRep. Chance that thecommitteewoulddiscussCSHB429am next week, sinceshe had appearedto testifyon that bill. Meetingadjourned at 9:30 a.m. ) -2- ----------------------- Page 319----------------------- HEALTH,EDUCATION & SOCIALSERVICES COMMITTEEMEETING April9, 1974 8:30 a.m. PRESENT: Senators Thomas,Harris& Croft. Also present was Rep. GenieChance. Presentto testify on SB 284 was Mr.MichaelKennedy, Director of State Museum; Dick Engenand otherinterested persons. Presentto testifyon CSHB429am wasRep. Chance and Mr. Morley from the Division of EnvironmentalHealth, Department of Health '& SocialServices. SB 284SenatorThomas asked Mr. Kennedy for commentson SB 284 and information concerning the museumprogram. Mr. Kennedy stated thata large portion of thefunds would be usedfor the transportation museumin Anchorage which ) had burnedin a fire last year. He stated thereweretwo possible sitesfor the new transportation museum,onenear Earthquake Park(whichhe felt was a dangerous area due to earthquake) and approximately five acresnear the Bicenten- nialPark area. Therewas discussion pertaining to site acquisition and type of museum,i.e."museumof science" or "science of man"which wouldencompass the transportation museumas wellas otherrelatedcollections.Mr. Kennedy alsodiscu~sed the apallingsecurity situation which prevails at the present time in the museumin Anchorage and stateda new wingon that buildingwouldrelievethesecurity problem. He said thatwhen the newstudentcenterat Fairbankswas completed, the museumwouldbe able to use the oldstudent center building to house thecollection that is scattered throughout thecampusat the present time. ----------------------- Page 320----------------------- ( SenatorThomas asked Mr.Kennedyif he and hisstaff had talkedto the Finance Committee aboutthis billand Mr. Kennedy said they hadnot as yet, though they planned to do so. SenatorThomaspointedoutthat thebill would go to Financewhenit left the H.R.S.S. Committee. Aftera briefdiscussion, SenatorHarris movedthat SB 284 be movedout of committee wit~ aHdo pass"recommendation. Therewas no objection. CSHB429am SenatorThomasaskedthe committee toconsiderCSHB429am and askedRep.Chanceto commenton the bill. Mrs.Chance statedshe hadintroduced the bill asthe resultof com- ) plaints from constituents who had goneout to dinner at a restaurant whereno toiletfacilities were provided for the public. Afterreceiving the complaint she checked with Legislative Affairsand wastold the present law requires toiletfacilities for employees, but notthe public. Mrs." Chancesaidthe bill wasoriginally drafted toapply only to restaurants and bars; however, theDivisionof Environ- mentalHealthrequested thatthe bill beexpandedto cover- all public facilities. The HouseB.E.S.S. Committee had incorporated the proposed amendments into a Committee Sub~ stitute, and then CSHB429 wasamendedon the floorto include the wordingconcerning toiletfacilities "where practical y " reSUlting in the bill nowbeingconsidered by SenateH.E.S.S. Rep. Chancesaidsome questions wereraised on theHouse floorconcerning whether this wouldbe applicable -2- ----------------------- Page 321----------------------- to a ~mall qarnival-type operation in the parking lot of a shopping center, andothersimilar typeoperations,and it was determinedthatan operation of thissort would have toilet facilities within the shopping center that would be· available to the public (underthisbill) so thatthere would not bea requirementfor thecarnival or pony-ride typeoperation to furnish separate facilities. Mrs.Ch ance statedtherural areassupported the bill during debate in the House, andthatthe oneswhoexpressed concern werethose whowereinterestedin snowmobilingand motorcycling--they "_...- hadrequested"wherepractical" be"insertedin thebill. Rep.Chance saida question hadcome upconcerning a fiscal note and whatfinancial impact therewould be and Mr.Morley ) of the Division of Environmental Healthhadexplained there would be nofiscalimpact sincetheywereroutinely inspecting employee-required toilet facilities anyway.She stated Mr. Morley wason hisway tothe meeting andwouldbeavailable for questions shortly. Senator Harris askedMrs.Chance if it was necessary to have in the billthattheDepartment ofHealth& Social Services promulgateregulationsregarding thesefacilities,~nd Mrs. Chanceexplained that someone had to enforce the requirements and determine whether thefacilities werenecessary in certain cases. Mr.Morley cameintothe meeting and whenasked aboutthe fiscal impact, stated thatsincethejmakeroutine inspections -3- ----------------------- Page 322----------------------- of toilet facilities. which are requiredby1aw for employees, therewouldnot be any additional financial impactas they wouldsimplyinspect the publicfacilities at the same time as theyinspectthe employee facilities.Senator Croft askedMr. Morley if he wouldsupplya written statement to thecommittee stating there would be nofiscalimpactto the bill,and Mr. Morley agreedto do so. Senator CroftmovedthatCSHB 429ambe passed out of committee witha "do pass" recommendation. There wereno objections. Meeting adjourned at 9:35 a.m. ) -4- ----------------------- Page 323----------------------- HEALTH,EDUCATION & SDCIAL SERVICES COMMITTEE MEETING April II,1974 9:00a.m. PRESENT: Sena~ors Thomas, Harris,Croft & Hensley. Also present was Commissioner McGinnisand Mr. McCabefromthe Depart- ~ent ofHealth& SocialServices. SB 282 SenatorThomasaskedthe committee to consider SB 282, and expressed his concernover the position paperthe committee had receivedfromMr. Jerry Madden, Office of Comprehensive HealthPlanning. Mr. McGinnisstatedthat eventhough he had signedthis paper,witha qualifying ) statement, that normally a position paperof thistype wouldnot be circulated--that it wasthe viewof Mr. Maddenand the Commissioner did not concurwith it. SenatorThomasaskedthe Commissioner to commenton the bill. Commissioner McGinnispointedout thatthis bill provides a total amountfor tenfacilities--it is not brokendown by dollaramountsp~r facility within the bill--and due to the lag timefrom .planning and designing to actualconstruc- tion,that costsescalateand it wouldprobably be necessary to make adjustments in plansfor the facilities to bring themwithinthe dollaramountsavailable. He also pointed out that all bond billsincludethe statement providingthat the use of all proceedsof bonds shall bedetermined by the ----------------------- Page 324----------------------- Governor, so' that wou.ld be a furtherrefinement in deter- minationat thattime. The Commissioner stated the Department felt theseprojects to be reasonable, even thoughthere had beenconsiderable criticism concerning the fundsfor Alcantra. The Commissioner gave lengthy testimony concerningAlcantra, pointing out thathe could not envisionanytime in the nearfuturewhenAlcantra,or similarStateinstitution, wouldnot be neededbecause childrenplacedin privateinstitutions could bekickedout, or notacceptedat all, whereas Alcantrawasfully responsible for the children. He stated hehad pst received figures which indicated thateighteenchildren presently in the Alcantrafacility had had 55 previousplacements and asked ) if Alcantra wereto be phasedout, wherewouldthesechildren go since therewas no whereelse for themto go but Alcantra? The Commissioner alsopointedout thatin some of tne private institutions he had received evidenceof physical abuse. He statedthat placement could be ordered at Alcantra,but not at a private institution--they werefree of responsibility and couldrefuse admittance if they so desired.There was continued discussion concerning the facility and whether additional fundsshould be spentfor additional capital improvements in the eventit shouldbe decidedin the near futureto phaseout Alcantra.SenatorHensleypointedout that if the Statewere responslliblefor the children, he would rathersee themin facilities closerto their own ) communities, as he felt rehabilitationwould be moreeffective in their own environment.The Commissioner statedthatthe -2-' ----------------------- Page 325----------------------- Department was responsible for about2,000childrenat the presenttime--that most of theseare in fostercare homes neartheir own,but questioned whatcould be done withthose who couldnot be placedin this typesituation--some pro- visionhad to be madefor these children and at the present time Alcantra was theonly facility that wouldassumefull responsibility. He furtherstated that if there was a different solution for,dealing with thesechildren that wouldprovideresponsibilityand care, thenhe would be willingto go alongwith it, but he knewof no better solution. Afterfurtherdiscussion, it wasagreedto defer discussion of Alcantra untilthe committeereviewed some of the testimony. ) Therewas then discussion of the APIfacilityin Anchorage, the Ketchikan jailand other jailfacilities throughout the State. SenatorCroftasked if $480,000 would be .enough to provide a suitable facilityfor thecriminally insane,and the Commissioner stated theyhadbeen toldit wouldtake about$680,000 to renovate the wingfor that purpose. He alsostatedthat the jailfacilities throughout the State weredeplorable and stated thata greatamountof money was goingto have to be spentin the futureto improvethese failities.There wasa briefdiscussion concerning some of the otherfacilities listedin the bill,and thenSenator Croftstated hewouldlike to deferconsideration of the billfor a coupleof daysuntil thecommitteehad timeto go oversome of the testimony. Therewas no objection. -3- ----------------------- Page 326----------------------- SB 359 Senator Thomas asked the committee to consider SB 359 and asked Mr. McCabe if h~ would like to comment on the bill. Mr. MGCabe stated the bill would require insurance companies in the State to provide insurance coverage for newborris, since this was not a requirementat the present time.He stated some insurance companies already provide this coverage. Mr. McCabe stated he supported the bill and that the' insurance could be ,provided for low cost, and that the incidence of use was not very high, but when p~oblems occur they can run as high as $20 to $25,000.He cited some costs which Blue Cross of California had provided to a Doctor in California in 1962 which showed a premium increase of twenty-five cents.Even though the figure was out of date, he felt this would be a ) "ball park" figure to give the committee some indication of the low cost of increase in premium.He stated the Committee might want to talk to the Director of Insurance, wh~m he knew had some opinions on the bill.He suggested the committee consider the bill carefully as it could provide benefits for low cost.Senator Thomas said the committee would like to get testimony also from Blue Cross, and that further testimony should be deferred until that time.There was no objection.' CPC At this time several members of the Citizens Participation Conference Education Committee came in to discuss problems of rural education with the committee. ) Senator Thomas made 'necessary introductions and asked Mr. John Monfor, Chairman of the Education Committee, if he WOuld like to ask questions or give testimony.Mr. Monfor ----------------------- Page 327----------------------- stated the conference delegateswere concernedwiththe ; ) problemof local tontrol ofeducationandasked what had been done to provide local control andwhat wasthestatus of anysuch legislation. Both SenatorsThomas andHensley explainedwhat legislation' hadbeen drafted andthecurrent status ofthebills, and ~xplained theresultingeffect if the legislation was passed. (i.e.primarily therural edu'cation package,SB 495thru 500) Mr.Monfor stated another concern wasspecial or basic training fornative students andexplained there wasa problem when native students went intothe urban areas ) forschooling--thattheywere having trouble with basic mathematics andreading, etc. After a brief discussion ofthisproblemSenator Thomas asked Mr.Monfor whathe thought about theboarding home program andMr.Monfor repliedtheywould rather haveschools inthevillagesso it would notbe necessary forthechildren toleave their homes. Mr.Monfor stated another problem with students wasthat therewere no nativ~ counselors andtheywould notgoto a non-native coun~elor. Hewondered if the State might· relax their requirements oncounselorssothatthere could besomenative counselors in theschools. There wasa ) brief discussion of this problem. -5- ----------------------- Page 328----------------------- Mr. Wal~Fr~nk, member of the Education Committee of CPC from Angoon, talked briefly about the need 'for teachers' aides. He felt teachers'aides were an asset to the schools.Senator Thomas stated he had heard that after they were trained as teachers; they left and obtained better teaching jobs elsewhere.Mr. Frank said he felt this might be true of the tBachers corps, because many of them were Caucasian, but the ones he was speaking of were the Native teachers aides, and he felt they were more concerned with the children and stayed in the villages and small towns and did not leave. Mrs. Fannie NelLigan, member of the committee from Klawock, ) stated they had for the past few years been trying to get the Commissionerof Education"or an official from that Department, to come to Klawock to discuss the problems with them, but they had not been able to do so. She stated they were always short of funds for teachers aides and she felt they were very.much needed.Mrs. Nelligan informed the committee they have about 80 students and they are just completing a much needed multi-purpose room.She said the students have been using the gym at the Craig school, which is about six or seven miles away, and there hatte been problemsin the past driving back and forth, i.e. storms, mechanicaltroubles with bus, etc.She stated tney were asking for a regional school near Klawock, or if that was not possible, they would like to. have the present Klawock school, which is almost a new school, adde~ onto--possibly ----------------------- Page 329----------------------- adding a second floor, astheyneeded more space. Shesaid they havea popuiationnowof about 250people, andmoreare moving in allthetime. Shestated both Cra~g andKlawock would be needing a high school bef6re toolong. Shealso saidshe would like to seemoremoney given to Craig fortheir hotlunch program, toimprove both quality and quantity of thefood, asthe Craig school supplies hotlunches-forthe . t Klawock school. Mr.LeeStalker of Kotzebueaskedwhat thestatus was of HB 728 andHB 731. Senator Thomas informed Mr.Stalker thatbothof these bills were intheHouseH.E.S.S.Committee. ) After a brief general discussionconcerningthese problems Senator Thomas thanked theEducationCommitteefor appearing before theH.E.S.S. Committee. Meeting adjournedat10:30a.m. ----------------------- Page 330----------------------- HEALTH, EDUCATION & SOCIALSERVICES COMMITTEEMEETING April12, 1974 9:00a.m. PRESENT: Senators Thomas,Harris, Croft & Hensley. Also present to testify were Mr. RobertCooksey, NEA-Alaska, and Dr. Marshall Lind, Commiss~oner, Department of Education. HB 573· Senator Thomascalledthe meetingto orderand askedthe committee to consider HB 573, and askedDr. Lind for his comments on the bill. Dr. Lindstated thatthe Department supported the bill because it would allow the Department to granta transfer of accumulated sickleave of a teacher ) who transferred from a district into employment with the Department.He explaine~ at the presenttim~ the salaries between a district and the Department werecompa~able, but thatsick leavecouldnot be transferred, so if this bill passed, a teacherwouldnot losea benefitbycoming to workfor the Department.He furtherexplained that if a transfer was presently made between districts, there is no lossof sick leave--that occursonlywhen transferring from a district tothe Department and this bill willrectify thatinequity. Aftera briefdiscussion it was movedthat HB 573 be passedout of committee with a "do pass"recommen- dation. There wasno objection. GENERALTherewas thena generaldiscussion of billsrelative to education thatare presently 'inother committees, or in ----------------------- Page 331----------------------- the House, that Dr. Lind felt were of importance and should be passed prior to adjournment of the session.Senator Thomas suggested that Dr. Lind speak to the various chairmen of these committees concerning the bills. (Those mentioned were:Community schools, Special Education,Public School FoundationProgram, and SCR 30.) HB796am Senator Thomas asked the committee to consider HB 796am, and asked what the committee recommended be done with this bill to restore the original intent?He read a portion of a memorandum from Mr. Elliott, pertaining to the necessity of a 2/3 vote 6f the membership to change court rules, and there was a brief discussion of the bill.Senator Thomas )stated he would like to defer action on this bill until he could explore the possibilityof redrafttng the bill to make it more meaningful. There was no objection. Meeting adjourned at 9:30 a.m. -2- ----------------------- Page 332----------------------- -. " HEALTH, EDUCATION &SOCIALSERVICES COMMITTEE MEETING April15, 1974 8:30 a.m. PRESENT: Senator Thomas, Croft,Harris.& Hensley Also present were Stuart Hallfrom LegislativeAffairs and Mr. Don Dafoe and Charles Ferguson from U. ofA. CSSB 282Senator Thomascalledthe meeting toorderand informed the committee that the Committee Substitute forSB 282 had been drafted. It was movedandunanimously agreed topass CSSB 282 out of committee with a"dopass" recommendation. ) CSHB 541am Senator Thomas asked the committee toconsider CSHB 541am / and asked Senator Harrisif he would chairthemeeting as it wasnecessaryfor SenatorThomasto attendanother meeting. Mr. Hall passed out tothe committee some changes inthe form ofanamendment to CSHB 541am,' and explainedthat a new Committee Substitutecouldbedrafted toincorporate the changes, or th'ey could be.done byamendment. Senator Croft askedwhat was the purpose ofthe bill and Mr. Dafoe expl'ained that it would replace ths old Community College Act which did not actually definea community co l.lege. He stated they had been working onthis bill for about two yearsand felt it wasa greatimprovement.He ----------------------- Page 333----------------------- further explained the new bill makes distinctions between the community colleges and extension centers in low populated areas. Senator Croft asked if the establishment of a community college at the present time was determined by the Board of Regents and Mr. Dafoe answered that presently there has to be 'an application from a local community and they must have 75 high school students.Mr. Dafoe stated that the new bill would broaden the method for establishing community colleges and also pointed out that the bill would clarify and simplify the budgeting process.He explained that at the present time the local government, as well as the community college, had )to keep separate books and separate budgets, whereas under the new bill they would not.He said the communitiescan provide funds for certain programs (under the new bill)-, however, the primary funding would be borne by the State. Mr. Hall pointed out that the local governments that do contribute funds for certain programs would be allowed to audit, but all funds will be kept within the college books. He said in the past when monies had gone into the local governments' general funds, then the colleges had difficulty in obtaining the funds to pay for the cost of the course or supplies, and that the dual bookkeeping had been a problem. Senator Croft asked what the local municipalitiesthought about the bill and Mr. Dafoe stated that as far as he knew they were'in favor of it.He st~ted they had also worked ~ith local school superintendents and they also seemed to be ----------------------- Page 334----------------------- in favor of the bill~ He statedthey werepleasedwith the provision enablingoptional fundingfor certain programs they are interest~d in.Mr. Dafoesaidthe bill still provides for grouputilization of fucilities, which he thoughtwas very important becausefacilities shouldbe utilized byboth collegesand schools since theywere Statefunded. Mr. Dafoe statedthere had beena highdegreeof cooperation in develop- ing the legislation. Mr. Ferguson stated he feltit wasa combination of a number of yearsof work withmany peopleand everyone seemedto stronglysupport it.He felt it would greatlyimprovethe overalladministration. ) SenatorHarrisexpressed concernwith thesection beginning on line 15, page2, as to who wouldbe able to requ~st a community college. Mr. Dafoeexplained that partof this section wascarriedoverfrom the presentlaw,and this was intendedto providedefinite ways to go aboutobtaininga community college. Mr. Hallstatedthis section basically set out the procedures to be followedin establishing a community college. There wasconsiderable discussion concerning thissection, and SenatorsHarris, Croft and Hensley expressedconcern that unlessthe Boardof Regentswanteda community college ) in an area, thatth~re would be no wayone could be established, becauseevenif the community madea feasibility studyit would haveto be approvedby the Boardof Regents. It was ----------------------- Page 335----------------------- also pointed out thatsmallercommunities mightnot beable tofund a feasibility study. Senator Croftaskedif there hadbeen a community college established thatthe Boardof Regents did notfeel wasdesirable, and Mr.Dafoestated that several yearsago SitkaCommunity College had been createdsimplyby putting an amountin the budget, and then thesanction of the Boardof Regentshadto be obtained, and he felt it was a poorway to establish a college. He also stated that in the pastthe Regents had beenreluctant to provide for new programs whenexisting programswere having problems, and thatwas why a feasibility studywas important. )SenatorCroftstated hefeltthe billinsulated the Board of Regents from political pressure, but didprovidethrough the Advisory Boardsome response fromth~ community;Mr. Dafoe stated hefelt it gavethe Legislature a better basis for instituting a community college--througha feasibility study rather than pressure or emotion.SenatorCroftpointed outthat he didnot feel therehadbeenany dissatisfaction in thepast within the Legislature to expansion or establish- mentof college facilities, butpossibly dissatisfactionthat there hadnot beenenoughexpansion or establishmentof facilities.SenatorCroftstated he felt thisbill provided two typesof vetoesby the Boardof Regents for establishing a community college. ) . After furtherdiscussion, it wasdecided to deferactionon the bill. Meetingadjourned at 9:40 a.m. ----------------------- Page 336----------------------- HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING April 16, 1974 9:00 a.m. PRESENT:Senators Thomas, Croft & Harris. Also present were Dr. -Dafoe from U. of A., and Stuart Hall from Legislative Affairs CSHB 54lam Senator Thomas called the meeting to order and asked the committee to consider CSHB 54lam. Dr. Dafoe stated he would like to explain something that he did not express in his testimony on the bill yesterday. He stated that the bill was not a proponentof the Univer- sity of Alaska Board of Regents, but had come out of the )Interim Committee on Higher Education, and had been two years in the making.He said that Committee's reports had consistently pointdout the problems· within the pr~sent law, and particularly the problems of financing, concerning community colleges.Mr. Dafoe explained that this bill could consolidate the financing, but still allow local municipalities a process for funding programs of intBrest to them.He felt the bill would provide for more local involvement in the planning stages and feasibility study, and that the bill is more specific in terms of the community advisory committee being involved in local plan- ning and budgeting.Mr. Dafoe further stated that under the present Act, the Legislaturecannot establish a community college--they can appropriate funds for one, but that there still must be local community involvement, and he reiterated ----------------------- Page 337----------------------- his feelings of the importance of planningand completion of a feasibilitystudy. Senator Croft expressed his concern over who could initiate the feasibility study; expreased concern that there was no reference in the bill to the purpose of expanding higher education throughout the State; and concern that in the past the emphasis for establishingcommunity colleges has not been from the Board of Regents, but from the Legislature~ and this bill would leave it up to the Board of Regents. Dr. Dafoe replied he did not feel that was a correct state- ment and cited as examples the community colleges at Kodiak and Tanana.He also stated that they hoped to expand in ) Fort Yukon and Barrow, and are trying to work with the local people to expand programs throughoutthat area. Senator Croft stated he felt the major emphasis in the past has been from the"Legislature and he felt this bill would remove powers of the Legislature insofar as community college funding for expansion of colleges was concerned, since the bill specificallysays that no funds will be appropriated by the Legislature prior to a feasibility study being completed.He also pointed out that he did not find any reference in the bill to any obligat~on of the Board of 'Regents to expansion of colleges. Mr. Dafoe stated his reply was simply that the attitude of the Board of Regents toward community colJege expansion had changed considerably. ----------------------- Page 338----------------------- Senator Tho,mas suggested that the committee insert wording to the effect that the Legislature could ~nitiate a feasi- bility study.There was considerable discussion concerning the appropriate wording and placement within the bill. Senator Thomas requested Mr ..Hall to draft appropriate wording and submit it to the committee for their considera- tion. Mr. Dafoe pointed out that the Legislaturecould pass a Resolution directing that a feasibility study be made if there was an area of concern in the future. There was then discussion concerning the proposed amendments distributed to each member by Stuart Hall.Mr. Hall ex- )plained that most of the amendments were of a technical nature, except for the three dealing with page 3, lines 18 and 29. He explained he had drafted these propqsed amend- ments to possibly alleviate some of the concern of the committee members.He stated when a decision was reached by the committee as to what changes should be made, that he felt a Committee Substitute ~hould be drafted rather than make the changes by amendment. There was then a brief discussion concerning the allocation of funding to the Department of Education, or directly to colleges, and Mr. Dafoe stated that Commissioner Lind felt the funding should be directly to the community colleges and be a part of their budgets rather than through the Department of Education.He stated the CommiSsionerhad ----------------------- Page 339----------------------- indicatedhe wanted funding forpilot programs, butdid ~ ) notfeelit was necessary tohavefunding "for thecolleges comethrough hisDepartment. Mr.Dafoe stated that the funding would be allocatedby thesame formula used at the present time. Meeting adjournedat 9:45a.m. ) -4- ----------------------- Page 340----------------------- HEALTH, EDUCATION & $OCIAL SERVICES COMMITTEEMEETING April 17, 1974 9:00 a.m. PRESENT:Senators Thomas, Croft & Hensley.Also present was Mr. Stuart Hall from Legislative Affairs CSHB Senator Thomas called the meeting to order and asked Mr. 541am Hall to explain changes in the new draft of a Committee Substitute for CSHB 54lam.Mr. Hall stated he had tried to include language in this new draft of the bill that wouid incorporate some of thff-thoughts expressed in the meeting yesterday in regard to expanding the higher education concept throughout the State.He pointed out )new wording on page 1, lines 15 and 16, and said he was not particularlyhappy with that wording, but had not been able to come up with improved language in the short time he had had to work on it.He referred to page 2, line 19, which provided for inclusionOI the Legislature in the listing of who might propose establishmentof a community college or extension center.Mr. Hall stated the languageconcerning funding by the Legislature had been removed in thi~ draft, but that the requirementfor a feasibilitystu~y to be approved by the Board of Regents had been left in because he felt that was one of their Constitutionalpowers. Senator Thomas asked Mr. Hall who pays for the feasibility study and Mr. Hall replied it was paid for by the proponent ----------------------- Page 341----------------------- who contracts for the study.Mr. Hall then referred to page 3, section (f), -and said he had simplified the section by deleting references to other sectiom in the bill that he felt were unnecessary_ Mr. Hall stated he had also incorporated all other technical amendments which had been submitted to the committee during the meeting yesterday, and also had clarified the wording pertainingto existing .colleges, beginning on line 27, page 8. After a brief discussion of the draft, Senator Thomas said he would like to see the committee take action on the bill. Senator Croft stated he would like to review the bill--that the eliminationof the section regarding funding had been helpful, and he did not object to the feasibility study )since he felt that might be helpful in expanding community colleges--but he would like to study the bill overnight, and would be ready to act on it by tomorrow morning.Mr. Hall stated he would like to have Senator Croft's advice on the new language on page 1, and Senator Croft said that was one of the things he wanted to study. without objection it was agreed to defer action on CSHB 541am until the following morning. HB 796amSenator Thomas stated this bill had a further referral to the Judiciary Committee and he would like to pass the bill out of the HESS Committee. Senator Croft stated he would agree to the Chairman's request, .but he ~as not in agreement with the bill. Without objection,it was agreed to pass -2- ----------------------- Page 342----------------------- HB 796am out of committee with individual recommendations since it had further referral to the Judiciary Committee. SJR 65 Senator Thomas asked the committee to consider SJR 65, relating to the quality of day care ~rograms.Senator Croft stated this had been requested by the CPC and moved that SJR 65 be passed out of Committee with a "do pass" recommendation. There was no objection. SJR 67 Senator Thomas asked the committee to consider SJR 67, relating to the Governor's Committee on Education,and request for a study.He asked the Committee Staff Assis- tant for comments on the Resolution.Mr. Hacker reminded )the members that on March 7 they had passed out SCR 36 asking for a study of the public school foundation program, as does SJR 67. Mr. Hacker pointed out that SCR 36 asks the Department of Education to contract with CNER to. do the study and auth~rizes expenditureof $20,000 for the contract; whereas, SJR 67 asks the Governor to order a study be made by the Departmentof Education with SOS and BIA.Mr. Hacker pointed that SCR 36 refers to the decentra- lization of SOS and 'that SJR 67 requests SOS be involved -in the study.Mr. Hacker wonder if it might be possible to amendSCR36 to expand the study.After a brief dis- cussion, Senator Thomas suggested action should be deferred on the Resolution until the Department of Educationcould be cdntacted to obtain their views and comments.There was no objection. -3- ----------------------- Page 343----------------------- HJR 81 Senator Thomas asked "the committee to considerHJR 81, amending the Social Security Act. Senator Hensley asked if the Conferencereferred to in the Resolutionwas still in session and was told that it was.After a brief dis- cussion, it was unanimouslyagreed to pass HJR 81 out of committee with a lido pass" recommendation. Me~ting adjourned at 9:45 a.m. ----------------------- Page 344----------------------- HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEE MEETING April 20, 1974 9:00 a.m. PRESENT:Senators Thomas, Croft, Sackett & Harris.Also present to testify were Commissioner McGinnisand Deputy Commissioner McClain of the Departmentof Health & Social Services, and Representative Genie Chance HB 646 Senator Thomas called the meeting to order and asked the Committee to consider HB 646.Commissioner McGinnis stated at the present time the court makes the decision on the placement of a delinquent minor and he felt this decision of placement should be made by the Department. He explained that the Department contracted for child care services and )these contracts had to be budgeted;however, the court has in many instances in the past ruled that a delinquent minor be sent to an agency or home outside the State, or ones inside the State, with which the Departmentdid not have contracts, or to homes that had not been licensed, and this created serious problems within the Department, especially in their budgetary process. "Mr. McGinnis further stated he felt the Department was better able to choose the facility for a delinquent, and this was done by a classification committee who took into considerationthe background of the minor and specific problems.There was considerable discussion con- cerning this section of the bill and the Commissioner cited several examples to the committee where the court's decision to place a child in an unlicensed home or outside the State had created severe problems within the Department. ----------------------- Page 345----------------------- Senator Thomas askedtheCommissioner aboutthechange of wording on lines '21 and22 pertainingto therelease of the delinquent,i.e. thatrelease could be approved by the Department. Mr. McGinnisstatedthis was inthe present lawandhad merely beenrepeated inthisbill. There wasthendiscussionconcerning thechange of wording from "wardof thecourt" to"wardof theState" andSenator Thomas referred to a letter fromtheAttorney General's Office which stated this change wasforclarification pur- poses since "wardof thecourt" is notdefined in the Statutes, but·"ward oftheState" is so defined. )There wasthenconsiderablediscussionconcerningthe change \' on page 2, line5 which states a minor maybe afforded the h ~ opportunitytobe present rather than a minor neednotbe II present. CommissionerMcGinnis stated he didnotknowwho hadrequested this change; thathe could seetheremightbe those occasions whendiscussionsconcerninga minor should notbe heldinthe presence ofthat minorjbut thathealso feltthere weretimes whendecisions werebeing madethat would affect the minor's lifethattheminor shouldbe present. Senator Harris stated he didnotfeela minor should be present during these discussionsor decisions because it mightbeharmful andhinder rehabilita~ion possi- bilities forthe minor. After further discussionCommissioner McG~nnis stated theDepartment would rather thelanguage inthe original bill (Neednotbe present).beretained. ----------------------- Page 346----------------------- Senator Harrismovedthatthe committee strikethelanguage on line5, page 2, andrevertto the original language. The votewas twofor and twoagainst, and so the motion failed. SenatorHarrisstated hewouldliketo talkto someone in the courtsystembefore furtherconsideration of the bill. SenatorThomas stated hewoulddelayfurther considerationuntil2:00 p.m.thisafternoon. Commissioner McGinnis askedtheCommittee to consider that thelegislation had for the pastthreeyearsmade its way through the Legislature to thiscommittee and thenwas stopped .. He furt~er stated that if the legislation did not pass,hefelt the funding for placement of minor delinquents shouldbe in theCourtsystem budget rather thanin the Department of Health& SocialServicesbudget. He did notfeel it was rightfor the courtto makethe determinationsfor placement and the Department be r~sponsi- blefor the funding for theseplacements without any adjust- mentspossible to their budget. Mrs.Chancestatedthattherehad not beenany prob~em with thisplacement of minorsuntilthe Legislature had passed thelaw lowering the age of majority; andat thetime when t hat I a w . was pas sed an d cha."i'}j e s we rem a d e in ex is tin g law s 1 therewas confusion createdin thisdetermination of place- menta Priorto thattime theDepartment had jurisdiction overthe placement of minordelinquents. -'1- ----------------------- Page 347----------------------- )HB 774 SenatorThomas askedthecommittee to consider HB 774 7'~ concerning physical therapists. He askedCommissioner McGinnis if he hadany comments to makeon the billand Deputy CommissionerMcClain passed out a position paper fromtheDepartment concerning thebill which was made bythe Public HealthDivision.Mr. ·McClain stated that there was onetechnical changetheywoul~ like madSon page2, line 17, subparagraph(3) -- theywould like to delete "fromtheprofessionalexamination service of the American PublicHealth Association"andreplacewith "prepared by theProfessionalExamination Service."He explained thatthischangewasto correct a nomenclature problem; thatthis wasa service located in New Yorkthat /J prepares examinationsfor licenses. SenatorThomas askedif a fiscal notehad beenprepared forthe billandwas toldtherewasnoneaccompaniingthe bill. Senator Sackett saidhe did notthinkonewouldbe needed.Senator Thomas statedthatMrs.Beirnehadcon- siderable testimony to giveon this"bill, butshe was unavailableat the present time,and he would liketo defer further consideratlonuntilthe me~ting at2:00 p.m.when she mightbe available. Therewas noo~jection. Meeting adjourned at 9:50a.m.to be reconvenedat 2:00p.m. -4- ----------------------- Page 348----------------------- HEALTH, EDUCATION & SOCIAL SERVICES-COMMITTEE MEETING April 22, 1974 9:30 a.m. PRESENT: Senators Thomas, Harris, Croft & Hensley.Also present to testify were Commissioner Lind and Deputy Commissioner Cole from Departmentof Education; Mr. Bill Overstreet and Mr. Robert Van Houte CSHB592 Senator Thomas asked the Committee to consider CSHB 592am am and sta~ed thatthe fiscal note for the amended bill showed $392,000.CommissionerLind stated the bill would ) allow school districtsto provide programs for exceptional children at age three.He said they were not sure how many stUdents would be covered by this lowering of age to three years (present language is related to kinder- garten students and above), but they had estimated the fiscal note should be about $392,000. Senator Harris asked how and who ~ade the determinationwhether or not a child was exceptionaland the Commissionerstated that there were various .evaluation procedures that had to be made, including a diagnosis by a medical doctor or psychiatrist. Senator Harris and Croft expressed concern about an exceptionalstudent being sent out of the State without parental approval and was assur~d thatthe present law -requires that approval be obtained not only from the school board, but also the parents. The Commissione~ was ----------------------- Page 349----------------------- asked if there would be any objection to amending the bill to add that parentai approvalmust be obtained,and the Commissionersaid he certainly had no objectionsince it was already in the Statutes and would merely be repeated in this bill.Senator Thomas .stated he would request Stuart Hall of Legislative Affairsto draft an appropriate' amendment, and Senator Croft suggested that it be a separate section (f) on page 3. There were no objections. There was then discussion concerningthe instructional units for special education and Dr. Cole stated there was a special edu~ation formula, and the only differencethey had suggested be incorporatedin this bill would make it almost three to one, which is the nationalfigure for special education pro- grams (it is now about two to one). After further discussion it was moved that CSHB 592am"be passed out of committee with a "do pass" recommendation with amendment.There was no objection. HCR 91 Senator Thomas asked the committeeto consider HCR 91. CommissionerLind said the Departmentsupported the Resolution. After- a brief discussion, it was moved that the Resolution(HCR 91) be passed out of committeewith a "do pass" recommendation. There was no objection. )1 HCR 13 Senator Thomas asked the committeeto consider HCR 13 and stated Rep. Fritz was not able to .come testify on -2- ----------------------- Page 350----------------------- this Resolutionbut had stated that after the airline crash in Anchorage there were not enough stretchersor emergencyequipment availableto provide for those in- jured.After a brief discussionit was moved the HCR 13 be passed out of committee with a lido pass" recommendation. There was no objection. HCR 86 Senator Thomasasked the Committee to consider HCR 86, relatingto a study of the penal institutionsin Alaska. The committee was in agreementthat such a study should be made and it was moved that HCR 86 be passed out of committeewith a "do pass" recommendation. There was no objection. Meetingadjourned at 9:55 a.m. HB 854 NOTE:Prior to the 2:00 p.m. Session, Senator Thom~s met briefly with Senators Harris,Croft & Hensley, and it was agreed to move HB 854 out of committee with an amendment to page 1, line 13, deleting"six months" and inserting "90 days." HB 774am NOTE:After the 4:00 p.m. Session,Senator Thomas met briefly·with SenatorsHarris,Hensley & Croft, and it was agreed to move HB 774am out of committee.SenatorsThomas and Hensley recommended"do pass" and Senators Croft and Harris had "no recommendation." -3- ----------------------- Page 351----------------------- I HEALTH, EDUCATION & SOCIAL SERVICES COMMITTEEMEETING April 23,1974 2:45p.m. PRESENT:Senators Thomas, Harris, Croft, Hensley & Sackett Also present to testify wasRep. Genie Chance HCR3am Senator Thomas called themeeting toorder andrequested the committee consider HCR3am. Mrs.Chance explained thatpresentlyallgroup homes mustbein compliance with firecode for institutions, andit was feltthis wasan unnecessary restriction insomecases.Shealso explained that there hadbeena number of letters from firemarshalls ) opposingthis, butit wasduetoa misunderstandingof what wasdesired in theResolution.Mrs.Chance stated they wanted firecoderegulations adopted forgroup homes; separate andapart fromregulations forinstitutions. She '" saidat thepresent time, if group homes do notmeet fire codesforinstitutions, they mustgothrough a waiver process which isquite lengthy: Shealsoexplainedthat thefire codesforgroup homes for physically handicapped or"mentally "retarded should bemorestringentthan forother grouphomes, butthat regulations should bemadeforgroup homes with distinctions forvarious types of group homes.After some discussionon thematter, Senator Harris moved thatthe Committeepass HCR3amoutof committeewith a lido pass" \ recommendation withanamendmentto page 2, line I, after "and ll insert "where deemed appropriate".'llhere wasno objection. ----------------------- Page 352----------------------- SJR67Senator Thomas asked thecommitteetoconsiderSJR 67, ) andstated that he had talked to CommissionerLindwho hadnoobjectiontothebill.It was moved thatthe committeepass SJR 67 outofcommittee with a "dopass" recommendation. There wasnoobjection. CSHCR 93Senator Thomas asked thecommitteetoconsiderCSHCR 93 andread a portion ofa letter from Commissioner McGinnis concerning theResolution.After noting that there was a fiscal note in the amount of $30,000,it was moved that thecommitteep~ss CSHCR 93 out ofcommitteewith indivi- dual reccmmendations.There wasnoobjection. '\. HB 646amSenator Thomas requested thecommittee considerHB 646am. ) After a brief discussion ofthisbill, Senator Croft moved that a Committee Substitute forHB 646am be draftedby Legislative Affairs,to includetheSenate passed version / ofSB310am, andthat thebill be passed outofcommittee with a "dopass" recommendation.There wasnoobjection. HB778Senator Thomas asked thecommitteetoconsiderHB778and stated th~Commissioner McGinnis didnot feel theDirector ofDivisionof Corrections should replace himonthe Commission.After a brief discussion it was moved that an amendmentbepreparedtoreinstatethe Commissioner of Health & Social Servicesandalso addDirectorofDivision ofCorrections tothis Commission.Thesecretary was instructed toprepar~ the amendment.It was then moved ,-2- ----------------------- Page 353----------------------- thatHB778· be passed out ofcommittee with a "do pass l) withamendment" recommendation.There was noobjection. Meeting adjournedat~:15 p.m. ) / \ ) -3-