Legislature(2009 - 2010)HOUSE FINANCE 519

04/15/2010 08:30 AM FINANCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Continued @ 5:00 pm Today --
+ SB 13 MEDICAL ASSISTANCE ELIGIBILITY TELECONFERENCED
Moved Out of Committee
+ SB 32 MEDICAID:HOME/COMMUNITY BASED SERVICES TELECONFERENCED
Heard & Held
+ SB 83 VOCATIONAL REHABILITATION COMMITTEE TELECONFERENCED
Moved Out of Committee
+ SB 139 INCENTIVES FOR CERTAIN MEDICAL PROVIDERS TELECONFERENCED
Scheduled But Not Heard
+ SB 159 WORKERS' COMPENSATION FUNERAL EXPENSES TELECONFERENCED
Moved Out of Committee
+ SB 172 ALASKA HEALTH CARE COMMISSION TELECONFERENCED
Moved HCS CSSB 172(FIN) Out of Committee
+ SB 174 SCHOLARSHIPS: AK SCHOLARS/GRANTS/EXCHANGE TELECONFERENCED
Heard & Held
+ SB 220 ENERGY EFFICIENCY/ ALTERNATIVE ENERGY TELECONFERENCED
Heard & Held
+ SB 234 ALCOHOLIC BEVERAGE CONTROL BD TELECONFERENCED
Heard & Held
+ SB 243 GEOTHERMAL RESOURCE:ROYALTY/PERMIT/FEE TELECONFERENCED
Moved HCS CSSB 243(RES) Out of Committee
+ SB 258 DENTAL CARE INSURANCE/PREFERRED PROVIDERS TELECONFERENCED
Heard & Held
+ SB 266 VIOLENT CRIMES EMERGENCY COMPENSATION TELECONFERENCED
Moved Out of Committee
+ SB 279 MORTGAGE LENDING TELECONFERENCED
Moved HCS CSSB 279(FIN) Out of Committee
+ SB 312 VESSEL PASSENGER TAX TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= SB 305 SEPARATE OIL & GAS PRODUCTION TAX TELECONFERENCED
Heard & Held
SENATE BILL NO. 13                                                                                                            
                                                                                                                                
     "An Act relating to eligibility requirements for                                                                           
     medical assistance for certain children and pregnant                                                                       
     women; and providing for an effective date."                                                                               
                                                                                                                                
SENATOR BETTYE  DAVIS expressed appreciation for  the bill's                                                                    
hearing. She  thanked those working on  the legislation. She                                                                    
stressed that  this bill  will improve  the health  of young                                                                    
children  in Alaska.  She believed  that approximately  1200                                                                    
families would  be eligible  for the  Denali Kid  Care (DKC)                                                                    
program.                                                                                                                        
                                                                                                                                
Co-Chair Hawker reported that the  bill changes 3 numbers in                                                                    
statute,  which   changes  the  poverty  level   limits  for                                                                    
participation in DKC from 175%  of the Federal Poverty Level                                                                    
(FPL) to 200%. Senator Davis replied that was correct.                                                                          
                                                                                                                                
Representative Gara thanked the Senator  for her work on the                                                                    
bill.                                                                                                                           
                                                                                                                                
JOY LYON,  EXECUTIVE DIRECTOR, ASSOCIATION OF  THE EDUCATION                                                                    
OF YOUNG CHILDREN (AYEC), testified  in support of the bill.                                                                    
She claimed that the legislation  will eventually save money                                                                    
with the early investment in young children's health.                                                                           
                                                                                                                                
JORDEN NIGRO,  PAST PRESIDENT, ALASKA ASSOCIATION  HOMES FOR                                                                    
CHILDREN, voiced her support of the bill.                                                                                       
                                                                                                                                
ROD  BETIT,  PRESIDENT,  ALASKA HOSPITAL  AND  NURSING  HOME                                                                    
ASSOCIATION, testified in support of this bill.                                                                                 
                                                                                                                                
JOHN  SHERWOOD,  MEDICAL   ASSISTANCE  ADMINISTRATOR,  DHSS,                                                                    
stated that the administration supports the legislation.                                                                        
                                                                                                                                
Co-Chair Hawker asked to know  income guidelines for 200% of                                                                    
FPL. Mr.  Sherwood responded  that annual  income guidelines                                                                    
for a household of 4 are $55,000.                                                                                               
                                                                                                                                
Co-Chair Stoltze  stated that he  was raised in a  family of                                                                    
ten children and he asked  to know the income guidelines for                                                                    
a family of  that size. Mr. Sherwood  answered $112 thousand                                                                    
per year.                                                                                                                       
                                                                                                                                
9:39:52 AM                                                                                                                    
                                                                                                                                
NANCY DAVIS,  REGISTERED NURSE AND PRESIDENT,  ALASKA NURSES                                                                    
ASSOCIATION  JUNEAU CITIZEN,  testified  in  support of  the                                                                    
bill.                                                                                                                           
                                                                                                                                
DEBBIE   THOMASON,   EXECUTIVE   DIRECTOR,   ALASKA   NURSES                                                                    
ASSOCIATION, testified in support of the legislation.                                                                           
                                                                                                                                
GARA   BIRDWELL,  PRESIDENT,   AEYC  (via   teleconference),                                                                    
testified in  support of the  bill. She echoed  the comments                                                                    
of the prior testifiers.                                                                                                        
                                                                                                                                
CANDACE  WINKLER, CEO,  THREAD, ALASKA'S  CHILDCARE RESOURCE                                                                    
AND  REFERRAL  NETWORK  (via teleconference),  testified  in                                                                    
support of  the bill. She  mentioned that she serves  on the                                                                    
Best  Beginning's early  learning council.  She stated  that                                                                    
she also represents 40  organizations affiliated with United                                                                    
Way who also support the passage of the bill.                                                                                   
                                                                                                                                
JUNE    SOBOCINSKI,   UNITED    WAY   OF    ANCHORAGE   (via                                                                    
teleconference), testified in support of the legislation.                                                                       
                                                                                                                                
Co-Chair Hawker closed public testimony.                                                                                        
                                                                                                                                
Co-Chair  Hawker asked  to know  the fiscal  consequences of                                                                    
the bill.                                                                                                                       
                                                                                                                                
Mr.  Sherwood explained  the fiscal  notes. The  first is  a                                                                    
note for the public assistance  workers as the caseload will                                                                    
increase  by  approximately  1300   children  and  over  200                                                                    
pregnant  women.  For  FY11, the  total  is  $167,400,  with                                                                    
approximately two thirds from  federal sources and one third                                                                    
from the  general fund. The  services are split  between two                                                                    
Medicaid  components, the  Acute  and Primary  Care and  the                                                                    
Behavioral   health  components.   The  first   year  totals                                                                    
approximately $2.3  million, roughly a two  third, one third                                                                    
split  between  federal  and general  fund.  The  behavioral                                                                    
health component equals $467 thousand  the first year with a                                                                    
similar split  between federal and  general funds.  He noted                                                                    
that different  matching rates apply  to pregnant  women and                                                                    
children  eligible for  the  enhanced  chip match.  Services                                                                    
provided through  the tribal health facilities  are eligible                                                                    
for the 100 percent match.                                                                                                      
                                                                                                                                
Co-Chair Hawker asked how many  additional children would be                                                                    
served  with the  requested  funds.  Mr. Sherwood  responded                                                                    
1300.                                                                                                                           
                                                                                                                                
9:47:48 AM                                                                                                                    
                                                                                                                                
Vice-Chair Thomas  asked about a residency  requirement. Mr.                                                                    
Sherwood responded  yes, a residency requirement  exists for                                                                    
the   Medicaid  program.   The   requirement  is   sometimes                                                                    
described as  non-durational where a person  must be present                                                                    
in the state with the intent to stay.                                                                                           
                                                                                                                                
Representative  Foster  noted  that the  bill  restores  the                                                                    
program to the  levels in effect 12 years  ago. He supported                                                                    
the  legislation.   He  mentioned   that  the   program  was                                                                    
beneficial to rural Alaska.                                                                                                     
                                                                                                                                
Co-Chair Stoltze  stated that the Parnell  administration is                                                                    
in support of this bill.                                                                                                        
                                                                                                                                
Representative  Gara  added that  with  the  passage of  the                                                                    
bill, Alaska will be joining  44 other states that provide a                                                                    
similar  standard. The  legislation  includes  a 70  percent                                                                    
federal match.  The increase  in federal  funds leads  to an                                                                    
increase   in   public   health   and   medical   profession                                                                    
employment.                                                                                                                     
                                                                                                                                
Representative Kelly  mentioned one  down side  that federal                                                                    
funds are  dropping and state  will have to back  fill every                                                                    
dollar and with  the bill, Alaska is teaching a  family of 4                                                                    
that they cannot live on $55,000  a year to feed their kids.                                                                    
He  believed  that  the  bill   was  a  step  in  the  wrong                                                                    
direction.                                                                                                                      
                                                                                                                                
9:52:04 AM                                                                                                                    
                                                                                                                                
Co-Chair  Stoltze MOVED  to report  SB 13  out of  Committee                                                                    
with individual recommendations  and the accompanying fiscal                                                                    
notes. There being NO OBJECTION, it was so ordered.                                                                             
                                                                                                                                
SB 13 was REPORTED out  of Committee with no recommendations                                                                    
and with  previously published fiscal notes:  FN5 (DHS), FN6                                                                    
(DHS), FN7 (DHS).                                                                                                               
                                                                                                                                
9:52:44 AM          AT EASE                                                                                                   
9:54:13 AM          RECONVENED                                                                                                
                                                                                                                                
Co-Chair Hawker made a list of bills order.                                                                                     
                                                                                                                                
9:55:16 AM          AT EASE                                                                                                   
10:02:17 AM         RECONVENED                                                                                                
                                                                                                                                

Document Name Date/Time Subjects
K version CE Workdraft.pdf HFIN 4/15/2010 8:30:00 AM
CS WORKDRAFT Kversion SB 305
SB 305
Summary of Changes to SC workdraft K SB 305.pdf HFIN 4/15/2010 8:30:00 AM
SB 305
sb13_2009 summary 3-9-09[1].pdf HFIN 4/15/2010 8:30:00 AM
SB 13
SB 13 - Sponsor Statement 2-10-09 (H)FIN.pdf HFIN 4/15/2010 8:30:00 AM
SB 13
SB 13 Sectional Summary 26-LS0076A (H)FIN.pdf HFIN 4/15/2010 8:30:00 AM
SB 13
CS SB 83 (L&C) section analysis.pdf HFIN 4/15/2010 8:30:00 AM
SB 83
SB 83 Gov Transmittal Letter.pdf HFIN 4/15/2010 8:30:00 AM
SB 83
Explanation of Changes between SB 83 and CSSB 83.pdf HFIN 4/15/2010 8:30:00 AM
SB 83
SB139 Sponsor Statement Revised.PDF HFIN 4/15/2010 8:30:00 AM
SB 139
SB 139 Data Health Care Professions Loan Repayment Program Concept Proposal.PDF HFIN 4/15/2010 8:30:00 AM
SB 139
SB 159 Sponsor Statement H FIN.pdf HFIN 4/15/2010 8:30:00 AM
SB 159
SB172 Sectional.PDF HFIN 4/15/2010 8:30:00 AM
SB 172
SB172 Sponsor Statement.PDF HFIN 4/15/2010 8:30:00 AM
SB 172
Sectional Analysis.pdf HFIN 4/15/2010 8:30:00 AM
SB 174
Changes to SB 220 in SB 220 FIN[1].pdf HFIN 4/15/2010 8:30:00 AM
SB 220
Sectional on SB 220, version Y.doc HFIN 4/15/2010 8:30:00 AM
SB 220
Sponsor Statement for SB 220.docx HFIN 4/15/2010 8:30:00 AM
SB 220
HCS CSSB 234 Sponsor Statement.docx HFIN 4/15/2010 8:30:00 AM
SB 234
Summary of Changes to HCS CSSB 234.docx HFIN 4/15/2010 8:30:00 AM
SB 234
Sponsor Statement[1] SB 258.pdf HFIN 4/15/2010 8:30:00 AM
SB 258
Support Documents[1] SB258.pdf HFIN 4/15/2010 8:30:00 AM
SB 258
Sponsor Statement - SB 266.doc HFIN 4/15/2010 8:30:00 AM
SB 266
HCS for CS for SB 279_LC_ Sectional Analysis.pdf HFIN 4/15/2010 8:30:00 AM
SB 279
SB 279 Sponsor Statement.pdf HFIN 4/15/2010 8:30:00 AM
SB 279
SB 279 Back-Up.pdf HFIN 4/15/2010 8:30:00 AM
SB 279
2010 04 12 SB312 Port of Call Payments.pdf HFIN 4/15/2010 8:30:00 AM
SFIN 4/14/2010 9:00:00 AM
SB 312
SB 312 Sectional Analysis.docx HFIN 4/15/2010 8:30:00 AM
SFIN 4/5/2010 10:00:00 AM
SB 312
SB 312 Sponsor Statement.docx HFIN 4/15/2010 8:30:00 AM
SFIN 4/5/2010 10:00:00 AM
SB 312
SB 305 SECTIONAL for CS.pdf HFIN 4/15/2010 8:30:00 AM
SB 305
SB305 sponsor statement.docx HFIN 4/15/2010 8:30:00 AM
SB 305
HCS CSSB305(RES)(title am)-REV-TAX-04-13-10 decoupling.pdf HFIN 4/15/2010 8:30:00 AM
SB 305
2010 04 15 Historical Rev Distribution 3Yrs.pdf HFIN 4/15/2010 8:30:00 AM
SB 312
2010 03 02 D Wood Calculations FY2008_09.pdf HFIN 4/15/2010 8:30:00 AM
SB 13 Support Letter.pdf HFIN 4/15/2010 8:30:00 AM
SB 13
SB 220 Amendments #2 3 4.pdf HFIN 4/15/2010 8:30:00 AM
SB 220
SB 305 Amendment Hawker.pdf HFIN 4/15/2010 8:30:00 AM
SB 305
SB 172 Amendment #1 Hawker.pdf HFIN 4/15/2010 8:30:00 AM
SB 172
Sponsor Statement 243.docx HFIN 4/15/2010 8:30:00 AM
Corrected Sectional Analysis Sb 243 version P.docx HFIN 4/15/2010 8:30:00 AM
SB 243
H FIN Comments on SB 305 4-15-10 FINAL.pdf HFIN 4/15/2010 8:30:00 AM
SB 305
Qualifying For the AGIA Tax Inducement - H FIN 4-15-10.pdf HFIN 4/15/2010 8:30:00 AM