Legislature(2015 - 2016)GRUENBERG 120

03/15/2016 01:00 PM MILITARY & VETERANS' AFFAIRS

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01:35:23 PM Start
01:36:29 PM HCR25|| HJR30
02:38:34 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ HJR 30 POST-TRAUMATIC STRESS INJURY TELECONFERENCED
Heard & Held
*+ HCR 25 POST-TRAUMATIC STRESS INJURY DAY TELECONFERENCED
Heard & Held
            HCR 25-POST-TRAUMATIC STRESS INJURY DAY                                                                         
              HJR 30-POST-TRAUMATIC STRESS INJURY                                                                           
                                                                                                                                
1:36:29 PM                                                                                                                    
                                                                                                                                
CHAIR HERRON announced  that the only order of  business would be                                                               
HOUSE CONCURRENT  RESOLUTION NO.  25, Designating June  27, 2016,                                                               
as Post-Traumatic Stress Injury Awareness Day; and                                                                              
HOUSE JOINT  RESOLUTION NO. 30,  Urging the  American Psychiatric                                                               
Association to  change the term "post-traumatic  stress disorder"                                                               
or  "PTSD"  to  "post-traumatic  stress injury"  or  "PTSI";  and                                                               
urging the governor to support  usage of the term "post-traumatic                                                               
stress injury."                                                                                                                 
                                                                                                                                
1:37:14 PM                                                                                                                    
                                                                                                                                
KENDRA KLOSTER,  Staff, Representative  Chris Tuck,  Alaska State                                                               
Legislature, presented  HCR 25 on behalf  of Representative Tuck,                                                               
prime sponsor.   She stated that HCR 25 would  establish June 27,                                                               
2016, as Post-Traumatic Stress Injury  (PTSI) Awareness Day.  She                                                               
added that  HCR 25  would also  encourage the  terminology change                                                               
from "post-traumatic  stress disorder (PTSD)"  to "post-traumatic                                                               
stress injury."  Ms. Kloster said  that she has been working with                                                               
the  nonprofit organization,  Honor for  ALL, whose  goal is  for                                                               
similar  legislation  to  be  passed  in  all  50  states.    She                                                               
maintained  that already  eight  states  have passed  legislation                                                               
promoting  PTSI  awareness,  as  well   as,  the  U.S.  House  of                                                               
Representatives and the U.S. Senate.                                                                                            
                                                                                                                                
MS.  KLOSTER  explained  that   the  word  "disorder"  frequently                                                               
portrays a  negative image with  associated stigma, and  that the                                                               
word "injury"  is a better  descriptor.  Ms. Kloster  stated that                                                               
260 million people suffer from  PTSI worldwide and, in the United                                                               
States,  about 3.5  percent of  adults are  being diagnosed  with                                                               
PTSI  in  any given  year.    She  added  that the  incidence  of                                                               
military  related PTSI  is on  the  rise, but  conceded that  the                                                               
increase  may be  due partly  to increased  awareness and  better                                                               
detection.   She noted a Veterans  Administration (VA) assessment                                                               
reported  that the  VA  was  only reaching  about  20 percent  of                                                               
people with  military related  PTSI.   Ms. Kloster  attested that                                                               
establishing a day for PTSI  would increase awareness of PTSI and                                                               
educate  the  public  about  detecting  the  signs  of  PTSI  and                                                               
connecting with services.                                                                                                       
                                                                                                                                
1:39:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CHRIS TUCK,  Alaska State  Legislature, presented                                                               
HCR 25, as  prime sponsor.  He said that  most families have been                                                               
affected by  PTSI.  He  related his personal experience  with his                                                               
brother, who served in the U.S.  Navy, and now suffers from PTSI.                                                               
He contended that his brother was  born a normal child and raised                                                               
normally,  and  he  expressed  his belief  that  calling  PTSI  a                                                               
disorder  does a  disservice to  great men  and women  who served                                                               
their country and to others suffering from PTSI.                                                                                
                                                                                                                                
REPRESENTATIVE TUCK reiterated that an  awareness day for PTSI is                                                               
a first step in educating the  public on the issue and connecting                                                               
people  with services.   He  noted  recent information  asserting                                                               
that children with adverse childhood  experiences can suffer from                                                               
PTSI.                                                                                                                           
                                                                                                                                
1:41:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HUGHES asked  if  there  is anything  significant                                                               
about the designated date in  the proposed concurrent resolution,                                                               
and if the designation would be for just one year.                                                                              
                                                                                                                                
MS. KLOSTER responded that June  27 was chosen for Alaska because                                                               
it is  the day named in  legislation passed by the  eight states,                                                               
the  U.S. House  of Representatives,  and the  U.S. Senate.   She                                                               
added  that  this year  the  day  would  be named  by  concurrent                                                               
resolution,  and  the  sponsor  would  decide  later  whether  to                                                               
introduce legislation making it an annual recognition.                                                                          
                                                                                                                                
1:43:15 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HUGHES  asked  if   the  sponsor  envisioned  any                                                               
special  activities  associated  with  the day  besides  a  press                                                               
release.                                                                                                                        
                                                                                                                                
MS.  KLOSTER responded  that retired  Colonel  Bob Doehl,  Deputy                                                               
Commissioner of  the Department of  Military &  Veterans' Affairs                                                               
(DMVA),  is  online  to  testify   and  can  better  answer  that                                                               
question.   She  also  mentioned  a letter  of  support from  the                                                               
commissioner of DMVA, retired Colonel  Laurel Hummel, included in                                                               
the committee packet.                                                                                                           
                                                                                                                                
1:44:24 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE LEDOUX  asked how  many Alaskans  currently suffer                                                               
from PTSI.                                                                                                                      
                                                                                                                                
MS. KLOSTER also deferred that question to Colonel Doehl.                                                                       
                                                                                                                                
REPRESENTATIVE  LEDOUX asked  if Ms.  Kloster knew  what type  of                                                               
services are currently provided to those suffering from PTSI.                                                                   
                                                                                                                                
MS. KLOSTER  responded that service  members are tested  for PTSI                                                               
during  debriefing  and that  there  are  a number  of  services,                                                               
including  therapeutic,   that  can   be  accessed   through  the                                                               
[Federal] Veterans  Health Administration (VHA).   She added that                                                               
DMVA also helps people with PTSI to connect with services.                                                                      
                                                                                                                                
1:46:49 PM                                                                                                                    
                                                                                                                                
CHAIR HERRON advised that Rob Earl  will present HJR 30, and both                                                               
resolutions will  be in  front of the  committee when  asking for                                                               
testimony.                                                                                                                      
                                                                                                                                
1:47:09 PM                                                                                                                    
                                                                                                                                
ROB  EARL,   Staff,  Representative  Bob  Herron,   Alaska  State                                                               
Legislature,  presented  HJR  30   on  behalf  of  Representative                                                               
Herron, prime sponsor.  He  suggested that given the large number                                                               
of veterans  and the high rates  of child abuse and  domestic and                                                               
sexual violence  in Alaska, the  number of people  suffering from                                                               
post-traumatic stress  injury (PTSI) is easily  in the thousands.                                                               
Mr. Earl  echoed the remark  made previously by Ms.  Kloster that                                                               
the word "disorder" carries a  stigma and is considered degrading                                                               
by many  who suffer from  PTSI.  He  added that referring  to the                                                               
condition as a  disorder suggests that it is  untreatable but, in                                                               
fact,  it   is  a  treatable   injury.    He  also   stated  that                                                               
historically the  condition has been  viewed as a  mental illness                                                               
caused  by  a  pre-existing  flaw.     He  added  that  replacing                                                               
"disorder" with  "injury" would  make it clear  that this  is not                                                               
the case.   Mr. Earl said that the stigma  of the word "disorder"                                                               
discourages  some sufferers  from  seeking treatment.   He  added                                                               
that  timely treatment  is critical,  especially considering  the                                                               
high rate of suicide associated with PTSI.                                                                                      
                                                                                                                                
MR. EARL paraphrased the last  paragraph of the sponsor statement                                                               
for  HJR   30,  which  read  as   follows  [original  punctuation                                                               
provided]:                                                                                                                      
                                                                                                                                
       HJR 30 specifically resolves that the Alaska State                                                                       
     Legislature:                                                                                                               
                                                                                                                                
        · Believes that the term "post-traumatic stress                                                                         
          disorder" be universally changed to "post-                                                                            
          traumatic stress injury"                                                                                              
        · Urges the American Psychiatric Association to                                                                         
          consider changing the  term "post-traumatic stress                                                                    
          disorder"  to "post-traumatic  stress injury"  for                                                                    
          the   next   revision   of  the   Diagnostic   and                                                                    
          Statistical Manual of Mental Disorders                                                                                
        · Urges the Governor to support the usage of the                                                                        
          term "post-traumatic stress injury"                                                                                   
                                                                                                                                
MR.  EARL mentioned  the  letter of  support  from the  nonprofit                                                               
organization, Honor  for ALL,  the letter  of support  from DVMA,                                                               
and the two zero fiscal notes, included in the committee packet.                                                                
                                                                                                                                
1:50:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON  stated  that   he  introduced  the  joint                                                               
resolution  due to  his personal  experience  with people  having                                                               
post-traumatic  stress.   He  referred to  the  double murder  at                                                               
Bethel  High  School in  1997  causing  post-traumatic stress  in                                                               
people who had  witnessed the incident.  He  opined that although                                                               
they  were  not  harmed  physically,   they  were  still  harmed.                                                               
Representative Herron  referred to  Socrates and  the Shakespeare                                                               
play, Macbeth, to  make the point that  post-traumatic stress has                                                             
been in existence all through  history.  He reiterated Mr. Earl's                                                               
claim  that  "disorder"   connotes  weakness  and  Representative                                                               
Tuck's  claim that  continued use  of  the word  "disorder" is  a                                                               
disservice  to the  individual,  the family,  the community,  and                                                               
society  as a  whole.   Representative Herron  conceded that  the                                                               
effort to  change the label may  be difficult and take  time, but                                                               
expressed his  belief that  the awareness  promoted under  HCR 25                                                               
and HJR 30 would be very important.                                                                                             
                                                                                                                                
1:52:50 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HUGHES   asked  if   other  states   have  passed                                                               
resolutions similar to HJR 30.                                                                                                  
                                                                                                                                
CHAIR HERRON responded in the affirmative.                                                                                      
                                                                                                                                
REPRESENTATIVE  HUGHES asked  if PTSD  is referred  to in  Alaska                                                               
statutes  and,  if the  joint  resolution  passed, would  require                                                               
amending.                                                                                                                       
                                                                                                                                
CHAIR HERRON  responded that change would  take a long time.   He                                                               
noted   that  currently   the  word   "disorder"  is   referenced                                                               
throughout the  Department of Health  and Social  Services (DHSS)                                                               
regulations and information.  He  reiterated that "this will be a                                                               
long  journey"   and  expressed  his  hope   that  society  would                                                               
recognize post-traumatic stress as an  injury and not a condition                                                               
from birth.                                                                                                                     
                                                                                                                                
REPRESENTATIVE HUGHES offered her  support for the proposed joint                                                               
resolution and agreed that the  term "disorder" does not imply an                                                               
event as the cause as does the term "injury."                                                                                   
                                                                                                                                
1:54:56 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE LEDOUX stated  that she does not  see a pejorative                                                               
associated with the  term "disorder."  She  did express, however,                                                               
that she  supports using the  terminology preferred by  those who                                                               
are  affected.    She  asked   if  anyone  from  the  psychiatric                                                               
profession could  testify as  to the  difference between  the two                                                               
terms.                                                                                                                          
                                                                                                                                
CHAIR  HERRON responded  that it  is his  intention to  have such                                                               
testimony put into the record.   He conceded that there are those                                                               
on either side of the issue.                                                                                                    
                                                                                                                                
1:57:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SPOHNHOLZ said  that  she  supports the  proposed                                                               
joint  resolution  and  related  that she  adopted  a  child  who                                                               
suffers  from PTSI.   She  added  that this  resolution would  be                                                               
important  for military  service  members with  PTSI who  express                                                               
concern  for the  term "disorder."   She  stated that  she agrees                                                               
with  the suggestion  of  securing a  psychiatric  opinion.   She                                                               
offered  that  brain  science  indicates  that  the  brain  is  a                                                               
growing, changing  organ, and  injury to  the brain  is treatable                                                               
and recoverable.                                                                                                                
                                                                                                                                
1:59:11 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  TUCK stated  that  the  dictionary definition  of                                                               
disorder  is "an  abnormal  physical or  mental  condition."   He                                                               
maintained  that the  definition implies  a condition  from birth                                                               
and that "injury"  implies an event that happens to  someone.  He                                                               
further  claimed  that  a  label  does have  an  impact  and  the                                                               
proposed resolution would stimulate discussion about PTSI.                                                                      
                                                                                                                                
2:01:04 PM                                                                                                                    
                                                                                                                                
CHAIR HERRON relayed  that at the Chris  Kyle Patriots Hospital's                                                               
grand opening  in Anchorage,  he learned  that Alaskans  who have                                                               
gone to  that hospital have  experienced remarkable success.   He                                                               
stated that changing the label is about striving for awareness.                                                                 
                                                                                                                                
REPRESENTATIVE  HUGHES stated  that  she wanted  to  know from  a                                                               
psychiatrist's perspective if  a disorder is considered  to be an                                                               
ongoing condition to be managed  rather than something from which                                                               
one  could recover.    She added  that if  that  were true,  then                                                               
terminology would impact the treatment approach to PTSI.                                                                        
                                                                                                                                
2:03:45 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE LEDOUX  asked whether there were  implications for                                                               
medical insurance  or workers' compensation  insurance associated                                                               
with treating PTSI as a recoverable injury.                                                                                     
                                                                                                                                
REPRESENTATIVE TUCK reminded the  committee that not all injuries                                                               
are recoverable but that timely services are important.                                                                         
                                                                                                                                
KENT HALL,  Vice President, Honor for  ALL, relayed that he  is a                                                               
Vietnam combat  veteran who  has been  diagnosed by  the Veterans                                                               
Administration  (VA)  as  having post-traumatic  stress  disorder                                                               
(PTSD).   He  said that  in 2010  he saw  a video  by a  renowned                                                               
psychiatrist, Dr. Frank Ochberg, describing  PTSD as a wound, not                                                               
a  weakness.    Mr.  Hall   emphasized  the  importance  of  that                                                               
recognition  for  him in  that  he  stopped blaming  himself  and                                                               
started looking  for a  solution to  his problem.   He  said that                                                               
since then he  has become involved in Honor for  ALL, a national,                                                               
nonprofit  organization based  in Michigan.   He  went on  to say                                                               
that  he speaks  publically on  the issue  and travels  widely to                                                               
events  and rallies.   He  added that  Michigan became  the first                                                               
state to  pass a PTSI Awareness  Day.  He claimed  that last year                                                               
eight states  passed resolutions recognizing PTSI,  and this year                                                               
seven more states did the same.                                                                                                 
                                                                                                                                
MR. HALL  referred to his own  experience with PTSD and  PTSI and                                                               
affirmed the  positive changes in  his life since  receiving help                                                               
from  the  VA.    He  expressed  significant  benefits  from  his                                                               
participation   in  Vietnam   veteran   group  therapy   sessions                                                               
sponsored by the VA and lead  by a psychologist.  He claimed that                                                               
a strong, proud soldier does not  want to have a mental disorder,                                                               
yet knows  that it  is alright to  seek help for  an injury.   He                                                               
relayed that  Dr. Ochberg participated  in the team  that defined                                                               
PTSD [in the  third edition of Diagnostic  and Statistical Manual                                                             
of Mental  Disorders (DSM)] in 1980,  but now laments the  use of                                                             
the  word "disorder,"  understanding that  it has  contributed to                                                               
the stigma  that prevents  veterans from  reaching out  for help.                                                               
Mr.  Hall stated  that there  is no  difference between  PTSD and                                                               
PTSI as  far as diagnosis or  benefits, but said he  believes the                                                               
use of  the term PTSI makes  a difference to veterans  faced with                                                               
issues and needing help.                                                                                                        
                                                                                                                                
MR. HALL explained that the date  for the awareness day, June 27,                                                               
was  inspired by  the  birthday of  North  Dakota National  Guard                                                               
Staff Sergeant Joe  Biel, who suffered from PTSD  after two tours                                                               
in Iraq and took  his own life on April 26, 2007.   He added that                                                               
former U.S.  Senator Kent Conrad  of North Dakota  initiated PTSD                                                               
awareness day.                                                                                                                  
                                                                                                                                
2:12:04 PM                                                                                                                    
                                                                                                                                
CHAIR HERRON  asked Mr. Hall  about the resistance to  the change                                                               
in terminology from PTSD to PTSI.                                                                                               
                                                                                                                                
MR.  HALL responded  by saying  that even  renowned psychiatrists                                                               
disagree regarding the change.                                                                                                  
                                                                                                                                
CHAIR HERRON  stated his  intent to have  Dr. Ochberg  testify at                                                               
the second hearing on HJR 30.                                                                                                   
                                                                                                                                
2:14:51 PM                                                                                                                    
                                                                                                                                
ROBERT    DOEHL,    Deputy    Commissioner,   Office    of    the                                                               
Commissioner/Adjutant   General,   Department   of   Military   &                                                               
Veterans'   Affairs  (DMVA),   Joint  Base   Elmendorf-Richardson                                                               
(JBER), testified  that DMVA  strongly supports  both HCR  25 and                                                               
HJR 30  to better address  a condition  that affects at  least 30                                                               
percent  of Alaska's  57,000 combat  service  veterans and  those                                                               
still serving.   He stated  that about 18,000 veterans  in Alaska                                                               
suffer from  PTSD. He  claimed that PTSD  does not  always affect                                                               
just an individual, but often  takes its toll on family, friends,                                                               
and  co-workers.   He attested  that he  has had  experience with                                                               
people suffering  from PTSD his  whole career - in  the military,                                                               
with  the Department  of  Justice,  and with  the  Office of  the                                                               
Attorney General.   He described  the many consequences  of PTSD,                                                               
including loss  of job, loss  of family, and suicide.  He claimed                                                               
that the  term "disorder" exacerbates  a stigma  that discourages                                                               
treatment  among  those who  struggle  with  the condition.    He                                                               
maintained that PTSD  is not a disorder in an  individual but the                                                               
natural  response to  an unnatural  situation or  event that  has                                                               
been externally imposed upon that individual.                                                                                   
                                                                                                                                
2:19:12 PM                                                                                                                    
                                                                                                                                
COLONEL DOEHL  stated that after  meeting with  partner agencies,                                                               
he believes  that together they  would be able to  plan awareness                                                               
day activities that would attract  media attention.  He also said                                                               
that he  sees the awareness  day as a springboard  for connecting                                                               
PTSD sufferers with  treatment and services.   He maintained that                                                               
any  contact with  the Veterans  Health  Administration (VHA)  or                                                               
Veterans  Benefit Administration  (VBA) provides  a veteran  with                                                               
information  on  PTSI  and available  services.    Colonel  Doehl                                                               
relayed  that  assistance  is also  available  through  DMVA  and                                                               
through  vet centers  located in  some  of the  larger cities  in                                                               
Alaska.   He claimed that  peer groups are  phenomenal assistance                                                               
devices for veterans.   He related a VA claim  that for a veteran                                                               
who requests  assistance for an  acute PTSD related  concern, the                                                               
response time for contact with  a qualified provider is less than                                                               
twenty-four hours.                                                                                                              
                                                                                                                                
COLONEL DOEHL  relayed that he is  not aware of any  changes that                                                               
would  be needed  in  DMVA  statutes or  regulations  due to  the                                                               
change  in  terminology proposed  by  HJR  30 but  surmised  that                                                               
statutes in other state departments may require changes.                                                                        
                                                                                                                                
2:21:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE LEDOUX  asked if  family, friends,  and co-workers                                                               
can be impacted  by someone with PTSI to the  extent that they in                                                               
turn suffer from PTSI as a result.                                                                                              
                                                                                                                                
COLONEL DOEHL answered that in order  to have PTSI, one must have                                                               
suffered an injury-causing  event.  He stated his  belief that if                                                               
the PTSI  manifested itself  by violence, then  there could  be a                                                               
second direct  effect of  PTSI on  someone else.   He  added that                                                               
from his experience reviewing  several hundred depositions, there                                                               
are other  diagnoses appropriate for spouses  living with someone                                                               
with PTSI.                                                                                                                      
                                                                                                                                
CHAIR  HERRON  mentioned  an  incident   in  which  the  National                                                               
Veterans  of   Foreign  Wars  (VFW)  commander,   speaking  at  a                                                               
congressional  hearing, reacted  very negatively  to the  idea of                                                               
replacing "PTSD"  with "PTSI." Chair  Herron said that  after the                                                               
hearing,  many veterans  came up  to congressmen  to offer  their                                                               
support  for the  change.   Representative  Herron asked  Colonel                                                               
Doehl how this controversy can be addressed.                                                                                    
                                                                                                                                
2:25:07 PM                                                                                                                    
                                                                                                                                
COLONEL  DOEHL  opined  that mental  health  injuries  have  been                                                               
difficult to  recognize as  not being  a weakness  or fault.   He                                                               
suggested that more education is  needed to understand the injury                                                               
component, not  just for those  suffering from PTSI, but  for the                                                               
broader population.   He claimed that one source  of confusion is                                                               
related  to the  fact that  only  30 percent  of combat  veterans                                                               
report PTSD,  but 100  percent of  people who  are shot  report a                                                               
bleeding  wound, which  results in  being awarded  with a  Purple                                                               
Heart.  He  reiterated that defining post-traumatic  stress as an                                                               
injury and  designating the awareness  day would  greatly advance                                                               
the knowledge and discussion needed.                                                                                            
                                                                                                                                
2:26:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  LEDOUX  said  that  she  was  curious  about  the                                                               
controversy, and she  asked what the rationale  was for resisting                                                               
the change in terminology.                                                                                                      
                                                                                                                                
COLONEL DOEHL  deferred to  the American  Psychiatric Association                                                               
(APA) for its position regarding  "disorder" versus "injury."  He                                                               
stated  his belief  that the  broader  population has  difficulty                                                               
adjusting to  change and struggles with  recognition of something                                                               
they can't see.   He reminded the committee of  the great strides                                                               
made in recognizing and understanding  PTSI since 1970 and opined                                                               
that with  greater awareness and education,  the public's ability                                                               
to visualize and accept PTSI will increase.                                                                                     
                                                                                                                                
2:29:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HUGHES asked  Colonel Doehl  to review  again the                                                               
number of  veterans and active duty  military personnel estimated                                                               
to have PTSI.                                                                                                                   
                                                                                                                                
COLONEL  DOEHL  stated  that  the  Alaska  VA  Healthcare  System                                                               
reports 57,000 combat veterans in  Alaska, and 30 percent of them                                                               
are being treated for PTSD.   He said that there are about 30,000                                                               
active duty military personnel, but not  all of them have been in                                                               
combat.  He gave an estimate  of about 8,000 active duty military                                                               
personnel in  Alaska suffering from  PTSI, based on  an estimated                                                               
20,000 who have been in combat.                                                                                                 
                                                                                                                                
2:30:43 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HUGHES   asked  what  activities   Colonel  Doehl                                                               
envisioned besides  a media campaign  for the PTSI  Awareness Day                                                               
under  the proposed  concurrent  resolution.   She questioned  if                                                               
there  would be  events  making services  more  available or  any                                                               
plans to coordinate with the U.S.  Army or U.S. Air Force located                                                               
in Alaska.                                                                                                                      
                                                                                                                                
COLONEL DOEHL stated  that the DMVA envisions  creating events by                                                               
heavily leveraging federal  resources through the VA  and the vet                                                               
centers with  a focus on  providing services.   He said  that the                                                               
active duty military personnel would be invited to participate.                                                                 
                                                                                                                                
2:33:11 PM                                                                                                                    
                                                                                                                                
FORREST POWELL, Program Coordinator  I, Office of Veteran Affairs                                                               
(OVA), Department  of Military &  Veterans' Affairs  (DMVA), said                                                               
that  he  represents  the  interests of  the  Office  of  Veteran                                                               
Affairs in  regard to the  PTSI Awareness Day proposed  under HCR
25 and agreed with Colonel Doehl's  answers to the questions.  He                                                               
stated that he is a veteran with PTSD.                                                                                          
                                                                                                                                
CHAIR  HERRON asked  Mr. Powell  for his  thoughts regarding  the                                                               
change in terminology, from PTSD to PTSI.                                                                                       
                                                                                                                                
MR. POWELL replied that his concern  was for his own behavior and                                                               
controlling  it,  and  added  that  he  did  not  feel  that  the                                                               
awareness  activities   and  terminology  change  would   make  a                                                               
difference for him.                                                                                                             
                                                                                                                                
JEFF SLAIKEU,  Office Manager, Office  of Veteran  Affairs (OVA),                                                               
Department of  Military & Veterans'  Affairs (DMVA),  offered his                                                               
agreement with Mr. Powell's testimony.                                                                                          
                                                                                                                                
2:37:03 PM                                                                                                                    
                                                                                                                                
CHAIR HERRON  said he would  invite Dr. Ochberg and  retired U.S.                                                               
General Peter  Chiarelli to  testify at the  next hearing  on the                                                               
proposed joint resolution.                                                                                                      
                                                                                                                                
REPRESENTATIVE  LEDOUX  requested   that  a  representative  from                                                               
either  the  American  Psychiatric   Association  or  the  Alaska                                                               
Psychiatric Association be invited to the next hearing to                                                                       
testify on the rationale for not making the terminology change.                                                                 
                                                                                                                                
CHAIR HERRON responded that he would locate a representative who                                                                
could speak to Representative LeDoux's concern.                                                                                 
                                                                                                                                
[HCR 25 and HJR 30 were held over.]                                                                                             

Document Name Date/Time Subjects
HCR25.Supporting Documents - Factsheet.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HCR25. Supporting Document - PTSI Booklet.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HCR25 Supporting Document - Letter.Thomas Mahany.12.31.15.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HCR25 Ver W.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HCR25 Sponsor Statement.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HJR 30 - Sponsor Statement FINAL.pdf HMLV 3/15/2016 1:00:00 PM
HJR 30
HJR 30 - Letter of Support - Honor For All.pdf HMLV 3/15/2016 1:00:00 PM
HJR 30
HCR 25 - Letter of Support DMVA.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HJR 30 - Letter of Support DMVA 3.7.16.pdf HMLV 3/15/2016 1:00:00 PM
HJR 30
HJR 30 - Fiscal Note- LEG-SESS-03-14-16.pdf HMLV 3/15/2016 1:00:00 PM
HJR 30
HJR 30 - Fiscal Note - MVA-OVA-03-12-16.pdf HMLV 3/15/2016 1:00:00 PM
HJR 30
HCR 25 - Fiscal Note -MVA-OVA-3-11-16.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HCR 25 - Fiscal Note - LEG-SESS-03-14-16.pdf HMLV 3/15/2016 1:00:00 PM
HCR 25
HJR 30 - Version W.PDF HMLV 3/15/2016 1:00:00 PM
HJR 30