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Becker: Time for ending Certificate of Need and let health care meet the needs of Alaskans

By STEPHEN AND LESLIE BECKER

Years of conversation about high prices and spending on health care in Alaska have produced many suggestions, but few have been acted upon. One solution that lawmakers are now considering is repealing Alaska’s Certificate of Need (CON) laws, which distort health care services and demand in Alaskan communities. As Alaskans with over 60 years combined experience in health care, we have been watching these developments with great interest. 

The federal government originally mandated CON laws for all 50 states in 1974 but backtracked by 1987. Such laws require health care practitioners to prove to state bureaucrats that building a desired facility, expanding an existing facility, or deploying new equipment is necessary for a community. The process is lengthy and expensive, and it prevents providers from responding to the needs of their patients in real time. At least 15 other states have almost completely repealed these outdated laws — why is Alaska clinging to them? 

The federal government initially mandated CON laws with the intention of decreasing health care costs, but dozens of studies have found their effect to be the opposite. In 2017, economists found that repealing CON laws would save Alaskans $294 in health care costs per person every year, so the annual savings could be in the thousands for families. That per capita average has surely increased by 2022. 

Additionally, repealing Alaska’s CON laws would give health care providers more flexibility to respond to the current needs in their communities and secure for Alaskans greater access to better-quality care. To respond to the COVID-19 pandemic, Alaska, along with 24 other states, temporarily halted some CON laws. Patients should have the same opportunity for responsive care all of the time. Global pandemics aren’t the only change to which providers must be able to adjust.

Other previously suggested reforms could help roll back government control of our health care and allow a better understanding of Alaska’s high costs, such as direct care and an all-payer claims database (APCD). Direct care removes unnecessary government control of health care and puts patients in a direct relationship with the doctor of their choosing. Protecting direct care in Alaska would give patients more health care choices that are affordable and high quality. 

An APCD could improve care and lower costs by giving Alaskans more-comprehensive data about health care prices, spending, and quality around the state. The caveat, however, is that any such database must not become merely a new financial burden on the state budget.

For too long, our communities have been bearing the burden of government control of health care, with higher prices and lower-quality care. Alaskans deserve affordable, quality health care, without the heavy hand of government interfering. This is the year Alaska should stop just talking about the high cost of health care and do something about it: repeal CON laws, protect direct care, and make necessary care more affordable.

Stephen Becker M.D., Ketchikan – Dr. Becker is an orthopedic surgeon with over 34 years in practice. Leslie Becker, Ketchikan – Mrs. Becker has 30+ years’ experience as a healthcare executive with working with large hospital systems.

‘Aunty Lisa’ Murkowski publishes thank-you notes from Alaska leaders expressing gratitude for federal dollars

U.S. Senator Lisa Murkowski posted thank you notes she received from Alaska leaders who are grateful for the congressionally directed spending allocations to over 65 local projects in Alaska in the Fiscal Year 2022 Consolidated Appropriations Act. The act is expected to be signed into law this week by President Joe Biden.

Metlakatla: $540,000 to provide the Metlakatla Indian Community with an emergency backup generator.

“We are thrilled to hear the news that two of Metlakatla’s capital requests have been funded! We thank Senator Murkowski for hearing us and working hard to deliver on these appropriations which are critical to Metlakatla’s economic development, environmental stewardship, and energy security. Senator Murkowski has always been a good, faithful friend and strong ally of ours, like family, like Uncle Ted who we know would be very proud, today, because your victories are Alaska’s victories. So, thank you, Aunty Lisa, for keeping our people close to your heart. We won’t forget it.”

– Albert Smith, Mayor, Metlakatla Indian Community, Annette Islands Reserve 

Kenai: $385,000 to implement the community’s wildfire hazard mitigation plan, which includes addressing spruce bark beetle infestation that can lead to catastrophic wildfire. 

“This funding is critical to the City of Kenai as we look to address the devastating impacts of the spruce bark beetle infestation in our community and mitigate the increasing danger of wildfires created by the vast number of spruce trees killed by the spruce bark beetle. With this funding we will be able to remove thousands of hazardous trees in the City to protect homes and public facilities.”

– Brian Gabriel, Mayor of the City of Kenai

Anchorage (Alaska Native Tribal Health Consortium): $27.6 million to the Alaska Native Tribal Health Consortium to expand the Alaska Native Medical Center Emergency Department.

“We are extremely grateful to Senator Murkowski for securing the funding to expand and renovate the emergency department at the Alaska Native Medical Center (ANMC). This funding will address longstanding limitations in space and appropriate environment of care challenges in the emergency department and for people experiencing a behavioral health crisis. Quyana (thank you) to Senator Murkowski for your tireless work on behalf of Alaska Native people.” 

– Valerie Nurr’araaluk Davidson, President/CEO, Alaska Native Tribal Health Consortium

Wasilla: $1.5 million to the Mat-Su Food Bank for warehouse renovations and equipment to improve the ability to collect and distribute food to those in need.

“The MatSu Food Bank is extremely grateful to Senator Murkowski for her recognition of our mission to fight food insecurity for the Alaskan people and the Matanuska Susitna Borough community. The $1,500,000 Congressionally Directed Spending award that she obtained for the Food Bank will allow us to build infrastructure we so desperately need to provide for local emergency food needs. On behalf of the staff, Board of Directors, and volunteers of the MatSu Food Bank, I express our sincerest gratitude to Senator Murkowski for helping us to help our community to fight food insecurity.” 

– Eddie Ezelle, Executive Director, MatSu Food Bank

Juneau: $420,000 for Alaska Heat Smart to support the installation of air-source heat pumps in lower-income households.

“The Board of Alaska Heat Smart, a Juneau-based nonprofit, thanks Senator Murkowski for her Congressionally Directed grant. This funding will reduce heating costs by about $1,000 annually for more than 50 lower-income Juneau households by replacing inefficient heating systems with heat pumps. This is particularly timely given the recent surge in heating oil costs. Operating on clean hydroelectricity these heat pumps will also improve indoor air quality and contribute to Juneau’s climate goals by reducing carbon emissions.”

– Steve Behnke, President of the Board, Alaska Heat Smart

Kotzebue: $27.7 million to the City of Kotzebue to support the construction of an access road from Kotzebue to Cape Blossom.

“The funding for the Cape Blossom Road is the next step towards building a deep water port that will help us reduce the cost of goods coming into our community. It will provide much needed economic relief and stimulate economic growth as well. We are grateful for the efforts of Senator Murkowski in supporting Rural Alaskans in this area through this bill.”

– Sandra Shroyer-Beaver, Mayor, City of Kotzebue

Nome: $1.5 million to the Nome Community Center to provide housing and public health services for chronically homeless individuals through the Housing First Project of Nome.

“The Housing First project in Nome will provide permanent supported housing for chronic homeless.  The federal funding for the project helped us to secure the additional funding needed for construction.  If the federal government believed in the project, then state and local funders felt it was viable.  The project was launched by Nome Community Center after years of working on solutions for ending homelessness in Nome.”

– Rhonda Schneider, Executive Director, Nome Community Center

Skagway: $10.2 million to expand capacity at the Wastewater Treatment Plant, which has recently experienced capacity difficulties due to increased use.

“On behalf of the Municipality of Skagway, I want to sincerely thank our federal delegation for once again working hard to support our community. We are thrilled that $10.2 million has been included in the FY22 appropriations bill for our Wastewater Treatment Plant upgrade; the funding will ensure that we can continue to operate safely for the health and safety of residents and visitors alike.”

– Brad A. Ryan, Skagway Manager, Municipality of Skagway 

Fairbanks: $2 million for the University of Alaska Fairbanks to support the research, testing, and evaluation of counter unmanned aerial systems (C-UAS) in law enforcement operations.

“The Alaska Center for Unmanned Aircraft Systems Integration (ACUASI) at the University of Alaska Fairbanks thanks Senator Murkowski for securing $2M for Counter Unmanned Aircraft Systems (C-UAS) research in support of our law enforcement colleagues. We look forward to working with our Alaskan colleagues to identify and test C-UAS technologies that will work in Alaska’s challenging environment to protect law enforcement personnel, assets, and infrastructure from careless, clueless, and criminal UAS activities.”

– Dr. Cathy Cahill, Director, Alaska Center for Unmanned Aircraft Systems Integration, Geophysical Institute, University of Alaska Fairbanks

Anchorage (University of Alaska Anchorage): $295,000 to update and expand medical skills workforce labs at UA. 

“The shortage of health care professionals is particularly detrimental to Alaska. We face an aging population, health inequities, as well as high rates of domestic violence and sexual assault. This funding helps UAA grow our health workforce through technology and cutting-edge training for our graduates. We are grateful for Senator Murkowski’s support to strengthen Alaska’s health care workforce.”

– Andre Rosay, Dean of the College of Health at the University of Alaska Anchorage

Sitka: $840,000 to the Sitka Sound Science Center for renovation of educational facilities used for aquaculture training programs.

“Sitka Sound Science Center is thrilled about this news. We are grateful that Congress is investing in aquaculture education in Alaska through our organization. This facility will support salmon, be a place of learning for generations to come and be a symbol of community spirit in coastal Alaska.” 

– Lisa Busch, Executive Director, Sitka Sound Science Center

Statewide (Sealaska Heritage Institute): $250,000 to increase early literacy among Alaska Native children.

“I have to thank Sen. Lisa Murkowski and Rep. Don Young for their hard work to fund our award-winning early literacy program Baby Raven Reads. This appropriation means we can continue the Baby Raven Reads program, which has been a boon to Native children across Southeast Alaska since it began in 2015. Studies have shown significant progress in early literacy skills among Baby Raven Reads participants, and the family activities and books developed through the program have proven to be a model for early-literacy programs. This program has succeeded because we teach children through the Native world view. They see themselves and their culture in our activities and books, and that makes learning and reading fun for them.”  

– Dr. Rosita Worl, President, Sealaska Heritage Institute

Girdwood: $800,000 toward the construction of a new Community Health Clinic.

“We are very excited and grateful to Senator Murkowski for her many years of support for healthcare services in Girdwood. This funding will allow us to complete the final phases of our new clinic building so that we will have space to provide fully integrated behavioral health care in addition to primary care. This could include group therapy, support groups and health education seminars and other specialty care for the community. This is a wonderful boost!”

– Tawny Buck, Executive Director, Girdwood Health Clinic

Petersburg Borough: $8 million for the construction of a new hospital.

“Alaska’s population consists of 32 percent living in isolated rural communities off the road system, which results in unique challenges in providing timely and comprehensive quality healthcare to its residents. Over the past two years, rural community healthcare facilities were critical in maintaining routine operations of preventative, chronic and emergency care while quickly and efficiently mitigating the ever-changing risks of Covid-19. Petersburg Medical Center is a community based critical access hospital, long term care facility, primary care clinic and home health agency. Through its efforts to educate, vaccinate, treat, and care for patients, PMC helped lead the community in keeping its citizens, workers, schools, and economy safe from the disastrous results of Covid. PMC is one of the largest employers on Mitkof Island and is housed in a building that is at the very end of its useful life. This project is critical to the health and economic viability of the Borough of Petersburg and the people who call it home.”

– Phil Hofstetter, Petersburg Medical Center CEO

Juneau: $2 million to Southeast Conference to help establish a pilot program for electric ferries.

“Since 1958, Southeast Conference has helped guide community, regional, state and national maritime priorities into a ferry system that has historically met the transportation needs of coastal Alaska. This investment is timely and will inform and facilitate strategic implementation of the next generation of a modernized fleet that meets Alaska’s community transportation needs!”

– Robert Venables, Executive Director, Southeast Conference

Wrangell: $2.08 million to the City & Borough of Wrangell to fund a connection pipe between the Upper Reservoir and the Water Treatment Plant as a means of accessing the upper reservoir’s water.

“We greatly appreciate the work to help get the funding approved.  This project will greatly improve the safety of our upper dam reservoir and assist with the quality of our drinking water.”

 Jeff Good, Borough Manager, City & Borough of Wrangell

Kodiak: $3.25 million to replace a failing wastewater lift station.

“The City of Kodiak is pleased to receive this funding appropriation spearheaded by Senator Murkowski and supported by our Alaskan Delegation. The residents of Kodiak can be assured infrastructure as important as safe water and sewer are maintained and functioning, allowing our community residents this basic amenity. This $3.25 million will be used to replace our largest wastewater lift station after a catastrophic failure occurred in May 2019. Thank you Senator for your steadfast support of residents of Alaska.”

– Mike Tvenge, Kodiak City Manager

Old Harbor: $1.5 million to provide Emergency Operations Center Grant Program funding to the Alutiiq Tribe of Old Harbor to construct a new tsunami shelter community center.

“On behalf of the Alutiiq Tribe of Old Harbor, we would like to say Quyanaa ‘Thank you’.  This funding opportunity will help provide a tsunami shelter above the tsunami inundation zone for our community. Most of our main infrastructures are located within the threat zone. During evacuations most of our families are all huddled in their cars and trucks on the landfill road, gas is very expensive so when tsunami warnings go for hours on end, families would turn their vehicles off and sit in the cold to preserve fuel.  The funding for this shelter would be able to provide safe gathering and harboring during a time of crisis and keep our families safe from the elements.”

– Loyd Ashouwak Sr., Alutiiq Tribe of Old Harbor Tribal President 

Fairbanks: $5 million for the Alaska Division of Geological & Geophysical Surveys to support efforts to map coastal and nearshore Alaska.

“We very much appreciate Senator Murkowski’s strong support for mapping Alaska, including mapping our coastlines and nearshore areas. Many of Alaska’s coastal communities face serious challenges from flooding and erosion, and the basic data needed to help those communities is lacking. These funds will fund the basic mapping and data collection needed to assess and mitigate flooding and erosion impacts, and improve community resilience. The State of Alaska views this as an opportunity to expand our coastal mapping collaborations with NOAA and collectively prioritize the use of these funds to address some of our many overlapping community-focused mapping objectives.”

– Steve Masterman, Outgoing State Geologist & Director of the Alaska Division of Geological & Geophysical Surveys

Juneau: $2.5 million to United Human Services of Southeast Alaska to build a facility that will host multiple organizations providing public health and social services for vulnerable populations, to be known as the Teal Street Center.

“We’re delighted Teal Street Center will receive this essential support.  Teal Street Center will be the social services hub that serves thousands of Southeast Alaskans every year, bringing together programs for seniors, low-income households, veterans, youth and people with disabilities on one convenient campus.  This funding will help us complete construction and open the doors for our nine tenant agencies by the end of this year. Senator Murkowski has been a longtime champion of Teal Street Center, and we’re grateful for the time and effort she and her staff have dedicated to supporting social services in Juneau.” 

– Joan O’Keefe, Executive Director, United Human Service of SE Alaska

Anchorage: $2 million to the Alaska Housing Finance Corporation (AHFC) to support the development of housing units for essential professionals in rural Alaska.

“All Alaskans seek access to safe, quality, affordable housing. In rural communities, too often critical jobs that support community health and wellbeing go unfilled because there’s no place for families to live. We’ve heard stories of teachers who accept jobs in remote Alaska, land and visit their classroom and find out that the school building itself will also serve as their bedroom. The State of Alaska has long committed funds to our Teacher, Health and Public Safety Housing and we’re proud of the 500 units that have been constructed to meet community needs. Senator Murkowski’s announcement of $2 million she secured along with her colleagues for teacher/health professional and public safety housing will support AHFC and the State’s investment, improving health, safety and the lives of Alaska’s youth and elders.”

Bryan Butcher, CEO/Executive Director of Alaska Housing Finance Corporation.

Statewide (CDVSA): $5 million for the Council on Domestic Violence and Sexual Assault to provide programmatic support for victim service organizations statewide

“Thank you Senator Murkowski! Your commitment to meeting the needs of victims and survivors of domestic and sexual violence is unsurpassed. CDVSA is grateful for the $5.0 million set aside included in the FFY2022 federal budget, to meet the needs of Alaska programs serving victims, survivors and their families of domestic, sexual and other violent crimes. Due to the significant drop in federal 2021 VOCA funding, CDVSA has struggled to fully fund our 35 community-based grant programs; these one-time funds provide CDVSA with needed time to build a stable budget to support critical programs across Alaska.

– L. Diane Casto, Executive Director of the Council on Domestic Violence and Sexual Assault.

Statewide (Fish and Wildlife Service): $750,000 for an Invasive Species Early Detection Rapid Response Strike Team in southcentral Alaska

“The Service works closely with our partners to protect Alaska’s environment, economies, and ways of life from invasive species. Thanks to a strong statewide partnership, including the state of Alaska, we have been able to keep the number of invasive species in Alaska low. The funding for a new early detection and rapid response team in Southcentral Alaska invests in that successful partnership and will expand capacity in an area at high risk for invasive species introduction and spread.” 

– Martha Williams, Director of the U.S. Fish and Wildlife Service.

Ketchikan: $236,000 to Women in Safe Homes (WISH) to support the final stages of construction of the WISH Shelter in Ketchikan.

“Women In Safe Homes (WISH) has seen an over 20% increase in the number of individuals seeking our service in the past 2 years. The federal funding was critical for the completion of the renovation of the new WISH domestic violence shelter. Our new shelter allows us to provide an ADA accessible, family supportive shelter for victims and their families as they work to move forward with their lives. WISH would not have been able to meet the growing demand for our services in our former location.” 

– Agnes Moran, Executive Director, WISH

Bethel: $500,000 to the University of Alaska Anchorage to launch an Alaska Native Science and Engineering Program (ANSEP) Acceleration Academy at the Bethel campus.

“This is another step towards ANSEP’s goal to provide a quality education and a life of unlimited possibilities for every Alaskan. Together we are making a profound and positive impact on the lives of the students, their families, their communities, the state and within our strategic partner organizations that will endure for generations. I’d like to thank Senator Murkowski for her steadfast support of ANSEP and for providing high-quality educational opportunities in the State of Alaska.”

 Dr. Herb Schroeder, Vice Provost for ANSEP and Founder

Anchorage (Covenant House Alaska): $500,000 to implement a statewide training program to address youth, child, and family homelessness in Alaska.

“The support from this funding will be transformational for young people who are experiencing homelessness and human trafficking in Alaska. It is our goal to help our statewide partners implement the highly successful, mobile case management program, known as the Permanency Navigator model. Young people in communities all across Alaska will benefit from having individualized navigation services to help them complete their education, land jobs and find permanent housing. This funding will also ensure statewide partners have the data framework to track their outcomes in order to lift the voices of our future generation of leaders. Senator Murkowski has been a tireless advocate for vulnerable young people and we thank her for ensuring all Alaska youth will get access to the support they need.”

– Alison E. Kear, Chief Executive Officer of Covenant House Alaska

“We are thrilled to receive this much needed support to bring increased coordination and training to agencies serving youth and young adults experiencing homelessness. Alaska is a national leader in innovative service delivery given our unique geographic, transportation, and cost of development challenges. This funding will help agencies across the state have better access to training resources as well as provide unprecedented opportunities for youth with lived experience to continue to be the drivers of our work to prevent and end homelessness.”

– Brian Wilson, Executive Director of the Alaska Coalition on Housing and Homelessness.

Anchorage: $2 million for the Pacific States Marine Fisheries Commission to support Alaska fisheries and the adoption of 21st century technology.

“The North Pacific Fisheries Association (NPFA) continues to advocate for the use of electronic monitoring (EM) as a tool to provide informative data to fisheries managers.  NPFA welcomes the news that Senator Lisa Murkowski’s Congressionally Directed Spending (CDS) request for $2 million to the Pacific States Marine Fisheries Commission for the implementation of EM was included in the FY22 Omnibus Appropriations Legislation. Senator Murkowski and her staff continue to demonstrate a commitment to EM and robust fisheries management data. Thank you.”

– Malcolm Milne, Board President of North Pacific Fisheries Association 

“On behalf of the Alaska Longline Fishermen’s Association, I would like to thank Sen. Murkowski for her continued support of electronic monitoring technologies that meet the needs of Alaska’s community based commercial fishermen. Her recent Congressionally Directed Spending (CDS) request of $2 million to the Pacific States Marine Fisheries Commission to support the purchase of EM systems for use in Alaska’s fisheries will provide at-sea monitoring data that is critical for sustainable fisheries management for years to come.” 

– Linda Behnken Executive Director of the Alaska Longline Fishermen’s Association

Kodiak: $987,000 for the Alaska Research Consortium to develop a refrigeration certificate training program for Alaska seafood processors.

“Participants from this program will be highly employable and meet the ongoing demand by the seafood industry for skilled ammonia refrigeration technicians in Alaska. Individuals will receive an industry certificate for each level, clearly stating the skill levels acquired during the training. This will give seafood processing managers a clear understanding of the skill-level of an employee applying to work in ammonia refrigeration.  The program will provide a career path for Alaskans in the seafood industry and ensure that processors have the personnel needed to sustain Alaska’s reputation for the highest quality seafood.”

 Jay Stinson, president of the Alaska Research Consortium.

Wasilla: $23 million to the MyHouse Mat-Su Homeless Youth Center to fund the construction of a commercial building to support programs that offer services to homeless youth, which will be known as the Carson Cottle Center. This project would expand MyHouse’s successful job training programs statewide and offer additional space for the programs offered.

Wasilla: $1 million for MyHouse Mat-Su to support additional programmatic services for clients, including job training, sex trafficking recovery support services, as well as transitional housing wrap-around services.

“MY House will use this funding to fulfill the needs of the homeless youth population we serve by offering a facility to bring together community-based partnerships with local businesses on the ground floor, offering job training and experience to clients and open to the public. This project will also provide office space for additional community partners, needed services for clients, a variety of housing options that are currently not available and will serve difficult-to-house youth and young adults in an effort to prevent adult homelessness in our community and across Alaska. 

This building is designed to be a sustainable green build by an architect that graduated from local Colony High School, who has a degree from Harvard University in Architecture and won a Time Magazine Award for a building design on Skid Row in Los Angeles. This will be a landmark facility for Alaska being built for our community by MY House, an organization that has received recognition both locally and nationally for effective services and very positive outcomes for homeless youth.”

– Michelle Overstreet, Founder and Executive Director of MY House

Anchorage (United Way of Anchorage): $1 million to make improvements to the 2-1-1 system.

“Through earthquakes, pandemic, and countless everyday challenges, 2-1-1 has been a crucial lifeline to every Alaskan for 15 years. Today, whether they live in the heart of the city or far off the road system, 2-1-1 has risen to meet the challenge of the pandemic and connect Alaskans with badly needed testing, vaccine appointments, rent and utility help, and so much more. The federal funding that Senator Murkowski secured will allow United Way of Anchorage to expand and improve the 2-1-1 system to meet increasing demand. I thank Senator Murkowski for always putting Alaska first and working to fund Alaskan priorities like 2-1-1 that build more resilient communities.” 

– Clark Halvorson, President and CEO of United Way of Anchorage

Anchorage Assembly refusing to confirm first Samoan to highest executive appointment in the state

In November, the Anchorage Assembly passed an ordinance to prevent Mayor Dave Bronson’s appointees from serving for long periods of time without being confirmed by the Assembly.

That was then — when the Assembly didn’t like the mayor’s choice for the Anchorage Library directorship and wanted to make sure she didn’t serve without being confirmed.

Now, with the appointment of Uluao “Junior” Aumavae as the chief equity officer for Anchorage, leftists on the Assembly have readied a resolution to delay his confirmation.

The resolution, to be presented during Tuesday’s meeting, will spike the confirmation process that would have been a key feature of the meeting. The agenda included the confirmation of Aumavae, at the request of the mayor.

Meanwhile, Aumavae had already invited the Samoan community to come out and provide moral support for him during his confirmation. On social media, he wrote: “Come out to Loussac Library tomorrow March 15th to support my confirmation date with the Anchorage Assembly at 5pm. Let’s EAT!”

The Samoan community may come out, but may find the Assembly has gone a different direction. In the resolution delaying Aumavae’s confirmation, the Assembly says that the mayor has only “purported to appoint” Aumavae.

The Assembly, however, is ready to accept that Aumavae is an “acting” chief equity officer, and that his confirmation vote would come during the first Assembly meeting after the lawsuit between the Mayor and the Assembly is resolved.

The lawsuit is to settle the question of whether the ordinance that created the position of chief equity officer also governs whether that person can be replaced by a new mayor.

The ordinance currently says that a mayor may not replace that particular employee without the permission of the Assembly. Mayor Dave Bronson argues that is an illegal usurpation of the authority of the Executive Branch.

Bronson had fired the first chief equity officer, Clifford Armstrong, who was appointed by an unelected temporary Mayor Austin Quinn-Davidson just weeks before Bronson won election to the city’s highest seat. The Armstrong appointment and quick confirmation was a way for the leftists on the Assembly to have someone right in the Mayor’s Office who would be beholden to them and would report back to them on the mayor’s activities. Quinn-Davidson returned to her seat on the Assembly after Bronson was sworn in.

Meanwhile, Armstrong financially settled with the Bronson Administration and has moved on to working as a consultant. Aumavae has been the chief equity officer since October, while litigation flew over whether Bronson has the ability to replace his own staff.

Aumavae is well-known for being a former NFL tackle for the Dallas Cowboys and New York Jets. Born in Samoa and raised in Anchorage, he worked as a community outreach specialist for the Drug Enforcement Administration. He worked with non-profits, such as United Way of Anchorage, and other entities, including the Anchorage School District, private schools, the Office of the Governor, the Alaska Department of Education & Early Development, the Municipality of Anchorage’s Department of Health, and the Anchorage Assembly.

Aumavae also has worked for the National Football League Player Association, serving as the Secretary and Vice President. In that capacity, he assisted a diverse group of players in developing a plan for life in the workforce after retiring from professional football. That included connecting the former athletes with leaders in the public and private sectors to help them access the resources and benefits they needed to succeed.  

“Junior Aumavae is the perfect example of someone who has overcome the hardships of life to become successful and strive to help others in need,” said Mayor Bronson. “With his background, experience, and heart, Junior will be a great addition in our efforts to ensure the Municipality of Anchorage’s workforce is more representative of the incredible diversity and talent of Anchorage’s citizens.”

Read the Assembly’s resolution at this link:

Biden Administration spikes right-of-way for Ambler Access Project

The U.S. Bureau of Land Management has suspended access to Alaska’s Ambler Mining District. As warned of in February, the Biden Administration on March 11 notified the Alaska Industrial Development and Export Authority, the project’s developer, that it won’t allow miners to use 25 miles of a right-of-way that has been used for more than 50 years by Alaskans. The short stretch over federal land would allow a 211-mile road to be connected to the state mining area from the rest of the highway system.

The Biden Administration said there were “significant deficiencies” in a Trump Administration environmental review.

The move was not a surprise, since the Biden Administration had previously pulled in the decision to allow the road, saying it wanted to review it.

Alaska Governor Mike Dunleavy issued a statement:

“In February, the Department of Interior reopened an environmental impact statement for the Ambler Access Project that had undergone seven years of robust federal review and made a request to suspend the Ambler road right-of-way. Today, the Biden Administration suspended that right-of-way, saying subsistence and consultation with Alaska Natives wasn’t considered enough, despite 18 hearings in rural communities and 29,000 written comments received overall, and 50 pages of mitigation measures focused on preventing disruption to subsistence and protection of cultural resources.

“This suspension is another hasty move on the part of the Biden Administration. They sprint toward green energy, while shackling traditional oil and gas development on the way, and don’t consider the need to secure mineral supply chains for all those electric car batteries they want by 2030 and the half a million charging stations. It makes no sense. The Biden Administration blocks the development of a road to a mining district with the cobalt for the lithium batteries and the copper for the wires for charging stations. By suspending the right-of-way for the Ambler Road project, the Biden Administration ignores the gallium and germanium there that will be needed for the solar panels, smartphones, and computer chips of tomorrow.

“Mr. President will you brush this off as you did your curtailment on domestic oil production as you turn to Iran and Venezuela for more oil? Shall we continue to import cobalt from Congo for all your green energy plans? President Biden you would think that you would want to improve access to American sources of copper and other strategic minerals to increase renewables, not stop it.

“Once again, your energy policies don’t make sense.”

Should the state be the one to decide if a health clinic can expand? This bill says it’s time to end ‘certificate of need’

Senate Finance this week will take up SB 26, repealing the state’s Certificate of Need program for health care facilities.

Sponsor Sen. David Wilson of Wasilla introduced the bill in January 2021, and it received an extra committee referral by Senate President Peter Micciche in February of 2022.

Certificate of Need is a program that gives the state ultimate control over what health facilities can be built. If a clinic wants to add an extra exam room or x-ray machine, for example, it must first get permission from the State of Alaska and receive a certificate that limits what can be built or bought.

The state maintains it needs the authority over health care construction, “because of the large amount of money the state expends for Medicaid.” Further, the State states that “Demographic projections suggest that Alaskan health care services will expand to meet the needs of a growing population including a much larger senior population. Therefore, circumstances mandate that new and expanded services be planned properly to get the highest quality and most appropriate services possible at the best price.”

But the Certificate of Need program is anti-competition; Sen. Wilson’s bill allows for a three-year phase-out timeframe before the repeal would become effective.

Certificates of Need programs were mandated by the federal government in 1974. Due to their anti-competitive nature and the driving up of health care costs, Congress repealed the mandate in 1987. Since then, 12 states have fully repealed their CON laws, and 35 states continue to operate some version of a CON program. Three states do not have any such law.

States without a full CON program include Arizona, California, Colorado, Idaho, Kansas, Minnesota, New Hampshire, New Mexico, North Dakota, Pennsylvania, South Dakota, Texas, Utah, Wisconsin, and Wyoming. Florida only maintains a CON program for children’s hospitals and hospice facilities.

“Four decades of data and studies show CON laws have not controlled costs, improved quality and outcomes, or increased access to healthcare for the poor or underserved. CON laws have established healthcare monopolies, which has resulted in barriers to new or expanded medical facilities and limited healthcare choices for consumers,” Sen. Wilson wrote. “Repealing our certificate of need program would benefit Alaskans by fostering free market competition in the healthcare markets.”

Americans for Prosperity Alaska has made the repeal of Certificate of Need its top legislative priority. Bernadette Wilson, state director for AFP-Alaska, told the Must Read Alaska Show that she’ll head to Juneau for the Senate Finance Committee hearing this week. AFP sent a letter to Senate Finance requesting time on the agenda.

“After instituting this requirement, the federal government found that CON laws failed to achieve the desired effect of reducing health care costs, but rather, had other adverse effects on the US health care system. As a result, the federal government quickly removed this requirement, and has consistently recommended that states end their CON programs,” Bernadette Wilson wrote to the committee.

“In fact, the Federal Trade Commission (under the Trump, Obama, and Bush administrations) has urged states to end CON laws, citing the fact that they are anticompetitive and fail to provide any meaningful benefit or protection to health care consumers. This includes a letter sent by the FTC to the Alaska Senate in 2019 regarding the same legislative language contained in SB 26,” she wrote.

Wilson said Alaska would have 11 additional hospitals, including 8 additional rural hospitals, if not for CON restrictions. “This additional capacity would have been of great help throughout the COVID-19 pandemic, which has seen hospitals running over capacity and unable to provide a full range of medical procedures to patients.”

The bill has bipartisan support, but faces opposition from the powerful hospital lobby.

Bill to be heard in House Judiciary adds more protections for LGBTQ in housing, finance, and employment

Rep. Andy Josephson of Anchorage says passing his HB 17 “will strengthen Alaska’s statutory protections for one of Alaska’s fastest-growing demographic groups, make our state more attractive to workers considering a move from elsewhere, and continue Alaska’s position as a model for human rights advocacy in the US.” The bill adding protections for lesbian, gay, bisexual, transgender and queer Alaskans will get a hearing in House Judiciary at 1 pm Monday.

HB 17 adds gender expression and sexual identity to protected classes covered by the Alaska Human Rights Commission.

It is illegal to discriminate against someone for the purposes of employment, finance, credit, or rentals due to their race, color, religion, gender, sexual orientation/gender identity or expression, national origin, or physical or mental disability. The Human Rights Commission, however, doesn’t include LGBTQ matters in its portfolio of rights covered.

In order to start enforcing LGBTQ rights, legislation must pass that empowers the commission to investigate and adjudicate cases.

Not everyone thinks it is needed or desirable. The bill would allow the commission to investigate cases such as the Downtown Hope Center in Anchorage, which doesn’t allow biological men to sleep in the abused women shelter, shoulder to shoulder with women. If the Human Rights Commission says, for instance, the Hope Center must shelter transgenders or those who are not clear about their gender, that shelter will likely close, as it is a Christian facility and is there for the protection of traumatized women.

HB 17 will encourage discrimination against religious institutions or others who make decisions based on their religious beliefs, critics say. This may affect activities like personal services, pageants, and sports competitions, for example.

Documents with pro and con letters can be found at this link.

Co-sponsors of the bill are Democrat-aligned Reps. Grier Hopkins, Geran Tarr, Sara Hannan, Harriet Drummond, Cal Schrage, Ivy Spohnholz, Jonathan Kreiss-Tomkins, Andi Story, Liz Snyder, and Zack Fields. The bill has also been referred to House State Affairs Committee.

Proposed law will have State of Alaska take pro-active role in expanding mental health education for Alaska’s K-12

A bill requiring mental health education for students, introduced a year ago in the Alaska Senate, has made its way to the Senate Finance Committee, the last stop before it gets into the Rules Committee for calendaring for the Senate floor, where it will be debated and voted on.

SB 80 would amend the existing health education curriculum statute to include mental health curriculum in K-12 health classrooms.

Under the provisions of the new law, the State Board of Education and the Alaska Department of Education and Early Development would be required to develop the guidelines for mental health curricula in Alaska schools, and then the schools would be required to teach to the standards.

Those guidelines would be done in consultation with the National Council for Behavioral Health, Providence Health and Services Alaska, Southcentral Foundation, Anchorage Community Mental Health Services, Inc., North Star Behavioral Health System, and the National Alliance on Mental Health Illness Alaska. The standards will be developed in consultation with counselors, educators, students, administrators, and other mental health organizations. The bill makes no mention of the Alaska Mental Health Trust Authority, the state’s leading mental health organization.

The bill’s purpose, says bill sponsor Sen. Elvi Gray-Jackson, is to “adequately educate students on vital information pertaining to mental health symptoms, resources, and treatment,” particularly in this era of what is perceived to be a mental health crisis among youth in the state.

“Currently, the health curriculum guidelines include prevention and treatment of diseases; learning about ‘good’ health practices including diet, exercise, and personal hygiene; and ‘bad’ health habits such as substance abuse, alcoholism, and patterns of physical abuse. But the guidelines do not address mental health,” according to Gray-Jackson.

After standards have been developed, the Alaska State Board of Education and Early Development and Department of Education would be responsible for implementation throughout the Alaska school system. As with existing health education curriculum, the DEED, the DHSS, and the Council on Domestic Violence and Sexual Assault will provide technical assistance to school districts in the development of personal safety curricula. An existing school health education specialist position will assist in coordinating the program statewide.

“The State has a responsibility to treat the current mental health crisis in Alaska as a serious public health issue,” Gray-Jackson said in her explanation of the bill. “By creating mental health education standards and encouraging schools to teach a mental health curriculum, SB80 aims to decrease the stigma surrounding mental illnesses and increase students’ knowledge of mental health, encouraging conversation around and understanding of the issue.”

Read a letter from a list of left-leaning organizations that support this bill.

House bill would limit campaign contribution limits

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House Bill 234 addressing the legal limits on political donations will be heard on the House floor on Monday.

The bill, offered by Democrat-aligned Rep. Cal Schrage and Rep. Zack Fields, is in response to a court decision that threw out Alaska’s statutory campaign donation limits, which were held to $500 per candidate per year. The limit was ruled unconstitutional after a lengthy court journey to the Supreme Court.

HB 234 would double the contribution limits made to group entities, non-group entities, and candidates. A candidate could accept up to $2,000 a year from an individual. Currently, now that the court has ruled the $500 limit is unconstitutional, there are no limits on campaign donations.

The bill, however, creates an uneven playing field since most Democrats get a majority of their support from union political action committees.

The bill says a group that is not a political party may contribute not more than $4,000 each campaign period to a candidate, or to an individual who conducts a write-in campaign.

The bill also sets a $5,000 annual donation limit to another group, to a nongroup entity, or to a political party.

HB 234 also says that every 10 years, starting in 2031, the limit would be raised account for inflation.

The bill needs to pass the House and Senate and be signed into law by the governor, or he can allow it to become law without his signature. He could also could veto the bill and set up a situation where the House and Senate would need to convene to override his veto.

HB 234’s current version is at this link.

One year since Republican Party censured Murkowski

On March 13, 2021, the Alaska Republican Party censured Sen. Lisa Murkowski, and asked her to not run as a Republican again. The vote of party leaders was 53-17.

“It wasn’t simply one vote she cast or one statement she made, it was a years-long pattern of consistently contradicting Alaska values and the things that Alaskans support. Murkowski has repeatedly sided with her friends in the Washington, D.C. elite against the interests of Alaskans. That’s why a look at the record proves that in the 2022 Alaska Senate race, there are effectively two Democrats: Murkowski and Democratic State Senator Elvi Gray-Jackson. When I’m the next senator from Alaska, there will be no mistaking that I will fight for the interests of the people of Alaska,” Tshibaka said in a statement. 

The censure was not only about Murkowski voting to impeach a president who was no longer in office. The resolution listed an inventory of faulty actions by Murkowski, including her support of Deb Haaland as President Joe Biden’s Interior Secretary. The party said at the time that Haaland was a well-known opponent of resource development on public land, something that is essential to the Alaska economy. Alaska Sen. Dan Sullivan also voted to confirm Haaland, but was not censured.

The party also criticized Murkowski for her enduring support of abortion, for voting against repealing Obamacare, for vocal opposition to Supreme Court Justice Brett Kavanaugh, and for demanding President Trump’s immediate resignation after the Jan. 6 protest inside the U.S. Capitol.

The resolution that passed a year ago also directed the party to find another Republican candidate to run against Murkowski. Two weeks later, Tshibaka announced her candidacy and by July she had the party’s endorsement, 58-17.

Murkowski has held the seat since her father, Frank Murkowski, awarded it to her when he became governor of Alaska in 2002.

She has been a lightning rod for controversy in the party, after losing the primary to Joe Miller in 2010, but then winning reelection as a write-in candidate in November of that year.

In 2016, the Alaska Republican Party leadership had largely made peace with her, but discontent grew with her again after her continued opposition to President Donald Trump. After Joe Biden became president in 2022, many Republicans felt Murkowski had a role in that nationally, by signaling to Republicans that it was better to vote for Biden over Trump. Murkowski has not said who she voted for in 2020, but is on the record saying she did not vote for Trump.

Since Biden took office, Alaska has experienced the Biden Administration’s shutdown of nearly all of its resource industries — timber, mining, oil and gas.

Murkowski does not have strong support across the electorate in Alaska and is not popular with Republicans nationally. She has never won the majority of the vote of all Alaskan voters, unlike Congressman Don Young and Gov. Mike Dunleavy.

Although she has raised more money than Tshibaka, Tshibaka has raised more from Alaskans, while Murkowski’s money is largely from Outside.