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SUMMARY of PROCEEDINGS SSUUMMMMAARRYY ooff PP RROOCCEEEEDDIINNGGSS JOINT LABOR, HEALTH AND SOCIAL SERVICES COMMITTEE COMMITTEE MEETING INFORMATION June 4-5, 2013 Conference Room, Oil and Gas Commission Building (June 4 a.m.) Casper College (June 4 p.m. and June 5) Casper, Wyoming JOINT LABOR COMMITTEE MEMBERS PRESENT Senator Charlie Scott, Cochairman Representative Elaine Harvey, Cochairman Senator James Lee Anderson (SD28) (June 5) Senator Bernadine Craft Senator Ray Peterson (June 5) Senator Leslie Nutting Representative Eric Barlow Representative Kathy Coleman Representative Lee Filer Representative Matthias Greene Representative Norine Kasperik Representative Lloyd Larsen Representative Mary Throne JOINT EDUCATION COMMITTEE MEMBERS PRESENT (June 4 a.m.) Senator Hank Coe, Cochairman Representative Matt Teeters, Cochairman Senator Jim Anderson (SD02) Senator Paul Barnard Senator Bill Landen Senator Chris Rothfuss Representative Cathy Connolly Representative John Freeman Representative Hans Hunt Representative David Northrup Representative John Patton Representative Jerry Paxton Representative Albert Sommers LEGISL ATIVE SERVICE OFFICE ST AF F Gerald W. Laska, Staff Attorney Ian Shaw, Staff Attorney Michael Swank, Research Analyst OTHERS PRESENT AT M EETING Please refer to Appendix 1 to review the Subcommittee Sign-in Sheet for a list of other individuals who attended the meeting. 2 SSUUMMMMAARRYY ooff PP RROOCCEEEEDDIINNGGSS JOINT LABOR, HEALTH AND SOCIAL SERVICES COMMITTEE EXECUTIVE SUMMARY The Committee met jointly with the Joint Education Committee to receive various reports on preschool and early learning programs. The Committees then met separately at Casper College. The Wyoming Insurance Commissioner provided an update on Health Insurance Exchanges and the Affordable Care Act. The Department of Health reported on its Medicaid reform implementation, the Life Resource Center study and Title 25/Wyoming State Hospital issues. The Department of Workforce Services addressed the appeals process in Unemployment Insurance and Workers' Compensation. The Committee requested a draft bill based on the Arkansas bill for Medicaid expansion using private insurance premium subsidies. The next meeting will be in August in Lander, Wyoming. CALL TO ORDER (JUNE 4, 2013, MORNING SESSION) The Committee met jointly in the morning with the Joint Education Committee. Education Committee Co-Chair Senator Coe called the meeting to order at 8:30 a.m... The following sections summarize the Committee proceedings by topic. Please refer to Appendix 2 to review the Committee Meeting Agenda. EARLY CHILDHOOD EDUCATION DEPARTMENT OF HEALTH Mr. Tom Forslund, Director, Wyoming Department of Health (WDH), spoke to the Committee about programs provided to children ages birth through age five via the Individuals with Disabilities Act (IDEA) in accordance with Part B and C. [Appendices 12 and 13]. Ms. Chris Newman, Senior Administrator of the Behavioral Health Division, WDH, commented about the programs administered in accordance with the requirements of Parts B and C of IDEA. She explained the various child find activities conducted by the agency within the state and noted that the percentage of children identified in accordance with Part B and C is in excess of the national average in both instances. Director Forslund suggested the transfer of the pre-school programs from the Department of Health to the WDE in an effort to stream-line programing and systems. Senator Nutting inquired about the growth rate in proficiency for the students receiving services and requested further explanation. Ms. Newman responded that the data collected is limited to the services provided during the preschool years and that there is no mechanism currently to collect data on a long term longitudinal basis related specifically to the children that receive services via the WDH for preschool related activities. Representative Kasperik requested additional information related to the Director's suggestion for transfer of programs from the WDH to the WDE. Ms. Newman responded that she would envision the entire unit, including existing personnel, transferring to the WDE to avoid the loss of institutional knowledge. Director Forslund followed up that the transfer would allow data to be gathered on a long term basis and ensure a more unified effort regarding services. Co-chairman Teeters requested additional information regarding the recommendation for transfer of the program to the WDE. He noted that TANF students receive WISER ID numbers and it would seem that would allow collection of longitudinal data. He requested the WDH provide additional information regarding this suggestion. Senator Scott requested information related to identification of students and the process for delivery of services. Ms. Rebecca Walk, WDH, provided explanation regarding this issue. Senator Scott requested clarification of the identification process and explanation of the standard deviations with regard to assessments for identification. Ms. Walk responded that identification requires the child perform two standard deviations below proficient on certain assessments. She further stated that there are additional mechanisms for identification. Representative Connolly requested clarification regarding the proposed transfer for the pre-kindergarten activities to the WDE. She inquired about the possibility of overlap for services for certain children for other programs administered by WDH. Ms. Newman responded that there are certain services that would overlap for the same children. Representative Harvey explained the genesis of the program being placed in the WDH, noting the overlap of medical services under Part C of IDEA and the transition to activities more educationally related under Part B. Director Forslund noted that the pre-school programs under the WDH will experience a four percent budget reduction as a result of the reduction of state-level funds. PROVIDER COMMENTS Lori Morrow, Child Development Services for Wyoming/Child Development Services for Fremont County, spoke to the Committee about the organizational structure for developmental preschools. She noted the 14 regions, which include 46 developmental preschools. [Appendix 14] Ms. Morrow noted the services provided, including developmental screenings. She moved on to discussion of the staffing, noting that budget difficulties make hiring difficult, particularly in light of the increases in funding for the K-12 educational program and potential reductions in the area of preschool funding. Ms. Morrow discussed the partnership between public and private entities related to funding for these programs. Mr. Mitch Brauchie, Children's Resource Center, discouraged any reduction of funding for the developmental preschools and noted that in his opinion there is no over-identification of students. He noted the prior budget reductions and requested that additional reductions not take place. Co-chairman Teeters inquired about recommendations for budgets as the Legislature considers the issue. Mr. Brauchie responded that he would request that no additional reductions take place and that the four percent reduction be replaced. DEPARTMENT OF FAMILY SERVICES Director Steve Corsi, Department of Family Services (DFS), presented information to the Committee related to the activities conducted by the DFS in relation to pre-kindergarten students. [Appendices 15, 16, and 17] Ms. Jillian Balow, Family Assistance Division Administrator, DFS, gave a detailed description of the funds and the programs administered by DFS in relation to this particular population of children. The programs include protective services, child protection, SNAP (formerly food stamps), and numerous additional initiatives to improve the quality of life for children. Ms. Balow also discussed the various professional development activities required in relation to the programs administered by the DFS in relation to early childhood activities. She discussed the details of Child Care Development Fund and the Temporary Assistance for Needy Families (TANF). She also discussed the Instructional Foundation for Kindergarten assessment (IF-K) and the activities related to this activity. She stated, using 2011 data, 77% of pre-school student receiving TANF were proficient on the IF-K as compared to approximately 50% for all student's entering kindergarten. Representative Greene requested information related to the percentage of single-families that receive TANF assistance. Ms. Balow responded that 99% of the families are single parent families that receive this type of assistance. Director Corsi provided comments on activities that could be utilized to stream-line activities related to pre-school services. Ms. Balow noted that the agency has issued an RFP for services which relates to the services currently provided by DFS in this area. Representative Throne inquired about the data available for the children and families that receive assistance outside of the TANF program by DFS. Ms. Balow 4 noted that there is no comprehensive data collection of the population served with regard to educational outcomes for populations served outside of TANF. Representative Connolly noted the data indicated approximately 51% of children are kindergarten ready in comparison to 77% for those served by TANF. In addition, she inquired about the nature of the RFP and the services sought by DFS. Ms. Balow responded that the RFP is seeking services to coordinate regional and community services. DEPARTMENT OF EDUCATION Dr. Rose introduced the activities
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