We call the Senate Finance Committee to order today's February the 10th please silence your cell phones in attendance today we have Senator Stidman, Senator Olson, senator Keel, Senator Merrick, Senator Kauffman Senator Cronk and myself, Senator Hoffman Today we had one item on the agenda that's to hear an update from the mental health trust Board Chairman, Brent Fisher, CEO, Mary Wilson, COO, Katie Baldwin. Please come forward, introduce yourselves, and proceed with your presentation. Hi, everybody. I'm Mary Willson. CEO of the Alaska Mental Health Trust. Some of you may remember, last year was my first year, and I've been here in the job about three weeks, so I'm a little more of a widely veteran this year. So let me introduce my team. This is Brent Fisher, who's the chair of our Board of Trustees, and Katie Baldwin, who is our COO for the trust. In today's presentation, we plan to cover a bit of information about the Trust, a financial update. the trust FY27 budget, trust authority grants and programs, the Trust Land Office and what's ahead, including a bit about the Rural Health Transformation Program from our perspective. Before I turn it over to the chairman, I want to note that we also have the trustee CFO, Julie Farley, and the Truss Land office ED, Justin Warner, who are on the line for questions during the presentation if needed. Allison, by a stock, our Chief Communications Officer is also joining us today. You also have a handout with detail in the Trust's MTAR grants. We'll pick up on that on slide 15, so we're not quite ready for that as we start. Thank you, Chairman. Okay. Thank You, Mary. This slide here shows the current makeup of the Board of Trustees. Many of my fellow Trustee's are in that, or a few of them are in The Room. Kevin Feynman is here. those who are not present, or John Morris, Cory Feihy, Agnes Moran, and Josie Hickel. The Board of Trustees, it's an independent board, and we provide governance, fiduciary oversight, and strategic direction to the organization in achieving the mission of the trust. And I've been a member of, I have been at Trustee for the last five years. This is my second year as Chairman of The board. And I must say that this, I believe this to be the most productive Board of Trustees that the Trust has ever had. For, just in the past three years, we've realigned the charters and the bylaws to more accurately reflect what's in a settlement document. We've increased outlays and grants for our beneficiary serving organizations. We have had a successful implementation of the. crisis now program, which continues to grow throughout the state of Alaska, particularly in rural areas. We've, we're focusing more on children and the prevention of mental health or at least making, preventing deeper levels of middle health issues within the State by looking at children in the foster care program. And we've just completed a new strategic plan for the trust that we think is the most complete that's ever been had by the Trust. We also, just for you who represent different areas of the state, Kevin Feynman, myself, John Morris, and Josie Hickel all currently live in the Anchorage area. But Josy Hackel was raised in Mousse Pass and Kevin Fyneman lived for many years out in Nome. Agnes Moran is from Ketchikan, Cory Fai, he lives in Chickaloon and Anita Halterman in Eagle River. So we represent or have lived in many parts of Alaskans who we consider to be beneficiaries of the trust are Alascans who experience one or more of the conditions you see on this slide. We support both youth and adult beneficiaries and we prioritize individuals whose mental health condition or developmental disability place them at risk of institutionalization if they don't have proper community level services and supports. We also work upstream to prevent, when possible, those conditions in Alaska, such as the children that I mentioned. Now, in this next slide, it talks about the trust, the Alaska Mental Health Trust Authority is a state corporation within the Department of Revenue that administers the Alaskan Mental health trust which is perpetual trust. which improves the lives of beneficiaries. The Trust was established following a landmark legal settlement in 1994. We spent some time covering our history last year, but if you'd like to learn more in depth about the inception of the Trust, we have great resources on our webpage that you can look at. The trust uses its land and cash assets to help ensure that Alaska has an integrated comprehensive mental health program. We do this through grant making and through advancing efforts to improve our system of care for our beneficiaries. And while we are an independent corporation, we use our resources to partner closely with the state, with local governments, with nonprofits, tribal partners, and providers, and others who advance the mission of the trust. We prioritize our funds for system improvement, innovation, and strategic initiatives. also overseen by the Board of Trustees, and which we'll talk a little bit more about later in the presentation, is contracted exclusively by The Trust to manage its approximately one million acres of land and other non-cash assets to generate revenue over time to better serve the beneficiaries. And as an entirely self-funded corporation, the Trust uses no its grant making or its costs for our staff. A few other notes about the trust. Per Trust statute, only the Board of Trustees has the ability to direct the use of trust funds. Through our grants to state agencies and to community partners, we complement state spending for beneficiaries. But trust fund are not intended to supplant state spending. No, nor per settlement documents was the trust meant to be the sole funder of the state's mental health program We appreciate our strong partnership with the State. We've worked productively with The executive branch department since our inception 30 years ago, and we will continue to leverage Trust funds to support the states role in caring for the health and wellness of Alaskans Now as evidenced by Our recently revamped mission and vision, central to our work at the Trust is improving the lives of Trust beneficiaries and the systems that care for them. For three decades, the trust is invested in mental health services and supports impacting beneficiaries in the system they rely on. These investments have delivered real progress, yet we know that Alaska's system of care can Together the trust and the land office aimed to carry this vision and mission forward Working toward a future of thriving beneficiaries and communities in which they live. Thank you Thank You Jeff Fisher Thank, you just just a note. I think that The legislature appropriates the dollars that should be well understood. I was here actually at this table when the trust was established in 1994. So it was never the intent that the legislature was to pass its fiduciary responsibilities on exclusively to the mental health trust for the record. Thank you very much. So, we're going to move to the financial, an update on our finances. To update our financial position, we are going start with our assets today. We can go to next slide. There we go. Trust investments as of the end of the last fiscal year were 826.5 million plus 37.4 million in real estate equity. Total assets of 865 million, which is a bit of an increase over the previous fiscal years of 848 million. In green, you'll see the Mental Health Trust Fund, managed by the Alaska Perm Fund Corporation, also referred to as our Corpus internally. That's got 559 million Last year, it was 531 million. Overall, since inception in 1996, our corpus has grown due to revenues from activities on trust land, permanent transfers for inflation-proofing, and market growth. It was a big part of that over time. Our trust reserves, which are in blue, We have reserves to prudently ensure available spending for beneficiaries even during periods of market downturns Our goal is to have 400% of our yearly spend and we currently are at that with a hundred and forty-three point six million In red we have unrealized appreciation of a 125 million our unrealize appreciation will vary year-to-year It unrealizes appreciation our gains on paper and are not available for spending until it is realized. APFC investment team determines when it's realized, and then finally in dark blue, we have real estate equity of 37.4 million, and that's down from 59 million the year before. Those of you who have been here a few years, remember the real-estate investment that the Trust did, commercial real state, and you see it there. You may recall that we reported to you that the board decided in 2024 to dispose of the trust commercial real estate portfolio having met its investment objectives in fiscal year 25 two of The six properties were sold and that reduction in equity is reflected on this slide The sale also resulted in 21 million in proceeds for the Trust in FY 25, which is reflective in the reserves So we sold some property The the value of the assets went down and the money that we made went into those reserves to make sure that We have the 400% we need every year just so that's clear Yes, whether you want to go over it now or when we get to the real estate section For you to review the process of how properties are identified for sale and the Process of public sale. So I think that is has become a topic of interest to some legislators. Okay I can do that now because I don't we don t have another slide on commercial real estate since we're dissolving those assets and if you have any other questions that I cant answer we'll follow up with that so we started with six properties that were bought some of them are over 10 years old and made the decision in 2024 to start divesting and so far as of today we've divested four of those properties. One was in Anchorage but the other were in Texas. The final two remaining properties one's in Austin and one is in San Antonio and those are the decision about when to put them on the market. It does depend on advisors we get and consultants around what's a good time, whether the tenants are full or not, that type of thing. So that's why those two properties haven't sold yet. But we're going to plan on, I think, probably nine months from now we'll re-review and put those on the market. There aren't any other properties in Alaska from this book of business. The mental health trust so the Alaska property was on Are you talking about the one on commercial drive that sold this last year? That's the only one in Alaska that I'm aware of any any Adjacent landowners Yeah, so I mean maybe I am not sure actually I don't know if Mr. Chair, are you referring to land sales within the state of Alaska? Yes. Okay. Yes, thank you very much, Brenda. Yeah, so land sale we're going to come to later and we'll try to answer that in a future slide, slide with the T.L.O. But the unless you like, I have just you on the line, she can talk about it now in specifics. But I do think we will talk out T L. O. properties later in the slide presentation. Thank you, Mr. Chairman. I think it'd be helpful if we go back and take a look at those six properties as the ones in Texas and the one in Alaska that, a few years ago, we had to have a slide on the listing of those properties and income and expenditures, and I think could be beneficial for the committee to have that data on each individual property. What was paid, what the debt fall of wax until liquidation, equity reversion back so we can see what was made or not made on those properties. And clearly, sounds like we're moving forward to go from those six holdings down to two that are more problematic, interpretation I get than the other ones. And I'd like those included also. So we were slowly getting to the point where we are closing that chapter of the real estate. And that would be the real estate holdings, not statewide real-estate. Yeah. Any disposable of land? Yeah, I think we would like to know what input adjacent land owners have had. Okay. And utilization of those funds, where do those dollars go? Of interest to the committee senator keel. Thank you, mr. Chairman, and I think Director Warner you you mentioned that the two commercial real estate properties sold in 25 that and Think you said the proceeds got added to reserves is there a differentiation between the the equity and and net profit from those In in the case of either the first two or these most reason to is any of that added to the corpus of the funds holdings That's invested by the permanent fund corporation or does all the money go into into your reserves? Yeah, I'm gonna let Julie who's on the line help answer that from finances, but the To go back to your question We did go through all of finances in our finance committee for the board And so you can look at all that information and then we'll send it to you afterwards on that But Julie, can you answer? the question Julie Farley please identify yourself for the record through the chair the senator keel this is Julie farley the cfo the alaskan mental health test can you hear me yes we can hear you loud and clear so senators killed questions related to the next proceeds of the commercial real estate have been used to increase the amount of reserve at the trust and they are not transferred to principal. The reserves are used for the annual payout that the Trust funds to fund this budget every year. Senator Keel. Thanks, Mr. Chairman. I'd love to take the director up on her offer of the the minutes of those finance committees so that we can get a look at how they reason that. Thank you. Yeah, thank you and well it goes through all the four sales that we've already executed on in the end. What did we pay for them? What was the debt? All the things you're talking about. I think it should be in there and we'll forward that and I'm sorry we didn't bring it today. Thank You. We're good yes This slides illustrates how we determine our available funding each year and the amount reflected here is for FY 27 So let's go over the FY27 funding starting at the top The largest portion of our annual spend is funded through a withdrawal from our invested assets This is 4.5% of the average value from the previous four years As noted on the slide, FY27 is the first fiscal year where the payout reflects our increased payout rate. Trustees worked with Cowan as a consultant last year to consider our annual withdrawal from our invested assets. And determined that it was prudent to change it from 4.25, where it had been since 2008. to 4.5. That increase is reflected for the first time in our FY 27 budget, and it resulted in an additional 1.9 million in available funds. Moving to the next line, the Trust Land Office or the TLO spendable income also contributes to our available spend estimate, shown here at 4,3 million, which is a two-year average. We also have a two-year average of prior funds carried forward, which is 4.5 million. These are approved funds from prior years that have not been fully expended. Unused grant funds do roll back in to our annual spend calculation. And lastly, we have 2.4 million in interest earnings from our most recent fiscal year that contribute to the spend. Senator Stedman Thank You mr. Chairman Moving from four and a quarter to four-and-a-half Could you elaborate a little bit more on that why that was recommended or pressures that pushed that discussion? Yeah, through the chair I'd be happy to so this was a full board discussion as well as coming out of finance committee from our structure And the Calvin presentation really discussed the idea of in perpetuity, what does that mean? And part of what they discussed is you can't disadvantage current beneficiaries for the benefit of future beneficiaries. So if you have 4.25, the question is, is that short-changing current beneficiary when we know that the corpus is going to go up at a certain rate over time and we have that historically? to raise that to 4.5, so we give, which still preserves with, they showed us, I mean, with 90% accuracy, the future 20 or 30 years down the road, but allows us to give more money to the contemporary beneficiaries. And that was how the discussion went. Mr. Chairman. Senator Stadman. I think we should bring that conversation to that table when we have the permanent fund board here. I don't think our pay out there is five and have that discussion. the permanent fund and the mental health trust and in that they're both in perpetuity and have well-diversified portfolios. So we should possibly ask Callan or mental Health and department fund to compare those two portfolios and to have that discussion here at the table. Thank you, Senator Stidman. Going back to the Mental Health Trust, please proceed. Good please proceed Because we know that there's an interest in how we are investing with our partners and communities This is illustrated in this slide, which is our annual trust approved spending This shows a trusty spending year over year As you can see, there is a trend of increasing spending, particularly on beneficiaries, which is the long blue line on this graph. I'll note that this chart goes through FY 25. Does not yet show the increase pay out of 4.25, which began with our FY 27 budget. The reason we're ending up with an increase, as you see is largely because as I said earlier on the slide, we set our budget by the four-year average as we look back, and when you use bad market years that were included in that the year before and those drop out and so the four-year average goes up and that's why the money's so much more in FY 25. So it's a good formula we have we feel like. We have a Good average of risk and then benefit to the contemporary group. Can I request the grants that are made to grantees that time. Senator Stegman. On that subject, Mr. Chairman, four of us here at the committee took a trip to Mount Edgcombe School here last weekend, and it was reflected in that visit that there's some mental health issues the school is struggling with. And I was wondering what the mental Health Group here, at mental health well being of the of the Alaska students at the Monashkam High School. That's a thank you. It's really good question. We do have more information later in the slide deck on the grant making element, but I can also ask Katie to answer here if that would be helpful. Through the chair Katie Baldwin Johnson That's a great question. I too have visited the school there, and at this point, I think that we can go back to our team and see if there has been engagement or conversations related to that, but we're certainly willing and available to, you know, speak with folks in the community to see if they're some solutions that we could work on together. It's interesting. And the follow-up, yeah, it's nice to talk to the community, but whether you talk And then if mental health group here could report back to the Chairman on what the outcome is, if the Department of Education doesn't engage as fully as I think some of us would like them to in that school, we need assistance. And it looks like the Alaska Mental Health Trust is in a unique position to help the youth of Alaska going to that School. the other school districts in the state of Alaska, their responsibility lies with the Department of Education. So we have students from Mount Edgcombe that come from all sectors of the State of Alaska. They have been a top performing school, but many of them have issues as well. particularly those that are coming from western Alaska with the two disasters, one up north and the one in my district. Please proceed. I'm just one last comment on this slide. We did include our value of our below market leases for beneficiary serving organizations on the slide, so it's about a million dollars that was added compared to when we showed We have a few slides on the Trust Land Office. As mentioned earlier in the presentation, the trust land office sits within the Department of Natural Resources and manages the truss 1 million acres of land to generate revenue for the trusts and its beneficiaries. The trust owns about a million acres of land in southeast, south central and interior Alaska, and that land is managed by the TLO, the Trust Land Office. We have an excellent team at the TLO, which sits in DNR and is overseen by Justin Warner, T LO Executive Director. The Trust has the responsibility to manage the trust lands and non-cash assets over time. to generate revenue to support the trust's work on behalf of beneficiaries. We have several asset classes that we manage within our land holdings. Forestry, minerals and materials, energy, commercial ground leases, and program-related real estate and land sales leases and permits. revenues from land trust lands support our ongoing work on behalf of trust beneficiaries. Trust lands like trust finances are managed with perpetuity in mind. As you can see we anticipate earning more than 12 million in revenues from our trust land assets this year. If you have if you have the map that identifies these resources and where they're located We'd like to see that if not, please, can you provide that map to the committee? Yeah, we'll thank you. We'll provide it later. We don't have that in this presentation, but we can definitely show that to you In FY 25, the TL are generated more than 12 million in revenue, and as referenced earlier, The TLOs, MOUs with Ketchikan, Rangel and Kenai, foster a collaborative approach to land development across southeast and south-central Alaska by formalizing these partnerships. The TLO and its local government counterparts aim to align planning efforts, shared technical expertise, and identify mutually beneficial opportunities that support both trust revenue generation and local economic development. Because the T LO offers financing for the purchase of trust lands, interest revenues are generated on top of the sale price. In FY 25, that interest totaled about 846,000. Thank you, Mr. Chairman. A couple of years ago, we put in a little bit of money to Alaska housing to facilitate an equity infusion into subdivisions that may not make the hurdle rate if they're with a mental health trust authority, the University of Alaska at the end, or I was wondering if Also, I'd like to Find out if the trust is still Just doing platted subdivisions in communities and not putting in the the roads or the utilities or if they're actually working with the communities so when they do a plated subdivision They're not leaving it up to a decade or two decades out to try to get those Road corridor is built and the utility is in. Yeah, thank you for the question. I'm going to call on Justi who's on the phone to help answer both those questions. Justy Warner. Thank you. This is Justey Warner, Executive Director of the Trust Land Office for The Record. We did apply to Alaska Housing Finance Corporation for the funds that you discussed, and we have not been awarded funds. We have collaborative conversations. We kept in good touch. But today we haven't received any funding. development in communities. So that's kind of what those MOUs are that Mary has described in the different communities, so what we've been doing is taking this new approach in signing M.O.U.s with the local government so we can ensure that you know the fact that we are both taking are leading to the same place And ultimately, at the end of the day, that's when progress is made. And so what we do is we sign these MOUs, we identify each of our intent and how we're going to work together. And we have a thing that we are looking at with subdivision. You know, you've got quite a bit of large tracts of land that do look at some dividing, and we pulling utilities in but we have to make sure that you know our due diligence is done with trust funding and we need to have a positive return and when those don't pencil or the risk is pretty high then that is when you you typically can't move forward on those those projects and that's kind of that infusion that we were talking about that way we're seeking. So can you provide the When was the request made of the housing authority and how much and can you provide the committee? With that request Sure, thanks absolutely we can follow up and provide a committee that information Senator stedman. Yeah, if I could mr. Chairman, there was a subdivision in Petersburg. Could you? elaborate on that if there's been an agreement there with the community or not Ms. Warner. Tricking, Senator 7 to the chair. You're exactly right. There is still an updating subdivision that is platted. In Petersburg is a large subdivision and we have been unable to move forward with that. We need additional local signatures on that flat to move forwards and we are in discussions of And that just hasn't been, hasn't found resolution yet. Again, it's not that's an area where, you know, we need to look at the size of the subdivision, the absorption rate in the community, lot size and price for community needs. And then road costs and road standards that are required. Senator Stadman. until such time as there's an agreement to get the utilities and road in either through L.I.D.s or some other mechanism. However, you guys want to do it. But just doing a platted fly-by in a community and a major subdivision. And it is a large one for the smaller communities in southeast of what we're referring to. Maybe not up north it'd be. You know, but it's a big subdivision down here. that there'd be decades before that road was built and the utilities and so on and so forth were put in. So I think it's in my opinion, it is a responsibility of not only mental health trust in their land subdivision but the University of Alaska and DNR not to make a mess in the communities when they do subdivisions. And it certainly appropriate to do them in phases, smaller amounts. And if the program that we talked about for the equity infusion, which is to bring the ability for the subdivision to meet the hurdle rate, so the mental health trust makes their return to the university or DNR, if under the impression that that program's working and we can get an update on it, we can put more funds into that to facilitate the three entities moving forward with their subdivisions because everybody wins in the end on it and hopefully there'll be a return of some of the capital back with property tax arrangements with the community over the next 10 years or however, so it's not a, we're not running a charitable case here, but we are trying to come up with a business model that actually works and moves some these subdivisions forward so we'll take that up with Alaska housing and see if we can't the foreign entities can all work together because we these are small appropriations here at the table even though they we have tight budget times but involved relative relationships we're not talking hundreds of millions of dollars here I think the last time we did what four million or something at So we'll get that report and work with you, and I am looking forward to a solution at The Petersburg subdivision and not a mess to give to the next generation Thank you so much. It will take you up on that. Thanks a lot. Thank You Senator Stedman. Miss Wilson, please proceed Please proceed Go on Thank One other thing on our highlights is, I see Cape, which I think you've all heard about. It's the area that's being developed for exploration, for minerals and gold, heavy metals. And so that is on track, we've had encouraging results, and we have been doing field work there for about 10 years, so more updates as we get more information on that. Here's a breakdown of our trusty approved budget for FY27. Based on approved budgets, you can see the largest portion of annual spending is grant making and beneficiary initiatives. This blue bar includes MTR grants to state agencies, and we're going to talk about those more in the next slide. But also grants for non-profits, local governments, tribal entities and other beneficiary serving organizations. Trust Authority budget, and the green one is the TLO budget. We do work continuously to control spending. At the Trust authority, we have 17 FTEs, that's the blue one, and we've not increased any Fte since 2017 when there were 16. So it's been almost 10 years since we added a person. And if you'll recall from the previous slides where we showed how much we spend every year and how the spending and the grant administration has gone up, we feel like that's a really good sign that we're operating pretty lean. I feel that as having reviewed it in the past year. So I wanted to reassure you about that. For the TLO, they have 17 FTIs also. They're down from 19. So that's sort of where we sit. It's about, you know, five to six million for each of those. And then you can see the grant making. I'm going to turn it over to Katie to talk about the next slides. Thank you. And for the record, Katie Baldwin Johnson, chief operating officer. This slide reflects a closer look at our FY27 MTAR grants to state agencies. Of the 11.4 million, these are grants to our state of Alaska partners that receive trust funds through the state of the Alaska budget process, and there are more than 60 MTar increments that have been transmitted to be included in the FY 27 budget. Those of you that will be serving on the department's budget subcommittees, you'll see the MTAR increments as part of that process and detail and You'll you have a lot more information about those But just to also bring to your attention you do have the handout that has a list of all the FY 27 MTR grants as well The MTR funding is used for a variety of purposes, including capital funds for grant programs to work with Trust beneficiaries, training programs for beneficiary-connected workforce, workforce priority for our state partners, and many of the nonprofit organizations across the state serving Trust Beneficiaries. Data and planning efforts in collaboration with our State partners focused on the comprehensive and then also funding multiple positions, excuse me, in departments and divisions that are working on initiatives that our priorities for the trust. I will mention that there is a slight increase in our MTR funding annually, but we continue to work closely with the departments on that. Next slide. Because we feel did. Before you proceed to the next slide, Senator Cronk, thank you, Mr. Chair, so I'm looking at this list I see 16 projects with UAA. Is there any other projects for the UAL for UAS or any of our university campuses? So I believe this is the Full and complete list of MTR projects right now, but I certainly can double check that With our folks so at that time I don't think so Through the chair. Is there a reason the other universities don't have any funding? You know, I would actually check with our team we collaborate with the entire university system and coordinate on those things But I'd be happy to get back with you. Thank you Thank You Senator Cronk Please proceed Thank, you so We wanted to spend just a few more minutes offering some additional detail on our MTAR projects and just reminder we talked about this. MTar is approved by our Board of Trustees and it's been through the state budgeting process and these grants demonstrate a long-standing collaboration and commitment to our state government partners that play a critical role in serving our beneficiaries since inception in 1994. We have granted more than $260 million to state agencies. Prior to I think going into a little bit more detail on this slide. I just want to highlight a few examples of some MTAR projects With state agencies One of those has been to support the peer support certification process through the Department of Health and Division of Behavioral Health These funds have supported the department to oversee the continued dissemination of the certified peer-support curriculum, training oversight of the Commission for Behavioral Health Certification. Peer support specialists are critical to many of the initiatives that we're working on with our partners in the state. Our crisis initiative, the stabilization, mobile crisis teams, and our call centers all employed peer support specialist. So we view them as a key part of our workforce. So this is one of Another one would be a grant to Department of Health, Senior and Disability Services for Adult Protective Services. This is a direct service example of a Grant that supports operations of Adult protective services to maintain investigation capacity, to assist with institutional discharge planning, from hospitals and Department of Corrections, and also assist with petitions for guardianship or conservatorship. In the last year, 183 beneficiaries were assisted, and 100 plus people were trained in that process. There are several other examples. We're happy to go through those, and we also have information posted on our website with detail of all of our MTR grants and all our authority grants. So I wonder... We've had in western Alaska two communities, Kipnuk and Kugilnak where we had 1,600 individuals that had to be relocated and the vast majority of them are still not back in their communities. I'm sure that they don't have the resources to submit applications, but the mental health trust has vast resources and personnel. What, if anything, has the Mental Health Trust done to look at the situation for these individuals that are surely devastated and have many problems for the coming year? Thank you for your question. We really are working closely with our partners and folks that have been very engaged in focusing on solutions and support to those displaced individuals and We also are aware that we need assistance to connect with the resources at a local level to help understand what those needs are. We partner with Rasmussen, we partner with The Department, South Central Foundation was working very closely in this space. We wanted to be careful not to essentially Get out ahead of many of the individuals that we're working to try to support some of those solutions But we still stand ready to collaborate with folks on solutions and opportunities where we can support and so if there are monetary needs that they come up with That are not included in FY 27 budget How would they be addressed that were directly related to mental health? Well, there's, you know, the process through the state budgeting process, which is an option, and certainly our Board of Trustees. Well aware of the State Budgeting Process. Yes, sir. And also our board of trustees approve authority grants, which are grants to community organizations, non-profits, that don't come through that process. And that would probably be one of the best avenues for us to collaborate on those issues. So, if the people that you're collaborating with come up with a program to address the mental health needs of this region, you feel that your situated with this budget to address unnecessary or unrequested funds that are not in this budget, to do those problems? Yeah, I'm going to jump in on that one through the chair. So. Going back on that Katie's absolutely right right when that disaster happened We jumped in with our partners to say how can we most how could we best assist? So we've been talking from the very beginning and we have a lot of grants that we can give out in Partnership depending on what's available. I think your question about FY 27 is is there flexibility in that budget? Should things come up that weren't anticipated and yeah, that's part of the rework We've done in our strategic planning and in and the Katie has done an awesome job in this path you're really figuring out how do we become flexible in the future because we set our budget so many years ahead and so yes there's flexibility and money aside for things that come up that the trustees are interested in doing or that environment needs or that we see as a vital need in state of Alaska at that time. Thank you. Please proceed. Unless there's any questions about this, I just want to highlight the column to the right in red are the differences between what our Board of Trustees recommended for the budget and what the Governor recommended. a coordinated and planned response to individuals across the state, the Crisis Call Center response to calls for suicide prevention, individuals in stress, 24 hours a day. It's also operating the 988 call line. And we're seeing a consistent increase in the volume of individuals that Thank you, Mr. Chairman. I was wondering if there was a dialogue with the administration on the budget reductions that was submitted to the legislature after the governor reviewed the Budget Submission from Mental Health and what kind of dialogue and reasons the Administration put forth to offer up these reductions. I think the reason was overall budget process is not specific to that you'll notice that we the Board of Trustees Last year we did a 750 Trust grant and then 750 general fund request To get the 15 1.5 million and this year the trustees did 1 million from us and a 500,000 requests Respectfully because of our anticipation of the scarcity and the money and then this is was still deducted as it was last year There are two revenue sources we've stated you stated that the mental health trust has several million dollars for For appropriations and you would have not made those requests if you did not have the funds So it's not as though by reducing the mental health budget. It helps the general fund So that is correct. I think that's what Senator Steadman is getting to in in your view or in the viewpoint of the board when they made those requests or those quick requests justified or Or was the justification that the governor utilized in vetoing them more justified than the department's request to expend those dollars on behalf of the clients that are in need of mental health services in the state of Alaska? I believe that's the question. And if I'm understanding your question, and I don't know if you have an answer either, but I think I, I am not aware of justification for the reduction, if that's what you're asking. And through the chair, this is Katie Baldwin, Johnson. If I might add, we do. communicate with OMB and did get our communication from ONB articulating the reductions that the governor provided in his budget and specifically the AHFC special needs housing and the homeless assistance program in the Governor's letter articulated the replacement of our general And as far as Mary mentioned the reduction for the crisis call center we we are assuming is related to the Type budget fiscal year He's perceived senator senator keel sorry to be slow on the slow-on the uptake there mr. Chairman so we'll Figuring out fun sources is is Part for the course around here. I was interested in the homeless assistance program though It looks like if I'm reading this right and if there's no typos that there is both a fun source change and an an Increase proposed in in that one instead of 2.9 million general fund in The mental health budget It'd be 4.1 million in HFC dividends Can you lend any insights on on what's going on there? Through the chair nothing more than what you see as well is that we were pleased to see that the governor was recommending increase receipts for that purpose the need far exceeds What we have here on paper today, so we we're pleased To see That Thanks the question, you know regarding those two appropriations for housing grants and for homeless assistance That is four and a half million dollars that you propose that could be utilized for those services that are well within your means. And I know that the Alaska Housing Finance Corporation has a broader scope under their responsibilities. housing. Housing continues to be, or a lack of housing continues to a major, one of the top major issues our state is facing. Without housing, it's hard to recruit individuals to provide the basic services, and it is hard to retain those individuals if they don't have adequate housing so, you know, I think The governor proposes budgets. We are the appropriators, and we make those final decisions. He ultimately has the right to use his red pen to veto anything we propose. So I think Senator Keel, it's our power to appropriate. Please proceed. So we spent some time on the trust budget and the Trust MTAR grants to state agencies and now we want to pivot to the Trust grant making and system change work that happens independent of the state budget process So I want a touch on this slide on our Strategic planning and you heard chair Fisher mentioned that we have a first new strategic plan in a long time And that were really excited about what this looks like So during the last year, we worked on updating it. What you'll see up there is we've reframed our priorities. So we still serve the same beneficiaries. No one's dropped out. The group that you saw at the beginning is the same. But we were organizing our priorities in terms of, in a sense, it's kind of a medical model. Some of you may remember I'm a pediatrician, but so we're doing prevention and early intervention for all crisis response for everyone that needs it in the moment. Treatment and recovery, the acute phase after the crisis. And then finally ongoing support and well-being. Those are our priorities and we're gonna organize our work in those priorities. And when you look at the Outcomes and the effectiveness of treatments in Alaska mental health and we've heard a lot about challenges Trying to get organized in this way. We feel like we can really be effective and you'll see the core commitments The first one is data. We want to really leverage data so we understand What the problems are in the state better so that we? Understand if there are effective well-tuned evidence-based interventions that we're using them as much as possible and that we understand what drives increased costs and decreased costs in where you get quality outcomes. So that's what the data is going to be about. Sometimes we've got data, sometimes we don't, but we need to understand both for the trust and the work we do and we grant. are they effective? Are they making a difference? But we also want to contribute with our partners at the state in this. And we've worked closely with the Department of Public Health, of course. The other thing of our commitment is we work through partners. When we go around and speak to to the trust and then get money sent to you, you don't qualify through the Trust as a beneficiary, that's not the process. The process is you are a beneficiaries if you have those conditions and we work through partners to distribute the money that we give. And so those partners are critically important, those partner know a lot about what's needed and share that information as we set our strategy and our budget for the following year. And then finally, working with the Trust Land Office. They are fiduciaryly responsible for managing that land. As you heard, we get money from the offshoot of the market through the Perm Fund money, and we get the money that's contributed through the trust land office to us. So those are very important core commitments that we will continue to have. So we're making data-informed investments. We're fostering transport and partnerships, and were stewarding our natural resources. operationalizing, the strategic plan, and so more details to come on how exactly that will work in terms of our staffing, but I wanted to let you know about that. So what types of trust grant investments do we have? In 2025 the trustees approved 10 million in MTR grants and 19 million other trust grant making so that was 2025 We've been jumping from 2025 26 and 27, but that's because that is the last complete year Well, this committee hears about our MTER grants We want to spend a few minutes on other types of grantmaking much of the trust Grant activity occurs completely Independently from the state budget we have the ability to award grant funding directly to community partners In addition to our state partnerships, the Trust is proud to partner with many providers, non-profits, local governments, and tribal organizations to have a positive impact on our beneficiaries and the providers that care for them. While MTR grants are only awarded through the state budget, we award grants to partners on a quarterly basis. Last fiscal quarter, for example, We also show mini grants on these slides. These small awards are for individual beneficiaries and they are incredibly impactful. Mini grants are awarded through a partner agency and can support a variety of purchases that improve the quality of life. More information about these grant programs, including how to apply, can be found on our website. So, we talked about the types of grants on the last slide, and now this slide offers an at-the-glance look of our FY 25 grant awards and where they went. There were 149 grants awarded to communities across Alaska. We have five active below-market leases to beneficiary-serving organizations on trust lands, those are now reflected in in-kind grants. And our grant fundings are often leveraged with other community funders. We also have some great highlights on this slide illustrating some of the impacts of trust grand making in FY 25. To call out just a few, the programs that we funded, we trained more than 5,000 beneficiary-serving individuals from 100 communities. We supported close to 5 thousand families with early intervention and education and support programs. 9500 mobile team responses to individuals in a psychiatric crisis Katie yeah, thank you through the chair This slide is an opportunity to highlight Some of the trust grant making that is direct to our non-state Community-based organizations and nonprofits serving trust beneficiaries, and I'm just gonna highlight a couple of these Set Free, Alaska is located in the Matsu Valley. Trust funds were awarded to the organization to assist in its therapeutic campus expansion. Which essentially the the plan for that is to double the capacity of their children and families program by adding up to 70 new clients Increase their outpatient adult Program by 75% serving individuals impacted by addiction Essentially set free Alaska serves about 600 beneficiaries per year and with these funds in this grant approximately an additional 340 beneficiaries per year. So this is just an example of how we can partner with organizations to address their wait list, address the capacity needs, and expand services to beneficiaries. Another one I'd like to highlight is the Grant to South Central Foundation for the Traumatic and Acquired Brain Injury Project. These funds, this actually has been funded for four years, upwards of $1.3 million. And this has supported them in planning, the effort, which basically enabled them to implement the early identification and intervention services to address acquired and traumatic brain injury within their system of care. This has an incredibly successful project. It will create and implement processes for early identification and intervention services for traumatic and acquired brain injuries and will also involve system level changes. There is certainly the opportunity to look at scaling this, learning from what South Central Foundation has implemented. 836 trust beneficiaries have been diagnosed with at least one traumatic brain injury diagnosis thousand encounters through South Central Foundation. Another one just briefly to highlight volunteers of Alaska, volunteers of America Alaska. The trust funding supported the first withdrawal management facility for adolescents in Alaska this is a new service type and feels a critical gap in the continuum of care for youth in Alaskan. Arch is available statewide to youth with a substance use disorder who require withdrawal management. They're an 18-bed facility and they currently serve about 60 youth a year, all of whom are trust beneficiaries. Many of these other projects are located in other communities. A2P2 provides services statewide. Residential youth care, RYC, is located in Ketchikan. We provided some funding to expand and do renovations to one of their facilities that will enable them to expand a community youth center to support youth and young adults in that community. The Tundra Women's Coalition Center in Bethel focused on transitional housing to youth, ages 18 to 24 in that community, and other examples, the Tanana Chiefs Conference, we were, our trustees were able to support a below-market lease for Tananana chiefs for their adult behavioral health treatment facility on trust lands in Fairbanks. and TCC currently provides medically managed withdrawal management residential treatment services to trust beneficiaries at this property. So there are many examples. We have much more detail of our authority grants on our website that describes all of the projects, the location, what it's intended to accomplish and the intended outcomes for Very briefly we engage in many other activities besides grant making just an example through our Staff leadership and technical assistance resources. We strive to support the capacity enhancement of beneficiary serving organizations to enhance, expand, and strengthen services and address gaps in the continuum of care. One thing I'd like to highlight on this slide is the trust offers grant writing and proposal development opportunities and assistance to organizations that are seeking additional grant opportunities. And our contractors work with those organizations to prepare competitive proposals to federal opportunities available and through this trust investment Essentially over the last three years. It's generated 45 million dollars of new grant dollars for the state of Alaska to support beneficiary serving organizations Questions for Miss Baldwin Miss Wilson please proceed This slide Chair Fisher briefly highlighted the trust commitment and work on the crisis initiative That the Trust has been engaged in for many years now this highlights Many of the successes that we're seeing we seeing communities step forward that are working directly with us and our partners on designing local local response to individuals in crisis. We also have many communities around the state that are reaching out and engaging and communicating that they're interested in partnering and looking at opportunities available to them in the communities. And just to highlight a reminder about this initiative, it's about a place to, someone to call. So you have a call center, a crisis center. Someone to respond, that's a local response of a mobile team that can meet with people, meet them where they're at in the community, whether that is a behavioral health, mobile crisis response team, mobile integrated team which might be a pair of medicine paired with a behavior health specialist or a law enforcement co-response type of situation. The point is to provide other resources other than law community. We're seeing tremendous success with the mobile response effort across the state in many communities with more than 10,000 responses. A very high percentage of them are resolving those situations in community, which means that individuals that are contacted by a mobile respond in a community doesn't either require additional law enforcement response. It doesn t require an individual to be transported to an emergency room department. are connected to other resources. The idea is to resolve the situation, meet the need, get the right type of intervention for those individuals as quickly as possible, and get them connected into services so they remain in community. Let's see. So I think, you know, some of the highlights you see on this slide, we are certainly committed to continuing this work. There's lots of exciting things happening in multiple communities, and we look forward to providing more information about that in the near future. All right. So, looking ahead, I want to mention a few things on the horizon that we're excited about. First, we are leaning into our new strategic plan, as I mentioned, you'll see that graphic in the upper right. So we'll be figuring out what this means, what our priorities are, and so on as we go through that process before our budget end for May. We also are hosting our third Improving Lives Conference in Anchorage this September. This event which is focused on trust beneficiary populations launched in 2022 and we've held it every other year since then. It's an opportunity to explore innovative practices, strengthen collaboration in support of trust beneficiaries. And we had over 400 participants in 2024. So we're expecting a big crowd this fall and uh we are working on the agenda. We'll see how that goes but I know it'll be And then lastly, we've been partnering with the DOH on the Rural Health Transformation Project. And for the opportunity that these funds represent for improving Alaska systems of care. As an organization that is focused both on grant making and advancing system changes, we think we're well suited to support this work. We appreciate the chance to work closely with other health leaders in Alaska. And so we'll be working closely with them in our role as an advocate, not only for leveraging the rural health funds for advancing mental health care and disability care in Alaska, but also just as a thought partner in terms of innovation and transformation, which we feel like is one of our strengths. In the on the tail of that as I say goodbye just mentioned my team I've worked in leadership roles in many places these 17 people on each side of the house are extremely. dedicated, well-informed, competent experts, and they are all in and dedicated to the mental health of Alaskans. As you all know, we have gnarly problems in the state and the other possibilities to solve those problems as we go forward. And this team is really, I'm so fortunate to have such a great group around me and I am really really proud of them. And then the Board of Trustees, as Chair Fisher mentioned, this group has been— Open innovative collaborative and just ready to go so we are we we want to be an asset to you All as you inform our work and we Want you to feel free to call on us for anything that you need to know or want To know, or you think we should be doing and I think with that I will close see if there's any more questions Thank you for that presentation two members of the committee have Any questions or comments senator Kauffman Thank you through the chairs one. Thank You for the presentation well done, and then to the chair With respect to senator stebman's previous comments about some comparison It would be if we do that it would Be interesting to see the financials On slide 7 we have a depiction of the of The fun value the nicely annualized rate of return And then the versus the the distributions and then some inflation adjustment Against that so the net value of the assets after inflation and also with respect to the distributions This ballroom can provide that to community Mr. Fisher, do you have any closing comments? I kind of like to echo what our CEO, Mary Wilson, has said with regard to the collaboration between the trust land office, the Trust Authority office and the trustees. There's been a great amount of collaboration and cooperation as we've moved forward with these initiatives and I think that's why we have been so productive. And I happen to believe after a year of working with Mary Wilsen that she's probably the best CEO hire that the trustee has ever had and we all enjoyed working there and i speak for So, thank you very much. Thank you. That concludes the meeting today. I have another meeting tomorrow at 9 a.m. With that, we are adjourned.