2009-02-16                     House Journal                      Page 0260
HB 135                                                                                                                        
HOUSE BILL NO. 135 by the House Rules Committee by request of                                                                   
the Governor, entitled:                                                                                                         
                                                                                                                                

2009-02-16                     House Journal                      Page 0261
     "An Act providing for an effective date by delaying the effective                                                          
     date of the change of coverage of adult dental services under                                                              
     Medicaid; and providing for an effective date."                                                                            
                                                                                                                                
was read the first time and referred to the Health & Social Services                                                            
and Finance Committees.                                                                                                         
                                                                                                                                
                                                                                                                                
The following fiscal note(s) apply:                                                                                             
                                                                                                                                
1.  Fiscal, Dept. of Health & Social Services                                                                                   
                                                                                                                                
                                                                                                                                
The Governor's transmittal letter dated January 23, 2009, follows:                                                              
                                                                                                                                
"Dear Speaker Chenault:                                                                                                         
                                                                                                                                
Under the authority of art. III, sec. 18, of the Alaska Constitution, I am                                                      
transmitting a bill extending the termination date for enhanced adult                                                           
dental services under Medicaid, for five years.  Historically, adults                                                           
enrolled in Medicaid were only eligible for dental care that addressed                                                          
immediate relief of pain and acute infection, which often resulted in                                                           
tooth extractions.  In 2006, the Legislature authorized an enhanced                                                             
program, which provides preventative and restorative services to                                                                
needy eligible adults under the Medicaid program.  This bill would                                                              
continue this enhanced program for an additional five years.                                                                    
                                                                                                                                
The Department of Health and Social Services reports that the                                                                   
program has provided access to essential dental services to needy                                                               
vulnerable Alaskan adults who otherwise may not have access to these                                                            
services.  Coverage of routine dental care may reduce complications of                                                          
pregnancy, diabetes, and cardiovascular disease.  Over the long-term                                                            
the enhanced dental services offer opportunities for cost-savings as the                                                        
services should result in decreased need for emergent dental care,                                                              
including cases of dental infection that require treatment in hospital                                                          
emergency rooms.                                                                                                                
                                                                                                                                
Additionally, denture services and restoration of decayed teeth have                                                            
assisted some adult Medicaid recipients with finding jobs or job                                                                
advancement opportunities.  This provides even more significant cost-                                                           

2009-02-16                     House Journal                      Page 0262
savings opportunities to the state and to Alaska's society as a whole, as                                                       
some indigent Alaskans become able to transition to greater financial                                                           
independence.                                                                                                                   
                                                                                                                                
I urge your prompt and favorable action on this measure.                                                                        
                                                                                                                                
                                Sincerely,                                                                                     
                                /s/                                                                                             
                               Sarah Palin                                                                                     
                                Governor"