Legislature(2017 - 2018)

2018-04-09 Senate Journal

Full Journal pdf

2018-04-09                     Senate Journal                      Page 2542
SB 198                                                                                                                        
SENATE BILL NO. 198 "An Act relating to a study of the                                                                          
effectiveness and cost of providing long-acting reversible                                                                      
contraception to women with substance abuse disorders" was read the                                                             
third time.                                                                                                                     
                                                                                                                                
Senator Gardner moved the bill be returned to second reading for the                                                            
purpose of a specific amendment, that being Amendment No. 1.                                                                    
Without objection, the bill was returned to second reading.                                                                     
                                                                                                                                
Senator Gardner offered Amendment No. 1:                                                                                        
                                                                                                                                
Page 1, line 1, following "Act":                                                                                              
     Insert "relating to insurance coverage for prescription                                                                  

2018-04-09                     Senate Journal                      Page 2543
contraceptives; relating to medical assistance coverage for                                                                   
prescription contraceptives;"                                                                                                 
                                                                                                                                
Page 1, line 2, following "disorders":                                                                                        
     Insert "; and providing for an effective date"                                                                           
                                                                                                                                
Page 1, following line 3:                                                                                                       
     Insert new bill sections to read:                                                                                          
"* Section 1. AS 21.42 is amended by adding a new section to read:                                                            
          Sec. 21.42.427. Coverage for contraceptives. A health care                                                          
     insurer that offers, issues for delivery, delivers, or renews in the                                                       
     state a health care insurance plan in the group or individual market                                                       
     shall provide coverage for or reimburse a health care provider or                                                          
     dispensing entity for dispensing prescription contraceptives                                                               
     intended to last for a 12-month period, regardless of whether the                                                          
     insured was enrolled in the health care insurance plan at the time                                                         
     the prescription contraceptive was first prescribed to the insured.                                                        
     In this section, "prescription contraceptive" means a hormonal,                                                            
     self-administered drug that requires a prescription and is approved                                                        
     by the United States Food and Drug Administration to prevent                                                               
     pregnancy.                                                                                                                 
   * Sec. 2. AS 39.30.090(a) is amended to read:                                                                              
          (a)  The Department of Administration may obtain a policy or                                                          
     policies of group insurance covering state employees, persons                                                              
     entitled to coverage under AS 14.25.168, 14.25.480,                                                                        
     AS 22.25.090, AS 39.35.535, 39.35.880, or former AS 39.37.145,                                                             
     employees of other participating governmental units, or persons                                                            
     entitled to coverage under AS 23.15.136, subject to the following                                                          
     conditions:                                                                                                                
              (1)  a group insurance policy shall provide one or more of                                                        
     the following benefits: life insurance, accidental death and                                                               
     dismemberment insurance, weekly indemnity insurance, hospital                                                              
     expense insurance, surgical expense insurance, dental expense                                                              
     insurance, audiovisual insurance, or other medical care insurance;                                                         
              (2)  each eligible employee of the state, the spouse and                                                          
     the unmarried children chiefly dependent on the eligible employee                                                          
     for support, and each eligible employee of another participating                                                           
     governmental unit shall be covered by the group policy, unless                                                             
     exempt under regulations adopted by the commissioner of                                                                    
     administration;                                                                                                            

2018-04-09                     Senate Journal                      Page 2544
              (3)  a governmental unit may participate under a group                                                            
     policy if                                                                                                                  
                   (A)  its governing body adopts a resolution                                                                  
          authorizing participation and payment of required premiums;                                                           
                   (B)  a certified copy of the resolution is filed with the                                                    
          Department of Administration; and                                                                                     
                   (C)  the commissioner of administration approves the                                                         
          participation in writing;                                                                                             
              (4)  in procuring a policy of group health or group life                                                          
     insurance as provided under this section or excess loss insurance                                                          
     as provided in AS 39.30.091, the Department of Administration                                                              
     shall comply with the dual choice requirements of AS 21.86.310,                                                            
     and shall obtain the insurance policy from an insurer authorized to                                                        
     transact business in the state under AS 21.09, a hospital or                                                               
     medical service corporation authorized to transact business in this                                                        
     state under AS 21.87, or a health maintenance organization                                                                 
     authorized to operate in this state under AS 21.86; an excess loss                                                         
     insurance policy may be obtained from a life or health insurer                                                             
     authorized to transact business in this state under AS 21.09 or                                                            
     from a hospital or medical service corporation authorized to                                                               
     transact business in this state under AS 21.87;                                                                            
              (5)  the Department of Administration shall make                                                                  
     available bid specifications for desired insurance benefits or for                                                         
     administration of benefit claims and payments to (A) all insurance                                                         
     carriers authorized to transact business in this state under                                                               
     AS 21.09 and all hospital or medical service corporations                                                                  
     authorized to transact business under AS 21.87 who are qualified                                                           
     to provide the desired benefits; and (B) insurance carriers                                                                
     authorized to transact business in this state under AS 21.09,                                                              
     hospital or medical service corporations authorized to transact                                                            
     business under AS 21.87, and third-party administrators licensed                                                           
     to transact business in this state and qualified to provide                                                                
     administrative services; the specifications shall be made available                                                        
     at least once every five years; the lowest responsible bid submitted                                                       
     by an insurance carrier, hospital or medical service corporation, or                                                       
     third-party administrator with adequate servicing facilities shall                                                         
     govern selection of a carrier, hospital or medical service                                                                 
     corporation, or third-party administrator under this section or the                                                        
     selection of an insurance carrier or a hospital or medical service                                                         
     corporation to provide excess loss insurance as provided in                                                                

2018-04-09                     Senate Journal                      Page 2545
     AS 39.30.091;                                                                                                              
              (6)  if the aggregate of dividends payable under the group                                                        
     insurance policy exceeds the governmental unit's share of the                                                              
     premium, the excess shall be applied by the governmental unit for                                                          
     the sole benefit of the employees;                                                                                         
              (7)  a person receiving benefits under AS 14.25.110,                                                              
     AS 22.25, AS 39.35, or former AS 39.37 may continue the life                                                               
     insurance coverage that was in effect under this section at the time                                                       
     of termination of employment with the state or participating                                                               
     governmental unit;                                                                                                         
              (8)  a person electing to have insurance under (7) of this                                                        
     subsection shall pay the cost of this insurance;                                                                           
              (9)  for each permanent part-time employee electing                                                               
     coverage under this section, the state shall contribute one-half the                                                       
     state contribution rate for permanent full-time state employees,                                                           
     and the permanent part-time employee shall contribute the other                                                            
     one-half;                                                                                                                  
              (10)  a person receiving benefits under AS 14.25,                                                                 
     AS 22.25, AS 39.35, or former AS 39.37 may obtain auditory,                                                                
     visual, and dental insurance for that person and eligible                                                                  
     dependents under this section; the level of coverage for persons                                                           
     over 65 shall be the same as that available before reaching age 65                                                         
     except that the benefits payable shall be supplemental to any                                                              
     benefits provided under the federal old age, survivors, and                                                                
     disability insurance program; a person electing to have insurance                                                          
     under this paragraph shall pay the cost of the insurance; the                                                              
     commissioner of administration shall adopt regulations                                                                     
     implementing this paragraph;                                                                                               
              (11)  a person receiving benefits under AS 14.25,                                                                 
     AS 22.25, AS 39.35, or former AS 39.37 may obtain long-term                                                                
     care insurance for that person and eligible dependents under this                                                          
     section; a person who elects insurance under this paragraph shall                                                          
     pay the cost of the insurance premium; the commissioner of                                                                 
     administration shall adopt regulations to implement this                                                                   
     paragraph;                                                                                                                 
              (12)  each licensee holding a current operating agreement                                                         
     for a vending facility under AS 23.15.010 - 23.15.210 shall be                                                             
     covered by the group policy that applies to governmental units                                                             
     other than the state;                                                                                                  
              (13)  a group health insurance policy shall provide                                                           

2018-04-09                     Senate Journal                      Page 2546
     coverage for or reimburse a health care provider or                                                                    
     dispensing entity for dispensing prescription contraceptives                                                           
     intended to last for a 12-month period, regardless of whether                                                          
     the insured was enrolled in the health care insurance plan at                                                          
     the time the prescription contraceptive was first prescribed to                                                        
     the insured.                                                                                                           
   * Sec. 3. AS 39.30.091 is amended by adding a new subsection to                                                            
read:                                                                                                                           
          (b)  A group health insurance policy provided under this                                                              
     section shall provide coverage for or reimburse a health care                                                              
     provider or dispensing entity for dispensing prescription                                                                  
     contraceptives intended to last for a 12-month period, regardless                                                          
     of whether the insured was enrolled in the health care insurance                                                           
     plan at the time the prescription contraceptive was first prescribed                                                       
     to the insured.                                                                                                            
   * Sec. 4. AS 47.07.065 is amended by adding new subsections to                                                             
read:                                                                                                                           
          (b)  The department shall pay for prescription contraceptives                                                         
     intended to last for a 12-month period if prescribed or dispensed                                                          
     to a recipient, regardless of whether the recipient was receiving                                                          
     medical assistance at the time the prescription contraceptive was                                                          
     first prescribed to the recipient.                                                                                         
          (c)  Nothing in this section requires itemized reimbursement                                                          
     when a service is reimbursable as part of a bundled or composite                                                           
     rate.                                                                                                                      
          (d)  In this section, "prescription contraceptive" means a                                                            
     hormonal, self-administered drug that requires a prescription and                                                          
     is approved by the United States Food and Drug Administration to                                                           
     prevent pregnancy."                                                                                                        
                                                                                                                                
Page 1, line 4:                                                                                                                 
     Delete "Section 1"                                                                                                       
     Insert "Sec. 5"                                                                                                          
                                                                                                                                
Renumber the following bill section accordingly.                                                                                
                                                                                                                                
Page 3, line 8:                                                                                                                 
     Delete "Section 1"                                                                                                         
     Insert "Section 5"                                                                                                         
                                                                                                                                

2018-04-09                     Senate Journal                      Page 2547
Page 3, following line 8:                                                                                                       
     Insert new bill sections to read:                                                                                          
"* Sec. 7. The uncodified law of the State of Alaska is amended by                                                            
adding a new section to read:                                                                                                   
     MEDICAID STATE PLAN INSTRUCTIONS; NOTICE TO                                                                                
REVISOR OF STATUTES. The Department of Health and Social                                                                        
Services shall immediately amend and submit for federal approval a                                                              
state plan for medical assistance coverage consistent with                                                                      
AS 47.07.065(b) - (d), added by sec. 4 of this Act. The Department of                                                           
Health and Social Services shall apply to the United States Department                                                          
of Health and Human Services for any waivers necessary to implement                                                             
AS 47.07.065(b) - (d), added by sec. 4 of this Act. The commissioner                                                            
of health and social services shall notify the revisor of statutes in                                                           
writing if the United States Department of Health and Human Services                                                            
approves the provisions of AS 47.07.065(b) - (d), added by sec. 4 of                                                            
this Act.                                                                                                                       
   * Sec. 8. The uncodified law of the State of Alaska is amended by                                                          
adding a new section to read:                                                                                                   
     CONDITIONAL EFFECT. AS 47.07.065(b) - (d), added by sec. 4                                                                 
of this Act, take effect only if the commissioner of health and social                                                          
services notifies the revisor of statutes in writing under sec. 7 of this                                                       
Act, on or before January 1, 2019, that the provisions of                                                                       
AS 47.07.065(b) - (d), added by sec. 4 of this Act, have been approved                                                          
by the United States Department of Health and Human Services.                                                                   
   * Sec. 9. If AS 47.07.065(b) - (d), added by sec. 4 of this Act, take                                                      
effect, they take effect on the day after the date the commissioner of                                                          
health and social services makes a certification to the revisor of                                                              
statutes under secs. 7 and 8 of this Act.                                                                                       
   * Sec. 10.  Except as provided in sec. 9 of this Act, sections 1 - 4 and                                                   
8 of this Act take effect January 1, 2019."                                                                                     
                                                                                                                                
Senator Gardner moved for the adoption of Amendment No. 1.                                                                      
Senator Micciche objected. Senator Gardner moved and asked                                                                      
unanimous consent to withdraw Amendment No. 1. Without objection,                                                               
Amendment No. 1 was withdrawn.                                                                                                  
                                                                                                                                
SENATE BILL NO. 198 "An Act relating to a study of the                                                                          
effectiveness and cost of providing long-acting reversible                                                                      
contraception to women with substance abuse disorders" was                                                                      
automatically in third reading.                                                                                                 

2018-04-09                     Senate Journal                      Page 2548
                                                                                                                                
Senators Micciche, von Imhof moved and asked unanimous consent to                                                               
be shown as cosponsors on the bill. Without objection, it was so                                                                
ordered.                                                                                                                        
                                                                                                                                
The question being: "Shall SENATE BILL NO. 198 "An Act relating                                                                 
to a study of the effectiveness and cost of providing long-acting                                                               
reversible contraception to women with substance abuse disorders"                                                               
pass the Senate?" The roll was taken with the following result:                                                                 
                                                                                                                                
SB 198                                                                                                                          
Third Reading - Final Passage                                                                                                   
                                                                                                                                
YEAS:  19   NAYS:  1   EXCUSED:  0   ABSENT:  0                                                                               
                                                                                                                                
Yeas:  Begich, Bishop, Coghill, Costello, Egan, Gardner, Giessel,                                                               
Hoffman, Hughes, Kelly, MacKinnon, Meyer, Micciche, Olson,                                                                      
Shower, Stedman, Stevens, von Imhof, Wilson                                                                                     
                                                                                                                                
Nays:  Wielechowski                                                                                                             
                                                                                                                                
and so, SENATE BILL NO. 198 passed the Senate and was referred to                                                               
the Secretary for engrossment.