2021-02-24                     House Journal                      Page 0226
HB 113                                                                                                                        
HOUSE BILL NO. 113 by the House Rules Committee by request of                                                                   
the Governor, entitled:                                                                                                         
                                                                                                                                
    "An Act relating to the establishment of an all-payer health claims                                                         
    database; and providing for an effective date."                                                                             
                                                                                                                                
was read the first time and referred to the Labor & Commerce, Health                                                            
& Social Services, and Finance Committees.                                                                                      
                                                                                                                                
The following fiscal note(s) apply:                                                                                             
                                                                                                                                
1. Zero, Dept. of Administration                                                                                                
2. Fiscal, Dept. of Commerce, Community, & Economic                                                                             
 Development                                                                                                                    
3. Fiscal, Dept. of Health & Social Services                                                                                    
                                                                                                                                
The Governor's transmittal letter dated February 23 follows:                                                                    
                                                                                                                                
"Dear Speaker Stutes:                                                                                                           
                                                                                                                                
Under the authority of Article III, Section 18 of the Alaska                                                                    
Constitution, I am transmitting a bill to establish an All-Payer Claims                                                         
Database (APCD) for Alaska. An APCD is a state maintained database                                                              
that provides for the systematic collection of health care payment data                                                         
from insurers and providers to assist policymakers and industry                                                                 
professionals to analyze costs, quality, and utilization for improved                                                           
decision-making and policy formulation.                                                                                         
                                                                                                                                
The Alaska Healthcare Transformation Project (AHTP) identified the                                                              
establishment of an APCD as a critical first step in helping understand                                                         
health spending trends, utilization, and pricing variation in Alaska in                                                         
order to provide better transparency, inform policy and address health                                                          
care costs.                                                                                                                     
                                                                                                                                
This bill makes changes to the Alaska Insurance Code to authorize the                                                           
division of insurance to establish a statewide APCD to collect,                                                                 
aggregate, and report on claims data and to allow the division director                                                         
to select a lead organization to coordinate and manage the database.                                                            
Under this proposal, certain insurers and providers will be required to                                                         

2021-02-24                     House Journal                      Page 0227
submit their health cost data. This data will be aggregated for policy                                                          
analysis, cost trends and to potentially help inform consumers about                                                            
their health care choices.                                                                                                      
                                                                                                                                
I urge your prompt and favorable action on this important reform                                                                
measure.                                                                                                                        
                                                                                                                                
Sincerely,                                                                                                                      
/s/                                                                                                                             
Mike Dunleavy                                                                                                                   
Governor"