Legislature(2023 - 2024)

2023-04-24 Senate Journal

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2023-04-24                     Senate Journal                      Page 0837
SB 57                                                                                                                         
SENATE BILL NO. 57 "An Act relating to medical assistance for                                                                   
recipients of Medicaid waivers; establishing an adult care home                                                                 
license and procedures; providing for the transition of individuals from                                                        
foster care to adult home care settings; and providing for an effective                                                         
date" was read the second time.                                                                                                 
                                                                                                                                
Senator Olson, Cochair, moved and asked unanimous consent for the                                                               
adoption of the Finance Committee Substitute offered on page 809.                                                               
Senator Wielechowski objected, then withdrew his objection. There                                                               
being no further objection, CS FOR SENATE BILL NO. 57(FIN) was                                                                  
adopted.                                                                                                                        
                                                                                                                                
Senator Giessel offered Amendment No. 1 :                                                                                        
                                                                                                                                
Page 1, line 1, following "Act":                                                                                              
     Insert "relating to home- and community-based services under                                                             
the medical assistance program;"                                                                                              
                                                                                                                                
Page 1, following line 4:                                                                                                       
     Insert a new bill section to read:                                                                                         
"* Section 1. AS 47.07.045 is amended by adding a new subsection                                                              
to read:                                                                                                                        
          (e)  Unless prohibited by federal law, the state shall allow a                                                        
     legally responsible person to provide personal care services under                                                         
     this section to a recipient of medical assistance under the 1915(k)                                                        
     state plan option under 42 U.S.C. 1396n."                                                                                  
                                                                                                                                
Page 1, line 5:                                                                                                                 
     Delete "Section 1"                                                                                                       
     Insert "Sec. 2"                                                                                                          
                                                                                                                                
Renumber the following bill sections accordingly.                                                                               
                                                                                                                                

2023-04-24                     Senate Journal                      Page 0838
Page 4, line 24, following "PLAN.":                                                                                             
     Insert "(a) The Department of Health shall amend and submit for                                                            
federal approval the state plan for medical assistance coverage                                                                 
consistent with AS 47.07.045(e), enacted by sec. 1 of this Act.                                                                 
     (b)"                                                                                                                       
                                                                                                                                
Page 4, line 28:                                                                                                                
     Delete "sec. 1"                                                                                                            
     Insert "sec. 2"                                                                                                            
                                                                                                                                
Page 4, line 31:                                                                                                                
     Delete "sec. 1"                                                                                                            
     Insert "sec. 2"                                                                                                            
                                                                                                                                
Page 5, line 3, following "(a)":                                                                                                
     Insert "Section 1 of this Act takes effect only if, and only to the                                                        
extent that, the United States Department of Health and Human                                                                   
Services approves the amendment to the state plan for medical                                                                   
assistance under AS 47.07.045(e), enacted by sec. 1 of this Act.                                                                
     (b)  If the United States Department of Health and Human                                                                   
Services approves the amendment to the state plan submitted under                                                               
sec. 7(a) of this Act, the commissioner of health shall notify the                                                              
revisor of statutes in writing not later than 30 days after receiving                                                           
notice of the approval.                                                                                                         
     (c)"                                                                                                                       
                                                                                                                                
Reletter the following subsection accordingly.                                                                                  
                                                                                                                                
Page 5, line 3:                                                                                                                 
     Delete "Section 1"                                                                                                         
     Insert "Section 2"                                                                                                         
                                                                                                                                
Page 5, line 5:                                                                                                                 
     Delete "sec. 6"                                                                                                            
     Insert "sec. 7"                                                                                                            
                                                                                                                                

2023-04-24                     Senate Journal                      Page 0839
Page 5, following line 8:                                                                                                       
     Insert a new bill section to read:                                                                                         
"* Sec. 9. If sec. 1 of this Act takes effect, it takes effect on the 31st                                                    
day after the date the commissioner of health receives notice of                                                                
approval of the amendment to the state plan from the United States                                                              
Department of Health and Human Services under sec. 8(a) of this                                                                 
Act."                                                                                                                           
                                                                                                                                
Renumber the following bill section accordingly.                                                                                
                                                                                                                                
Page 5, line 9:                                                                                                                 
     Delete "sec. 1"                                                                                                            
     Insert "sec. 2"                                                                                                            
                                                                                                                                
Page 5, line 10:                                                                                                                
     Delete "sec. 1"                                                                                                            
     Insert "sec. 2"                                                                                                            
                                                                                                                                
Page 5, line 11:                                                                                                                
     Delete "sec. 7(b)"                                                                                                         
     Insert "sec. 8(d)"                                                                                                         
                                                                                                                                
Page 5, following line 11:                                                                                                      
     Insert a new bill section to read:                                                                                         
"* Sec. 11. Sections 7(a), and 8(a) and (b) of this Act take effect                                                           
immediately under AS 01.10.070(c)."                                                                                             
                                                                                                                                
Senator Giessel moved for the adoption of Amendment No. 1. Senator                                                              
Wielechowski objected, then withdrew his objection. There being no                                                              
further objection, Amendment No. 1 was adopted.                                                                                 
                                                                                                                                
Senator Giessel moved and asked unanimous consent the bill be                                                                   
considered engrossed, advanced to third reading and placed on final                                                             
passage. Without objection, it was so ordered.                                                                                  
                                                                                                                                
CS FOR SENATE BILL NO. 57(FIN) am was read the third time.                                                                      
                                                                                                                                

2023-04-24                     Senate Journal                      Page 0840
The question being: "Shall CS FOR SENATE BILL NO. 57(FIN) am                                                                    
"An Act relating to home- and community-based services under the                                                                
medical assistance program; relating to medical assistance for                                                                  
recipients of Medicaid waivers; establishing an adult care home                                                                 
license and procedures; providing for the transition of individuals from                                                        
foster care to adult home care settings; and providing for an effective                                                         
date" pass the Senate?" The roll was taken with the following result:                                                           
                                                                                                                                
CSSB 57(FIN) am                                                                                                                 
Third Reading - Final Passage                                                                                                   
Effective Date(s)                                                                                                               
                                                                                                                                
YEAS:  17   NAYS:  0   EXCUSED:  2   ABSENT:  1                                                                               
                                                                                                                                
Yeas:  Bishop, Bjorkman, Dunbar, Giessel, Gray-Jackson, Hoffman,                                                                
Hughes, Kaufman, Kawasaki, Kiehl, Merrick, Olson, Shower,                                                                       
Stedman, Stevens, Tobin, Wielechowski                                                                                           
                                                                                                                                
Excused:  Claman, Wilson                                                                                                        
                                                                                                                                
Absent:  Myers                                                                                                                  
                                                                                                                                
and so, CS FOR SENATE BILL NO. 57(FIN) am passed the Senate.                                                                    
                                                                                                                                
Senator Giessel moved and asked unanimous consent the vote on the                                                               
passage of the bill be considered the vote on the effective date                                                                
clause(s). Without objection, it was so ordered and the bill was                                                                
referred to the Secretary for engrossment.