Legislature(2025 - 2026)BELTZ 105 (TSBldg)

04/16/2025 03:30 PM Senate EDUCATION

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Audio Topic
03:33:21 PM Start
03:34:55 PM SB5
04:34:00 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 5 SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
Bills Previously Heard/Scheduled
**Streamed live on AKL.tv**
         SB   5-SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR                                                                     
                                                                                                                                
3:34:55 PM                                                                                                                    
CHAIR TOBIN announced the consideration  of SENATE BILL NO. 5 "An                                                               
Act  relating  to  group insurance  coverage  and  self-insurance                                                               
coverage  for   school  district  employees,  employees   of  the                                                               
University of  Alaska, and employees of  other governmental units                                                               
in the state; and providing for an effective date."                                                                             
                                                                                                                                
3:35:29 PM                                                                                                                    
SENATOR  HUGHES, District  M, Alaska  State Legislature,  Juneau,                                                               
Alaska,  sponsor   of  SB  5.   She  stated   that  SB  5   is  a                                                               
straightforward bill  previously heard last session,  with recent                                                               
discussion about  amendments on  the Senate floor.  She explained                                                               
that the  bill would  allow school  districts, the  University of                                                               
Alaska, and  interested local governments  to opt into  the state                                                               
health insurance  pool (AlaskaCare). She noted  several districts                                                               
expressed  interest  this  year,  believing  participation  could                                                               
result  in  cost  savings,  and   emphasized  support  for  those                                                               
efforts.                                                                                                                        
                                                                                                                                
SENATOR HUGHES added  that her office contacted  Matthew Moser at                                                               
the  National  Education  Association   (NEA).  The  NEA  remains                                                               
neutral on  the bill,  while the  Fairbanks district  supports it                                                               
but  was  unable to  join  as  invited  testimony. She  cited  an                                                               
Institute of  Social and Economic  Research (ICER)  study showing                                                               
that over  25 years, health  care costs have  increased fivefold,                                                               
averaging 7.8 percent annually.                                                                                                 
                                                                                                                                
SENATOR HUGHES  reported that  some superintendents  estimated 25                                                               
to  30  percent  of  their  district  budgets  go  toward  health                                                               
benefits. She  stressed that legislators aim  to direct education                                                               
funding toward  student learning and  teacher support, yet  up to                                                               
45  percent  of  state  funds   for  education,  excluding  local                                                               
contributions, currently go to health insurance.                                                                                
SENATOR HUGHES  concluded that while  the option may  not benefit                                                               
every district,  SB 5 would  allow flexibility for those  able to                                                               
save  money through  the state  pool, ensuring  more funding  can                                                               
support students and educators directly.                                                                                        
                                                                                                                                
3:38:41 PM                                                                                                                    
CHUOL MUT, Intern, Senator Shelley Hughes, Alaska State                                                                         
Legislature, Juneau, Alaska, co-presented an introduction of SB
5 and offered the sectional analysis:                                                                                           
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
                    SB 5 Sectional Analysis                                                                                   
                                                                                                                              
     Section 1   AS 14.08.101    Page 1, Line 5 through Page                                                                
     2,  Line  29 INTERIM  ADDRESS:  600  E Railroad  Avenue                                                                
     Wasilla,        Alaska        99654        907-376-3725                                                                    
     [email protected]   Adds    to   powers   of                                                                    
     regional  school  boards  the power  to  establish  and                                                                    
     maintain school  district participation in a  policy of                                                                    
     group insurance, selected by  the State of Alaska, that                                                                    
     provides medical insurance.                                                                                                
                                                                                                                                
     Section  2    AS 14.14.090    Page  2, Line  30 through                                                                
     Page  4, Line  13  Adds  to the  duties  of a  regional                                                                
     school  board   the  duty,  when  the   board's  school                                                                    
     district participates  in a  policy of  group insurance                                                                    
     elected by  the State  of Alaska that  provides medical                                                                    
     insurance,  to  determine   and  disperse  to  district                                                                    
     employees  and  administrative   officers  the  amounts                                                                    
     necessary to  cover the district's portion  of the cost                                                                    
     of that participation.                                                                                                     
                                                                                                                                
     Section  3    AS 14.17.300    Page  4, Line  14 through                                                                
     Line 27  Allows the  Commissioner of  Administration to                                                                
     expend from  the public  education fund  (AS 14.17.300)                                                                    
     to  the  group  health   and  life  benefits  fund  (AS                                                                    
     39.30.095) a  total of $100,000,000  or less  as needed                                                                    
     to pay  claims submitted  by school  district employees                                                                    
     who are covered by  a policy of self-insurance provided                                                                    
     by  the  state;  and,   requires  the  Commissioner  of                                                                    
     Administration  to  repay  the public  education  fund,                                                                    
     over  a period  of 10  years,  the full  amount of  the                                                                    
     commissioner's expenditures  from the  public education                                                                    
     fund.                                                                                                                      
                                                                                                                                
     Section 4    AS 14    Page 4,  Line 28 through  Page 5,                                                                
     Line  31 Chapter  27.  University  and School  District                                                                
     Employee Health Insurance. Sec. 14.27.010                                                                                  
                                                                                                                                
        (a)  Allows  school districts  to  participate in  a                                                                    
        policy of insurance  that provides medical insurance                                                                    
        coverage  to  state  employees and  school  district                                                                    
        employees.                                                                                                              
        (b) Participating  school districts are  required to                                                                    
        contribute  to the  group health  and life  benefits                                                                    
        fund  (AS  39.30.095)  based  on rates  set  by  the                                                                    
        commissioner of administration.                                                                                         
        c)  Participating school  districts are  required to                                                                    
        reimburse  the  state   for  procuring  excess  loss                                                                    
        insurance if  the state provides  insurance benefits                                                                    
        to school district  employees under a self-insurance                                                                    
        policy.                                                                                                                 
        (d)  Requires  participating   school  districts  to                                                                    
        reimburse,  over a  period not  to exceed  10 years,                                                                    
        the  Department of  Administration's cost  of paying                                                                    
        insurance  claims by  school district  employees for                                                                    
        the  first four  months.  School district  employees                                                                    
        are covered  by a self-insurance policy  provided by                                                                    
        the state of Alaska.                                                                                                    
        (e)  Allows  a   participating  school  district  to                                                                    
        require  its employees  to pay  some or  all of  the                                                                    
        money  that  this  bill section  would  require  the                                                                    
        school district to pay to the state.                                                                                    
        (f) Defines "school  employee" and "school employer"                                                                    
        for purposes of the bill section.                                                                                       
                                                                                                                                
     Section 5    AS 14.40.170(b)    Page 6, Line  1 through                                                                
     Line 15 Allows  the Board of Regents  of the University                                                                
     of   Alaska  to   establish  and   maintain  university                                                                    
     participation in a policy  of group insurance, selected                                                                    
     by  the   State  of   Alaska,  that   provides  medical                                                                    
     insurance for university employees.                                                                                        
                                                                                                                                
     Section 6    AS 39.30.090(a)   Page 6,  Line 16 through                                                                
     Page  8, Line  30 Clarifies  that when  a participating                                                                
     governmental  unit  employee  is  covered  by  a  group                                                                    
     insurance   policy  obtained   by  the   Department  of                                                                    
     Administration,  the  employee's spouse  and  dependent                                                                    
     children are also covered.                                                                                                 
     Section  7    AS  39.30.090(b)(2)     Page 8,  Line  31                                                                
     through Page  9, Line 3  Adds the University  of Alaska                                                                
     to the  definition of  governmental unit  applicable to                                                                    
     section 6 of this bill.                                                                                                    
                                                                                                                                
     Section 8    AS 39.30.090(b)    Page 9, Line  4 through                                                                
     Line 6   Add  the definition of  school district  to AS                                                                
     39.30.090, which is  amended by section 6 and  7 of the                                                                    
     bill.                                                                                                                      
                                                                                                                                
     Section 9  AS  39.30.091   Page 9, Line  7 through Line                                                                
     15  Authorizes  the  Department  of  Administration  to                                                                    
     provide  group  medical   care  insurance  coverage  to                                                                    
     school  district  employees   and  employees  of  other                                                                    
     governmental unit by means of selfinsurance.                                                                               
                                                                                                                                
     Section 10    AS  39.30.091   Page  9, Line  16 through                                                                
     Line 21   Requires the Department  of Administration to                                                                
     procure  excess  loss   insurance  in  connection  with                                                                    
     providing   group   medical   insurance   coverage   to                                                                    
     employees of  governmental units other than  the state,                                                                    
     and  allows the  department to  allocate the  cost with                                                                    
     the  excess   loss  insurance   across  all   of  those                                                                    
     governmental units.                                                                                                        
                                                                                                                                
     Section 11   The Uncodified  law of the State of Alaska                                                                
      Page 9,  Line 22  through Line 26  Make sections  1- 8                                                                
     and  section 10  of the  bill applicable  to collective                                                                    
     bargaining agreements  and other contracts  that become                                                                    
     legally  binding  on or  after  the  effective date  of                                                                    
     those bill sections.                                                                                                       
                                                                                                                                
     Section  12    The  Uncodified  Law   Page 9,  Line  27                                                                
     through Page  10, Line  5 Require  certain self-insured                                                                
     school  districts to  transfer the  closing balance  of                                                                    
     their self-funded insurance  reserve account soon after                                                                    
     they enroll in  a health care plan  administered by the                                                                    
     state, and  requires that when transferred  by a school                                                                    
     district  these  amounts  will  be  applied  to  offset                                                                    
     reimbursements owed  by that  school district  under AS                                                                    
     14.20.127(d),  a provision  proposed in  section 4  the                                                                    
     bill.                                                                                                                      
                                                                                                                                
     Section 13   The Uncodified  law of the State of Alaska                                                                
        Page  10, Line  6  through  Line 10  Authorizes  the                                                                
     commissioner  of  administration to  adopt  regulations                                                                    
     necessary to  implement the changes  made by  the bill,                                                                    
     to take  effect on or  after the effective date  of the                                                                    
     changes made by the bill.                                                                                                  
                                                                                                                                
     Section 14   The Uncodified  law of the State of Alaska                                                                
       Page  10, Line  11   Make sections 12  and 13  of the                                                                
     bill    effective   immediately,    subject   to    the                                                                    
     restrictions set forth in those bill sections.                                                                             
                                                                                                                                
     Section  15  Page  10,  Line   12    Makes  the  bill's                                                                
     provisions  effective  date  July 1,  2026,  except  as                                                                    
     provided in bill section 14.                                                                                               
                                                                                                                                
3:40:02 PM                                                                                                                    
MR. MUT began a presentation on SB 5 and moved to slide 2, What                                                                 
Does SB 5 Do. He read the slide:                                                                                                
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     What Does SB 5 Do?                                                                                                         
     Provides   the  option   for   school  districts,   the                                                                    
     University  of   Alaska,  and  governmental   units  to                                                                    
     participate   in  AlaskaCare:   the  state   healthcare                                                                    
     program.                                                                                                                   
                                                                                                                                
3:40:37 PM                                                                                                                    
MR. MUT moved to slide 3, What Drives the Cost of Public                                                                        
Education in Alaska, which shows small schools, Healthcare, and                                                                 
Energy drive cost in Alaska's public schools.                                                                                   
                                                                                                                                
3:40:50 PM                                                                                                                    
SENATOR HUGHES moved to slide  4, ISER Research Summary No. 2019-                                                               
4. She  said the point of  sharing the information on  slide 4 is                                                               
to show  that freeing up  dollars spent on healthcare  could help                                                               
budget scenarios for districts and  perhaps allow them to offer a                                                               
more nationally competitive salary to teachers:                                                                                 
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     ISER Research Summary No. 2019-4                                                                                           
                                                                                                                                
        • "Alaska has the highest per capita healthcare                                                                         
          costs  in the  US (Passini,  Frazier, &  Guettabi,                                                                    
          2018),  which   negatively  affects   private  and                                                                    
          public  sectors of  our economy.  Healthcare costs                                                                    
          are  a   part  of  teacher   compensation.  Alaska                                                                    
          unadjusted per-pupil spending  on teacher salaries                                                                    
          is 14th in  the nation - but after  adjusted to US                                                                    
          cost-of-living,  the  amount   is  23%  below  the                                                                    
          national  average. Similarly,  Alaska's unadjusted                                                                    
          per-pupil   spending    on   educator's   employee                                                                    
          benefits is 64 percent above  the US average - but                                                                    
          after  adjusted is  only 9  percent  above the  US                                                                    
          average.                                                                                                              
                                                                                                                                
        • While the challenge of high healthcare costs is                                                                       
          not  unique  to  education,   in  a  fixed  budget                                                                    
          scenario  these  costs  put downward  pressure  on                                                                    
          wages,  making   it  more  difficult   for  Alaska                                                                    
          districts   to   offer   teachers   a   nationally                                                                    
          competitive salary.                                                                                                   
                                                                                                                                
3:41:22 PM                                                                                                                    
SENATOR  HUGHES moved  to  slides  5 and  6,  Benefits of  Health                                                               
Insurance Pooling, and stated that  economies of scale could help                                                               
relieve  financial pressure  on some  school districts  and allow                                                               
for cost  savings. She  noted that,  based on  conversations with                                                               
some superintendents, the  health care options in  the state plan                                                               
are  more attractive  than what  many districts  currently offer.                                                               
She  emphasized that  these options  could benefit  districts and                                                               
potentially local governments.                                                                                                  
                                                                                                                                
SENATOR HUGHES  explained that administration  of the  plan would                                                               
shift  to  the  Department of  Administration,  specifically  the                                                               
Division  of   Retirement  and   Benefits,  which   could  reduce                                                               
administrative   burdens   on    school   districts   and   local                                                               
governments.  She acknowledged  that the  workload shifts  to the                                                               
department and  underscored the value of  easing responsibilities                                                               
for districts,  especially given  the focus on  education funding                                                               
this year.                                                                                                                      
                                                                                                                                
3:42:40 PM                                                                                                                    
SENATOR HUGHES referred to a  chart showing that over a five-year                                                               
period, Alaska's health care costs  rose more sharply than in the                                                               
rest of  the United States.  She pointed  out that both  the cost                                                               
levels  and the  growth rate  of health  care spending  in Alaska                                                               
have consistently exceeded those in the Lower 48.                                                                               
                                                                                                                                
3:42:58 PM                                                                                                                    
MR.  MUT moved  to  slide 7,  and shared  a  comparison of  costs                                                               
saying   districts,  the   university   of   Alaska,  and   Local                                                               
Governments should decide whether to pool with state healthcare:                                                                
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
     Claims and Admin Costs        Employer Cost                                                                        
     State of Alaska $2,513/mo     State of Alaska $1908/mo                                                                     
     KGBSD $2,730/mo               KGBSD $2,475/mo                                                                              
     Mat Su $2,645/mo              Mat Su $2,315/mo                                                                             
                                                                                                                                
3:43:48 PM                                                                                                                    
SENATOR KIEHL asked for clarification  on the slide, specifically                                                               
whether   "claims   and   administration  costs"   include   both                                                               
administrative expenses and  the cost of care.  He then requested                                                               
a  distinction  regarding "employer  cost"  and  asked what  that                                                               
category covers.                                                                                                                
                                                                                                                                
3:44:17 PM                                                                                                                    
SENATOR HUGHES  stated that in  2024, the per-person  health care                                                               
cost in  Alaska was  $2,513, with the  state covering  $1,908 and                                                               
the  remainder paid  by the  employee. She  noted that  the Kenai                                                               
Peninsula Borough School District  found health insurance through                                                               
the  state to  be  more affordable.  She  acknowledged that  some                                                               
districts, such as Juneau, might  currently have better insurance                                                               
options,  though she  said she  had not  directly discussed  that                                                               
with  the  district.  She  emphasized  that  each  entity  should                                                               
evaluate and choose what works best for their circumstances.                                                                    
                                                                                                                                
3:45:18 PM                                                                                                                    
SENATOR KIEHL asked  whether the figure listed  under "Claims and                                                               
Admin Costs" represents the total  premium amount, including both                                                               
employer  and employee  contributions. He  clarified that,  since                                                               
the state operates  a self-insured pool, he wanted  to confirm if                                                               
that number reflects the full cost.                                                                                             
                                                                                                                                
SENATOR HUGHES replied  yes. It covers patient  care because that                                                               
would be the claim paying for the service.                                                                                      
                                                                                                                                
SENATOR KIEHL thanked Senator Hughes for the clarification.                                                                     
                                                                                                                                
3:46:11 PM                                                                                                                    
CHAIR TOBIN announced invited testimony on SB 5.                                                                                
                                                                                                                                
3:46:30 PM                                                                                                                    
RODNEY  DIAL,   Mayor,  Ketchikan  Gateway   Borough,  Ketchikan,                                                               
Alaska, testified  by invitation on  SB 5, stating that  it would                                                               
give communities like Ketchikan a  potential tool to lower school                                                               
district employee  healthcare costs  and redirect  savings toward                                                               
education  and   stable  local  taxes.  He   explained  that  the                                                               
Ketchikan  Gateway Borough  School  District  faces major  budget                                                               
challenges, largely  due to  rapidly rising  healthcare expenses.                                                               
About 87  percent of the  district's budget goes to  salaries and                                                               
benefits,  with  healthcare alone  projected  to  increase by  10                                                               
percent  in  the upcoming  fiscal  year,  pushing costs  near  $9                                                               
million, or  20 percent of  the total budget. He  emphasized that                                                               
as  a self-insured  district,  the ability  to  explore a  state-                                                               
administered  insurance pool  under  SB 5  could offer  financial                                                               
relief,  especially  given  the  district's  rising  per-employee                                                               
healthcare costs, now exceeding $3,000 per month.                                                                               
                                                                                                                                
3:49:04 PM                                                                                                                    
LISA  PARADY,  Executive  Director,   Alaska  Council  of  School                                                               
Administrators, Juneau, Alaska, testified  by invitation on SB 5.                                                               
She  stated  that the  Alaska  Council  of School  Administrators                                                               
(ACSA),  represents   school  districts  and   education  leaders                                                               
statewide.  SB  5 is  a  critical  option for  addressing  rising                                                               
healthcare  costs. She  emphasized  that SB  5  is voluntary  and                                                               
allows  districts to  opt into  a state-administered  health plan                                                               
without  imposing a  one-size-fits-all  mandate.  She noted  that                                                               
healthcare  expenses now  exceed  16 percent  of many  districts'                                                               
budgets,   diverting   funds   from   student   programs,   staff                                                               
development,  and essential  services, while  double-digit annual                                                               
increases  outpace   education  funding  and   strain  districts'                                                               
ability to maintain  benefits. She added that SB  5 offers access                                                               
to larger  risk pools, lower  costs, regional  collaboration, and                                                               
respects  local  decision-making, while  also  serving  as a  key                                                               
strategy  for improving  educator  recruitment  and retention  in                                                               
Alaska's most underserved areas.                                                                                                
                                                                                                                                
3:53:51 PM                                                                                                                    
MICHAEL  ROBBINS,   Superintendent,  Ketchikan   Gateway  Borough                                                               
School District,  Ketchikan, Alaska,  testified by  invitation on                                                               
SB 5.  He stated that SB  5 would allow school  districts and the                                                               
University  of Alaska  to voluntarily  join a  state-administered                                                               
health insurance  plan, offering choice and  financial stability.                                                               
He  explained  that  Ketchikan  spends over  20  percent  of  its                                                               
general  fund  on  employee  healthcare,  with  healthcare  costs                                                               
rising  unpredictably  across  the  state,  with  some  districts                                                               
experiencing  annual increases  over  20  percent. He  emphasized                                                               
that  such  volatility  forces  difficult  trade-offs,  including                                                               
cutting programs  and delaying hires, especially  when 92 percent                                                               
of  Ketchikan's budget  goes to  salaries  and benefits,  leaving                                                               
only 8  percent for  all other  needs. He  highlighted that  SB 5                                                               
offers districts a way to  reinvest savings into student programs                                                               
such as  mental health support,  career and  technical education,                                                               
and enrichment  opportunities, while maintaining  strong benefits                                                               
critical  for attracting  and retaining  staff. He  supported the                                                               
bill's voluntary nature and the  10-year reimbursement period for                                                               
transition  costs,  calling it  a  practical  tool for  districts                                                               
seeking  financial  predictability  without  sacrificing  benefit                                                               
quality.                                                                                                                        
                                                                                                                                
3:57:59 PM                                                                                                                    
KATHERINE GARDNER,  Deputy Superintendent, Mat-Su  Borough School                                                               
District, Palmer,  Alaska, testified by  invitation on SB  5. She                                                               
testified  on  behalf  of the  Matanuska-Susitna  Borough  School                                                               
District  and school  board in  strong support  of SB  5, stating                                                               
that  the bill  expands  employee healthcare  options for  public                                                               
education  and  provides  a  necessary  alternative  amid  rising                                                               
costs.  She noted  that Mat-Su  spends nearly  15 percent  of its                                                               
total operating budget on health  insurance, with premiums rising                                                               
over  40  percent between  2013  and  2023.  She called  this  an                                                               
unsustainable  trend that  restricts  investment in  instruction,                                                               
teacher development, and student  programs. She explained that SB
5  offers access  to larger  risk pools  and economies  of scale,                                                               
which  could  help  control   costs,  increase  competition,  and                                                               
improve  employee coverage.  She shared  that Mat-Su  has already                                                               
taken  steps by  moving  away from  the  Public Education  Health                                                               
Trust  and offering  high-deductible  plans  with health  savings                                                               
accounts but  emphasized that  challenges remain  and SB  5 would                                                               
give  districts  a  valuable  tool  to  pursue  long-term  fiscal                                                               
sustainability and educational quality.                                                                                         
                                                                                                                                
4:01:43 PM                                                                                                                    
LON GARRISON,  Executive Director,  Association of  Alaska School                                                               
Boards,  Juneau, Alaska,  testified  by invitation  on  SB 5.  He                                                               
expressed support  for SB  5, stating that  it would  give school                                                               
districts,  universities, and  local  governments  the option  to                                                               
participate in pooled group or  self-insurance coverage. He noted                                                               
that  the  bill  aligns  with   a  legislative  priority  of  the                                                               
Association  of Alaska  School Boards  (AASB) to  improve teacher                                                               
and staff  recruitment and retention.  He emphasized  that rising                                                               
healthcare   costs   have   significantly   impacted   districts,                                                               
especially  smaller ones  with limited  enrollment. He  explained                                                               
that   nonprofit,  member-owned   risk   pools  operate   through                                                               
collective  funding  and  risk  sharing,  allowing  districts  to                                                               
reduce costs,  improve plan design,  and redirect  savings toward                                                               
student success and employee support.                                                                                           
                                                                                                                                
4:04:11 PM                                                                                                                    
HEATHER  ARANA, Director,  Benefits and  Compensation, University                                                               
of Alaska Systems, Fairbanks, Alaska,  testified by invitation on                                                               
SB 5. She  expressed appreciation for the  opportunity to testify                                                               
and stated  that the University  of Alaska  supports SB 5,  as it                                                               
faces  the  same  rising  healthcare  costs  seen  statewide  and                                                               
nationally. She noted  that the university has  been working with                                                               
the Division of  Retirement and Benefits (DRB) for  the past five                                                               
years to  assess the  advantages of joining  a larger  risk pool.                                                               
She highlighted that SB 5  brings the university closer to making                                                               
such participation a reality  and supports optional participation                                                               
as a way  to expand risk sharing across  public sector employees.                                                               
She  offered  to provide  additional  analysis  based on  ongoing                                                               
discussions with DRB.                                                                                                           
                                                                                                                                
CHAIR TOBIN  concluded invited testimony  and asked  if committee                                                               
members had questions.                                                                                                          
                                                                                                                                
4:06:02 PM                                                                                                                    
SENATOR  BJORKMAN  recalled  that the  Matanuska-Susitna  Borough                                                               
School District  withdrew from the Public  Education Health Trust                                                               
(PEHT)  after extended  disputes  over access  to healthcare  and                                                               
claims data. The district sought  to evaluate other plan options.                                                               
He  noted  that  the  district  now uses  a  different  plan  but                                                               
understands  its  premiums  may   increase  by  approximately  23                                                               
percent next year. He questioned  whether leaving the larger PEHT                                                               
pool has produced the outcomes the district anticipated.                                                                        
                                                                                                                                
4:07:18 PM                                                                                                                    
KATHERINE  GARDNER  stated  that  leaving  the  Public  Education                                                               
Health Trust (PEHT)  has met the district's  expectations for two                                                               
main  reasons. First,  both employee  and district  premiums over                                                               
the past  two years  have been  lower than  they would  have been                                                               
under PEHT,  even though one of  the district's two plans  is now                                                               
facing a potentially  large increase. She explained  that she has                                                               
access to  claims data  that fully supports  the reason  for that                                                               
increase, which  only affects  one plan.  Second, she  values the                                                               
autonomy the district now has,  which allows them to explore plan                                                               
changes to manage costs and  consider future alternatives such as                                                               
self-insurance or joining AlaskaCare.                                                                                           
                                                                                                                                
4:08:37 PM                                                                                                                    
SENATOR BJORKMAN asked whether school  districts would be able to                                                               
move in  and out of  the state-administered insurance  pool while                                                               
maintaining full access to their claims  data if SB 5 was adopted                                                               
as proposed.                                                                                                                    
                                                                                                                                
MS. GARDNER  stated that  she is unsure  whether SB  5 guarantees                                                               
access to claims data, which could  make moving in and out of the                                                               
pool challenging. She  noted that districts like  hers would need                                                               
to  carefully consider  that issue.  She added  that AlaskaCare's                                                               
large pool  size and public  management offer some  confidence in                                                               
how funds  are handled, but  emphasized that access to  data will                                                               
remain a critical factor in any future decision.                                                                                
                                                                                                                                
4:09:43 PM                                                                                                                    
SENATOR  KIEHL stated  that SB  5  is unclear  about whether  the                                                               
Department  of Administration  has  the authority  to approve  or                                                               
deny a  school district's request  to join AlaskaCare.  He stated                                                               
his belief  that existing  statutes reference  the commissioner's                                                               
authority  to grant  approval. He  asked what  decision standards                                                               
guide the  Commissioner of the  Department of  Administration. He                                                               
also requested clarification  on the overall vision for  how SB 5                                                               
would function.                                                                                                                 
                                                                                                                                
4:10:35 PM                                                                                                                    
SENATOR HUGHES deferred the question.                                                                                           
                                                                                                                                
4:10:56 PM                                                                                                                    
STEVE RAMOS,  Chief Health Administrator, Division  of Retirement                                                               
and Benefits,  Juneau, Alaska, answered questions  and offered an                                                               
overview  of fiscal  note OMB  64. He  stated that  based on  his                                                               
review of SB  5, the decision appeared to rest  entirely with the                                                               
plan  administrator,  the  Commissioner   of  the  Department  of                                                               
Administration.  He noted  that  the commissioner  would issue  a                                                               
written response  regarding a  district's entry  into AlaskaCare.                                                               
He stated  that the  specific regulations  or rules  guiding that                                                               
decision remain unclear to him.                                                                                                 
                                                                                                                                
4:11:36 PM                                                                                                                    
SENATOR KIEHL  thanked him for  his response. He stated  that the                                                               
bill  sponsor  may  want  to   clarify  the  standards  used  for                                                               
approving  entry into  AlaskaCare.  He expressed  concern that  a                                                               
future commissioner could deny access  based on the potential for                                                               
increased costs  to the  pool, which  would undermine  the bill's                                                               
intent.   He  asked   whether  school   districts  or   political                                                               
subdivisions  that join  would be  part  of the  same claims  and                                                               
financial pool  as current AlaskaCare  members, or if  they would                                                               
be  in  a separate  pool  administered  by the  same  third-party                                                               
administrator (TPA) under the division's rules.                                                                                 
                                                                                                                                
4:12:40 PM                                                                                                                    
SENATOR HUGHES  stated that although  the intent seems to  be for                                                               
all members  to join  a single pool,  the Division  of Retirement                                                               
and Benefits should  also respond to the question.  She noted the                                                               
potential need for clarifying legal  language to ensure intent is                                                               
accurately reflected in SB 5.                                                                                                   
                                                                                                                                
MR.  RAMOS stated  that  the  current design  of  SB  5 does  not                                                               
clearly determine whether  new members would be part  of the same                                                               
pool.  He said  it seems  logical that  without inclusion  in the                                                               
same  pool, achieving  savings would  be unlikely.  He emphasized                                                               
that  spreading  risk  across  a larger  group  is  necessary  to                                                               
achieve savings.                                                                                                                
                                                                                                                                
4:13:24 PM                                                                                                                    
SENATOR  KIEHL  referenced  SB 5,  Section  10,  which  addresses                                                               
separately  apportioning excess  loss  insurance to  the pool  of                                                               
school  district  employees  without spreading  it  across  state                                                               
employees. He questioned how that  would function mechanically if                                                               
all members were part of the same pool.                                                                                         
                                                                                                                                
4:13:53 PM                                                                                                                    
MR. RAMOS acknowledged  the question as valid and  stated that he                                                               
does not  currently have experience  with that scenario.  He said                                                               
he  would need  to  investigate  further and  follow  up with  an                                                               
answer.                                                                                                                         
                                                                                                                                
CHAIR TOBIN asked that he send  the information to her office for                                                               
dissemination to members.                                                                                                       
                                                                                                                                
4:14:23 PM                                                                                                                    
SENATOR  KIEHL  asked  for  elaboration   on  SB  5,  Section  3,                                                               
regarding the intended use of the Public Education Fund.                                                                        
                                                                                                                                
4:14:54 PM                                                                                                                    
SENATOR  HUGHES  stated that  she  would  need  to review  SB  5,                                                               
Section 3, and follow up with  a response. She apologized for not                                                               
being fully  familiar with  that specific  section. She  said she                                                               
did  not want  to assume  the Public  Education Fund  would cover                                                               
startup costs for the Department  of Administration, although she                                                               
acknowledged  there  is  a fiscal  note  addressing  those  setup                                                               
costs.                                                                                                                          
                                                                                                                                
4:15:24 PM                                                                                                                    
CHAIR  TOBIN  stated that  she  was  interested in  the  question                                                               
regarding the  use of the  Public Education Fund. She  noted that                                                               
the  fund allows  for a  structured draw  for specific  education                                                               
services and wanted to know if  there are any concerns related to                                                               
that usage.                                                                                                                     
                                                                                                                                
4:15:38 PM                                                                                                                    
SENATOR  KIEHL expressed  appreciation  for  the 10-year  startup                                                               
period  and payback  structure,  recognizing it  as a  thoughtful                                                               
effort  to support  school districts  during the  transition into                                                               
AlaskaCare. He  raised questions about  the choice of  the Public                                                               
Education Fund  and the  aggregate cap, noting  the absence  of a                                                               
time  reference.  He  cautioned  that if  larger  districts  join                                                               
early,   the  $100   million  cap   could  be   reached  quickly,                                                               
potentially  limiting access  for  smaller,  rural districts.  He                                                               
emphasized the  need to  consider those  mechanics to  ensure the                                                               
approach remains workable, especially for small districts.                                                                      
                                                                                                                                
SENATOR HUGHES stated  that she would welcome  the opportunity to                                                               
work with his office and  acknowledged the expertise of his staff                                                               
in helping  to address  the issue.  She added  that they  had not                                                               
received a  legal memo indicating  any problem with  the proposed                                                               
use  of  the fund.  However,  she  suggested  it  may be  a  good                                                               
question for Legislative Legal.                                                                                                 
                                                                                                                                
CHAIR TOBIN  stated the House recently  had discussions regarding                                                               
the use of the fund.                                                                                                            
                                                                                                                                
4:17:15 PM                                                                                                                    
SENATOR BJORKMAN asked whether the  department had considered the                                                               
impact  of adverse  selection under  SB 5,  since the  bill would                                                               
allow  groups to  move  in  and out  of  the  plan. He  expressed                                                               
concern  that  groups  with   high-cost  experiences  might  join                                                               
AlaskaCare, and then leave when  their costs decrease and savings                                                               
become  possible. He  questioned how  this movement  would affect                                                               
the overall cost to the State of Alaska for AlaskaCare.                                                                         
                                                                                                                                
4:18:05 PM                                                                                                                    
MR. RAMOS  stated that  the department  had considered  the issue                                                               
but  did   not  have  a   specific  answer.  He   explained  that                                                               
approximately   150   entities,    representing   around   37,000                                                               
employees,  could be  affected, and  emphasized that  determining                                                               
the  impact requires  knowing which  specific  groups would  join                                                               
AlaskaCare.  He acknowledged  that groups  bringing higher  risk                                                                
meaning higher  costs than the current  membershipwould  increase                                                               
overall costs,  and their later  departure could also  affect the                                                               
plan. He  noted that  group size  and characteristics  vary, from                                                               
the University  of Alaska with  3,000 employees to  entities with                                                               
as few as 10, and factors  such as illness burden and plan design                                                               
must also be evaluated.                                                                                                         
                                                                                                                                
4:19:50 PM                                                                                                                    
CHAIR  TOBIN  stated  that   some  Alaska  communities  commingle                                                               
municipal and local school district  employees in a shared health                                                               
care pool.  She asked  whether there  had been  discussions about                                                               
the potential  impact if  a school district  chose to  leave that                                                               
pooled  arrangement,  possibly  jeopardizing  the  municipality's                                                               
ability   to   maintain   health    coverage   due   to   reduced                                                               
participation.  She inquired  if  there were  any provisions  for                                                               
more robust dialogue before such decisions are made.                                                                            
                                                                                                                                
4:20:29 PM                                                                                                                    
SENATOR HUGHES  stated that she  had not had  those conversations                                                               
but noted  that, logically,  if a school  district, which  is the                                                               
larger group  in many local  governments, were to leave  a shared                                                               
health  plan,  the  municipality  might  either  follow  or  face                                                               
increased costs.  She suggested that this  could create financial                                                               
pressure on  the remaining group.  She offered to  make inquiries                                                               
to  determine whether  any districts  that support  the bill  had                                                               
discussed this issue.                                                                                                           
                                                                                                                                
4:21:25 PM                                                                                                                    
CHAIR  TOBIN  stated  that  most  school  districts  likely  have                                                               
strong, positive  relationships with their local  city or borough                                                               
governments.  However,  she  noted   that  in  cases  where  such                                                               
relationships do not exist considering protections is important.                                                                
                                                                                                                                
4:22:21 PM                                                                                                                    
CHAIR TOBIN said  the committee would discuss SB  5 fiscal notes.                                                               
She requested that committee members  review the zero fiscal note                                                               
from the Department of Education  and Early Development (DEED) on                                                               
their own. She invited Mr. Ramos  to present the fiscal note from                                                               
the Division of Retirement and Benefits.                                                                                        
                                                                                                                                
4:22:31 PM                                                                                                                    
MR. RAMOS  stated that  in the  fiscal note  [OMB 64]  most claim                                                               
processing  and  handling  responsibilities will  be  managed  by                                                               
contractors, regardless of  the plan type. He  explained that the                                                               
division's   primary  needs   involve  determining   eligibility,                                                               
processing applications, and  funding three additional positions,                                                               
which are accounted for in the  fiscal note. He noted that as the                                                               
number of  new employees rises  staffing thresholds  will require                                                               
additional hires to manage the  increased workload. He emphasized                                                               
that the most  significant cost in the fiscal note  is $1 million                                                               
for programming needed to properly  process eligibility files and                                                               
transmit them to insurance carriers.                                                                                            
                                                                                                                                
4:25:23 PM                                                                                                                    
SENATOR KIEHL asked  whether the $1 million  cost for programming                                                               
and  actuarial consultants  is a  recurring annual  expense or  a                                                               
one-time  upfront   cost  that  decreases  as   processes  become                                                               
established.                                                                                                                    
                                                                                                                                
MR. RAMOS  clarified that  the $1  million estimate  represents a                                                               
worst-case, upfront  cost based  on the assumption  of onboarding                                                               
up to  150 groups  with 37,000 employees.  He explained  that the                                                               
programming would only  be needed once for each  group, making it                                                               
a  one-time expense.  He added  that if  groups enroll  gradually                                                               
over multiple  years, the programming needs  and associated costs                                                               
would be spread out accordingly.                                                                                                
                                                                                                                                
4:26:49 PM                                                                                                                    
SENATOR  KIEHL said  the reason  he sought  clarification on  the                                                               
cost is  because the fiscal  note shows  a $1 million  cost under                                                               
the services line  for each of the next six  years and questioned                                                               
whether that accurately reflects the anticipated need.                                                                          
                                                                                                                                
MR. RAMOS stated he would update the fiscal note.                                                                               
                                                                                                                                
4:27:20 PM                                                                                                                    
SENATOR  HUGHES commented  that  while  legislators prefer  bills                                                               
without fiscal  notes, SB 5 does  carry a cost to  the state. She                                                               
emphasized  that  funding  K12   education  is  a  constitutional                                                               
obligation,   and  currently   45   percent   of  state   dollars                                                               
appropriated  to  school  districtsexcluding  federal  and  local                                                               
fundsgo   toward   health  care  benefits.  She   explained  that                                                               
investing  a million  dollars upfront  through the  Department of                                                               
Administration  could   reduce  districts'  health   care  costs,                                                               
allowing them  to redirect state funding  toward student learning                                                               
and  teacher  support. She  acknowledged  the  fiscal impact  but                                                               
framed  it as  a strategic  investment  that indirectly  supports                                                               
education.                                                                                                                      
                                                                                                                                
4:28:48 PM                                                                                                                    
SENATOR  BJORKMAN expressed  support for  the concept  but raised                                                               
concerns about the optional nature  of the plan, warning it could                                                               
lead to adverse selection. He  explained that entities with high-                                                               
cost plan  experience may  opt in, raising  costs for  the larger                                                               
pool,  while those  with lower  costs  may stay  out until  their                                                               
experience worsens,  further destabilizing  the system.  He cited                                                               
the Kenai  Peninsula Borough School District's  failed attempt to                                                               
join a larger  pool after previously opting out,  noting it would                                                               
have required  a 50  percent initiation  fee and  raised premiums                                                               
for  others by  nearly 5  percent the  first year.  He urged  the                                                               
legislature  to  engage professionals  to  design  a system  that                                                               
leverages  state  dollars   effectively  and  avoids  instability                                                               
caused by selective participation.                                                                                              
                                                                                                                                
4:31:54 PM                                                                                                                    
CHAIR TOBIN said the committee  would discuss the fiscal note for                                                               
the University of Alaska System.                                                                                                
                                                                                                                                
4:32:12 PM                                                                                                                    
ALESIA  KRUCKENBERG,  Director,  Strategy, Planning  and  Budget,                                                               
University  of  Alaska  Systems, Fairbanks,  Alaska,  offered  an                                                               
overview of  fiscal note  OMB 1296.  She said  currently it  is a                                                               
zero  fiscal note  because SB  5 is  not mandatory.  To know  the                                                               
costs to the employer, employee,  and the state an analysis would                                                               
need to happen.                                                                                                                 
                                                                                                                                
4:33:07 PM                                                                                                                    
CHAIR TOBIN opened public testimony on SB 5; finding none, she                                                                  
closed public testimony.                                                                                                        
                                                                                                                                
4:33:36 PM                                                                                                                    
CHAIR TOBIN held SB 5 in committee.                                                                                             

Document Name Date/Time Subjects
SB 5 Version A 04.16.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Sponsor Statement 04.10.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Sectional Analysis 04.16.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Fiscal Note DOA-DRB 04.11.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Fiscal Note EED-SSA 04.11.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Fiscal Note UA-SYSBRA 04.16.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Presentation 04.16.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Testimony - Clayton Holland 04.14.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 5
SB 5 Testimony - AASB 04.15.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 4
SB 5
SB 82 Testimony - Received as of 04.16.2025.pdf SEDC 4/16/2025 3:30:00 PM
SB 82