Legislature(2025 - 2026)BELTZ 105 (TSBldg)

04/02/2025 01:30 PM Senate LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 132 OMNIBUS INSURANCE BILL TELECONFERENCED
Heard & Held
-- Public Testimony <Time Limit May Be Set> --
+= SB 133 INSURANCE; PRIOR AUTHORIZATIONS TELECONFERENCED
Moved CSSB 133(L&C) Out of Committee
-- Invited & Public Testimony --
+= SB 4 HEALTH CARE PRICES AND INCENTIVE PROGRAMS TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
Bills Previously Heard/Scheduled
**Streamed live on AKL.tv**
             SB 133-INSURANCE; PRIOR AUTHORIZATIONS                                                                         
                                                                                                                                
1:42:51 PM                                                                                                                    
CHAIR   BJORKMAN    reconvened   the   meeting    announced   the                                                               
consideration of  SENATE BILL NO.  133 "An Act relating  to prior                                                               
authorization requests for medical care  covered by a health care                                                               
insurer;   relating   to   a  prior   authorization   application                                                               
programming interface;  relating to  step therapy;  and providing                                                               
for an effective date."                                                                                                         
                                                                                                                                
1:43:28 PM                                                                                                                    
KONRAD  JACKSON,  Staff,  Senator Jesse  Bjorkman,  Alaska  State                                                               
Legislature, Juneau,  Alaska, presented a  brief recap of  SB 133                                                               
and  stated  that this  bill  addresses  the prior  authorization                                                               
process  for   medical  care   covered  by   insurers.  Developed                                                               
collaboratively by  providers, regulators,  and insurers,  SB 133                                                               
sets  clear timelines,  communication requirements,  and promotes                                                               
electronic submissions via  insurer portals. He said  SB 133 also                                                               
authorizes  the   Division  of  Insurance  director   to  oversee                                                               
compliance and enforcement.                                                                                                     
                                                                                                                                
1:44:48 PM                                                                                                                    
CHAIR BJORKMAN opened  public testimony on SB  133; finding none,                                                               
he closed public testimony.                                                                                                     
                                                                                                                                
1:45:31 PM                                                                                                                    
CHAIR BJORKMAN solicited a motion.                                                                                              
                                                                                                                                
1:45:33 PM                                                                                                                    
SENATOR  MERRICK  moved to  adopt  Amendment  1, work  order  34-                                                               
LS0470\N.                                                                                                                       
                                                                                                                                
                                                 34-LS0470\N.1                                                                  
                                                      Wallace                                                                   
                                                      3/26/25                                                                   
                                                                                                                                
                                                                                                                                
                      A M E N D M E N T 1                                                                                   
                                                                                                                                
                                                                                                                                
     OFFERED IN THE SENATE                  BY SENATOR BJORKMAN                                                                 
                                                                                                                                
          TO:  SB 133                                                                                                           
                                                                                                                                
     Page 4, lines 11 - 13:                                                                                                     
          Delete all material.                                                                                                  
                                                                                                                                
     Page 9, lines 24 - 26:                                                                                                     
          Delete "or a requirement that a covered person or                                                                     
       health care provider notify a health care insurer                                                                        
     before receiving or providing medical care"                                                                                
                                                                                                                                
1:45:37 PM                                                                                                                    
CHAIR BJORKMAN objected for purposes of discussion.                                                                             
                                                                                                                                
1:45:47 PM                                                                                                                    
KONRAD  JACKSON,  Staff,  Senator Jesse  Bjorkman,  Alaska  State                                                               
Legislature, Juneau, Alaska, offered  an explanation of Amendment                                                               
1 to SB  133 and stated that the amendment  makes two corrections                                                               
to the bill:                                                                                                                    
                                                                                                                                
-Section AS 21.07.110 (page 4,  lines 1113):  Deletes language to                                                               
clarify insurer website  transparency requirements. Insurers must                                                               
post only  current prior authorization procedures  with effective                                                               
dates, not outdated ones.                                                                                                       
                                                                                                                                
-Page   9,  lines   2426:   Revises   the  definition   of  prior                                                               
authorization  to  fix  a  drafting  error  and  align  with  the                                                               
definition agreed upon by stakeholders.                                                                                         
                                                                                                                                
1:47:26 PM                                                                                                                    
CHAIR BJORKMAN removed his objection.                                                                                           
                                                                                                                                
1:47:31 PM                                                                                                                    
CHAIR BJORKMAN  found no  further objection  and Amendment  1 was                                                               
adopted.                                                                                                                        
                                                                                                                                
1:47:49 PM                                                                                                                    
CHAIR BJORKMAN solicited the will of the committee.                                                                             
                                                                                                                                
1:47:52 PM                                                                                                                    
SENATOR MERRICK moved to report SB 133, work order 34-LS0470\N.                                                                 
as amended,  from committee  with individual  recommendations and                                                               
attached fiscal note(s).                                                                                                        
                                                                                                                                
1:48:07 PM                                                                                                                    
CHAIR BJORKMAN found no objection  and CSSB 133(L&C) was reported                                                               
from the Senate Labor and Commerce Standing Committee.                                                                          

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