Legislature(2025 - 2026)BUTROVICH 205

04/01/2025 03:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
03:34:42 PM Start
03:35:53 PM SB134
03:49:21 PM SJR15
03:55:42 PM Confirmation Hearing(s):
04:10:22 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Agenda Change --
*+ SB 134 PHARMACY BENEFITS MANAGER;3RD PARTY ADMIN TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= SB 122 HEALTH INSURANCE NETWORK STANDARDS TELECONFERENCED
<Bill Hearing Rescheduled to 04/03/25>
-- Public Testimony <Time Limit May Be Set> --
+= SB 88 CHILD PLACEMENT; DILIGENT SEARCH TELECONFERENCED
<Bill Hearing Rescheduled to 04/03/25>
-- Testimony <Invitation Only> --
+= SJR 15 OPPOSE MEDICAID CUTS TELECONFERENCED
Moved CSSJR 15(HSS) Out of Committee
-- Testimony <Invitation Only> --
Consideration of Governor’s Appointees:
Brent Taylor, State Medical Board
-- Public Testimony --
Samantha Smith, State Medical Board
-- Public Testimony --
Bills Previously Heard/Scheduled
                  SJR 15-OPPOSE MEDICAID CUTS                                                                               
                                                                                                                                
3:49:21 PM                                                                                                                    
VICE-CHAIR GIESSEL  announced the  consideration of  SENATE JOINT                                                               
RESOLUTION   NO.  15   Calling  on   the  state's   congressional                                                               
delegation to oppose cuts to federal spending on Medicaid.                                                                      
                                                                                                                                
3:49:39 PM                                                                                                                    
VICE-CHAIR GIESSEL said the committee  would consider a committee                                                               
substitute (CS), version N, for SJR 15.                                                                                         
                                                                                                                                
3:49:49 PM                                                                                                                    
VICE-CHAIR GIESSEL solicited a motion.                                                                                          
                                                                                                                                
3:49:53 PM                                                                                                                    
SENATOR TOBIN  moved to adopt  the committee substitute  (CS) for                                                               
SJR 15, work order 34-LS0631\N, as the working document.                                                                        
                                                                                                                                
3:50:07 PM                                                                                                                    
VICE-CHAIR GIESSEL objected for purposes of discussion.                                                                         
                                                                                                                                
3:50:35 PM                                                                                                                    
ARIELLE WIGGIN, Staff, Senator Forest Dunbar, Alaska State                                                                      
Legislature, Juneau, Alaska, offered a summary of changes for                                                                   
SJR 15, version N:                                                                                                              
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                              
                       SUMMARY OF CHANGES                                                                                     
                 CSSJR 15: OPPOSE MEDICAID CUTS                                                                               
                32-LS0631 Version A to Version N                                                                              
                                                                                                                                
     Page  2,  Line  2:  Updates the  percentage  of  Alaska                                                                  
     births covered  by Medicaid in  2023 to 36  percent and                                                                    
     clarifies  that  nearly  40 percent  of  enrollees  are                                                                    
     under age 18.                                                                                                              
                                                                                                                                
     Page  2, Line  12: Updates  the percentage  of Medicaid                                                                  
     enrollees who are Alaska Native to 30 percent.                                                                             
                                                                                                                                
     Page 2,  after line 15:  Adds a clause  clarifying that                                                                  
     the federal  government covers 100 percent  of Medicaid                                                                    
     costs  for Alaska  Native enrollees  receiving services                                                                    
     through  Indian   Health  Service  (IHS)   or  tribally                                                                    
     operated  facilities,  whether   directly  operated  by                                                                    
     Indian  Health Service  or on  behalf of  a Tribe;  and                                                                    
     adds   a  clause   stating  that   states  implementing                                                                    
     Medicaid  expansion  under   the  Affordable  Care  Act                                                                    
     receive a  90 percent federal match  for adults covered                                                                    
     through the expansion.                                                                                                     
                                                                                                                                
     Page  3, Line  5:  Changes the  potential  cuts from  2                                                                  
     trillion dollars  to eight  hundred and  eighty billion                                                                    
     dollars  to reflect  the current  stage of  the federal                                                                    
     budget negotiation process more accurately                                                                                 
                                                                                                                                
3:51:50 PM                                                                                                                    
VICE-CHAIR GIESSEL asked if the committee had questions. She                                                                    
noted that the sponsor of SJR 15 had incorporated changes that                                                                  
members of the committee suggested.                                                                                             
                                                                                                                                
3:52:20 PM                                                                                                                    
VICE-CHAIR GIESSEL  removed her  objection. She found  no further                                                               
discussion and  [CSSJR 15 was  adopted as the  working document].                                                               
She solicited the will of the committee.                                                                                        
                                                                                                                                
3:52:25 PM                                                                                                                    
SENATOR  HUGHES expressed  disappointment that  "over ten  years"                                                               
was omitted  on page  3, line 5  of the CS,  noting that  a "cut"                                                               
usually refers  to a  one-year amount,  whereas this  totals $880                                                               
billion over  ten years  ($88 billion per  year), which  she felt                                                               
was misleading.                                                                                                                 
                                                                                                                                
3:52:58 PM                                                                                                                    
VICE-CHAIR GIESSEL asked if Senator  Hughes would like to offer a                                                               
conceptual amendment.                                                                                                           
                                                                                                                                
3:53:10 PM                                                                                                                    
SENATOR HUGHES moved Conceptual Amendment 1:                                                                                    
                                                                                                                                
                     CONCEPTUAL AMENDMENT 1                                                                                 
                                                                                                                              
     On page 3, line 5, following "$880,000,000,000"                                                                            
          Insert "over ten years"                                                                                               
                                                                                                                                
3:53:29 PM                                                                                                                    
VICE-CHAIR  GIESSEL suggested  the amendment  read, "Whereas  the                                                               
United   States   Congress   is  considering   cuts   of   nearly                                                               
[$880,000,000,000] to federal spending on  Medicaid over the next                                                               
ten years                                                                                                                       
                                                                                                                                
3:53:51 PM                                                                                                                    
SENATOR  HUGHES  withdrew  Conceptual Amendment  1.  She  offered                                                               
Conceptual Amendment 2:                                                                                                         
                                                                                                                                
                     CONCEPTUAL AMENDMENT 2                                                                                 
                                                                                                                              
     On page 3, line 5, following "$880,000,000,000 to                                                                          
     federal spending on Medicaid"                                                                                              
                                                                                                                                
          Insert "over ten years;"                                                                                              
                                                                                                                                
3:54:15 PM                                                                                                                    
SENATOR CLAMAN asked if the  ten-year range had received previous                                                               
discussion.                                                                                                                     
                                                                                                                                
VICE-CHAIR GIESSEL  replied yes,  it was brought  up at  the last                                                               
committee meeting by Senator Hughes.  Excluding 10 years from the                                                               
committee substitute was an oversight.                                                                                          
                                                                                                                                
3:54:40 PM                                                                                                                    
VICE-CHAIR  GIESSEL asked  if there  was objection  to Conceptual                                                               
Amendment  2; finding  no objection  Conceptual  Amendment 2  was                                                               
adopted.                                                                                                                        
                                                                                                                                
3:54:48 PM                                                                                                                    
VICE-CHAIR  GIESSEL  asked if  there  was  further discussion  or                                                               
concerns  related to  [CSSJR 15,  as amended];  finding none  she                                                               
solicited the will of the committee.                                                                                            
                                                                                                                                
3:55:02 PM                                                                                                                    
SENATOR TOBIN moved  to report CSSJR 15,  work order 34-LS0631\N,                                                               
as amended,  from committee  with individual  recommendations and                                                               
attached fiscal note(s).                                                                                                        
                                                                                                                                
3:55:19 PM                                                                                                                    
VICE-CHAIR  GIESSEL  found no  objection  and  CSSJR 15(HSS)  was                                                               
reported  from the  Senate Health  and  Social Services  Standing                                                               
Committee.                                                                                                                      

Document Name Date/Time Subjects
SB 134 Sponsor Statement 03.18.25.pdf SHSS 4/1/2025 3:30:00 PM
SB 134
SB 134 Sectional Analysis 03.18.25.pdf SHSS 4/1/2025 3:30:00 PM
SB 134
SB 134 Fiscal Note DCCED DOI 3.28.25.pdf SHSS 4/1/2025 3:30:00 PM
SB 134
SJR 15 Fiscal Note LEG SESS 3.19.25.pdf SHSS 4/1/2025 3:30:00 PM
SJR 15
Samantha Smith Testimony Rec'd 03.28.25.pdf SHSS 4/1/2025 3:30:00 PM
State Medical Board - Samantha Smith
Samantha Smith Testimony Rec'd 03.31.25.pdf SHSS 4/1/2025 3:30:00 PM
State Medical board - Samantha Smith
Brent Taylor Medical Board Resume_Redacted.pdf SHSS 4/1/2025 3:30:00 PM
State Medical Board Appointee - Brent Taylor
Samantha Smith Medical Board Resume_Redacted.pdf SHSS 4/1/2025 3:30:00 PM
State Medical Board Appointee - Brent Taylor
State Medical Board Fact Sheet 2025 Final.pdf SHSS 4/1/2025 3:30:00 PM
CSSJR 15 Version N Summary of Changes 4.1.25.pdf SHSS 4/1/2025 3:30:00 PM
SJR 15
SJR 15 Version N 4.1.25.pdf SHSS 4/1/2025 3:30:00 PM
SJR 15
ASMB Fact Sheet 2025.pdf SHSS 4/1/2025 3:30:00 PM
Alaska State Medical Board