HB 25 — An Act relating to insurance coverage for contraceptives and related services; and relating to medical assistance coverage for contraceptives and related services.
Last action — CROSS SPONSOR(S): BEGICH, GARDNER
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✓Introduced
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✓In Committee
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3Passed House
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 30th Legislature (2017-2018). It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Bill Text
What changed in the latest version
9 added · 9 removedPlain-language change summary
The updated version of HB 25 clarifies that health insurance plans in Alaska must cover contraceptives and related services, including prescription contraceptives, sterilization procedures, and consultations necessary for these services, without requiring copayments or deductibles. It emphasizes that insurers cannot deny coverage for changing contraceptive methods and must provide a 12-month supply of prescription contraceptives at a time. These changes aim to improve access to reproductive health care, making it easier for individuals to obtain the contraceptive options they need.
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and relating to medical assistance coverage for contraceptives and related services;services." CS FOR HOUSE BILL NO.
and25(FIN) providingam(efd forfld) an01 effective"An date."Act CSrelating FORto HOUSEinsurance BILLcoverage NO.for contraceptives and related services;
25(FIN)and 0102 "An Act relating to insurancemedical assistance coverage for contraceptives and related services;services." 03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
relating04 02* toSection medical1. assistance coverage for contraceptives and related services;
and providing for 03 an effective date." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
05 * Section 1.
0605 Sec.
(a) A health care insurer that 0706 offers, issues for delivery, delivers, or renews in the state a health care insurance plan 0807 in the group or individual market shall 0908 (1) provide coverage for 1009 (A) prescription contraceptives;
1110 (B) voluntary sterilization procedures;
and 1211 (C) consultations, examinations, procedures, and medical 1312 services that are necessary to prescribe, dispense, insert, deliver, distribute, 1413 administer, or remove the drugs, devices, and other products or services 14 provided under this paragraph;
02 (2) reimburse a health care provider or dispensing entity for dispensing 0302 prescription contraceptives intended to last for a 12-month period for subsequent 0403 dispensings of the same prescription contraceptive to the insured regardless of whether 0504 the insured was enrolled in the health care insurance plan at the time of the first 0605 dispensing.
0706 (b) A health care insurer may not deny coverage or reimbursement under (a) 0807 of this section because an insured changed contraceptive methods within a 12-month 0908 period.
1009 (c) A health care insurer may not offset the costs of compliance with (a) of 1110 this section and may not require copayments or deductibles for contraceptives or 1211 services covered under (a) of this section.
1312 (d) A health care insurer may not restrict or delay the coverage or 1413 reimbursement required under (a) of this section, including use of medical 1514 management techniques, such as denials, step therapy, or prior authorization, that limit 1615 an insured's choice in accessing a full range of prescription contraceptives.
Nothing in 1716 this subsection prevents a health care insurer from enacting reasonable cost 1817 containment measures in relation to the coverage required under (a) of this section if 1918 the cost containment measure does not unreasonably limit choice in access to 2019 coverage.
In this subsection, "cost containment" means incentivizing the use of 2120 generic or lower cost medications or the use of health care providers or pharmacies 2221 that offer services or prescriptions at a lower negotiated rate.
2322 (e) If the covered therapeutically equivalent version of a prescription 2423 contraceptive is not available or is considered medically inadvisable by the health care 2524 provider of the insured, a health care insurer shall provide coverage without cost 2625 sharing for an alternative therapeutically equivalent version of the prescription 2726 contraceptive that is prescribed for the insured.
2827 (f) A health care insurer shall provide coverage and reimbursement under (a) 2928 of this section to all insureds enrolled in a health care insurance plan, including 3029 enrolled spouses and dependents.
3130 (g) A health care insurer that offers, issues for delivery, delivers, or renews in 31 the state a health care insurance plan in the group market to a religious employer is 02 exempt from the requirements of this section with respect to the health care insurance 0302 plan of the religious employer if the religious employer opposes the coverage required 0403 under this section and is an 05 (1) organization that meets the criteria set out in 26 U.S.C.
0604 6033(a)(3)(A)(i) or (iii) (Internal Revenue Code of 1986), as amended;amended.
or05 07(h) (2)In eligiblethis organizationsection, that"prescription hascontraceptive" self-certifiedmeans ina thedrug formor anddevice mannerthat 0806 specifiedrequires bya theprescription Unitedand Statesis Secretaryapproved ofby Labor or has provided notice to the United 09 States SecretaryFood of Health and HumanDrug Services,07 underAdministration theto requirementsprevent setpregnancy. out in 45 10 C.F.R.
147.131(b)(1)08 -* (3).Sec.
11 (h) In this section, "prescription contraceptive" means a drug or device that 12 requires a prescription and is approved by the United States Food and Drug 13 Administration to prevent pregnancy.
14 * Sec.
1509 (66) AS 29.20.420 (health care insurance plans).
1610 * Sec.
1711 Sec.
(a) If a municipality offers a group 1812 health care insurance plan covering municipal employees, including by means of self- 1913 insurance, the municipal health care insurance plan is subject to the requirements of 2014 AS 21.42.427.
2115 (b) This section applies to home rule and general law municipalities.
2216 (c) In this section "health care insurance plan" has the meaning given in 2317 AS 21.54.500.
2418 * Sec.
2519 (a) The Department of Administration may obtain a policy or policies of group 2620 insurance covering state employees, persons entitled to coverage under AS 14.25.168, 2721 14.25.480, AS 22.25.090, AS 39.35.535, 39.35.880, or former AS 39.37.145, 2822 employees of other participating governmental units, or persons entitled to coverage 2923 under AS 23.15.136, subject to the following conditions:
3024 (1) a group insurance policy shall provide one or more of the following 3125 benefits:
life insurance, accidental death and dismemberment insurance, weekly 26 indemnity insurance, hospital expense insurance, surgical expense insurance, dental 0227 expense insurance, audiovisual insurance, or other medical care insurance;
0328 (2) each eligible employee of the state, the spouse and the unmarried 0429 children chiefly dependent on the eligible employee for support, and each eligible 0530 employee of another participating governmental unit shall be covered by the group 0631 policy, unless exempt under regulations adopted by the commissioner of 07 administration;
0802 (3) a governmental unit may participate under a group policy if 0903 (A) its governing body adopts a resolution authorizing 1004 participation and payment of required premiums;
1105 (B) a certified copy of the resolution is filed with the 1206 Department of Administration;
and 1307 (C) the commissioner of administration approves the 1408 participation in writing;
1509 (4) in procuring a policy of group health or group life insurance as 1610 provided under this section or excess loss insurance as provided in AS 39.30.091, the 1711 Department of Administration shall comply with the dual choice requirements of 1812 AS 21.86.310, and shall obtain the insurance policy from an insurer authorized to 1913 transact business in the state under AS 21.09, a hospital or medical service corporation 2014 authorized to transact business in this state under AS 21.87, or a health maintenance 2115 organization authorized to operate in this state under AS 21.86;
Show all 91 changed lines (51 more)
an excess loss 2216 insurance policy may be obtained from a life or health insurer authorized to transact 2317 business in this state under AS 21.09 or from a hospital or medical service corporation 2418 authorized to transact business in this state under AS 21.87;
2519 (5) the Department of Administration shall make available bid 2620 specifications for desired insurance benefits or for administration of benefit claims and 2721 payments to (A) all insurance carriers authorized to transact business in this state 2822 under AS 21.09 and all hospital or medical service corporations authorized to transact 2923 business under AS 21.87 who are qualified to provide the desired benefits;
and (B) 3024 insurance carriers authorized to transact business in this state under AS 21.09, hospital 3125 or medical service corporations authorized to transact business under AS 21.87, and 26 third-party administrators licensed to transact business in this state and qualified to 0227 provide administrative services;
the specifications shall be made available at least once 0328 every five years;
the lowest responsible bid submitted by an insurance carrier, hospital 0429 or medical service corporation, or third-party administrator with adequate servicing 0530 facilities shall govern selection of a carrier, hospital or medical service corporation, or 0631 third-party administrator under this section or the selection of an insurance carrier or a 07 hospital or medical service corporation to provide excess loss insurance as provided in 0802 AS 39.30.091;
0903 (6) if the aggregate of dividends payable under the group insurance 1004 policy exceeds the governmental unit's share of the premium, the excess shall be 1105 applied by the governmental unit for the sole benefit of the employees;
1206 (7) a person receiving benefits under AS 14.25.110, AS 22.25, 1307 AS 39.35, or former AS 39.37 may continue the life insurance coverage that was in 1408 effect under this section at the time of termination of employment with the state or 1509 participating governmental unit;
1610 (8) a person electing to have insurance under (7) of this subsection 1711 shall pay the cost of this insurance;
1812 (9) for each permanent part-time employee electing coverage under 1913 this section, the state shall contribute one-half the state contribution rate for permanent 2014 full-time state employees, and the permanent part-time employee shall contribute the 2115 other one-half;
2216 (10) a person receiving benefits under AS 14.25, AS 22.25, AS 39.35, 2317 or former AS 39.37 may obtain auditory, visual, and dental insurance for that person 2418 and eligible dependents under this section;
the level of coverage for persons over 65 2519 shall be the same as that available before reaching age 65 except that the benefits 2620 payable shall be supplemental to any benefits provided under the federal old age, 2721 survivors, and disability insurance program;
a person electing to have insurance under 2822 this paragraph shall pay the cost of the insurance;
the commissioner of administration 2923 shall adopt regulations implementing this paragraph;
3024 (11) a person receiving benefits under AS 14.25, AS 22.25, AS 39.35, 3125 or former AS 39.37 may obtain long-term care insurance for that person and eligible 26 dependents under this section;
a person who elects insurance under this paragraph 0227 shall pay the cost of the insurance premium;
the commissioner of administration shall 0328 adopt regulations to implement this paragraph;
0429 (12) each licensee holding a current operating agreement for a vending 0530 facility under AS 23.15.010 - 23.15.210 shall be covered by the group policy that 0631 applies to governmental units other than the state;
07 (13) a group health insurance policy covering employees of a 0802 participating governmental unit is subject to the requirements of AS 21.42.427.
0903 * Sec.
1004 Sec.
1105 Notwithstanding AS 21.86.310 or AS 39.30.090, the Department of Administration 1206 may provide, by means of self-insurance, one or more of the benefits listed in 1307 AS 39.30.090(a)(1) for state employees eligible for the benefits by law or under a 1408 collective bargaining agreement and for persons receiving benefits under AS 14.25, 1509 AS 22.25, AS 39.35, or former AS 39.37, and their dependents.
The department shall 1610 procure any necessary excess loss insurance under AS 39.30.090.
A self-insured 1711 group medical plan covering active state employees provided under this section is 1812 subject to the requirements of AS 21.42.427.
1913 * Sec.
2014 (b) The department shall pay for 2115 (1) prescription contraceptives intended to last for a 12-month period 2216 for subsequent dispensings of the same prescription contraceptive if prescribed to and 2317 requested by the recipient, regardless of whether the recipient was receiving medical 2418 assistance at the time of the first dispensing;
and 2519 (2) consultations, examinations, procedures, and medical services that 2620 are necessary to 2721 (A) prescribe, dispense, insert, distribute, or administer 2822 prescription contraceptives;
or 2923 (B) remove prescription contraceptives.
3024 (c) Nothing in this section requires itemized reimbursement when a service is 3125 reimbursable as part of a bundled or composite rate.
26 (d) In this section, "prescription contraceptive" means a drug or device that 0227 requires a prescription and is approved by the United States Food and Drug 0328 Administration to prevent pregnancy.
0429 * Sec.
The uncodified law of the State of Alaska is amended by adding a new section to 0530 read:
0631 MEDICAID STATE PLAN INSTRUCTIONS;
NOTICE TO REVISOR OF 07 STATUTES.
The Department of Health and Social Services shall immediately amend and 0802 submit for federal approval a state plan for medical assistance coverage consistent with 0903 AS 47.07.065(b) - (d), added by sec.
The Department of Health and Social 1004 Services shall apply to the United States Department of Health and Human Services for any 1105 waivers necessary to implement AS 47.07.065(b) - (d), added by sec.
The 1206 commissioner of health and social services shall notify the revisor of statutes in writing if the 1307 United States Department of Health and Human Services approves the provisions of 1408 AS 47.07.065(b) - (d), added by sec.
1509 * Sec.
The uncodified law of the State of Alaska is amended by adding a new section to 1610 read:
1711 CONDITIONAL EFFECT.
6 of this Act, take 1812 effect only if the commissioner of health and social services notifies the revisor of statutes in 1913 writing under sec.
7 of this Act, on or before January 1, 2018, that the provisions of 2014 AS 47.07.065(b) - (d), added by sec.
6 of this Act, have been approved by the United States 2115 Department of Health and Human Services.
22 * Sec.
9.
If AS 47.07.065(b) - (d), added by sec.
6 of this Act, take effect, they take effect on 23 the day after the date the commissioner of health and social services makes a certification to 24 the revisor of statutes under secs.
7 and 8 of this Act.
25 * Sec.
10.
Except as provided in sec.
9 of this Act, this Act takes effect January 1, 2018.
Show all 91 changed rows (51 more)
Action History
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CROSS SPONSOR(S): BEGICH, GARDNER
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Referred to Health & Social Services
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Referred to Health & Social Services and Finance
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Read the first time - REFERRALS
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VERSION: CSHB 25(FIN) AM(EFD FLD)
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TRANSMITTED TO (S)
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Cosponsors added: JOSEPHSON
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...CHANGES TITLE OF LEGISLATION
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EFFECTIVE DATE(S) FAILED Y23 N15 E2
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PASSED Y21 N17 E2
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BEFORE HOUSE IN THIRD READING
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HELD TO 4/9 CALENDAR
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AUTOMATICALLY IN THIRD READING
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SUSTAINED RULING OF CHAIR Y22 N12 E5 A1
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AM NO 11 RULED OUT OF ORDER
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AM NO 11 OFFERED
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AM NO 9 AS AM FAILED Y16 N19 E5
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AM 1 TO AM 9 ADOPTED UC
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AM NO 9 OFFERED
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AM NO 8 FAILED Y17 N18 E5
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AM NO 7 FAILED Y15 N21 E4
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AM NO 6 FAILED Y16 N20 E4
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AM NO 5 NOT OFFERED
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AM NO 4 FAILED Y16 N20 E4
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AM NO 3 NOT OFFERED
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AM NO 2 NOT OFFERED
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AM NO 1 ADOPTED UC
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AM NO 10 ADOPTED Y20 N16 E4
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RETURN TO SECOND FOR ALL AMS UC
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Read the third time CSHB 25(FIN)
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MOVED TO BOTTOM OF CALENDAR
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MOVED TO BOTTOM OF CALENDAR
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HELD TO 4/6 CALENDAR
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HELD TO 4/5 CALENDAR
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NOT TAKEN UP 4/2 - ON 4/4 CALENDAR
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MOVED TO BOTTOM OF CALENDAR
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HELD TO 4/2 CALENDAR
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ADVANCED TO THIRD READING 3/30 CALENDAR
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FIN CS ADOPTED UC
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Fiscal Note 7: (Health and Social Services)
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Fiscal Note 6: No fiscal impact (Commerce, Community & Economic Development)
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Fiscal Note 5: No fiscal impact (Administration)
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Read the second time
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TECHNICAL SESSION 3/28 - ON 3/29 CALENDAR
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RULES TO CALENDAR 3/28/2018
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Cosponsors added: DRUMMOND
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Cosponsors added: KREISS-TOMKINS
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Cosponsors added: TARR
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Fiscal Note 4: No fiscal impact (Administration)
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Fiscal Note 3: (Health and Social Services)
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Fiscal Note 1: No fiscal impact (Commerce, Community & Economic Development)
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FIN Amend: PRUITT, TILTON, GRENN, WILSON
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FIN Do Not Pass: NEUMAN
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FIN Do Pass: GUTTENBERG, ORTIZ, GARA, KAWASAKI, SEATON, FOSTER
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FIN RPT CS(FIN) 6DP 1DNP 4AM
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Cosponsors added: GARA
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Cosponsors added: FANSLER
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Fiscal Note 3: (Health and Social Services)
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Fiscal Note 2: (Health and Social Services)
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Fiscal Note 1: No fiscal impact (Commerce, Community & Economic Development)
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HSS Amend: JOHNSTON
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HSS No Recommendation: EDGMON
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HSS Do Not Pass: SULLIVAN-LEONARD, EASTMAN
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HSS Do Pass: TARR, KITO, SPOHNHOLZ
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HSS RPT CS(HSS) 3DP 2DNP 1NR 1AM
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Cosponsors added: SPOHNHOLZ
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Referred to Health & Social Services and Finance
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Read the first time - REFERRALS
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Prefile released
Sponsors
- CLAMAN · Primary
- Drummond · Cosponsor
- Fansler · Cosponsor
- Gara · Cosponsor
- Andy Josephson · Cosponsor
- Kreiss-Tomkins · Cosponsor
- Spohnholz · Cosponsor
- Tarr · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 7 co-sponsors · 57 not signed on · 5 voted No
Sponsors (1)
- CLAMAN
Co-sponsors (7)
- Drummond
- Fansler
- Gara
- Andy Josephson D
- Kreiss-Tomkins
- Spohnholz
- Tarr
Not signed on (57)
57 members have not signed on to this bill.
Show all 57 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 15 | 12 | 0 | 2 |
| D | 4 | 0 | 0 | 0 |
| N | 1 | 0 | 0 | 0 |
| R | 1 | 5 | 0 | 0 |
| Total | 21 | 17 | 0 | 2 |
| % of votes cast | 53% | 43% | 0% | 5% |
How each member voted (40)
| Member | Party | Vote |
|---|---|---|
| Birch | — | Nay |
| Chenault | — | Not Voting |
| Drummond | — | Yea |
| Eastman | — | Nay |
| Gara | — | Yea |
| Grenn | — | Yea |
| Guttenberg | — | Yea |
| Johnston | — | Nay |
| Kito | — | Yea |
| Knopp | — | Not Voting |
| Kreiss-Tomkins | — | Yea |
| LeDoux | — | Nay |
| Lincoln | — | Yea |
| Millett | — | Nay |
| Neuman | — | Nay |
| Ortiz | — | Yea |
| Parish | — | Yea |
| Pruitt | — | Nay |
| Reinbold | — | Nay |
| Seaton | — | Yea |
| Spohnholz | — | Yea |
| Sullivan-Leonard | — | Nay |
| Talerico | — | Nay |
| Tarr | — | Yea |
| Thompson | — | Nay |
| Tuck | — | Yea |
| Wool | — | Yea |
| Zulkosky | — | Yea |
| Wilson | — | Nay |
| Andy Josephson | D | Yea |
| Matt Claman | D | Yea |
| Neal Foster | D | Yea |
| Scott Kawasaki | D | Yea |
| Bryce Edgmon | N | Yea |
| Cathy Tilton | R | Nay |
| Chuck Kopp | R | Nay |
| Dan Saddler | R | Nay |
| DeLena Johnson | R | Nay |
| George Rauscher | R | Nay |
| Louise Stutes | R | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 17 | 10 | 0 | 2 |
| D | 4 | 0 | 0 | 0 |
| N | 1 | 0 | 0 | 0 |
| R | 1 | 5 | 0 | 0 |
| Total | 23 | 15 | 0 | 2 |
| % of votes cast | 58% | 38% | 0% | 5% |
How each member voted (40)
| Member | Party | Vote |
|---|---|---|
| Birch | — | Nay |
| Chenault | — | Not Voting |
| Drummond | — | Yea |
| Eastman | — | Nay |
| Gara | — | Yea |
| Grenn | — | Yea |
| Guttenberg | — | Yea |
| Johnston | — | Yea |
| Kito | — | Yea |
| Knopp | — | Not Voting |
| Kreiss-Tomkins | — | Yea |
| LeDoux | — | Nay |
| Lincoln | — | Yea |
| Millett | — | Nay |
| Neuman | — | Nay |
| Ortiz | — | Yea |
| Parish | — | Yea |
| Pruitt | — | Nay |
| Reinbold | — | Nay |
| Seaton | — | Yea |
| Spohnholz | — | Yea |
| Sullivan-Leonard | — | Nay |
| Talerico | — | Nay |
| Tarr | — | Yea |
| Thompson | — | Yea |
| Tuck | — | Yea |
| Wool | — | Yea |
| Zulkosky | — | Yea |
| Wilson | — | Nay |
| Andy Josephson | D | Yea |
| Matt Claman | D | Yea |
| Neal Foster | D | Yea |
| Scott Kawasaki | D | Yea |
| Bryce Edgmon | N | Yea |
| Cathy Tilton | R | Nay |
| Chuck Kopp | R | Nay |
| Dan Saddler | R | Nay |
| DeLena Johnson | R | Nay |
| George Rauscher | R | Nay |
| Louise Stutes | R | Yea |
Subjects
Frequently asked questions
- Who sponsors HB 25?
- HB 25 is sponsored by CLAMAN, Drummond, Fansler, Gara, Andy Josephson (D), Kreiss-Tomkins, Spohnholz, and Tarr.
- What is the current status of HB 25?
- This bill died with 30th Legislature (2017-2018). It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 25?
- Track HB 25 free on One Click Politics — get push/email alerts when it moves.
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