Alaska 33rd Legislature (2023-2024) Status: Enacted

SB 58 — An Act relating to Medicaid eligibility; expanding eligibility for postpartum mothers; conditioning the expansion of eligibility on approval by the United States Department of Health and Human Services; and providing for an effective date.

Last action — (S) CONDITIONAL EFFECT SATISFIED, MEMO RECEIVED 8/13/24

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 06, 2023. Enacted.

Signed by Governor Mike Dunleavy (Republican) on October 16, 2023.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

28 added · 124 removed

Plain-language change summary

The updated version of Senate Bill 58 adds provisions to allow pregnant women to remain eligible for Medicaid benefits for up to 12 months after giving birth, aligning with federal guidelines. This change is important because it supports new mothers during a crucial period of recovery and childcare, potentially improving health outcomes for both mothers and their infants. Additionally, it requires the Department of Health to seek federal approval for these amendments, ensuring the state's compliance with national standards.

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33-GS1583\A SENATE BILL NO.
LAWS OF ALASKA Source Chapter No.
58 IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-THIRD LEGISLATURE - FIRST SESSION BY THE SENATE RULES COMMITTEE BY REQUEST OF THE GOVERNOR Introduced:
HCS SB 58(FIN) _______ AN ACT Relating to Medicaid eligibility;
2/6/23 Referred:
Health & Social Services, Finance A BILL FOR AN ACT ENTITLED "An Act relating to Medicaid eligibility;
and providing for an effective date." BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
and providing for an effective date.
* Section 1.
_______________ BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
AS 47.07.020 is amended by adding a new subsection to read:
THE ACT FOLLOWS ON PAGE 1 Enrolled SB 58 AN ACT Relating to Medicaid eligibility;
(o) The department may allow a pregnant woman who is determined to be eligible for benefits under this chapter to remain eligible for those benefits postpartum up to the maximum time period authorized under federal law.
expanding eligibility for postpartum mothers;
conditioning the expansion of eligibility on approval by the United States Department of Health and Human Services;
and providing for an effective date.
_______________ * Section 1.
AS 47.07.020(b) is amended to read:
(b) In addition to the persons specified in (a) of this section, the following optional groups of persons for whom the state may claim federal financial participation are eligible for medical assistance:
(1) persons eligible for but not receiving assistance under any plan of the state approved under 42 U.S.C.
1381 - 1383c (Title XVI, Social Security Act, Supplemental Security Income) or a federal program designated as the successor to the aid to families with dependent children program;
(2) persons in a general hospital, skilled nursing facility, or intermediate care facility, who, if they left the facility, would be eligible for assistance -1- Enrolled SB 58 under one of the federal programs specified in (1) of this subsection;
(3) persons under 21 years of age who are under supervision of the department, for whom maintenance is being paid in whole or in part from public funds, and who are in foster homes or private child-care institutions;
(4) aged, blind, or disabled persons, who, because they do not meet income and resources requirements, do not receive supplemental security income under 42 U.S.C.
1381 - 1383c (Title XVI, Social Security Act), and who do not receive a mandatory state supplement, but who are eligible, or would be eligible if they were not in a skilled nursing facility or intermediate care facility to receive an optional state supplementary payment;
(5) persons under 21 years of age who are in an institution designated as an intermediate care facility for persons with intellectual and developmental disabilities and who are financially eligible as determined by the standards of the federal program designated as the successor to the aid to families with dependent children program;
(6) persons in a medical or intermediate care facility whose income while in the facility does not exceed 300 percent of the supplemental security income benefit rate under 42 U.S.C.
1381 - 1383c (Title XVI, Social Security Act) but who would not be eligible for an optional state supplementary payment if they left the hospital or other facility;
(7) persons under 21 years of age who are receiving active treatment in a psychiatric hospital and who are financially eligible as determined by the standards of the federal program designated as the successor to the aid ot families with dependent children program;
(8) persons under 21 years of age and not covered under (a) of this section, who would be eligible for benefits under the federal program designated as the successor to the aid to families with dependent children program, except that they have the care and support of both their natural and adoptive parents;
(9) pregnant women not covered under (a) of this section and who meet the income and resource requirements of the federal program designated as the successor to the aid to families with dependent children program;
Enrolled SB 58 -2- (10) persons under 21 years of age not covered under (a) of this section who the department has determined cannot be placed for adoption without medical assistance because of a special need for medical or rehabilitative care and who the department has determined are hard-to-place children eligible for subsidy under AS 25.23.190 - 25.23.210;
(11) persons who can be considered under 42 U.S.C.
1396a(e)(3) (Title XIX, Social Security Act, Medical Assistance) to be individuals with respect to whom a supplemental security income is being paid under 42 U.S.C.
1381 - 1383c (Title XVI, Social Security Act) because they meet all of the following criteria:
(A) they are 18 years of age or younger and qualify as disabled individuals under 42 U.S.C.
1382c(a) (Title XVI, Social Security Act);
(B) the department has determined that (i) they require a level of care provided in a hospital, nursing facility, or intermediate care facility for persons with intellectual and developmental disabilities;
(ii) it is appropriate to provide their care outside of an institution;
and (iii) the estimated amount that would be spent for medical assistance for their individual care outside an institution is not greater than the estimated amount that would otherwise be expended individually for medical assistance within an appropriate institution;
(C) if they were in a medical institution, they would be eligible for medical assistance under other provisions of this chapter;
and (D) home and community-based services under a waiver approved by the federal government are either not available to them under this chapter or would be inappropriate for them;
(12) disabled persons, as described in 42 U.S.C.
1396a(a)(10)(A)(ii)(XIII), who are in families whose income, as determined under applicable federal regulations or guidelines, is less than 250 percent of the official poverty line applicable to a family of that size according to the United States Department of Health and Human Services, and who, but for earnings in excess of the -3- Enrolled SB 58 limit established under 42 U.S.C.
1396d(q)(2)(B), would be considered to be individuals with respect to whom a supplemental security income is being paid under 42 U.S.C.
1381 - 1383c;
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a person eligible for assistance under this paragraph who is not eligible under another provision of this section shall pay a premium or other cost- sharing charges according to a sliding fee scale that is based on income as established by the department in regulations;
(13) persons under 19 years of age who are not covered under (a) of this section and whose household income does not exceed 175 percent of the federal poverty line as defined by the United States Department of Health and Human Services and revised under 42 U.S.C.
9902(2);
(14) pregnant women who are not covered under (a) of this section and whose household income does not exceed 225 [175] percent of the federal poverty line as defined by the United States Department of Health and Human Services and revised under 42 U.S.C.
9902(2);
(15) persons who have been diagnosed with breast or cervical cancer and who are eligible for coverage under 42 U.S.C.
1396a(a)(10)(A)(ii)(XVIII).
AS 47.07.020 is amended by adding a new subsection to read:
(o) The department may allow a pregnant woman who is eligiblefor benefits under this chapter to remain eligible for those benefits postpartum up to the maximum period authorized under federal law.
* Sec.
3.
The Department of Health shall submit as necessary for approval by the United States Department of Health and Human Services amendments to the state plan under AS 47.07.040 to allow enrolled individuals to receive postpartum medical assistance for up to 12 months under 42 U.S.C.
The Department of Health shall submit as necessary for approval by the United States Department of Health and Human Services amendments to the state plan under AS 47.07.040 to raise the maximum household income level relative to the federal poverty line for pregnant women to be eligible for medical assistance and to allow enrolled individuals to receive postpartum medical assistance for up to 12 months under 42 U.S.C.
SB0058A -1- SB 58 New Text Underlined [DELETED TEXT BRACKETED] 33-GS1583\A * Sec.
* Sec.
3.
4.
(a) Section 1 of this Act takes effect only if, and to the extent that, the United States Department of Health and Human Services approves amendments submitted in accordance with sec.
(a) Sections 1 and 2 of this Act take Enrolled SB 58 -4- effect only if, and to the extent that, the United States Department of Health and Human Services approves amendments submitted in accordance with sec.
2 of this Act.
3 of this Act.
4.
5.
If sec.1 of this Act takes effect, it takes effect on the day after the date the revisor of statutes receives notice from the commissioner of health under sec.
If secs.
3 of this Act.
1 and 2 of this Act take effect, they take effect on the day after the date the revisor of statutes receives notice from the commissioner of health under sec.
SB 58 -2- SB0058A New Text Underlined [DELETED TEXT BRACKETED]
4 of this Act.
-5- Enrolled SB 58
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Action History

  1. (S) CONDITIONAL EFFECT SATISFIED, MEMO RECEIVED 8/13/24

  2. (S) EFFECTIVE DATE(S) OF LAW SEE CHAPTER

  3. (S) Signed into law 7/19 CHAPTER 16 SLA 23

  4. (S) 10:55 A.M. 7/14/23 Transmitted to Governor

  5. (S) EFFECTIVE DATE(S) SAME AS PASSAGE

  6. (S) CONCUR AM OF (H) Y19 N1

  7. (S) CONCUR MESSAGE READ AND TAKEN UP

  8. (H) VERSION: HCS SB 58(FIN)

  9. (H) TRANSMITTED TO (S) AS AMENDED

  10. (H) EFFECTIVE DATE(S) SAME AS PASSAGE

  11. (H) PASSED Y35 N3 E2

  12. (H) READ THE THIRD TIME HCS SB 58(FIN)

  13. (H) ADVANCED TO THIRD READING UC

  14. (H) FIN HCS ADOPTED UC

  15. (H) READ THE SECOND TIME

  16. (H) RULES TO CALENDAR 5/3/2023

  17. (H) FN4: (DOH)

  18. (H) FN3: (DOH)

  19. (H) EDGMON, FOSTER

  20. (H) DP: TOMASZEWSKI, CRONK, ORTIZ, COULOMBE, STAPP, GALVIN, HANNAN, JOSEPHSON,

  21. (H) FIN RPT HCS(FIN) 10DP

  22. (H) Minutes (HFIN)

  23. (H) Moved HCS SB 58(FIN) Out of Committee

  24. (H) FINANCE at 01:30 PM ADAMS 519

  25. (H) FIN

  26. (H) READ THE FIRST TIME - REFERRALS

  27. (S) VERSION: SB 58

  28. (S) TRANSMITTED TO (H)

  29. (S) EFFECTIVE DATE(S) SAME AS PASSAGE

  30. (S) PASSED Y16 N- E3 A1

  31. (S) READ THE THIRD TIME SB 58

  32. (S) ADVANCED TO THIRD READING 4/19 CAL

  33. (S) READ THE SECOND TIME

  34. (S) RULES TO CALENDAR 4/17/23

  35. (S) Minutes (SFIN)

  36. (S) Moved SB 58 Out of Committee

  37. (S) FINANCE at 09:00 AM SENATE FINANCE 532

  38. (S) FN2: (DOH)

  39. (S) DP: STEDMAN, HOFFMAN, OLSON, WILSON, KIEHL, MERRICK, BISHOP

  40. (S) FIN RPT 7DP

  41. (S) Minutes (SFIN)

  42. (S) Heard & Held

  43. (S) FINANCE at 09:00 AM SENATE FINANCE 532

  44. (S) Minutes (SFIN)

  45. (S) Heard & Held

  46. (S) FINANCE at 09:00 AM SENATE FINANCE 532

  47. (S) FN1: (DOH)

  48. (S) NR: KAUFMAN

  49. (S) DP: WILSON, GIESSEL, DUNBAR

  50. (S) HSS RPT 3DP 1NR

  51. (S) Minutes (SHSS)

  52. (S) Moved SB 58 Out of Committee -- Testimony <Invitation Only> --

  53. (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205

  54. (S) Minutes (SHSS)

  55. (S) <Above item removed from agenda>

  56. (S) HEALTH & SOCIAL SERVICES at 03:30 PM DAVIS 106

  57. (S) Minutes (SHSS)

  58. (S) Heard & Held

  59. (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205

  60. (S) GOVERNOR'S TRANSMITTAL LETTER

  61. (S) FN1: (DOH)

  62. (S) HSS, FIN

  63. (S) READ THE FIRST TIME - REFERRALS

Sponsors

  • Senate Rules · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 64 not signed on

Sponsors (1)

  • Senate Rules

Co-sponsors (0)

None.

Not signed on (64)

64 members have not signed on to this bill.

Show all 64 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

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Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 58?
SB 58 is sponsored by Senate Rules.
What is the current status of SB 58?
This bill has been enacted into law. Introduced February 06, 2023. Enacted.
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