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

SB 57 — An Act relating to the sharing of confidential health information between the Department of Health and the Department of Family and Community Services; relating to home- and community-based services under the medical assistance program; relating to medical assistance for recipients of Medicaid waivers; establishing a host care home license and procedures; providing for the transition of individuals from foster care to host home care settings; and providing for an effective date.

Last action — (H) FN4: (DOH)

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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

Advancing 54% · 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.

  • Mixed recorded votes

    3 passed, 1 failed in 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

157 added · 141 removed

Plain-language change summary

The recent amendments to Bill SB 57 include changes that allow for better sharing of confidential health information between the Department of Health and the Department of Family and Community Services, which is significant for improving coordination in care and support services. Additionally, the bill introduces procedures for a new host care home license, aimed at transitioning individuals from foster care into more stable home care settings. These updates are important as they enhance the support systems available for individuals needing care, particularly those coming from foster care.

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Latest
33-GS1708\A SENATE BILL NO.
LAWS OF ALASKA Source Chapter No.
57 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 CSSB 57(FIN) am H _______ AN ACT Relating to the sharing of confidential health information between the Department of Health and the Department of Family and Community Services;
2/6/23 Referred:
relating to home- and community- based services under the medical assistance program;
Health & Social Services, Finance A BILL FOR AN ACT ENTITLED "An Act relating to medical assistance for recipients of Medicaid waivers;
relating to medical assistance for recipients of Medicaid waivers;
establishing an adult care home license and procedures;
establishing a host care home license and procedures;
providing for the transition of individuals from foster care to adult home care settings;
providing for the transition of individuals from foster care to host home care settings;
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:
THE ACT FOLLOWS ON PAGE 1 Enrolled SB 57 AN ACT Relating to the sharing of confidential health information between the Department of Health and the Department of Family and Community Services;
relating to home- and community- based services under the medical assistance program;
relating to medical assistance for recipients of Medicaid waivers;
establishing a host care home license and procedures;
providing for the transition of individuals from foster care to host home care settings;
and providing for an effective date.
_______________ * Section 1.
AS 47.05 is amended by adding a new section to read:
Sec.
47.05.115.
Access to identifiable health information.
Notwithstanding a contrary provision of law, the Department of Health and the Department of Family and Community Services shall share identifiable health information, regardless of the confidential nature of the information, between and within the departments as necessary to enable administration or operation of the sending or receiving -1- Enrolled SB 57 department.
Information shared in accordance with this section shall be acquired, used, disclosed, and stored in a confidential manner that safeguards the security of the information in a physically, administratively, and technologically secure environment.
In this section, "identifiable health information" has the meaning given in AS 18.15.395.
* Sec.
2.
AS 47.07.045 is amended by adding a new subsection to read:
(e) Unless prohibited by federal law, the state shall allow a legally responsible person to provide personal care services under this section to a recipient of medical assistance under the 1915(k) state plan option under 42 U.S.C.
1396n.
* Sec.
3.
Adult home care services.
Host home care services.
(a) The department shall pay for adult home care services for an individual at a daily rate set by the department in regulation if (1) the individual is enrolled in and receiving medical assistance under AS 47.07.020;
(a) The department shall pay for host home care services for an individual at a daily rate set by the department in regulation if (1) the individual is enrolled in and receiving medical assistance under AS 47.07.020;
(4) the individual's support plan is approved for adult home care SB0057A -1- SB 57 New Text Underlined [DELETED TEXT BRACKETED] 33-GS1708\A services;
(4) the individual's support plan is approved for host home care services;
and (5) the person providing the services to the individual holds an adult care home license issued under AS 47.32.
and (5) the person providing the services to the individual holds a host care home license issued under AS 47.32.
(b) Notwithstanding the limitations of Medicaid coverage under AS 47.07.020, an individual may receive habilitative and rehabilitative care in addition to adult home care services.
(b) Notwithstanding the limitations of Medicaid coverage under AS 47.07.020, an individual may receive habilitative and rehabilitative care in addition to host home care services.
(c) The department shall adopt regulations to implement this section, including regulations that (1) set a daily rate for adult home care services to be paid under this section;
(c) The department shall adopt regulations to implement this section, including regulations that (1) set a daily rate for host home care services to be paid under this section;
(2) establish standards for caring for an individual receiving adult home care services in the home care setting;
(2) establish standards for caring for an individual receiving host home care services in the home care setting;
(3) establish standards for operating an adult care home;
Enrolled SB 57 -2- (3) establish standards for operating a host care home;
(4) establish a procedure for transitioning an individual from a licensed foster care home to a licensed adult care home;
(4) establish a procedure for transitioning an individual from a licensed foster care home to a licensed host care home;
and (5) establish a simple and efficient process to allow a foster parent who holds a foster home license issued under AS 47.32 to transition from the foster home license to an adult care home license under AS 47.32.033 for the purpose of maintaining the placement of and services provided to an individual who is (A) transitioning out of foster care;
and (5) establish a simple and efficient process to allow a foster parent who holds a foster home license issued under AS 47.32 to transition from the foster home license to a host care home license under AS 47.32.033 for the purpose of maintaining the placement of and services provided to an individual who is (A) transitioning out of foster care;
2.
4.
Show all 68 changed rows (28 more)
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Latest
SB 57 -2- SB0057A New Text Underlined [DELETED TEXT BRACKETED] 33-GS1708\A (6) hospices, or agencies providing hospice services or operating hospice programs;
(6) hospices, or agencies providing hospice services or operating hospice programs;
(15) adult care homes.
(15) host care homes.
* Sec.
-3- Enrolled SB 57 * Sec.
3.
5.
Adult care home license.
Host care home license.
(a) The Department of Health may issue a license to a person under this section and regulations adopted under this section to operate an adult care home to provide 24-hour oversight and care on a continuing basis for up to two individuals if each individual is (1) 18 years of age or older;
(a) The Department of Health may issue a license to a person under this section and regulations adopted under this section to operate a host care home to provide 24-hour oversight and care on a continuing basis for up to two individuals if each individual is (1) 18 years of age or older;
(b) An adult care home shall provide care to an individual under this section in accordance with the approved services established in the individual's plan of care, which shall identify the specific physical, mental, and social care needs of the individual.
(b) A host care home shall provide care to an individual under this section in accordance with the approved services established in the individual's plan of care, which must identify the specific physical, mental, and social care needs of the individual.
4.
6.
(2) "assisted living home" (A) means a residential facility that serves three or more adults who are not related to the owner by blood or marriage, or that receives state or SB0057A -3- SB 57 New Text Underlined [DELETED TEXT BRACKETED] 33-GS1708\A federal payment for services regardless of the number of adults served;
(2) "assisted living home" (A) means a residential facility that serves three or more adults who are not related to the owner by blood or marriage, or that receives state or federal payment for services regardless of the number of adults served;
(ii) an emergency shelter;
Enrolled SB 57 -4- (ii) an emergency shelter;
(iv) a type of entity listed in AS 47.32.010(b)(6) - (10), (15), or (c)(2) [AS 47.32.010(b)(6) - (10) OR (c)(2);] * Sec.
(iv) a type of entity listed in AS 47.32.010(b)(6) - (10), (15), or (c)(2) [AS 47.32.010(b)(6) - (10) OR (c)(2)];
5.
* Sec.
7.
(24) "adult care home" means a home, not a business site, in which the adult head of household resides and provides 24-hour care on a continuing basis under a license issued under AS 47.32.033 for an individual eligible under AS 47.07.048.
(21) "host care home" means a home in which the adult head of household resides and provides 24-hour care on a continuing basis under a license issued under AS 47.32.033 for an individual eligible under AS 47.07.048.
6.
8.
1396 - 1396p (Social Security Act) to allow enrolled individuals to receive adult home care services under AS 47.07.048, enacted by sec.
1396 - 1396p (Social Security Act) to allow enrolled individuals to receive host home care services under AS 47.07.048, enacted by sec.
1 of this Act, including, if approved as not being a duplicative service, allowing other long-term care services under 42 U.S.C.
3 of this Act, including, if approved as not being a duplicative service, allowing other long-term care services under 42 U.S.C.
1396 - 1396p (Title XIX, Social Security Act) while receiving adult home care services under AS 47.07.048(c), enacted by sec.
1396 - 1396p (Title XIX, Social Security Act) while receiving host home care services under AS 47.07.048(c), enacted by sec.
1 of this Act.
3 of this Act.
SB 57 -4- SB0057A New Text Underlined [DELETED TEXT BRACKETED] 33-GS1708\A * Sec.
* Sec.
7.
9.
(a) Section 1 of this Act takes effect only if, and to the extent that, before July 1, 2027, the United States Department of Health and Human Services approves amendments submitted under sec.
(a) Section 3 of this Act takes effect only if, and to the extent that, before July 1, 2027, the United States Department of Health and Human Services approves amendments submitted under sec.
6 of this Act.
8 of this Act.
8.
10.
1 of this Act, or a portion of AS 47.07.048, enacted by sec.
3 of this Act, or a portion of AS 47.07.048, enacted by 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.
3 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.
7(b) of this Act.
9(b) of this Act.
SB0057A -5- SB 57 New Text Underlined [DELETED TEXT BRACKETED]
-5- Enrolled SB 57
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Action History

  1. (H) FN4: (DOH)

  2. (H) FN(S) ATTACHED TO APPROP. BILL HB 39

  3. (H) LEG FINANCE APPROPRIATION MESSAGE 8/28/23

  4. (S) LEG FINANCE APPROPRIATION MESSAGE 8/28/23

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

  6. (S) Signed into law 7/29 CHAPTER 22 SLA 23

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

  8. (S) MANIFEST ERROR(S)

  9. (S) TITLE CHANGE: HCR 3

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

  11. (S) CONCUR AM OF (H) Y20 N-

  12. (S) CONCUR MESSAGE READ AND HELD

  13. (H) VERSION: HCS CSSB 57(FIN) AM H

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

  15. (H) TITLE CHANGE: HCR 3

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

  17. (H) PASSED Y39 N1

  18. (H) READ THE THIRD TIME HCS CSSB 57(FIN) AM H

  19. (H) ADVANCED TO THIRD READING UC

  20. (H) ...CHANGES TITLE OF LEGISLATION

  21. (H) AM NO 2 ADOPTED UC

  22. (H) ...CHANGES TITLE OF LEGISLATION

  23. (H) AM NO 1 ADOPTED UC

  24. (H) AM 1 TO AM 1 FAILED Y1 N39

  25. (H) AM NO 1 OFFERED

  26. (H) FIN HCS ADOPTED UC

  27. (H) READ THE SECOND TIME

  28. (H) RULES TO CALENDAR 5/8/2023

  29. (H) Minutes (HFIN)

  30. (H) Moved HSC CSSB 57(FIN) Out of Committee

  31. (H) FINANCE at 10:00 AM ADAMS 519

  32. (H) FN7: (DOH)

  33. (H) FN6: ZERO(DOH)

  34. (H) FN5: ZERO(DOH)

  35. (H) FN4: (DOH)

  36. (H) FN3: (DOH)

  37. (H) D.JOHNSON, EDGMON, FOSTER

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

  39. (H) FIN RPT HCS(FIN) 11DP

  40. (H) Minutes (HFIN)

  41. (H) Heard & Held

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

  43. (H) FIN

  44. (H) READ THE FIRST TIME - REFERRALS

  45. (S) VERSION: CSSB 57(FIN) AM

  46. (S) TRANSMITTED TO (H)

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

  48. (S) PASSED Y17 N- E2 A1

  49. (S) READ THE THIRD TIME CSSB 57(FIN) AM

  50. (S) ADVANCED TO THIRD READING UC

  51. (S) ...CHANGES TITLE OF LEGISLATION

  52. (S) AM NO 1 ADOPTED UC

  53. (S) FIN CS ADOPTED UC

  54. (S) READ THE SECOND TIME

  55. (S) RULES TO CALENDAR 4/24/23

  56. (S) FN5: ZERO(DOH)

  57. (S) FN4: (DOH)

  58. (S) FN3: (DOH)

  59. (S) NR: STEDMAN, OLSON, MERRICK

  60. (S) DP: HOFFMAN, BISHOP, KIEHL

  61. (S) FIN RPT CS 3DP 3NR SAME TITLE

  62. (S) Minutes (SFIN)

  63. (S) <Bill Hearing Canceled> -- Please Note Time Change --

  64. (S) FINANCE at 01:30 PM SENATE FINANCE 532

  65. (S) Minutes (SFIN)

  66. (S) Moved CSSB 57(FIN) Out of Committee

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

  68. (S) Minutes (SFIN)

  69. (S) Heard & Held

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

  71. (S) FN2: (DOH)

  72. (S) FN1: (DOH)

  73. (S) NR: TOBIN, KAUFMAN

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

  75. (S) HSS RPT 3DP 2NR

  76. (S) Minutes (SHSS)

  77. (S) Moved SB 57 Out of Committee

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

  79. (S) Minutes (SHSS)

  80. (S) Heard & Held

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

  82. (S) GOVERNOR'S TRANSMITTAL LETTER

  83. (S) FN2: (DOH)

  84. (S) FN1: (DOH)

  85. (S) HSS, FIN

  86. (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

Votes

Subjects

healthcare labor health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 57?
SB 57 is sponsored by Senate Rules.
What is the current status of SB 57?
This bill has been enacted into law. Introduced February 06, 2023. Enacted.
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