Alaska 34th Alaska State Legislature Status: To Executive

SJR 15 — Calling on the state's congressional delegation to oppose cuts to federal spending on Medicaid.

Last action — (S) PERMANENTLY FILED 7/16 LEGIS RESOLVE 14

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

This bill has been sent to the executive. Introduced March 19, 2025. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 62% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

78 added · 72 removed

Plain-language change summary

The updated version of SJR 15 now calls on Alaska's congressional delegation to oppose cuts to federal spending on Medicaid, emphasizing the importance of this program for over 200,000 residents who rely on it for essential health services. Changes include a reduction in the estimated number of residents affected by these cuts from 250,000 to 200,000, which may reflect more accurate data or a targeted focus. This resolution is crucial as it highlights the importance of Medicaid for vulnerable populations in both urban and rural areas, ensuring access to necessary health care amid funding uncertainties.

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34-LS0631\A SENATE JOINT RESOLUTION NO.
S T A T E O F A L A S K A THE LEGISLATURE Legislative Source Resolve No.
15 IN THE LEGISLATURE OF THE STATE OF ALASKA THIRTY-FOURTH LEGISLATURE - FIRST SESSION BY THE SENATE HEALTH AND SOCIAL SERVICES COMMITTEE Introduced:
CSSJR 15(HSS) am H 14 Calling on the state's congressional delegation to oppose cuts to federal spending on Medicaid.
3/19/25 Referred:
_______________ BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF ALASKA:
Health and Social Services A RESOLUTION Calling on the state's congressional delegation to oppose cuts to federal spending on Medicaid.
WHEREAS more than 200,000 state residents rely on Medicaid and the Children's Health Insurance Program for health care and long-term care coverage;
BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF ALASKA:
WHEREAS more than 250,000 state residents rely on Medicaid and the Children's Health Insurance Program for health care and long-term care coverage;
and WHEREAS Medicaid and the Children's Health Insurance Program are vital sources of coverage in rural and remote areas where residents face more barriers to accessing care, including chronic provider shortages, limited connectivity, limited health care infrastructure, expensive travel costs to access care, and fewer opportunities for employer-provided health SJR015A -1- SJR 15 New Text Underlined [DELETED TEXT BRACKETED] 34-LS0631\A insurance;
and WHEREAS Medicaid and the Children's Health Insurance Program are vital sources of coverage in rural and remote areas where residents face more barriers to accessing care, including chronic provider shortages, limited connectivity, limited health care infrastructure, -1- Enrolled SJR 15 expensive travel costs to access care, and fewer opportunities for employer-provided health insurance;
and WHEREAS nearly half of all Medicaid enrollees are under 18 years old, 38 percent of births are covered by Medicaid each year, and Medicaid and the Children's Health Insurance Program provide health care coverage to nearly 100,000 children in the state;
and WHEREAS nearly 40 percent of all Medicaid enrollees are under 18 years old, 36 percent of births are covered by Medicaid each year, and Medicaid and the Children's Health Insurance Program provide health care coverage to nearly 100,000 children in the state;
and WHEREAS 36 percent of Medicaid enrollees are Alaska Native, and funding from Medicaid and the Children's Health Insurance Program strengthens the Alaska Native Tribal Health Consortium system, helping to improve access to health care in all areas of the state;
and WHEREAS 30 percent of Medicaid enrollees are Alaska Native, and funding from Medicaid and the Children's Health Insurance Program strengthens the Alaska Native Tribal Health Consortium system, helping to improve access to health care in all areas of the state;
and WHEREAS, unlike other Medicaid costs, which are shared by the federal government and the state, the federal government covers 100 percent of costs for services provided to Alaska Native Medicaid recipients receiving care through an Indian Health Service facility or at a tribal facility operating on behalf of the Indian Health Service;
and WHEREAS states that have implemented Medicaid expansion under the Affordable Care Act currently receive a 90 percent federal match for adults covered through the expansion;
and WHEREAS, by ensuring workers have access to necessary medical services, Medicaid enables small businesses to retain a healthier, more reliable workforce, ultimately contributing to economic stability and growth in the state;
and WHEREAS, by ensuring workers have access to necessary medical services, Medicaid enables small businesses to retain a healthier, more reliable workforce, ultimately Enrolled SJR 15 -2- contributing to economic stability and growth in the state;
and WHEREAS, each year, the state receives over $2,000,000,000, approximately 78 percent of Medicaid spending in the state, from federal funding, and those funds provide an economic boost throughout the state;
and WHEREAS, each year, the state receives over $2,000,000,000, nearly 78 percent of Medicaid spending in the state, from federal funding, and those funds provide an economic boost throughout the state;
and WHEREAS the United States Congress is considering cuts of nearly $2,000,000,000,000 to federal spending on Medicaid to fund tax breaks for the wealthy as part of its budget reconciliation process;
and WHEREAS the United States Congress is considering cuts of nearly $880,000,000,000 to federal spending on Medicaid over 10 years;
and WHEREAS spending cuts of this magnitude would force the state to make tough SJR 15 -2- SJR015A New Text Underlined [DELETED TEXT BRACKETED] 34-LS0631\A choices about whether to offset reductions with state funding, reduce service levels, cut benefits, or reduce coverage levels, likely leaving tens of thousands of state residents without access to essential health care and long-term services and supports;
and WHEREAS spending cuts of this magnitude would force the state to make tough choices about whether to offset reductions with state funding, reduce service levels, cut benefits, or reduce coverage levels, likely leaving tens of thousands of state residents without access to essential health care and long-term services and supports;
and WHEREAS the Alaska State Legislature recognizes the importance of fiscal responsibility and supports efforts to identify and eliminate waste, fraud, and abuse within the Medicaid system to ensure that limited resources are used effectively and efficiently;
and WHEREAS protecting core Medicaid benefits while pursuing administrative efficiencies and fraud prevention strategies can help preserve the integrity of the program and maintain access to high-quality care for vulnerable populations;
SJR015A -3- SJR 15 New Text Underlined [DELETED TEXT BRACKETED]
-3- Enrolled SJR 15
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Action History

  1. (S) PERMANENTLY FILED 7/16 LEGIS RESOLVE 14

  2. (S) 12:05 P.M. 6/26/25 Transmitted to Governor

  3. (S) CONCUR AM OF (H) Y14 N6

  4. (S) CONCUR MESSAGE READ AND TAKEN UP

  5. (H) VERSION: CSSJR 15(HSS) AM H

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

  7. (H) PASSED Y27 N13

  8. (H) READ THE THIRD TIME CSSJR 15(HSS) AM H

  9. (H) ADVANCED TO THIRD READING 5/18 CALENDAR

  10. (H) AM NO 3 ADOPTED UC

  11. (H) AM NO 2 ADOPTED UC

  12. (H) AM NO 1 ADOPTED Y36 N1 E1 A2

  13. (H) READ THE SECOND TIME

  14. (H) RULES TO CALENDAR 5/17/2025

  15. (H) FN1: ZERO(LEG)

  16. (H) NR: PRAX, RUFFRIDGE, SCHWANKE

  17. (H) DP: FIELDS, MEARS, GRAY, MINA

  18. (H) HSS RPT 4DP 3NR

  19. (H) Minutes (HHSS)

  20. (H) Moved CSSJR 15(HSS) Out of Committee

  21. (H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106

  22. (H) HSS

  23. (H) READ THE FIRST TIME - REFERRALS

  24. (S) VERSION: CSSJR 15(HSS)

  25. (S) TRANSMITTED TO (H)

  26. (S) PASSED Y14 N6

  27. (S) READ THE THIRD TIME CSSJR 15(HSS)

  28. (H) Minutes (HHSS)

  29. (H) <Bill Hearing Canceled>

  30. (H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106

  31. (S) ADVANCED TO THIRD READING 5/9 CAL

  32. (S) HSS CS ADOPTED UC

  33. (S) READ THE SECOND TIME

  34. (S) RULES TO CALENDAR 5/7/2025

  35. (S) FN1: ZERO(LEG)

  36. (S) DNP: HUGHES

  37. (S) DP: GIESSEL, CLAMAN, TOBIN

  38. (S) HSS RPT CS 3DP 1DNP SAME TITLE

  39. (S) Minutes (SHSS)

  40. (S) Moved CSSJR 15(HSS) Out of Committee -- Agenda Change --

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

  42. (S) Minutes (SHSS)

  43. (S) Heard & Held

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

  45. (S) Minutes (SHSS)

  46. (S) Heard & Held

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

  48. (S) Minutes (SHSS)

  49. (S) <Bill Hearing Canceled>

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

  51. (S) HSS

  52. (S) READ THE FIRST TIME - REFERRALS

Sponsors

  • Senate Health & Social Services · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 64 not signed on · 18 voted No

Sponsors (1)

  • Senate Health & Social Services

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

Shall the Senate Concur in the House Amendment(s) — to CSSJR 15 (HSS)?

Passed 14 Yea · 6 Nay
Party YeaNayPresentNot Voting
R 6300
D 8100
Unaffiliated 0200
Total 14600
% of votes cast 70%30%0%0%
How each member voted (20)
Member Party Vote
Shelley Hughes — Nay
Mike Shower — Nay
Bill Wielechowski D Yea
Donald Olson D Yea
Elvi Gray-Jackson D Yea
Forrest Dunbar D Yea
Jesse Kiehl D Yea
Lyman Hoffman D Yea
Löki Tobin D Yea
Matt Claman D Yea
Scott Kawasaki D Nay
Bert Stedman R Yea
Cathy Giessel R Yea
Gary Stevens R Yea
James Kaufman R Yea
Jesse Bjorkman R Nay
Kelly Merrick R Yea
Mike Cronk R Yea
Robert Myers R Nay
Robert Yundt R Nay

Official roll call →

Third Reading — Final Passage

Passed 27 Yea · 13 Nay
Party YeaNayPresentNot Voting
R 81300
Unaffiliated 1000
D 13000
N 5000
Total 271300
% of votes cast 68%33%0%0%
How each member voted (40)
Member Party Vote
Robyn Niayuq Burke — Yea
Andi Story D Yea
Andrew Gray D Yea
Andy Josephson D Yea
Ashley Carrick D Yea
Carolyn Hall D Yea
Donna Mears D Yea
Genevieve Mina D Yea
Maxine Dibert D Yea
Neal Foster D Yea
Nellie Unangiq Jimmie D Yea
Sara Hannan D Yea
Ted Eischeid D Yea
Zack Fields D Yea
Alyse Galvin N Yea
Bryce Edgmon N Yea
Calvin Schrage N Yea
Ky Holland N Yea
Rebecca Himschoot N Yea
Bill Elam R Yea
Cathy Tilton R Nay
Chuck Kopp R Yea
Dan Saddler R Nay
David Nelson R Yea
DeLena Johnson R Nay
Elexie Moore R Yea
Frank Tomaszewski R Nay
George Rauscher R Nay
Jamie Allard R Nay
Jeremy Bynum R Yea
Jubilee Underwood R Nay
Julie Coulombe R Nay
Justin Ruffridge R Yea
Kevin McCabe R Nay
Louise Stutes R Yea
Mia Costello R Nay
Mike Prax R Yea
Rebecca Schwanke R Nay
Sarah Vance R Nay
Will Stapp R Nay

Official roll call →

Second Reading — Amendment No. 1

Passed 36 Yea · 1 Nay · 3 Other
Party YeaNayPresentNot Voting
R 17103
Unaffiliated 1000
D 13000
N 5000
Total 36103
% of votes cast 90%3%0%8%
How each member voted (40)
Member Party Vote
Robyn Niayuq Burke — Yea
Andi Story D Yea
Andrew Gray D Yea
Andy Josephson D Yea
Ashley Carrick D Yea
Carolyn Hall D Yea
Donna Mears D Yea
Genevieve Mina D Yea
Maxine Dibert D Yea
Neal Foster D Yea
Nellie Unangiq Jimmie D Yea
Sara Hannan D Yea
Ted Eischeid D Yea
Zack Fields D Yea
Alyse Galvin N Yea
Bryce Edgmon N Yea
Calvin Schrage N Yea
Ky Holland N Yea
Rebecca Himschoot N Yea
Bill Elam R Yea
Cathy Tilton R Yea
Chuck Kopp R Yea
Dan Saddler R Yea
David Nelson R Yea
DeLena Johnson R Yea
Elexie Moore R Not Voting
Frank Tomaszewski R Yea
George Rauscher R Yea
Jamie Allard R Nay
Jeremy Bynum R Yea
Jubilee Underwood R Yea
Julie Coulombe R Yea
Justin Ruffridge R Yea
Kevin McCabe R Yea
Louise Stutes R Not Voting
Mia Costello R Yea
Mike Prax R Yea
Rebecca Schwanke R Not Voting
Sarah Vance R Yea
Will Stapp R Yea

Official roll call →

Third Reading - Final Passage

Passed 14 Yea · 6 Nay
Party YeaNayPresentNot Voting
R 5400
D 9000
Unaffiliated 0200
Total 14600
% of votes cast 70%30%0%0%
How each member voted (20)
Member Party Vote
Shelley Hughes — Nay
Mike Shower — Nay
Bill Wielechowski D Yea
Donald Olson D Yea
Elvi Gray-Jackson D Yea
Forrest Dunbar D Yea
Jesse Kiehl D Yea
Lyman Hoffman D Yea
Löki Tobin D Yea
Matt Claman D Yea
Scott Kawasaki D Yea
Bert Stedman R Yea
Cathy Giessel R Yea
Gary Stevens R Yea
James Kaufman R Nay
Jesse Bjorkman R Nay
Kelly Merrick R Yea
Mike Cronk R Yea
Robert Myers R Nay
Robert Yundt R Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SJR 15?
SJR 15 is sponsored by Senate Health & Social Services.
What is the current status of SJR 15?
This bill has been sent to the executive. Introduced March 19, 2025. It awaits signature.
Where can I track SJR 15?
Track SJR 15 free on One Click Politics — get push/email alerts when it moves.

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