HB0073a -1- HB 73
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HOUSE BILL NO. 73
IN THE LEGISLATURE OF THE STATE OF ALASKA
THIRTY-FOURTH LEGISLATURE - FIRST SESSION
BY THE HOUSE RULES COMMITTEE BY REQUEST OF THE GOVERNOR
Introduced: 1/27/25
Referred: Health and Social Services, Finance
A BILL
FOR AN ACT ENTITLED
"An Act relating to complex care residential homes; and providing for an effective 1
date." 2
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 3
* Section 1. AS 47.32.010(b) is amended to read: 4
(b) The following entities are subject to this chapter and regulations adopted 5
under this chapter by the Department of Health: 6
(1) ambulatory surgical centers; 7
(2) assisted living homes; 8
(3) child care facilities; 9
(4) freestanding birth centers; 10
(5) home health agencies; 11
(6) hospices, or agencies providing hospice services or operating 12
hospice programs; 13
(7) hospitals; 14 34-GH1493\A
HB 73 -2- HB0073a
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(8) host care homes; 1
(9) intermediate care facilities for individuals with an intellectual 2
disability or related condition; 3
(10) maternity homes; 4
(11) nursing facilities; 5
(12) residential child care facilities; 6
(13) residential psychiatric treatment centers; 7
(14) rural health clinics; 8
(15) subacute mental health facilities; 9
(16) complex care residential homes. 10
* Sec. 2. AS 47.32.900(2) is amended to read: 11
(2) "assisted living home" 12
(A) means a residential facility that serves three or more adults 13
who are not related to the owner by blood or marriage, or that receives state or 14
federal payment for services regardless of the number of adults served; the 15
Department of Health shall consider a facility to be an assisted living home if 16
the facility 17
(i) provides housing and food services to its residents; 18
(ii) offers to provide or obtain for its residents 19
assistance with activities of daily living; 20
(iii) offers personal assistance as defined in 21
AS 47.33.990; or 22
(iv) provides or offers any combination of these 23
services; 24
(B) does not include 25
(i) a correctional facility; 26
(ii) an emergency shelter; 27
(iii) a program licensed under AS 47.10.310 for 28
runaway minors; 29
(iv) a type of entity listed in AS 47.32.010(b)(6) - (11), 30
(16), or (c)(2); 31 34-GH1493\A
HB0073a -3- HB 73
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* Sec. 3. AS 47.32.900(11) is amended to read: 1
(11) "hospital" means a public or private institution or establishment 2
devoted primarily to providing diagnosis, treatment, or care over a continuous period 3
of 24 hours each day for two or more unrelated individuals suffering from illness, 4
physical or mental disease, injury or deformity, or any other condition for which 5
medical or surgical services would be appropriate; "hospital" does not include a 6
frontier extended stay clinic or a complex care residential home; 7
* Sec. 4. AS 47.32.900 is amended by adding a new paragraph to read: 8
(22) "complex care residential home" means a residential setting that 9
provides 24-hour multi-disciplinary care on a continuing basis to not more than 15 10
individuals with mental, behavioral, medical, or disability-related needs that require 11
specialized care, services, and monitoring. 12
* Sec. 5. The uncodified law of the State of Alaska is amended by adding a new section to 13
read: 14
MEDICAID STATE PLAN; WAIVERS. The Department of Health shall, a s 15
necessary for federal approval by the United States Department of Health and Human 16
Services, submit amendments to the state plan for medical assistance coverage or apply for 17
any waivers necessary to implement secs. 1 - 4 of this Act. 18
* Sec. 6. The uncodified law of the State of Alaska is amended by adding a new section to 19
read: 20
CONDITIONAL EFFECT; NOTIFICATION. (a) Sections 1 - 4 of this Act take effect 21
only if, and to the extent that, the United States Department of Health and Human Services 22
approves, on or before July 1, 2031, waivers or amendments to the state plan submitted under 23
sec. 5 of this Act. 24
(b) The commissioner of health shall notify the revisor of statutes in writing within 30 25
days after the United States Department of Health and Human Services approves the waivers 26
or amendments to the state plan. 27
* Sec. 7. If secs. 1 - 4 of this Act take effect, they take effect the day after the United States 28
Department of Health and Human Services approves the waivers or amendments to the state 29
plan submitted under sec. 5 of this Act. 30