AlaskaBill would license respiratory care practitioners and join health compacts
If enacted, HB 110 would license respiratory care practitioners, create cross-state practice options for several health professions, and guide federal rural-health grants.
What it does
Respiratory care practitioners would need an Alaska license, with a one-year transition for people already practicing. Several exceptions would apply, including emergencies and student training.
Licensed health professionals could seek permission to practice across state lines through several interstate compacts, including for telehealth, but each compact needs participation by other states first.
A state advisory council would guide Alaska's rural health program, while the Department of Health could award federal program money as grants and publish yearly updates.
Argument forThe compact rules could let qualified health professionals serve patients across state lines, which may help communities find care more easily.
Argument againstCompact applicants and participating states may face added fees, background checks, reporting duties, and compliance rules before professionals can practice across state lines.
More detail
The Department of Commerce, Community, and Economic Development would license people who practice respiratory care and would regulate their work. The rules would cover respiratory care practitioners, including people seeking licenses by examination or credentials and certain people already working in Alaska. Applicants generally would need an approved national respiratory therapist certification, required fees, and other department requirements. People already practicing respiratory care before the effective date could continue for up to one year without an Alaska license. The chapter would not apply to listed groups such as students, people providing emergency care, certain military or federal workers, and equipment workers who do not assess patients. If enacted, these provisions would take effect January 1, 2027; the transition period for people already practicing would last no more than one year after that effective date.
Alaska would enter interstate licensing compacts for physicians, physician assistants, psychologists, social workers, and EMS personnel. Eligible professionals licensed in participating states could seek authority to practice in another participating state, including through telehealth or temporary practice when a compact allows it. Each compact would keep state regulators in charge of practice and discipline in their states. Applicants would have to meet compact-specific education, licensing, background-check, fee, and professional-status requirements. Compact privileges could be limited or ended after discipline, license restrictions, or failure to meet compact rules. If enacted, the related Alaska provisions would take effect January 1, 2027, but each compact would begin operating only after the required number of other states enact it: seven for the physician, PA, psychology, and social work compacts, and ten for the EMS compact.
The Department of Health would create a rural health advisory council and could use federal program money for grants. The council would advise on Alaska's participation in the federal rural health transformation program, and grants would support initiatives in the state's federally approved application. The department would have to publish grant criteria, applications, awards, spending, and progress reports. The department could award grants only with money received through the rural health transformation program. The state's application would need federal approval before it counted as an approved application. If enacted, these provisions would take effect January 1, 2027, and the council and related program sections would be repealed December 31, 2031.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 30(H) FN6: (DPS)Latest
- Sep 30(H) FN4: (CED)
- Sep 30(H) FN(S) ATTACHED TO APPROP. BILL HB 263
- Sep 30(H) LEG FINANCE APPROPRIATION MESSAGE 9/8/26
- Sep 30(S) LEG FINANCE APPROPRIATION MESSAGE 9/8/26
- Jul 3(H) EFFECTIVE DATE(S) OF LAW SEE CHAPTERMajor
- Jul 3(H) LAW W/O GOVERNOR SIGNATURE 6/22 CHAPTER 28 SLA 26Major
- Jun 10(H) 12:55 P.M. 6/5/26 Transmitted to GovernorTo Governor
- Jun 4(H) MANIFEST ERROR(S)
- May 20(H) EFFECTIVE DATE(S) SAME AS PASSAGE
- Vote recorded (S) FAILED PASSAGE Y9 N11 #2837. Result: fail.Upper
- Vote recorded (S) PASSED Y13 N7 #2839. Result: pass.Upper
- Vote recorded (S) EFFECTIVE DATE(S) ADOPTED Y19 N1 #2840. Result: pass.Upper
- Vote recorded (H) CONCUR AM OF (S) Y39 A1 #2988. Result: pass.Lower
- Vote recorded (S) RESCIND ACTION Y13 N7 #2838. Result: pass.Upper
- Vote recorded (S) AM NO 1 ADOPTED Y13 N7 # 2836. Result: pass.Upper
- May 20(H) CONCUR AM OF (S) Y39 A1
- May 20(H) CONCUR MESSAGE TAKEN UP
- May 20(H) TITLE CHANGE: SCR 25
- May 20(H) CONCUR MESSAGE RECEIVED
- May 20(S) VERSION: SCS HB 110(FIN) AM S
- May 20(S) TRANSMITTED TO (H) AS AMENDEDMajor
- May 20(S) EFFECTIVE DATE(S) ADOPTED Y19 N1
- May 20(S) PASSED Y13 N7Major
- May 20(S) RESCIND ACTION Y13 N7
- May 20(S) FAILED PASSAGE Y9 N11Major
- May 20(S) READ THE THIRD TIME SCS HB 110(FIN) AM SMinor
- May 20(S) ADVANCED TO THIRD READING UCMinor
- May 20(S) ...CHANGES TITLE OF LEGISLATION
- May 20(S) AM NO 1 ADOPTED Y13 N7Major
- May 20(S) FIN SCS ADOPTED UC
- May 20(S) READ THE SECOND TIMEMinor
- May 20(S) RULES TO CALENDAR 5/20/2026
- May 20(S) FN6: (DPS)
- May 20(S) FN5: ZERO(DOH)
- May 20(S) FN4: (CED)
- May 20(S) DNP: KIEHL
- May 20(S) NR: OLSON, STEDMAN, KAUFMAN, CRONK, MERRICK
- May 20(S) DP: HOFFMAN
- May 20(S) TITLE CHANGE: SCR 25
- May 20(S) FIN RPT SCS 1DP 5NR 1DNP NEW TITLE
- May 19(S) Moved SCS HB 110(FIN) Out of Committee
- May 19(S) FINANCE at 01:30 PM SENATE FINANCE 532
- May 19(S) FINANCE at 09:00 AM SENATE FINANCE 532
- May 16(S) Heard & Held -- Please Note Time Change --
- May 16(S) FINANCE at 09:00 AM SENATE FINANCE 532
- May 8(S) FN3: ZERO(DPS)
- May 8(S) FN2: ZERO(CED)(SUBMITTED BY RULES)
- May 8(S) NR: DUNBAR, MERRICK, YUNDT
- May 8(S) DP: BJORKMAN, GRAY-JACKSON
- May 8(S) TITLE CHANGE: SCR 25
- May 8(S) L&C RPT SCS 2DP 3NR NEW TITLE
- May 6(S) Moved SCS HB 110(L&C) Out of Committee
- May 6(S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- Apr 10(S) Heard & Held
- Apr 10(S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- Mar 25(S) Minutes (SL&C)
- Mar 25(S) Heard & Held
- Mar 25(S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- Mar 13(S) Minutes (SL&C)
- Mar 13(S) Heard & Held
- Mar 13(S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- Feb 13(S) L&C, FIN
- Feb 13(S) READ THE FIRST TIME - REFERRALSMinor
- Feb 11(H) VERSION: HB 110 AM
- Vote recorded (H) PASSED Y40 #1600. Result: pass.Lower
- Vote recorded (H) AM NO 2 FAILED Y19 N21 # 1599. Result: fail.Lower
- Feb 11(H) TRANSMITTED TO (S)Passed Senate
- Feb 11(H) EFFECTIVE DATE(S) SAME AS PASSAGE
- Feb 11(H) PASSED Y40Passed House
- Feb 11(H) READ THE THIRD TIME HB 110 AMMinor
- Feb 11(H) ADVANCED TO THIRD READING UCMinor
- Feb 11(H) AM NO 2 FAILED Y19 N21Minor
- Feb 11(H) BEFORE HOUSE IN SECOND READING
- Feb 9(H) COSPONSOR(S): GALVIN, PRAX, JOSEPHSON
- Feb 9(H) HELD IN SECOND READING TO 2/11 CALENDAR
- Feb 9(H) AM NO 1 ADOPTED UCMajor
- Feb 9(H) FN2: ZERO(CED)(SUBMITTED BY RULES)
- Feb 9(H) READ THE SECOND TIMEMinor
- Feb 9(H) RULES TO CALENDAR 2/9/2026
- 2025
- May 14(H) FIN REFERRAL REMOVED
- May 13(H) FN1: ZERO(CED)
- May 13(H) DP: BURKE, COULOMBE, SADDLER, CARRICK, HALL, FIELDS
- May 13(H) L&C RPT 6DP
- May 9(H) Minutes (HL&C)
- May 9(H) Moved HB 110 Out of Committee
- May 9(H) LABOR & COMMERCE at 03:15 PM BARNES 124
- May 7(H) Minutes (HL&C)
- May 7(H) Heard & Held
- May 7(H) LABOR & COMMERCE at 03:15 PM BARNES 124
- Feb 21(H) L&C, FIN
- Feb 21(H) READ THE FIRST TIME - REFERRALSIntroduced
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