AlaskaAlaska would place complex care residential homes under health rules
Alaska would define complex care residential homes, place them under Department of Health rules, and seek federal approval for related Medicaid changes.
What it does
Complex care residential homes would fall under Department of Health rules. The law would define them as homes providing ongoing 24-hour specialized care and would separate them from assisted living homes and hospitals.
The Department of Health would seek federal approval through Medicaid plan changes or waivers when needed to carry out the complex-care-home provisions.
Argument forClear definitions and agency rules could help health officials and care providers identify which standards apply to complex care residential homes.
Argument againstMedicaid-related implementation could depend on federal approval, which might delay changes affecting complex care residential homes.
More detail
Complex care residential homes would be subject to this chapter and Department of Health regulations. The homes are residential settings that provide continuous 24-hour, multidisciplinary care to people with mental, behavioral, medical, or disability-related needs requiring specialized care, services, and monitoring. The definition covers care provided on a continuing basis. The text also excludes complex care residential homes from the definitions of an assisted living home and a hospital. These provisions would take effect July 1, 2027.
The Department of Health would submit state Medicaid plan amendments or seek federal waivers when needed for federal approval. The submissions would cover the changes made by sections 1 through 4, including the rules and definitions for complex care residential homes. The department would act as necessary to obtain approval from the U.S. Department of Health and Human Services. The text does not guarantee that federal approval or Medicaid coverage will be granted. The Act would take effect July 1, 2027; the passage does not set a separate deadline for submitting amendments or waiver applications.
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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) FN5: (DOH)Latest
- 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 7/1/27Major
- Jul 3(H) Signed into law 6/24 CHAPTER 38 SLA 26Became Law
- Jun 17(H) 3:10 P.M. 6/15/26 Transmitted to GovernorTo Governor
- May 20(H) EFFECTIVE DATE(S) SAME AS PASSAGE
- Vote recorded (S) PASSED Y20 N- #2846. Result: pass.Upper
- Vote recorded (H) CONCUR AM OF (S) Y39 A1 #2992. Result: pass.Lower
- Vote recorded (S) AM NO 1 WITHDRAWN VOTE Y20 N- # 2846. Result: pass.Upper
- May 20(H) CONCUR AM OF (S) Y39 A1
- May 20(H) CONCUR MESSAGE TAKEN UP
- May 20(H) CONCUR MESSAGE RECEIVED
- May 20(S) VERSION: SCS CSHB 73(FIN)
- May 20(S) TRANSMITTED TO (H) AS AMENDEDMajor
- May 20(S) EFFECTIVE DATE(S) SAME AS PASSAGE
- May 20(S) PASSED Y20 N-Major
- May 20(S) AUTOMATICALLY IN THIRD READINGMinor
- May 20(S) AM NO 1 WITHDRAWN VOTE Y20 N-
- May 20(S) RET 2ND/RESCIND ACTION AM 1 UC
- May 20(S) READ THE THIRD TIME SCS CSHB 73(FIN) AM SMinor
- May 19(S) ADVANCED TO THIRD READING 5/20 CALMinor
- May 19(S) ...CHANGES TITLE OF LEGISLATION
- May 19(S) AM NO 1 ADOPTED UCMajor
- May 19(S) FIN SCS ADOPTED UC
- May 19(S) READ THE SECOND TIMEMinor
- May 19(S) RULES TO CALENDAR 5/19/2026
- Mar 20(S) FN8: INDETERMINATE(DFC)
- Mar 20(S) FN7: ZERO(DOH)
- Mar 20(S) FN6: (DOH)
- Mar 20(S) FN5: (DOH)
- Mar 20(S) DP: STEDMAN, HOFFMAN, KAUFMAN, CRONK, MERRICK, KIEHL
- Mar 20(S) FIN RPT SCS 6DP SAME TITLE
- Mar 19(S) Moved SCS CSHB 73(FIN) Out of Committee
- Mar 19(S) FINANCE at 09:00 AM SENATE FINANCE 532
- 2025
- May 16(S) FIN
- May 16(S) READ THE FIRST TIME - REFERRALSMinor
- May 14(H) VERSION: CSHB 73(FIN)
- Vote recorded (H) PASSED Y40 #1203. Result: pass.Lower
- May 14(H) TRANSMITTED TO (S)Passed Senate
- May 14(H) EFFECTIVE DATE(S) SAME AS PASSAGE
- May 14(H) PASSED Y40Passed House
- May 14(H) READ THE THIRD TIME CSHB 73(FIN)Minor
- May 13(H) ADVANCED TO THIRD READING 5/14 CALENDARMinor
- May 13(H) FIN CS ADOPTED UC
- May 13(H) READ THE SECOND TIMEMinor
- May 13(H) RULES TO CALENDAR 5/13/2025
- May 9(H) FN4: INDETERMINATE(DFC)
- May 9(H) FN3: ZERO(DOH)
- May 9(H) FN2: (DOH)
- May 9(H) FN1: (DOH)
- May 9(H) AM: JOSEPHSON
- May 9(H) NR: TOMASZEWSKI
- May 9(H) DP: BYNUM, JOHNSON, HANNAN, ALLARD, STAPP, GALVIN, JIMMIE, FOSTER, SCHRAGE
- May 9(H) FIN RPT CS(FIN) 9DP 1NR 1AM
- May 8(H) Minutes (HFIN)
- May 8(H) Moved CSHB 73(FIN) Out of Committee -- Delayed to 2:00 pm --
- May 8(H) FINANCE at 01:30 PM ADAMS 519
- May 8(H) Minutes (HFIN)
- May 8(H) Heard & Held -- Please Note Time Change --
- May 8(H) FINANCE at 10:00 AM ADAMS 519
- Apr 9(H) Minutes (HFIN)
- Apr 9(H) Heard & Held
- Apr 9(H) FINANCE at 01:30 PM ADAMS 519
- Feb 19(H) FN3: ZERO(DOH)
- Feb 19(H) FN2: (DOH)
- Feb 19(H) FN1: (DOH)
- Feb 19(H) DP: PRAX, FIELDS, GRAY, SCHWANKE, MEARS, MINA
- Feb 19(H) HSS RPT 6DP
- Feb 18(H) Minutes (HHSS)
- Feb 18(H) Moved HB 73 Out of Committee
- Feb 18(H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106
- Feb 6(H) Minutes (HHSS)
- Feb 6(H) Heard & Held -- Testimony <Invitation Only> --
- Feb 6(H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106
- Jan 27(H) GOVERNOR'S TRANSMITTAL LETTER
- Jan 27(H) FN3: ZERO(DOH)
- Jan 27(H) FN2: (DOH)
- Jan 27(H) FN1: (DOH)
- Jan 27(H) HSS, FIN
- Jan 27(H) READ THE FIRST TIME - REFERRALSIntroduced
HealthcareDisability RightsMental Health