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HB 73 Alaska House · 34th Legislature (2025-2026)

An Act relating to complex care residential homes; and providing for an effective date.

This bill defines "complex care residential homes" as facilities providing 24-hour specialized care to up to 15 individuals with complex medical, behavioral, or disability-related needs. It adds these homes as a distinct regulatory category under Alaska's health laws, explicitly separating them from hospitals and assisted living homes. The bill requires the Department of Health to update Alaska's Medicaid state plan to reflect this new classification for federal approval. These changes directly affect facilities operating as complex care residential homes and the state's health regulatory system.
Issues: ✓ HealthcareSupports HealthcareCreates new regulatory category for complex care homes, requires Medicaid state plan update to ensure coverage for specialized care, improving access for vulnerable populations.95% confidence
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2026
House Passage
May 2025
Senate Passage
May 2026
Signed into Law
Jul 2026
Introduced Jan 27, 2025 Signed Jul 3, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

HB 73 → CSHB 73(FIN) · 4 edits
MODERATE
The bill was finalized and reorganized under the House Finance Committee, changing its effective date from a conditional approval by July 1, 2031 to a fixed date of July 1, 2026. The definition of a 'complex care residential home' was broadened to include more residents and remove the requirement for 'continuing basis' care, while the list of excluded facilities was slightly adjusted. These changes aim to clarify the scope of the new facility type and accelerate its implementation.
Scope change
The definition of 'complex care residential home' was expanded to allow care for more individuals and removed the 'continuing basis' requirement, while the list of excluded facilities was modified to clarify the relationship between different entity types.
TIMELINE

The effective date was changed from a conditional deadline of July 1, 2031 (pending federal approval) to a fixed date of July 1, 2026.

DEFINITION

The definition of 'complex care residential home' was updated to remove the requirement that care be provided on a 'continuing basis' and to allow for care of more than 15 individuals.

The list of excluded facilities was modified to change the phrasing regarding entities listed in AS 47.32.010(b)(6)-(11), (16), or (c)(2) to explicitly include them alongside the other listed types.

TECHNICAL

The bill header was updated to reflect its final status (CSHB 73(FIN)) and the sponsoring committee was changed from the House Rules Committee to the House Finance Committee.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
73
Key actions
11
Committee
3
Amendments
1
Jul 3, 2026
Signed into law
(H) Signed into law 6/24 CHAPTER 38 SLA 26
lower
May 20, 2026
Upper · Passed
(S) TRANSMITTED TO (H) AS AMENDED
upper
May 20, 2026
Upper · Passed
(S) PASSED Y20 N-
upper
May 19, 2026
Upper · Passed
(S) AM NO 1 ADOPTED UC
upper
May 19, 2026
Upper · Passed
(S) FIN SCS ADOPTED UC
upper
Mar 19, 2026
Upper · Passed
(S) Moved SCS CSHB 73(FIN) Out of Committee
upper
May 14, 2025
Lower · Passed
(H) TRANSMITTED TO (S)
lower
May 14, 2025
Lower · Passed
(H) PASSED Y40
lower
May 13, 2025
Lower · Passed
(H) FIN CS ADOPTED UC
lower
May 8, 2025
Lower · Passed
(H) Moved CSHB 73(FIN) Out of Committee -- Delayed to 2:00 pm --
lower
Feb 18, 2025
Lower · Passed
(H) Moved HB 73 Out of Committee
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.