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

Added a new provision stating that the Legislature supports efforts to identify and eliminate waste, fraud, and abuse in Medicaid to ensure efficient use of resources.

Updated the bill header and title to indicate the document is an amended version (am H) and changed the bill number suffix from 'B' to 'c'.

Adjusted the number of state residents relying on Medicaid in the first clause from 'more than 250,000' to 'more than 200,000'.

The estimated federal spending cuts on Medicaid were changed from $2,000,000,000,000 to $880,000,000,000 over 10 years.

New clauses were added stating that the federal government covers 100% of costs for Alaska Native recipients using Indian Health Service facilities and that expanded Medicaid states receive a 90% federal match.

Statistics regarding Medicaid enrollees under 18 and the percentage of births covered were updated to 40% and 36%, respectively.

The bill header was changed to reflect it is now a Committee Substitute (CSSJR) rather than the original Senate Joint Resolution (SJR), and the introduction date was updated to April 7, 2025.