State of Alaska
Fiscal Note
Bill Version: CSHB 193(HSS)
2018 Legislative Session
Fiscal Note Number: 1
(H) Publish Date: 3/30/2018
Identifier: HB193-DCCED-DOI-03-02-18 Department: Department of Commerce, Community and
Title: HEALTH CARE; BALANCE BILLING Economic Development
Sponsor: GRENN Appropriation: Insurance Operations
Requester: (H) Health and Social Services Allocation: Insurance Operations
OMB Component Number: 354
Expenditures/Revenues
Note: Amounts do not include inflation unless otherwise noted below. (Thousands of Dollars)
Included in
FY2019 Governor's
Appropriation FY2019 Out-Year Cost Estimates
Requested Request
OPERATING EXPENDITURES FY 2019 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 FY 2024
Personal Services
Travel
Services
Commodities
Capital Outlay
Grants & Benefits
Miscellaneous
Total Operating 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Fund Source (Operating Only)
None
Total 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Positions
Full-time
Part-time
Temporary
Change in Revenues
None
Total 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Estimated SUPPLEMENTAL (FY2018) cost: 0.0 (separate supplemental appropriation required)
(discuss reasons and fund source(s) in analysis section)
Estimated CAPITAL (FY2019) cost: 0.0 (separate capital appropriation required)
(discuss reasons and fund source(s) in analysis section)
ASSOCIATED REGULATIONS
Does the bill direct, or will the bill result in, regulation changes adopted by your agency? No
If yes, by what date are the regulations to be adopted, amended or repealed?
Why this fiscal note differs from previous version/comments:
Not applicable, initial version.
Prepared By: Lori Wing-Heier, Director Phone: (907)465-2560
Division: Division of Insurance Date: 03/02/2018
Approved By: Catherine Reardon, Director Date: 03/02/18
Agency: Division of Administrative Services, DCCED
Printed 3/30/2018 Page 1 of 2 Control Code: YuxIX
 CSHB 193(HSS) - Fiscal Note 1
FISCAL NOTE ANALYSIS
STATE OF ALASKA BILL NO. HB 193
2018 LEGISLATIVE SESSION
Analysis
HB193 requires insurers to provide the innetwork level of benefits for services in certain circumstances. The bill ensures
that insurers will provide innetwork cost sharing levels for emergency services and when a covered person has no control
over outofnetwork provider services. The bill also provides that the insurer is not obligated to pay a nonnetwork health
care provider at the innetwork rate if an innetwork provider is available to render services and the covered person
knowingly chooses to obtain services from a nonnetwork health care provider. The bill includes a provision that the
insurer shall pay nonnetwork providers the innetwork rate under the health care insurance plan as payment in full unless
the insurer and provider agree otherwise.
The bill prohibits an insurer from balance billing, but identifies the term to mean the differences in the covered persons
out of pocket costs, including copayment, deductible, or coinsurance between innetwork versus nonnetwork providers
under the plan agreement which may or may not include amounts in excess of the allowed amount.
The Division of Insurance does not anticipate a fiscal impact from this legislation.
(Revised 9/26/17 OMB/LFD) Page 2 of 2
HB193-DCCED-DOI-03-02-18 Page 2 of 2 Control Code: YuxIX


Statutes affected:
HB0193A, AM HB 193, introduced 03/24/2017:
HB0193B, AM CSHB 193(HSS), introduced 03/30/2018: 47.32.900, 21.07.250, 21.54.500, 21.36.513, 21.36.512, 39.30.090, 39.30.091, 45.50.471