State of Alaska
Fiscal Note
Bill Version: HB 260
2024 Legislative Session
Fiscal Note Number: 2
(H) Publish Date: 2/19/2024
Identifier: HB260-DOH-CAMA-1-24-2024 Department: Department of Health
Title: CATASTROPHIC ILLNESS/MEDICAL Appropriation: Health Care Services
ASSISTANCE Allocation: Catastrophic and Chronic Illness Assistance (AS
Sponsor: STAPP 47.08)
Requester: (H) HSS OMB Component Number: 2330
Expenditures/Revenues
Note: Amounts do not include inflation unless otherwise noted below. (Thousands of Dollars)
Included in
FY2025 Governor's
Appropriation FY2025 Out-Year Cost Estimates
Requested Request
OPERATING EXPENDITURES FY 2025 FY 2025 FY 2026 FY 2027 FY 2028 FY 2029 FY 2030
Personal Services
Travel
Services
Commodities
Capital Outlay
Grants & Benefits (153.9) (153.9) (153.9) (153.9) (153.9) (153.9)
Miscellaneous
Total Operating (153.9) 0.0 (153.9) (153.9) (153.9) (153.9) (153.9)
Fund Source (Operating Only)
1004 Gen Fund (UGF) (153.9) (153.9) (153.9) (153.9) (153.9) (153.9)
Total (153.9) 0.0 (153.9) (153.9) (153.9) (153.9) (153.9)
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 (FY2024) cost: 0.0 (separate supplemental appropriation required)
Estimated CAPITAL (FY2025) cost: 0.0 (separate capital appropriation required)
Does the bill create or modify a new fund or account? No
(Supplemental/Capital/New Fund - 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? Yes
If yes, by what date are the regulations to be adopted, amended or repealed? 07/01/25
Why this fiscal note differs from previous version/comments:
Not applicable, initial version.
Prepared By: Renee Gayhart, Director Phone: (907)465-1184
Division: Health Care Services Date: 01/24/2024 01:00 PM
Approved By: Raquel Solomon-Gross, Acting Assistant Commissioner Date: 01/25/24
Agency: Department of Health
Printed 2/15/2024 Page 1 of 2 Control Code: nrZLx
 HB 260 - Fiscal Note 2
FISCAL NOTE ANALYSIS
STATE OF ALASKA BILL NO. HB 260
2024 LEGISLATIVE SESSION
Analysis
This bill repeals statutory reference that authorizes payment for, and oversight of, programs for catastrophic illness
assistance and medical assistance for chronic and acute medical conditions.
The Chronic and Acute Medical Assistance (CAMA) program is a state funded program designed to help needy Alaskans
who have specific illnesses get the medical care they need to manage those illnesses. It is a program primarily for people
who do not qualify for Medicaid benefits, have very little income, and have inadequate or no health insurance.
Since the implementation of the Expansion Group in 2015, most individuals qualify for Modified Ajusted Gross Income
(MAGI) Medicaid rather than needing CAMA. The only individuals that CAMA can still serve are legal aliens that do not
meet the five‐year waiting period required for Medicaid eligibility.
Grants, Benefits Anticipated Annual Fiscal Impact for Implementing:
($153.9) General Fund
Other costs associated with regulations and system modifications can be absorbed by exiting staff and contracts.
(Revised 10/31/2023 OMB/LFD) Page 2 of 2
HB260-DOH-CAMA-1-24-2024 Page 2 of 2 Control Code: nrZLx


Statutes affected:
HB0260A, AM HB 260, introduced 01/12/2024: 36.30.850, 47.25.071, 47.25.095, 47.27.050, 47.05.085, 47.05.200, 47.05.210, 47.05.240, 47.05.290, 11.81.900, 47.05.330, 47.05.325, 47.08.010, 47.08.020, 47.08.030, 47.08.040, 47.08.050, 47.08.060, 47.08.070, 47.08.080, 47.08.090, 47.08.100, 47.08.110, 47.08.120, 47.08.130, 47.08.140, 47.08.150
HB0260B, AM HB 260 am, introduced 05/06/2024, passed House 05/06/2024: 36.30.850, 47.25.071, 47.25.095, 47.27.050, 47.05.085, 47.05.200, 47.05.210, 47.05.240, 47.05.290, 11.81.900, 47.05.330, 47.05.325, 47.08.010, 47.08.020, 47.08.030, 47.08.040, 47.08.050, 47.08.060, 47.08.070, 47.08.080, 47.08.090, 47.08.100, 47.08.110, 47.08.120, 47.08.130, 47.08.140, 47.08.150