State of Alaska
Fiscal Note
Bill Version: SB 240
2024 Legislative Session
Fiscal Note Number: 3
(S) Publish Date: 2/19/2024
Identifier: LL0369-DOH-MS-02-15-24 Department: Department of Health
Title: SCHOOL DISTRICT MEDICAL ASSISTANCE Appropriation: Medicaid Services
Sponsor: RLS BY REQUEST OF THE GOVERNOR Allocation: Medicaid Services
Requester: Governor OMB Component Number: 3234
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
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 (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If yes, by what date are the regulations to be adopted, amended or repealed? 07/01/25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: Terra Serpette, Division Operations Manager Phone: (907)465-6333
Division: Medicaid Services Date: 02/05/2024 07:03 PM
Approved By: Josephine Stern, Assistant Commissioner Date: 02/15/24
Agency: Department of Health
Printed 2/19/2024 Page 1 of 2 Control Code: siFIL
 SB 240 - Fiscal Note 3
FISCAL NOTE ANALYSIS
STATE OF ALASKA BILL NO. LL0369
2024 LEGISLATIVE SESSION
Analysis
This bill expands school‐based services to include all children who are Medicaid eligible and repeals the requirements that
the child must be disabled and have an Individualized Education Program (IEP) to qualify.
Currently, six school districts participate and approximately 2,100 recipients are receiving a limited number of therapy
services. At present, Alaska Medicaid has 93,772 school‐aged recipients enrolled in Medicaid and a total of 54 recognized
school districts. At this time, the department estimates a 50 percent school district participation.
The passage of this bill will allow these services to now be offered through School Based Services to all eligible children
rather than being limited to those on an IEP. The department does not anticipate an increase in Medicaid Services costs
because these services are currently available to Medicaid eligible recipients, but rather a shifting of the mode these
services can be provided.
This bill will require system changes and a regulatory project by the Division of Health Care Services. A Medicaid State Plan
amendment will be required. These costs can be absorbed by existing staff and contracts within the division.
(Revised 10/31/2023 OMB/LFD) Page 2 of 2
LL0369-DOH-MS-02-15-24 Page 2 of 2 Control Code: siFIL


Statutes affected:
SB0240A, AM SB 240, introduced 02/19/2024: 47.07.063
SB0240B, AM CSSB 240(HSS), introduced 04/08/2024: 14.30.171, 14.30.174, 47.30.915, 25.20.025, 18.16.010, 47.07.063