The bill amends existing laws regarding municipal and state group health insurance plans, including self-insured plans and the management of pharmacy benefits. It introduces a new section, AS 29.20.420, which mandates that municipalities offering group health care insurance plans for employees, including self-insurance, must comply with specific provisions outlined in AS 21.27.901 - 21.27.975 and AS 21.36.520. This requirement applies to both home rule and general law municipalities, with an exception for plans governed by the Employee Retirement Income Security Act of 1974. Additionally, the bill modifies AS 39.30.090 to include new language that ensures group health insurance policies for participating governmental units are also subject to the same provisions regarding pharmacy benefits management.

Furthermore, the bill clarifies that self-insured group health insurance plans for active state employees must adhere to the same regulations concerning pharmacy benefits management, with the same exception for plans under the Employee Retirement Income Security Act. The effective date for this legislation is set for January 1, 2026. Overall, the bill aims to enhance the regulatory framework governing health insurance plans for municipal and state employees, ensuring better management and compliance with pharmacy benefits.

Statutes affected:
SB0142A, AM SB 142, introduced 03/24/2025: 29.10.200, 29.20.420, 21.27.901, 21.27.975, 21.36.520, U.S.C, 21.54.500, 39.30.090, 14.25.168, 14.25.480, 22.25.090, 39.35.535, 39.35.880, 39.37.145, 23.15.136, 39.30.091, 21.86.310, 14.25.110, 23.15.010, 23.15.210