Bill Summary – FastDemocracy

State of Alaska
                                                             Fiscal Note
                                                                                              Bill Version:                    CSSB 119(L&C)
 2018 Legislative Session
                                                                                              Fiscal Note Number:              3
                                                                                              (S) Publish Date:                3/29/2018
 Identifier:        SB119-DHSS-BVS-2-23-18                                      Department:       Department of Health and Social Services
 Title:             HEALTH CARE COSTS:                                          Appropriation: Public Health
                    DISCLOSURE;INSURERS;                                        Allocation:       Bureau of Vital Statistics
 Sponsor:           HUGHES                                                      OMB Component Number:              961
 Requester: Senate LC
 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?                 yes
 If yes, by what date are the regulations to be adopted, amended or repealed?                                 07/01/19
 Why this fiscal note differs from previous version/comments:
 Not applicable; initial version.
 Prepared By:             Jay C. Butler, MD, Chief Medical Officer/Director                                         Phone:         (907)269-6680
 Division:                Public Health                                                                             Date:          05/08/2017
 Approved By:             Shawnda O'Brien, Asst. Commisioner                                                        Date:          05/11/17
 Agency:                  Health and Social Services
Printed 3/29/2018                                                        Page 1 of 2                                                        Control Code: VVrUQ
                                                                                                          CSSB 119(L&C) - Fiscal Note 3
                                                  FISCAL NOTE ANALYSIS
STATE OF ALASKA                                                                    BILL NO. SB119
2018 LEGISLATIVE SESSION
Analysis
   Senate Bill 119 requires healthcare providers and facilities in the state to compile an annual list of the price of their most
   common healthcare procedures. The reporting entities are required to report these annual lists to the Department of
   Health and Social Services and post them in their offices and on their websites. The department is required to compile
   these reports in a database, and post them on its website. Failure of a provider or facility to comply is a civil penalty of $50
   per day of late reporting, up to a maximum of $2,500.
   The Health Analytics and Vital Records Section of the department would be responsible for implementing the health care
   services and price information bill. The department would have to build and staff a new database to compile the provider
   (and possibly the facility) lists and create a webpage to post the information. If the intent is for a simple webpage
   depository of the facilities' and providers' lists in PDF format, then the cost of the website and the staff time to post the
   lists can be absorbed by the section, and does not require an appropriation. Estimated staff time to maintain and post the
   lists would be negligible, and could be absorbed within current resources. This is on the understanding that the
   department is not being asked to collect, analyze, or otherwise maintain data and information contained in these lists, and
   that the lists would be posted asis when received from the facility or provider.
   Additionally, the department would need regulations to establish reporting guidelines, and prescribe the format and
   submission process. This will ensure file compatibility and uniformity in order to streamline the posting process and
   minimize administrative burden on the reporting entities and the department. Regulations are expected to be in place
   July 1, 2019.
(Revised 9/26/17 OMB/LFD)                                                                                             Page 2 of 2
SB119-DHSS-BVS-2-23-18                                           Page 2 of 2                                               Control Code: VVrUQ
Statutes affected: 
SB0119A, AM SB 119, introduced 04/24/2017: 18.15.360, 47.80.500, 18.23.400, 44.62.560, 18.23.405, 18.23.420, 21.07.250, 47.32.900, 21.54.500, 47.05.270, 21.06.110, 21.39.120, 21.36.495, 21.96.070, 21.96.075, 21.96.235, 21.96.210, 21.96.205, 21.96.215, 21.96.220, 21.96.200, 21.96.300, 21.96.225, 21.96.230, 29.10.200, 29.35.142, 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
SB0119B, AM CSSB 119(L&C), introduced 03/29/2018: 08.80.297, 21.54.500, U.S.C, 39.30.090, 39.30.091, 08.80.460, 18.15.360, 47.80.500, 18.23.400, 44.62.560, 18.23.405, 18.23.420, 21.07.250, 47.32.900, 47.05.270, 21.06.110, 21.39.120, 21.36.495, 21.96.070, 21.96.075, 21.96.235, 21.96.210, 21.96.205, 21.96.215, 21.96.220, 21.96.200, 21.96.300, 21.96.225, 21.96.230, 29.10.200, 29.35.142