LAWS OF ALASKA
2018
Source Chapter No.
CCS HB 285 _______
AN ACT
Making appropriations for the operating and capital expenses of the state's integrated
comprehensive mental health program; and providing for an effective date.
_______________
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
THE ACT FOLLOWS ON PAGE 1
Enrolled HB 285
 AN ACT
1 Making appropriations for the operating and capital expenses of the state's integrated
2 comprehensive mental health program; and providing for an effective date.
3 _______________
4 (SECTION 1 OF THIS ACT BEGINS ON PAGE 2)
-1- Enrolled HB 285
 1 * Section 1. The following appropriation items are for operating expenditures from the
2 general fund or other funds as set out in section 2 of this Act to the agencies named for the
3 purposes expressed for the fiscal year beginning July 1, 2018 and ending June 30, 2019,
4 unless otherwise indicated. A department-wide, agency-wide, or branch-wide unallocated
5 reduction set out in this section may be allocated among the appropriations made in this
6 section to that department, agency, or branch.
7 Appropriation General Other
8 Allocations Items Funds Funds
9 ***** *****
10 * * * * * Department of Administration * * * * *
11 ***** *****
12 Legal and Advocacy Services 2,414,500 2,134,000 280,500
13 Office of Public Advocacy 2,039,800
14 Public Defender Agency 374,700
15 ***** *****
16 * * * * * Department of Corrections * * * * *
17 ***** *****
18 Population Management 1,000,000 1,000,000
19 It is the intent of the legislature that the Commissioner of the Department of Corrections will
20 prioritize funding and implement solutions, that may include, but not be limited to transitional
21 housing and diversion programs, that reduce the disparity in Alaska Native incarceration
22 throughout the state.
23 Community Residential 1,000,000
24 Centers
25 Health and Rehabilitation Services 9,242,400 8,854,500 387,900
26 Behavioral Health Care 6,620,000
27 Substance Abuse Treatment 2,622,400
28 Program
29 ***** *****
30 * * * * * Department of Education and Early Development * * * * *
31 ***** *****
CCS HB 285, Sec. 1
-2-
 1 Appropriation General Other
2 Allocations Items Funds Funds
3 Education Support and Admin Services 427,800 377,800 50,000
4 Student and School 427,800
5 Achievement
6 ***** *****
7 * * * * * Department of Health and Social Services * * * * *
8 ***** *****
9 It is the intent of the legislature that the department review fund sources in all allocations and
10 reduce excess receipt authority where the department believes the collection of receipts is not
11 achievable.
12 It is the intent of the legislature that the Department of Health and Social Services submit a
13 report to the co-chairs of the Finance Committees and the Legislative Finance Division by
14 November 15 of 2019 and 2020 on 1) disbursement and use of federal Disproportionate Share
15 Hospital (DSH) dollars by community and regional hospitals, 2) the annual amount of federal
16 DSH funds which the state is not claiming, and 3) future strategies for claiming those funds,
17 including the possibility of hospitals matching those funds, to improve outcomes for patients,
18 providers and the public.
19 Alaska Pioneer Homes 16,386,200 16,386,200
20 Pioneer Homes 16,386,200
21 The amount allocated for Pioneer Homes includes the unexpended and unobligated balance
22 on June 30, 2018, of the Department of Health and Social Services, Pioneer Homes care and
23 support receipts under AS 47.55.030.
24 Behavioral Health 81,411,800 79,857,500 1,554,300
25 Behavioral Health Treatment 54,260,200
26 and Recovery Grants
27 Alcohol Safety Action 1,479,700
28 Program (ASAP)
29 Behavioral Health 5,675,600
30 Administration
31 Behavioral Health 5,915,100
32 Prevention and Early
33 Intervention Grants
CCS HB 285, Sec. 1
-3-
 1 Appropriation General Other
2 Allocations Items Funds Funds
3 Designated Evaluation and 3,794,800
4 Treatment
5 Alaska Psychiatric 6,468,100
6 Institute
7 Alaska Mental Health Board 903,300
8 and Advisory Board on
9 Alcohol and Drug Abuse
10 Suicide Prevention Council 657,700
11 Residential Child Care 2,257,300
12 Children's Services 2,191,900 2,191,900
13 Children's Services 69,500
14 Management
15 Front Line Social Workers 148,500
16 Family Preservation 726,000
17 Foster Care Augmented Rate 500,000
18 Foster Care Special Need 747,900
19 Health Care Services 424,500 132,300 292,200
20 Residential Licensing 132,300
21 Medical Assistance 292,200
22 Administration
23 Juvenile Justice 1,438,000 1,271,500 166,500
24 McLaughlin Youth Center 746,600
25 Fairbanks Youth Facility 117,300
26 Bethel Youth Facility 64,300
27 Probation Services 509,800
28 Public Assistance 13,200 13,200
29 Public Assistance 13,200
30 Administration
31 Public Health 2,029,600 1,779,600 250,000
32 Nursing 98,200
33 Women, Children and Family 798,100
CCS HB 285, Sec. 1
-4-
 1 Appropriation General Other
2 Allocations Items Funds Funds
3 Health
4 Public Health 319,100
5 Administrative Services
6 Emergency Programs 764,200
7 Chronic Disease Prevention 10,000
8 and Health Promotion
9 Bureau of Vital Statistics 40,000
10 Senior and Disabilities Services 13,339,800 12,147,100 1,192,700
11 Senior and Disabilities 1,180,600
12 Community Based Grants
13 Early Intervention/Infant 7,424,500
14 Learning Programs
15 Senior and Disabilities 3,471,300
16 Services Administration
17 It is the intent of the legislature that the Department of Health & Social Services re-examine
18 service delivery models to ensure eligible senior and disabled populations receive appropriate
19 services irrespective of where they live in Alaska. The Department of Health and Social
20 Services shall submit a report to co-chairs of the Finance Committees and the Legislative
21 Finance Division on the status of the service no later than February 15, 2019.
22 It is the intent of the legislature that the State of Alaska proceed expeditiously to establish
23 companion services under Section 1915(c) of the Social Security Act to complement and
24 support the services provided through the Medicare/Medicaid waiver programs. The
25 Department of Health and Social Services shall submit a report to co-chairs of the Finance
26 Committees and the Legislative Finance Division on the status of the service no later than
27 January 31, 2019.
28 It is the intent of the legislature that funding for day habilitation be sufficient to provide up to
29 624 hours annually per recipient. The request for additional day habilitation over the annual
30 "soft cap" of 624 hours may be approved to avoid institutional care or for the safety of
31 Medicaid recipients.
32 General Relief/Temporary 740,300
33 Assisted Living
CCS HB 285, Sec. 1
-5-
 1 Appropriation General Other
2 Allocations Items Funds Funds
3 Commission on Aging 119,600
4 Governor's Council on 403,500
5 Disabilities and Special
6 Education
7 Departmental Support Services 552,300 552,300
8 Commissioner's Office 202,300
9 It is the intent of the legislature that the department work with Tribal Health Organizations for
10 care coordination agreements with non-tribal providers in order to increase valid referrals for
11 Indian Health Service eligible recipients to maximize the 100% FMAP. It is further the intent
12 of the legislature that the department clearly outline requirements for 100% FMAP for
13 services provided to an IHS beneficiary receiving Medicaid benefits thereby reducing general
14 fund dependency by approximately $30 million.
15 HSS State Facilities Rent 350,000
16 Medicaid Services 84,649,300 82,155,800 2,493,500
17 It is the intent of the legislature that the department work with the Legislative Finance
18 Division to prepare a template for reports to be delivered to the co-chairs of the finance
19 committees and the Legislative Finance Division related to actual Medicaid expenditures and
20 projections for the remainder of FY19 on October 15th, January 15th, March 15th, and June
21 15th. It is further the intent that the template provide FY20 expenditure projections.
22 It is the intent of the legislature that the department significantly increase its efforts to reduce
23 the state share of Medicaid service costs by managing Medicaid utilization to index with the
24 national average per enrollee cost. In doing so, the department should take into consideration
25 a multiplier to the national average to account for a reasonably higher cost of health care in
26 Alaska.
27 Behavioral Health Medicaid 84,646,800
28 Services
29 Health Care Medicaid 2,500
30 Services
31 ***** *****
32 * * * * * Department of Labor and Workforce Development * * * * *
33 ***** *****
CCS HB 285, Sec. 1
-6-
 1 Appropriation General Other
2 Allocations Items Funds Funds
3 Commissioner and Administrative 79,000 79,000
4 Services
5 Labor Market Information 79,000
6 Employment and Training Services 125,500 125,500
7 Workforce Services 125,500
8 ***** *****
9 * * * * * Department of Law * * * * *
10 ***** *****
11 Civil Division 100,200 100,200
12 Human Services 100,200
13 ***** *****
14 * * * * * Department of Natural Resources * * * * *
15 ***** *****
16 Administration & Support Services 4,539,200 4,539,200
17 Mental Health Trust Lands 4,539,200
18 Administration
19 ***** *****
20 * * * * * Department of Public Safety * * * * *
21 ***** *****
22 Council on Domestic Violence and 2,000,000 2,000,000
23 Sexual Assault
24 Council on Domestic 2,000,000
25 Violence and Sexual Assault
26 ***** *****
27 * * * * * Department of Revenue * * * * *
28 ***** *****
29 Alaska Mental Health Trust Authority 5,136,100 1,000,800 4,135,300
30 Mental Health Trust 4,635,300
31 Operations
32 Long Term Care Ombudsman 500,800
33 Office
CCS HB 285, Sec. 1
-7-
 1 Appropriation General Other
2 Allocations Items Funds Funds
3 ***** *****
4 * * * * * University of Alaska * * * * *
5 ***** *****
6 University of Alaska 2,483,400 805,800 1,677,600
7 Anchorage Campus 2,433,400
8 Fairbanks Campus 50,000
9 ***** *****
10 * * * * * Judiciary * * * * *
11 ***** *****
12 Alaska Court System 227,000 227,000
13 Trial Courts 227,000
14 Therapeutic Courts 3,156,200 2,936,800 219,400
15 Therapeutic Courts 3,156,200
16 (SECTION 2 OF THIS ACT BEGINS ON THE NEXT PAGE)
CCS HB 285, Sec. 1
-8-
 1 * Sec. 2. The following sets out the funding by agency for the appropriations made in sec. 1 of
2 this Act.
3 Funding Source Amount
4 Department of Administration
5 1037 General Fund / Mental Health 2,134,000
6 1092 Mental Health Trust Authority Authorized Receipts 280,500
7 *** Total Agency Funding *** 2,414,500
8 Department of Corrections
9 1037 General Fund / Mental Health 7,854,500
10 1092 Mental Health Trust Authority Authorized Receipts 387,900
11 1246 Recidivism Reduction Fund 2,000,000
12 *** Total Agency Funding *** 10,242,400
13 Department of Education and Early Development
14 1037 General Fund / Mental Health 377,800
15 1092 Mental Health Trust Authority Authorized Receipts 50,000
16 *** Total Agency Funding *** 427,800
17 Department of Health and Social Services
18 1037 General Fund / Mental Health 170,862,900
19 1092 Mental Health Trust Authority Authorized Receipts 5,949,200
20 1180 Alcohol and Other Drug Abuse Treatment & Prevention Fund 22,124,500
21 1246 Recidivism Reduction Fund 3,500,000
22 *** Total Agency Funding *** 202,436,600
23 Department of Labor and Workforce Development
24 1092 Mental Health Trust Authority Authorized Receipts 204,500
25 *** Total Agency Funding *** 204,500
26 Department of Law
27 1037 General Fund / Mental Health 100,200
28 *** Total Agency Funding *** 100,200
29 Department of Natural Resources
30 1092 Mental Health Trust Authority Authorized Receipts