Bill Summary – FastDemocracy

State of Alaska
                                                             Fiscal Note
                                                                                               Bill Version:                   FCCS SB 241
 2020 Legislative Session
                                                                                               Fiscal Note Number:             36
                                                                                               (S) Publish Date:               3/28/2020
 Identifier:        SB241HCSCS(RLS)amH-DHSS-MS-3-27-2020                        Department:        Department of Health and Social Services
 Title:             EXTENDING COVID 19 DISASTER EMERGENCY                       Appropriation: Medicaid Services
 Sponsor:           RLS BY REQUEST OF THE GOVERNOR                              Allocation:        Medicaid Services
 Requester: (S) RLS                                                             OMB Component Number:                 3234
 Expenditures/Revenues
 Note: Amounts do not include inflation unless otherwise noted below.                                                               (Thousands of Dollars)
                                                 Included in
                                    FY2021       Governor's
                                Appropriation      FY2021                                             Out-Year Cost Estimates
                                  Requested       Request
 OPERATING EXPENDITURES               FY 2021        FY 2021       FY 2022                       FY 2023             FY 2024        FY 2025         FY 2026
 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 (FY2020) cost:                                    0.0                (separate supplemental appropriation required)
 Estimated CAPITAL (FY2021) 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?                  No
 If yes, by what date are the regulations to be adopted, amended or repealed?                                  N/A
 Why this fiscal note differs from previous version/comments:
 This fiscal note reflects the change of the public health disaster emergency declaration extension to November 15, 2020.
 Prepared By:             Janelle Earls, Budget Manager                                                               Phone:    (907)465-1629
 Division:                Department Support Services                                                                 Date:     03/27/2020
 Approved By:             Sana Efird, Administrative Services Director                                                Date:     03/27/20
 Agency:                  Office of Management and Budget
Printed 3/28/2020                                                        Page 1 of 2                                                       Control Code: yVokg
                                                                                                          FCCS SB 241 - Fiscal Note 36
                                                 FISCAL NOTE ANALYSIS
STATE OF ALASKA                                                                  BILL NO. SB 241
2020 LEGISLATIVE SESSION
Analysis
   This bill extends until November 15, 2020 the public health emergency the Governor declared on March 11, 2020 related
   to the COVID-19 pandemic health response and economic stabilization. The bill is effective immediately and retroactive to
   April 10, 2020.
   This bill will do the following:
   -Extends the public health disaster emergency under AS 26.23.020(c) until November 15, 2020. When there is no longer
   an imminent threat, the Governor shall issue a proclamation ending the disaster emergency.
   -Allows the Department of Health and Social Services (DHSS) Chief Medical Officer to issue standing orders related to
   COVID-19. Standing orders are effective until retracted or the emergency declaration extension ends. The Chief Medical
   Officer and health care providers are not liable for civil damages for issuing or acting under a standing order, except for
   misconduct.
   -The Governor must submit a monthly report to the Legislature beginning May 1, 2020 identifying all actions taken by the
   administration related to the prevention, control and status of COVID-19.
   -Allows the DHSS Commissioner to waive any state law or regulation related to telehealth or telemedicine if compliance
   would substantially prevent or impede health care services.
   -Provides authority for DHSS, in coordination with the Department of Military and Veterans' Affairs, to establish sanitation
   procedures for retail sellers for the duration of the emergency declaration.
   Funding:
   An increase of federal authority for Medicaid is anticipated to help pay for an increase in Medicaid Services as the U.S.
   House of Representatives passed a stimulus package to address economic effects of the COVID-19 outbreak. The package,
   which has the support of the White House, is expected to have a Senate vote in the coming days. It will include a
   temporary Medicaid FMAP increase of 6.2 percentage points for certain eligibility catagories and requires Medicaid to
   provide coverage for COVID-19 testing at no cost to the beneficiary. State expenditures for medical and administrative
   costs will be matched at an enhanced percentage by the federal government and possibly up to 100 percent.
   This additional federal authority will allow the department to increase federal collections to offset unrestricted general
   fund expenditures in FY2020. A zero-dollar estimate is included due to uncertainty on the timing and amount of increased
   federal receipts.
(Revised 3/10/20 OMB/LFD)                                                                                           Page 2 of 2
SB241HCSCS(RLS)amH-DHSS-MS-3-27-2020                           Page 2 of 2                                                Control Code: yVokg
Statutes affected: 
SB0241A, AM SB 241, introduced 03/22/2020: 26.23.900, 26.23.020, 18.15.390, 21.06.080, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 08.68.100, 15.20.800, 43.23.011, 15.07.070, 16.10.455, 10.06.405, 10.06.410
SB0241B, AM CSSB 241(RLS), introduced 03/23/2020: 26.23.900, 26.23.020, 18.15.390, 26.23.300, 26.23.050, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 15.20.800, 43.23.011, 15.07.070, 16.10.455, 10.06.405, 10.06.410
SB0241C, AM CSSB 241(RLS) am, introduced 03/24/2020: 26.23.900, 26.23.020, 18.15.390, 26.23.300, 26.23.050, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 15.20.800, 43.23.011, 16.10.455, 10.06.405, 10.06.410, 13.26.600, 13.52.010, 13.75.010, 44.50.062, 13.12.502, 14.25.142, U.S.C, 39.35.480
SB0241D, AM HCS CSSB 241(RLS), introduced 03/26/2020: 26.23.900, 26.23.020, 18.15.390, 26.23.300, 26.23.050, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 15.20.800, 43.23.011, 16.10.455, 10.06.405, 10.06.410, 10.20.061, 10.20.076, U.S.C
SB0241E, AM HCS CSSB 241(RLS) am H, introduced 03/26/2020, passed House 03/26/2020: 26.23.900, 26.23.020, 18.15.390, 26.23.300, 26.23.050, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 47.05.270, 15.20.800, 43.23.011, 16.10.455, 10.06.405, 10.06.410, 10.20.061, 10.20.076, U.S.C, 44.33.896, 23.30.121, 23.30.395, 18.08.200, 13.52.390, 12.55.185, 11.81.900, 43.23.005, 43.23.008, 42.05.175, 42.05.990
SB0241F, AM FCCS SB 241, introduced 03/29/2020, passed House 03/28/2020, passed Senate 03/28/2020: 26.23.900, 26.23.020, 18.15.390, 26.23.300, 26.23.050, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 47.05.270, 15.20.800, 43.23.011, 16.10.455, 10.06.405, 10.06.410, 10.20.061, 10.20.076, U.S.C, 44.33.896, 23.30.121, 23.30.395, 18.08.200, 13.52.390, 12.55.185, 11.81.900, 43.23.005, 43.23.008, 42.05.175, 42.05.990, 23.20.350, 43.23.240, 47.25.130, 47.25.120, 47.25.300, 43.23.250, 13.12.502, 45.50.471, 45.50.561, 02.15.260, 28.90.990, 11.46.360, 18.56.090, 44.64.060, 09.65.091
SB0241Z, AM Enrolled SB 241, introduced 03/28/2020: 26.23.900, 26.23.020, 18.15.390, 26.23.300, 26.23.050, 18.15.395, 08.01.010, 08.64.170, 08.68.160, 11.71.140, 11.71.190, 47.05.270, 15.20.800, 43.23.011, 16.10.455, 10.06.405, 10.06.410, 10.20.061, 10.20.076, U.S.C, 44.33.896, 23.30.121, 23.30.395, 18.08.200, 13.52.390, 12.55.185, 11.81.900, 43.23.005, 43.23.008, 42.05.175, 42.05.990, 23.20.350, 43.23.240, 47.25.130, 47.25.120, 47.25.300, 43.23.250, 13.12.502, 45.50.471, 45.50.561, 02.15.260, 28.90.990, 11.46.360, 18.56.090, 44.64.060, 09.65.091