Bill Summary – FastDemocracy

State of Alaska
                                                             Fiscal Note
                                                                                               Bill Version:                    CSHB 58(L&C)
 2022 Legislative Session
                                                                                               Fiscal Note Number:              6
                                                                                               (H) Publish Date:                3/7/2022
 Identifier:       HB58CS(HSS)-DOH-MS-2-25-2022                                 Department:        Department of Health
 Title:            CONTRACEPTIVES COVERAGE:INSURE;MED                           Appropriation: Medicaid Services
                   ASSIST                                                       Allocation:        Medicaid Services
 Sponsor:          CLAMAN                                                       OMB Component Number:               3234
 Requester: (H) L&C
 Expenditures/Revenues
 Note: Amounts do not include inflation unless otherwise noted below.                                                                 (Thousands of Dollars)
                                                 Included in
                                    FY2023       Governor's
                                Appropriation      FY2023                                             Out-Year Cost Estimates
                                  Requested       Request
 OPERATING EXPENDITURES               FY 2023        FY 2023       FY 2024                       FY 2025           FY 2026            FY 2027        FY 2028
 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 (FY2022) cost:                                    0.0                (separate supplemental appropriation required)
 Estimated CAPITAL (FY2023) cost:                                         0.0                (separate capital appropriation required)
 Does the bill create or modify a new fund or account?       0
 (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?                                  07/01/23
 Why this fiscal note differs from previous version/comments:
 This fiscal note has been updated for the following: FY23 and changes to the Department of Health, regulation adoption date change,
 and the added verbiage for emergency contraceptives which was added in the committee substitute for 2022 session.
 Prepared By:               Linnea Osborne, Manager                                                                  Phone:         (907)465-6333
 Division:                  Finance and Management Services                                                          Date:          01/19/2022
 Approved By:               Sylvan Robb, Assistant Commissioner                                                      Date:          01/26/22
 Agency:                    Department of Health and Social Services
Printed 3/7/2022                                                         Page 1 of 2                                                         Control Code: YQOez
                                                                                                         CSHB 58(L&C) - Fiscal Note 6
                                                 FISCAL NOTE ANALYSIS
STATE OF ALASKA                                                                  BILL NO. HB058
2022 LEGISLATIVE SESSION
Analysis
   This bill requires that Alaska Medicaid to pay for initial dispensing of prescription contraceptives; 12month supplies of
   prescription contraceptives, per refill; overthecounter (OTC) and prescription emergency contraceptives; and associated
   exams and other services necessary to prescribe, dispense, insert, or otherwise provide these covered contraceptive
   services. HB058 stipulates that itemized reimbursement for contraceptive services is not required if the service would be
   reimbursable under a bundled or composite rate.
   If a beneficiary previously received a prescription from a nonMedicaid enrolled provider, it would not be fillable under the
   Medicaid program. Department of Health cannot reimburse for prescriptions written by a nonMedicaid provider. This
   federal rule eliminates the ability of Medicaid to reimburse for subsequent refills of a prescription written by a non
   Medicaid provider. The beneficiary would need to get a new prescription from a Medicaidenrolled provider in order to be
   reimbursable under Medicaid.
   This fiscal analysis assumes that standard Medicaid utilization management controls such as preferring specific products
   and promoting the use of generics would remain consistent with other drug classes. Requests for specific nonpreferred or
   branded products would be reviewed using the standard prior authorization process. Existing electronic prior
   authorization capabilities would assist with expedited reviews so as to not delay care.
   It is anticipated that there could be duplication of services provided due to a member losing medication or the medication
   becoming damaged over the 12month period. It is anticipated these costs could be absorbed within the current program
   funding resulting in a zero fiscal note.
   Promulgation of associated regulations will take approximately nine months following State Plan Amendment approval by
   the Centers for Medicare and Medicaid Services, with implementation effective after July 1, 2023.
(Revised 11/23/2021 OMB/LFD)                                                                                       Page 2 of 2
HB58CS(HSS)-DOH-MS-2-25-2022                                   Page 2 of 2                                              Control Code: YQOez
Statutes affected: 
HB0058A, AM HB 58, introduced 02/18/2021: 29.10.200, 29.20.420, 21.42.427, 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, 47.07.065
HB0058B, AM CSHB 58(HSS), introduced 04/22/2021: 29.10.200, 29.20.420, 21.42.427, 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, 47.07.065
HB0058C, AM CSHB 58(L&C), introduced 03/07/2022: 29.10.200, 29.20.420, 21.42.427, 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, 47.07.065
HB0058A, AM HB 58, introduced 01/15/2021: 29.10.200, 29.20.420, 21.42.427, 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, 47.07.065