State of Alaska
Fiscal Note
Bill Version: CSSB 78(HSS)
2021 Legislative Session
Fiscal Note Number: 3
(S) Publish Date: 4/21/2021
Identifier: SB078-DHSS-MS-2-26-2021 Department: Department of Health and Social Services
Title: HEALTH CARE SERVICES BY TELEHEALTH Appropriation: Medicaid Services
Sponsor: LABOR & COMMERCE Allocation: Medicaid Services
Requester: (S) HSS OMB Component Number: 3234
Expenditures/Revenues
Note: Amounts do not include inflation unless otherwise noted below. (Thousands of Dollars)
Included in
FY2022 Governor's
Appropriation FY2022 Out-Year Cost Estimates
Requested Request
OPERATING EXPENDITURES FY 2022 FY 2022 FY 2023 FY 2024 FY 2025 FY 2026 FY 2027
Personal Services *** *** *** *** *** ***
Travel
Services
Commodities
Capital Outlay
Grants & Benefits
Miscellaneous
Total Operating *** 0.0 *** *** *** *** ***
Fund Source (Operating Only)
None
Total *** 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 (FY2021) cost: 0.0 (separate supplemental appropriation required)
Estimated CAPITAL (FY2022) 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? Yes
If yes, by what date are the regulations to be adopted, amended or repealed? 07/01/22
Why this fiscal note differs from previous version/comments:
Not applicable; initial version
Prepared By: Linnea Osborne, Manager Phone: (907)465-6333
Division: Medicaid Allocation and Audit Services Date: 02/26/2021
Approved By: Sylvan Robb, Administrative Services Director Date: 02/26/21
Agency: Office of Management and Budget
Printed 4/21/2021 Page 1 of 2 Control Code: UlSBA
 CSSB 78(HSS) - Fiscal Note 3
FISCAL NOTE ANALYSIS
STATE OF ALASKA BILL NO. SB078
2021 LEGISLATIVE SESSION
Analysis
This bill allows a health provider to treat, diagnose, and prescribe, dispense, and administer noncontrolled substances
through telehealth modes of delivery, without first conducting an inperson examination of the patient, if: the provider is
licensed, permitted, or certified and in good standing in another jurisdiction; the services are within the providers scope
of practice in the jurisdiction that issued his/her license, permit, or certification; and the provider will refer the patient for
services that are beyond his/her scope of practice.
The department is unable to accurately project the cost of implementing the provisions of this bill at this time. The
Division of Health Care Services (DHCS) may be responsible for configuration changes to the Medicaid Management
Information System (MMIS) to add a new provider type that will be required along with associated business rule changes
completed by the system contractor, and the Pharmacy PointofSale. Additional costs are expected to be incurred from
increased nurse prescribing prescription costs which are not reimbursed currently as well as an increase to call center
volume.
(Revised 8/20/20 OMB/LFD) Page 2 of 2
SB078-DHSS-MS-2-26-2021 Page 2 of 2 Control Code: UlSBA


Statutes affected:
SB0078A, AM SB 78, introduced 02/10/2021: 08.64.170, 08.64.370, 08.64.106, 11.71.140, 11.71.190, 08.64.175, 47.05.270, 08.68.160, 08.68.163
SB0078B, AM CSSB 78(HSS), introduced 04/21/2021: 47.05.270, 08.64.170, 08.64.370, 08.64.106, 11.71.140, 11.71.190, 08.64.175, 08.68.160, 08.68.163