State of Alaska
Fiscal Note
Bill Version: CSSB 91(FIN)
2024 Legislative Session
Fiscal Note Number: 3
(H) Publish Date: 4/5/2024
Identifier: SB091CS(FIN)-DCCED-CBPL-03-29-24 Department: Department of Commerce, Community and
Title: TELEHEALTH: MULTIDISCIPLINARY CARE Economic Development
TEAM Appropriation: Corporations, Business and Professional
Sponsor: CLAMAN Licensing
Requester: (S) FINANCE Allocation: Corporations, Business and Professional
Licensing
OMB Component Number: 2360
Expenditures/Revenues
Note: Amounts do not include inflation unless otherwise noted below. (Thousands of Dollars)
Included in
FY2025 Governor's
Appropriation FY2025 Out-Year Cost Estimates
Requested Request
OPERATING EXPENDITURES FY 2025 FY 2025 FY 2026 FY 2027 FY 2028 FY 2029 FY 2030
Personal Services 114.3 114.3 114.3 114.3 114.3 114.3
Travel 10.0 10.0 10.0 10.0 10.0 10.0
Services 25.0 25.0 25.0 25.0 25.0 25.0
Commodities 10.0
Capital Outlay
Grants & Benefits
Miscellaneous
Total Operating 159.3 0.0 149.3 149.3 149.3 149.3 149.3
Fund Source (Operating Only)
1156 Rcpt Svcs (DGF) 159.3 149.3 149.3 149.3 149.3 149.3
Total 159.3 0.0 149.3 149.3 149.3 149.3 149.3
Positions
Full-time 1.0 1.0 1.0 1.0 1.0 1.0
Part-time
Temporary
Change in Revenues
1005 GF/Prgm (DGF) 91.0 91.0 91.0 91.0 91.0 91.0
1156 Rcpt Svcs (DGF) 159.3 149.3 149.3 149.3 149.3 149.3
Total 250.3 0.0 240.3 240.3 240.3 240.3 240.3
Estimated SUPPLEMENTAL (FY2024) cost: 0.0 (separate supplemental appropriation required)
Estimated CAPITAL (FY2025) 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If yes, by what date are the regulations to be adopted, amended or repealed?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:
Updated to reflect new committee substitute which added a renewal to the Telemedicine Business Registery.
Prepared By: Sylvan Robb, Division Director Phone: (907)465-2524
Division: Division of Corporations, Business and Professional Licensing Date: 03/29/2024
Approved By: Hannah Lager, Administrative Services Director Date: 03/29/24
Agency: Commerce, Community, and Economic Development
Printed 4/5/2024 Page 1 of 2 Control Code: FpTyu
 CSSB 91(FIN) - Fiscal Note 3
FISCAL NOTE ANALYSIS
STATE OF ALASKA BILL NO. CSSB091(FIN)
2024 LEGISLATIVE SESSION
Analysis
This legislation would expand the telehealth provisions currently allowed to non-Alaska-licensed physicians under AS
08.02.130 to apply to members of the non-Alaska-licensed physician’s multidisciplinary care team so that those members
can also provide telehealth services to Alaska patients under the circumstances listed in that section without obtaining an
Alaska license. While the non-Alaska-licensed physician is subject to disciplinary action by the Alaska State Medical Board,
all members of the team would be subject to disciplinary action by the Department of Commerce, Community, and
Economic Development. This bill creates new sections that provide the grounds for disciplinary sanctions against these
team members and what those disciplinary sanctions can be.
The addition of a renewal to the currently perpetual Telemedicine Business Registrations will bring in approximately $91.0
in additional licensing revenue. The division does not anticipate the need for additional staffing to process these renewals
and plans to automate the renewal process by adding the renewal to the business license renewal process. This will
ensure registrants are in full compliance with their business license and, if applicable, the corporate registration.
If this legislation passes, one full-time permanent Investigator 3 will be required to take on investigations of complaints on
unlicensed multidisciplinary care team members.
Personal Services: $114.3 for one permanent full-time Investigator 3, R18, Anchorage
Travel: $10.0 training and investigative travel
Services: $25.0 for core services – per position, per year
Commodities: $10.0 for one-time set up costs (FY2025 only)
Professional licensing programs within the Division of Corporations, Business and Professional Licensing are funded by
Receipt Supported Services fund source – 1156 Rcpt Svcs (DGF). Licensing fees for each occupation are set per AS
08.01.065. The total amount of revenue collected approximately equals each occupation’s actual regulatory costs.
(Revised 10/31/2023 OMB/LFD) Page 2 of 2
SB091CS(FIN)-DCCED-CBPL-03-29-24 Page 2 of 2 Control Code: FpTyu


Statutes affected:
SB0091A, AM SB 91, introduced 03/06/2023: 08.02.130, 08.01.087, 08.64.333, 08.02.140
SB0091B, AM CSSB 91(HSS), introduced 04/14/2023: 08.02.130, 08.01.087, 08.64.333, 08.02.140, 09.55.535, 11.71.140, 11.71.190, 08.02.135, 44.64.010, 44.33.381
SB0091C, AM CSSB 91(FIN), introduced 03/01/2024: 08.02.130, 08.01.087, 08.64.333, 08.02.140, 09.55.535, 11.71.140, 11.71.190, 08.02.135, 44.64.010, 44.33.381