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HB151 • 2026

MEDICAL ASSISTANCE: CHILDREN UNDER AGE 6

An Act relating to continuous eligibility for medical assistance for children under six years of age; and providing for an effective date.

Children Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
REPRESENTATIVES GALVIN, Fields, Frier
Last action
2026-02-04
Official status
(H) FIN
Effective date
Not listed

Plain English Breakdown

The bill uses 'may allow' for ages six to nineteen, meaning this part of the rule might not apply in all cases.

Continuous Medical Assistance for Children Under Six

This bill allows children under six in Alaska to keep their medical assistance benefits until they turn six, but only if the federal government approves or says approval is not needed by July 1, 2027.

What This Bill Does

  • Requires the state department to let eligible children under age six stay on medical assistance until they are six years old.
  • Allows the Department of Health to let people aged six through nineteen keep benefits for up to 11 months after becoming eligible or until they turn 19, whichever comes first.
  • Directs the Department of Health to ask the federal government for permission or waivers needed to make these changes work.
  • Sets a deadline of July 1, 2027, for the federal government to approve the plan or say approval is not necessary before this law starts.

Who It Names or Affects

  • Children under six years old who are eligible for medical assistance in Alaska.
  • People between ages six and nineteen who receive medical assistance benefits.
  • The Department of Health, which must submit requests to the federal government.
  • The United States Department of Health and Human Services, which decides if approval is needed.

Terms To Know

Medical Assistance
Government health coverage for people with low income in Alaska.
Continuous Eligibility
A rule that lets a person keep their benefits without having to reapply or check if they still qualify during a set time period.
Waiver
Special permission from the federal government to change how state rules work for health coverage programs.

Limits and Unknowns

  • The law does not start working unless the United States Department of Health and Human Services acts by July 1, 2027.
  • It is unknown if or when the federal government will approve the necessary waivers or state plan changes.

Bill History

  1. 2026-02-04 1560

    (H) COSPONSOR(S): FRIER

  2. 2025-04-25 878

    (H) REFERRED TO FINANCE

  3. 2025-04-25 878

    (H) FN3: (DOH)

  4. 2025-04-25 878

    (H) FN2: (DOH)

  5. 2025-04-25 878

    (H) FN1: (DOH)

  6. 2025-04-25 878

    (H) NR: PRAX, SCHWANKE, RUFFRIDGE

  7. 2025-04-25 878

    (H) DP: FIELDS, GRAY, MEARS, MINA

  8. 2025-04-25 878

    (H) HSS RPT CS(HSS) 4DP 3NR

  9. 2025-04-24 Min

    (H) Minutes (HHSS)

  10. 2025-04-24 Text

    (H) Moved CSHB 151(HSS) Out of Committee

  11. 2025-04-24 Text

    (H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106

  12. 2025-04-10 Min

    (H) Minutes (HHSS)

  13. 2025-04-10 Text

    (H) Heard & Held -- Delayed to 3:45 pm --

  14. 2025-04-10 Text

    (H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106

  15. 2025-04-03 Min

    (H) Minutes (HHSS)

  16. 2025-04-03 Text

    (H) <Bill Hearing Canceled>

  17. 2025-04-03 Text

    (H) HEALTH & SOCIAL SERVICES at 03:15 PM DAVIS 106

  18. 2025-03-24 526

    (H) HSS, FIN

  19. 2025-03-24 526

    (H) READ THE FIRST TIME - REFERRALS

Official Summary Text

MEDICAL ASSISTANCE: CHILDREN UNDER AGE 6
An Act relating to continuous eligibility for medical assistance for children under six years of age; and providing for an effective date.

Current Bill Text

Read the full stored bill text
HB0151b -1- CSHB 151(HSS)
New Text Underlined [DELETED TEXT BRACKETED]

34-LS0571\N

CS FOR HOUSE BILL NO. 151(HSS)

IN THE LEGISLATURE OF THE STATE OF ALASKA

THIRTY-FOURTH LEGISLATURE - SECOND SESSION

BY THE HOUSE HEALTH AND SOCIAL SERVICES COMMITTEE

Offered: 4/25/25
Referred: Finance

Sponsor(s): REPRESENTATIVES GALVIN, Fields, Frier
A BILL

FOR AN ACT ENTITLED

"An Act relating to continuous eligibility for medical assistance for children under six 1
years of age; and providing for an effective date." 2
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 3
* Section 1. AS 47.07.020(i) is amended to read: 4
(i) The department shall allow a person under six years of age who is 5
determined to be eligible for benefits under this chapter to remain eligible for 6
those benefits until the person is six years old. The department may allow a person 7
who is at least six years of age but not over [UNDER] 19 years of age and who is 8
determined to be eligible for benefits under this chapter to remain eligible for those 9
benefits for up to 11 calendar months following the month that the person is 10
determined eligible for benefits or until the person is 19 years old, whichever occurs 11
earlier. 12
* Sec. 2. The uncodified law of the State of Alaska is amended by adding a new section to 13
read: 14
34-LS0571\N
CSHB 151(HSS) -2- HB0151b
New Text Underlined [DELETED TEXT BRACKETED]

MEDICAID STATE PLAN; WAIVERS. The Department of Health shall, as 1
necessary for federal approval by the United States Department of Health and Human 2
Services, submit amendments to the state plan for medical assistance coverage or apply for 3
any waivers necessary to implement AS 47.07.020(i), as amended by sec. 1 of this Act. 4
* Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to 5
read: 6
CONDITIONAL EFFECT; NOTIFICATION. (a) Section 1 of this Act takes effect 7
only if, on or before July 1, 2027, the United States Department of Health and Human 8
Services 9
(1) approves the waivers or amendments to the state plan for medical 10
assistance coverage submitted in accordance with sec. 2 of this Act; or 11
(2) determines that approval of the waivers and amendments to the state plan 12
for medical assistance coverage submitted in accordance with sec. 2 of this Act is not 13
necessary. 14
(b) The commissioner of health shall notify the revisor of statutes in writing within 30 15
days after the United States Department of Health and Human Services approves the waivers 16
or amendments to the state plan or determines that approval of the waivers and amendments is 17
not necessary under this section. 18
* Sec. 4. If sec. 1 of this Act takes effect, it takes effect on the day after the date the United 19
States Department of Health and Human Services approves the waivers or amendments to the 20
state plan or determines that approval of the waivers and amendments is not necessary. 21