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HB73 • 2026

COMPLEX CARE RESIDENTIAL HOMES

An Act relating to complex care residential homes; and providing for an effective date.

Elections Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
HOUSE RULES BY REQUEST OF THE GOVERNOR
Last action
2026-07-03
Official status
CHAPTER 38 SLA 26
Effective date
Not listed

Plain English Breakdown

The official text defines 'complex care residential home' but does not list specific operational requirements beyond the definition itself; those details will come from future regulations.

Complex Care Residential Homes Law

This law adds complex care residential homes to the list of health facilities regulated by the state and sets an effective date for these changes.

What This Bill Does

  • Adds complex care residential homes to the list of entities subject to regulations adopted by the Department of Health.
  • Defines a complex care residential home as a setting providing 24-hour multidisciplinary care on a continuing basis for individuals with mental, behavioral, medical, or disability-related needs requiring specialized services and monitoring.
  • Updates the definition of assisted living home to exclude entities listed in specific sections of state law, including hospitals and nursing facilities.
  • Clarifies that the legal definition of hospital does not include frontier extended stay clinics or complex care residential homes.
  • Requires the Department of Health to submit amendments to the Medicaid state plan or apply for waivers if needed for federal approval.

Who It Names or Affects

  • Complex care residential homes
  • The Alaska Department of Health
  • Facilities defined as hospitals, assisted living homes, and other regulated health entities

Terms To Know

complex care residential home
A residential setting that provides continuous 24-hour multidisciplinary care for people with mental, behavioral, medical, or disability-related needs requiring specialized services and monitoring.
Department of Health
The state agency responsible for adopting regulations under this chapter.

Limits and Unknowns

  • The law does not specify the exact rules or fees that will apply to these homes, as those are adopted through future regulation.
  • Federal approval of Medicaid changes depends on actions by the U.S. Department of Health and Human Services.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

AM 1

2778

AM NO 1 ADOPTED UC

Plain English: This amendment adds a rule that election officials cannot reject special needs ballots if the mistake was made by an official or helper instead of the voter.

  • It changes the bill's title to include 'special needs ballots'.
  • It creates a new law stating that voters with special needs will not have their ballots rejected for errors caused by election officials or representatives on the registration list.
  • It sets an effective date of July 1, 2026, specifically for this new rule about ballot rejection.
  • The amendment text does not explain what specific rules exist in subsection (c) or (d) that the voter must satisfy before this protection applies.
  • It is unclear how a 'special needs ballot' differs from other ballots under current law because those definitions are not included in this document.

Bill History

  1. 2026-07-03 3147

    (H) EFFECTIVE DATE(S) OF LAW 7/1/27

  2. 2026-07-03 3147

    (H) SIGNED INTO LAW 6/24 CHAPTER 38 SLA 26

  3. 2026-06-17 3093

    (H) 3:10 P.M. 6/15/26 TRANSMITTED TO GOVERNOR

  4. 2026-05-20 2993

    (H) EFFECTIVE DATE(S) SAME AS PASSAGE

  5. 2026-05-20 2992

    (H) CONCUR AM OF (S) Y39 A1

  6. 2026-05-20 2992

    (H) CONCUR MESSAGE TAKEN UP

  7. 2026-05-20 2992

    (H) CONCUR MESSAGE RECEIVED

  8. 2026-05-20 2903

    (S) VERSION: SCS CSHB 73(FIN)

  9. 2026-05-20 2903

    (S) TRANSMITTED TO (H) AS AMENDED

  10. 2026-05-20 2846

    (S) EFFECTIVE DATE(S) SAME AS PASSAGE

  11. 2026-05-20 2846

    (S) PASSED Y20 N-

  12. 2026-05-20 2846

    (S) AUTOMATICALLY IN THIRD READING

  13. 2026-05-20 2846

    (S) AM NO 1 WITHDRAWN VOTE Y20 N-

  14. 2026-05-20 2845

    (S) RET 2ND/RESCIND ACTION AM 1 UC

  15. 2026-05-20 2845

    (S) READ THE THIRD TIME SCS CSHB 73(FIN) AM S

  16. 2026-05-20 Alaska State Legislature

    (S) TITLE CHANGE: SCR 35

  17. 2026-05-19 2779

    (S) ADVANCED TO THIRD READING 5/20 CAL

  18. 2026-05-19 2778

    (S) ...CHANGES TITLE OF LEGISLATION

  19. 2026-05-19 2778

    (S) AM NO 1 ADOPTED UC

  20. 2026-05-19 2778

    (S) FIN SCS ADOPTED UC

  21. 2026-05-19 2778

    (S) READ THE SECOND TIME

  22. 2026-05-19 2778

    (S) RULES TO CALENDAR 5/19/2026

  23. 2026-03-20 1995

    (S) FN8: INDETERMINATE(DFC)

  24. 2026-03-20 1995

    (S) FN7: ZERO(DOH)

  25. 2026-03-20 1995

    (S) FN6: (DOH)

  26. 2026-03-20 1995

    (S) FN5: (DOH)

  27. 2026-03-20 1994

    (S) DP: STEDMAN, HOFFMAN, KAUFMAN, CRONK, MERRICK, KIEHL

  28. 2026-03-20 1994

    (S) FIN RPT SCS 6DP SAME TITLE

  29. 2026-03-19 Text

    (S) Moved SCS CSHB 73(FIN) Out of Committee

  30. 2026-03-19 Text

    (S) FINANCE at 09:00 AM SENATE FINANCE 532

  31. 2025-05-16 1296

    (S) FIN

  32. 2025-05-16 1296

    (S) READ THE FIRST TIME - REFERRALS

  33. 2025-05-14 1207

    (H) VERSION: CSHB 73(FIN)

  34. 2025-05-14 1207

    (H) TRANSMITTED TO (S)

  35. 2025-05-14 1203

    (H) EFFECTIVE DATE(S) SAME AS PASSAGE

  36. 2025-05-14 1203

    (H) PASSED Y40

  37. 2025-05-14 1203

    (H) READ THE THIRD TIME CSHB 73(FIN)

  38. 2025-05-13 1174

    (H) ADVANCED TO THIRD READING 5/14 CALENDAR

  39. 2025-05-13 1174

    (H) FIN CS ADOPTED UC

  40. 2025-05-13 1173

    (H) READ THE SECOND TIME

  41. 2025-05-13 1173

    (H) RULES TO CALENDAR 5/13/2025

  42. 2025-05-09 1065

    (H) FN4: INDETERMINATE(DFC)

  43. 2025-05-09 1065

    (H) FN3: ZERO(DOH)

  44. 2025-05-09 1065

    (H) FN2: (DOH)

  45. 2025-05-09 1065

    (H) FN1: (DOH)

  46. 2025-05-09 1065

    (H) AM: JOSEPHSON

  47. 2025-05-09 1065

    (H) NR: TOMASZEWSKI

  48. 2025-05-09 1065

    (H) DP: BYNUM, JOHNSON, HANNAN, ALLARD, STAPP, GALVIN, JIMMIE, FOSTER, SCHRAGE

  49. 2025-05-09 1065

    (H) FIN RPT CS(FIN) 9DP 1NR 1AM

  50. 2025-05-08 Min

    (H) Minutes (HFIN)

  51. 2025-05-08 Text

    (H) Moved CSHB 73(FIN) Out of Committee -- Delayed to 2:00 pm --

  52. 2025-05-08 Text

    (H) FINANCE at 01:30 PM ADAMS 519

  53. 2025-05-08 Min

    (H) Minutes (HFIN)

  54. 2025-05-08 Text

    (H) Heard & Held -- Please Note Time Change --

  55. 2025-05-08 Text

    (H) FINANCE at 10:00 AM ADAMS 519

  56. 2025-04-09 Min

    (H) Minutes (HFIN)

  57. 2025-04-09 Text

    (H) Heard & Held

  58. 2025-04-09 Text

    (H) FINANCE at 01:30 PM ADAMS 519

  59. 2025-02-19 209

    (H) FN3: ZERO(DOH)

  60. 2025-02-19 209

    (H) FN2: (DOH)

  61. 2025-02-19 209

    (H) FN1: (DOH)

  62. 2025-02-19 209

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

  63. 2025-02-19 209

    (H) HSS RPT 6DP

  64. 2025-02-18 Min

    (H) Minutes (HHSS)

  65. 2025-02-18 Text

    (H) Moved HB 73 Out of Committee

  66. 2025-02-18 Text

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

  67. 2025-02-06 Min

    (H) Minutes (HHSS)

  68. 2025-02-06 Text

    (H) Heard & Held -- Testimony <Invitation Only> --

  69. 2025-02-06 Text

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

  70. 2025-01-27 82

    (H) GOVERNOR'S TRANSMITTAL LETTER

  71. 2025-01-27 82

    (H) FN3: ZERO(DOH)

  72. 2025-01-27 82

    (H) FN2: (DOH)

  73. 2025-01-27 82

    (H) FN1: (DOH)

  74. 2025-01-27 82

    (H) HSS, FIN

  75. 2025-01-27 82

    (H) READ THE FIRST TIME - REFERRALS

Official Summary Text

COMPLEX CARE RESIDENTIAL HOMES
An Act relating to complex care residential homes; and providing for an effective date.

Current Bill Text

Read the full stored bill text 
Enrolled HB 73
LAWS OF ALASKA

2026

Source Chapter No.
SCS CSHB 73(FIN) _______

AN ACT

Relating to complex care residential homes; and providing for an effective date.

_______________

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:

THE ACT FOLLOWS ON PAGE 1

-1- Enrolled HB 73

AN ACT

Relating to complex care residential homes; and providing for an effective date. 1
_______________ 2
* Section 1. AS 47.32.010(b) is amended to read: 3
(b) The following entities are subject to this chapter and regulations adopted 4
under this chapter by the Department of Health: 5
(1) ambulatory surgical centers; 6
(2) assisted living homes; 7
(3) child care facilities; 8
(4) freestanding birth centers; 9
(5) home health agencies; 10
(6) hospices, or agencies providing hospice services or operating 11
hospice programs; 12
(7) hospitals; 13

Enrolled HB 73 -2-
(8) host care homes; 1
(9) intermediate care facilities for individuals with an intellectual 2
disability or related condition; 3
(10) maternity homes; 4
(11) nursing facilities; 5
(12) residential child care facilities; 6
(13) residential psychiatric treatment centers; 7
(14) rural health clinics; 8
(15) subacute mental health facilities; 9
(16) complex care residential homes. 10
* Sec. 2. AS 47.32.900(2) is amended to read: 11
(2) "assisted living home" 12
(A) means a residential facility that serves three or more adults 13
who are not related to the owner by blood or marriage, or that receives state or 14
federal payment for services regardless of the number of adults served; the 15
Department of Health shall consider a facility to be an assisted living home if 16
the facility 17
(i) provides housing and food services to its residents; 18
(ii) offers to provide or obtain for its residents assistance 19
with activities of daily living; 20
(iii) offers personal assistance as defined in 21
AS 47.33.990; or 22
(iv) provides or offers any combination of these services; 23
(B) does not include 24
(i) a correctional facility; 25
(ii) an emergency shelter; 26
(iii) a program licensed under AS 47.10.310 for runaway 27
minors; 28
(iv) a type of entity listed in AS 47.32.010(b)(6) - (11) 29
and (16) or (c)(2); 30
* Sec. 3. AS 47.32.900(11) is amended to read: 31

-3- Enrolled HB 73
(11) "hospital" means a public or private institution or establishment 1
devoted primarily to providing diagnosis, treatment, or care over a continuous period of 2
24 hours each day for two or more unrelated individuals suffering from illness, physical 3
or mental disease, injury or deformity, or any other condition for which medical or 4
surgical services would be appropriate; "hospital" does not include a frontier extended 5
stay clinic or a complex care residential home; 6
* Sec. 4. AS 47.32.900 is amended by adding a new paragraph to read: 7
(22) "complex care residential home" means a residential setting that 8
provides 24-hour multidisciplinary care on a continuing basis to individuals with 9
mental, behavioral, medical, or disability-related needs that require specialized care, 10
services, and monitoring. 11
* Sec. 5. The uncodified law of the State of Alaska is amended by adding a new section to 12
read: 13
MEDICAID STATE PLAN; WAIVERS. The Department of Health shall, as necessary 14
for federal approval by the United States Department of Health and Human Services, submit 15
amendments to the state plan for medical assistance coverage or apply for any waivers 16
necessary to implement secs. 1 - 4 of this Act. 17
* Sec. 6. This Act takes effect July 1, 2027. 18