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Straight-ahead summaries built from the official bill text. We keep the source links front and center and leave the decision up to you.

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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
Passed Legislature

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

Sponsor
HOUSE RULES BY REQUEST OF THE GOVERNOR
Last action
2026-05-20
Official status
(H) CONCURRED(S) AM
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on how the regulations will be enforced or what exact changes are required for Medicaid rules.

Rules for Complex Care Residential Homes

This act adds complex care residential homes to the list of entities regulated by health laws and defines what these homes are.

What This Bill Does

  • Adds complex care residential homes to a list of facilities that must follow certain health regulations.
  • Defines complex care residential homes as places providing round-the-clock specialized care for people with mental, behavioral, medical, or disability-related needs.

Who It Names or Affects

  • Complex care residential homes and their residents
  • The Department of Health

Terms To Know

complex care residential home
A place that provides full-time, specialized care for people with mental, behavioral, medical, or disability-related needs.

Limits and Unknowns

  • The bill does not specify how the regulations will be enforced.
  • It is unclear what specific changes to Medicaid rules are needed.
  • The effective date of July 1, 2027, means there is a delay before these new rules take effect.

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: The amendment adds a new subsection to an existing law that prevents election officials from rejecting special needs ballots due to certain errors.

  • Adds a new subsection (h) to AS 15.20.072, which states that if a voter meets the requirements of another part of the same section, their special needs ballot cannot be rejected because of mistakes made by election officials or representatives on the register.
  • The amendment text is incomplete and does not provide full context for all changes, making it difficult to explain additional details fully.

Bill History

  1. 2026-05-20 Alaska State Legislature

    (H) AWAITING TRANSMITTAL TO GOV

  2. 2026-05-20 Alaska State Legislature

    (H) EFFECTIVE DATE(S) SAME AS PASSAGE

  3. 2026-05-20 Alaska State Legislature

    (H) CONCUR AM OF (S) Y39 A1

  4. 2026-05-20 Alaska State Legislature

    (H) CONCUR MESSAGE TAKEN UP

  5. 2026-05-20 Alaska State Legislature

    (H) CONCUR MESSAGE RECEIVED

  6. 2026-05-20 Alaska State Legislature

    (S) VERSION: SCS CSHB 73(FIN)

  7. 2026-05-20 Alaska State Legislature

    (S) TRANSMITTED TO (H) AS AMENDED

  8. 2026-05-20 Alaska State Legislature

    (S) EFFECTIVE DATE(S) SAME AS PASSAGE

  9. 2026-05-20 Alaska State Legislature

    (S) PASSED Y20 N-

  10. 2026-05-20 Alaska State Legislature

    (S) AUTOMATICALLY IN THIRD READING

  11. 2026-05-20 Alaska State Legislature

    (S) AM NO 1 WITHDRAWN VOTE Y20 N-

  12. 2026-05-20 Alaska State Legislature

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

  13. 2026-05-20 Alaska State Legislature

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

  14. 2026-05-20 Alaska State Legislature

    (S) TITLE CHANGE: SCR 35

  15. 2026-05-19 2779

    (S) ADVANCED TO THIRD READING 5/20 CAL

  16. 2026-05-19 2778

    (S) ...CHANGES TITLE OF LEGISLATION

  17. 2026-05-19 2778

    (S) AM NO 1 ADOPTED UC

  18. 2026-05-19 2778

    (S) FIN SCS ADOPTED UC

  19. 2026-05-19 2778

    (S) READ THE SECOND TIME

  20. 2026-05-19 2778

    (S) RULES TO CALENDAR 5/19/2026

  21. 2026-03-20 1995

    (S) FN8: INDETERMINATE(DFC)

  22. 2026-03-20 1995

    (S) FN7: ZERO(DOH)

  23. 2026-03-20 1995

    (S) FN6: (DOH)

  24. 2026-03-20 1995

    (S) FN5: (DOH)

  25. 2026-03-20 1994

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

  26. 2026-03-20 1994

    (S) FIN RPT SCS 6DP SAME TITLE

  27. 2026-03-19 Text

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

  28. 2026-03-19 Text

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

  29. 2025-05-16 1296

    (S) FIN

  30. 2025-05-16 1296

    (S) READ THE FIRST TIME - REFERRALS

  31. 2025-05-14 1207

    (H) VERSION: CSHB 73(FIN)

  32. 2025-05-14 1207

    (H) TRANSMITTED TO (S)

  33. 2025-05-14 1203

    (H) EFFECTIVE DATE(S) SAME AS PASSAGE

  34. 2025-05-14 1203

    (H) PASSED Y40

  35. 2025-05-14 1203

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

  36. 2025-05-13 1174

    (H) ADVANCED TO THIRD READING 5/14 CALENDAR

  37. 2025-05-13 1174

    (H) FIN CS ADOPTED UC

  38. 2025-05-13 1173

    (H) READ THE SECOND TIME

  39. 2025-05-13 1173

    (H) RULES TO CALENDAR 5/13/2025

  40. 2025-05-09 1065

    (H) FN4: INDETERMINATE(DFC)

  41. 2025-05-09 1065

    (H) FN3: ZERO(DOH)

  42. 2025-05-09 1065

    (H) FN2: (DOH)

  43. 2025-05-09 1065

    (H) FN1: (DOH)

  44. 2025-05-09 1065

    (H) AM: JOSEPHSON

  45. 2025-05-09 1065

    (H) NR: TOMASZEWSKI

  46. 2025-05-09 1065

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

  47. 2025-05-09 1065

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

  48. 2025-05-08 Min

    (H) Minutes (HFIN)

  49. 2025-05-08 Text

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

  50. 2025-05-08 Text

    (H) FINANCE at 01:30 PM ADAMS 519

  51. 2025-05-08 Min

    (H) Minutes (HFIN)

  52. 2025-05-08 Text

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

  53. 2025-05-08 Text

    (H) FINANCE at 10:00 AM ADAMS 519

  54. 2025-04-09 Min

    (H) Minutes (HFIN)

  55. 2025-04-09 Text

    (H) Heard & Held

  56. 2025-04-09 Text

    (H) FINANCE at 01:30 PM ADAMS 519

  57. 2025-02-19 209

    (H) FN3: ZERO(DOH)

  58. 2025-02-19 209

    (H) FN2: (DOH)

  59. 2025-02-19 209

    (H) FN1: (DOH)

  60. 2025-02-19 209

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

  61. 2025-02-19 209

    (H) HSS RPT 6DP

  62. 2025-02-18 Min

    (H) Minutes (HHSS)

  63. 2025-02-18 Text

    (H) Moved HB 73 Out of Committee

  64. 2025-02-18 Text

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

  65. 2025-02-06 Min

    (H) Minutes (HHSS)

  66. 2025-02-06 Text

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

  67. 2025-02-06 Text

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

  68. 2025-01-27 82

    (H) GOVERNOR'S TRANSMITTAL LETTER

  69. 2025-01-27 82

    (H) FN3: ZERO(DOH)

  70. 2025-01-27 82

    (H) FN2: (DOH)

  71. 2025-01-27 82

    (H) FN1: (DOH)

  72. 2025-01-27 82

    (H) HSS, FIN

  73. 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 
HB0073C -1- SCS CSHB 73(FIN)
New Text Underlined [DELETED TEXT BRACKETED]

34-GH1493\I

SENATE CS FOR CS FOR HOUSE BILL NO. 73(FIN)

IN THE LEGISLATURE OF THE STATE OF ALASKA

THIRTY-FOURTH LEGISLATURE - SECOND SESSION

BY THE SENATE FINANCE COMMITTEE

Offered: 3/20/26
Referred: Rules

Sponsor(s): HOUSE RULES COMMITTEE BY REQUEST OF THE GOVERNOR
A BILL

FOR AN ACT ENTITLED

"An Act relating to complex care residential homes; and providing for an effective 1
date." 2
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 3
* Section 1. AS 47.32.010(b) is amended to read: 4
(b) The following entities are subject to this chapter and regulations adopted 5
under this chapter by the Department of Health: 6
(1) ambulatory surgical centers; 7
(2) assisted living homes; 8
(3) child care facilities; 9
(4) freestanding birth centers; 10
(5) home health agencies; 11
(6) hospices, or agencies providing hospice services or operating 12
hospice programs; 13
(7) hospitals; 14
34-GH1493\I
SCS CSHB 73(FIN) -2- HB0073C
New Text Underlined [DELETED TEXT BRACKETED]

(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 19
assistance 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 23
services; 24
(B) does not include 25
(i) a correctional facility; 26
(ii) an emergency shelter; 27
(iii) a program licensed under AS 47.10.310 for 28
runaway minors; 29
(iv) a type of entity listed in AS 47.32.010(b)(6) - (11) 30
and (16) or (c)(2); 31
34-GH1493\I
HB0073C -3- SCS CSHB 73(FIN)
New Text Underlined [DELETED TEXT BRACKETED]

* Sec. 3. AS 47.32.900(11) is amended to read: 1
(11) "hospital" means a public or private institution or establishment 2
devoted primarily to providing diagnosis, treatment, or care over a continuous period 3
of 24 hours each day for two or more unrelated individuals suffering from illness, 4
physical or mental disease, injury or deformity, or any other condition for which 5
medical or surgical services would be appropriate; "hospital" does not include a 6
frontier extended stay clinic or a complex care residential home; 7
* Sec. 4. AS 47.32.900 is amended by adding a new paragraph to read: 8
(22) "complex care residential home" means a residential setting that 9
provides 24-hour multi-disciplinary care on a continuing basis to individuals with 10
mental, behavioral, medical, or disability-related needs that require specialized care, 11
services, and monitoring. 12
* Sec. 5. The uncodified law of the State of Alaska is amended by adding a new section to 13
read: 14
MEDICAID STATE PLAN; WAIVERS. The Department of Health shall, as 15
necessary for federal approval by the United States Department of Health and Human 16
Services, submit amendments to the state plan for medical assistance coverage or apply for 17
any waivers necessary to implement secs. 1 - 4 of this Act. 18
* Sec. 6. This Act takes effect July 1, 2027. 19