# Alaska HB 110: HEALTH CARE/LICENSURE COMPACTS/SOCIAL WRK Alaska HB 110, HEALTH CARE/LICENSURE COMPACTS/SOCIAL WRK, is a 34th Legislature (2025-2026) House bill sponsored by Andrew Gray (Democratic); status became law, last action 2026-09-30 ((H) FN6: (DPS)) (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/AK-HB110-34 - As of: 2026-11-04 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Alaska HB 110 - State: Alaska - Session: 34th Legislature (2025-2026) - Title: HEALTH CARE/LICENSURE COMPACTS/SOCIAL WRK - Status: became law - Chamber: House - Introduced: 2025-02-21 - Last action: 2026-09-30, (H) FN6: (DPS) - Sponsor: Andrew Gray (Democratic) - Cosponsors: 4 - Touches household money: no - Roll calls: 6 (86 yes, 54 no in all) - Economic provisions PRIA read: 40 ## Summary No summary available. ## Bill overview: provisions PRIA read - Respiratory care workers get licensing exceptions: benefit, medium. Beginning January 1, 2027, people practicing respiratory care who were qualified on December 31, 2026, can work unlicensed for up to one year. Separate exceptions cover supervised students in accredited programs and workers acting within another Alaska license. Exceptions also cover self-care, fami… - Social workers gain another Alaska practice route: benefit, medium. Clinical social workers can practice in Alaska without a separate Alaska license while working under a Compact multistate authorization. That authorization also exempts them from the specified misdemeanor ban on unlicensed clinical practice. A valid license or multistate authorization satisfies the… - Social workers gain multistate practice access: benefit, medium. Alaska joins the Social Work Licensure Compact, creating a home-state license for practice across member states. Home-state authorities must issue qualifying applicants a bachelor's, master's, or clinical multistate license. Member states must recognize the license for corresponding social work cat… - Group plans protect respiratory care coverage: benefit, low. Beginning January 1, 2027, qualifying group health coverage cannot unfairly discriminate against covered services from respiratory care practitioners. Services must be within the practitioner’s licensed scope. This protection applies to expense-incurred group health insurance policies and specified… - Military families gain licensing portability help: benefit, low. Active-duty service members and their spouses can keep their designated home state for multistate social work licenses during active duty. Emergency medical services member states must speed licensing for veterans, active service members, qualifying separating Guard or Reserve members, and their sp… - Rural health grants get public oversight: benefit, low. The Alaska Department of Health must set grant-application scoring criteria for the Rural Health Transformation Program. It must publish the state’s application, grant information, and annual progress updates. The Department can use program funds for grants that address initiatives in the state’s f… - Physicians pay fees for compact licensing: cost, low. Alaska must set fees for issuing and renewing expedited physician licenses through the interstate medical licensing compact. The fee requirement also covers a compact privilege. The law does not state fee amounts. - Licensing commissions can charge operating costs: cost, low. The physician licensing commission can collect annual assessments from member states for operating costs not covered by other revenue. Its rule-based formula determines how states divide those costs. The emergency medical services commission can also assess member states or charge other parties fee… - Emergency medical workers gain conditional portability: mixed, medium. Alaska recognizes eligible emergency medical workers licensed in another compact state, with a joint public commission administering the compact. Workers must be at least 18, hold a current unrestricted qualifying license, and work under a medical director. Their assigned duties must fit compact-ap… - Physician assistants face coordinated interstate discipline: mixed, medium. Receiving states can discipline physician assistants' compact practice permissions, following due process; only the issuing state controls the qualifying license. States can investigate together and enforce cross-state subpoenas, but cannot deny permission or impose discipline for conduct lawful wh… - Physician assistants gain limited interstate access: mixed, medium. Physician assistants can obtain permission to practice in another member state using a qualifying license. Applicants need approved training, current national certification, a qualifying license, and a unique identifier. They cannot have felony or misdemeanor convictions, prior controlled-substance… - Physicians face shared discipline and records: mixed, medium. Discipline against a physician's principal-state license affects licenses obtained through the compact in other states. Specified revocations, suspensions, surrenders, or relinquishments trigger automatic 90-day suspensions in other member states while those states investigate. The commission keeps… - Psychologists gain limited cross-state practice options: mixed, medium. Alaska joins the psychology compact, and its licensing board must implement it. Qualified psychologists can provide telehealth in another compact state without a separate license there, using an active E.Passport. Temporary in-person practice requires an active Interjurisdictional Practice Certific… - Respiratory care workers need Alaska licenses: mixed, medium. Alaska requires a license to provide respiratory care or use the practitioner title, with exceptions for certain supervised and exempt work. Standard applicants need approved national certification, must pay required fees, and must meet state rules. Workers practicing in Alaska under a physician on… - Alaska licenses respiratory care practitioners: mixed, medium. Alaska places respiratory care licensing under its Department of Commerce, Community, and Economic Development. Practitioners licensed elsewhere can get an Alaska license when their licensing requirements are substantially equivalent. They must hold current, approved registered respiratory therapis… - Doctors gain faster licenses with fees: mixed, medium. Alaska joins the physician licensing compact and requires its medical board to implement the physician and physician assistant compacts. Eligible doctors apply through a principal licensing state for faster, full, unrestricted licenses in other member states. Eligibility covers education, exams, tr… - Multistate social work licenses carry requirements: mixed, medium. Social workers can qualify for multistate practice through bachelor’s, master’s, or clinical licenses. Applicants must hold or qualify for an active home-state license without restrictions, pay applicable fees, and submit fingerprints or other biometric data for criminal-history checks. Each catego… - Physician assistants get state-exit transition protections: mixed, medium. A state leaves the physician assistant compact 180 days after passing a repeal law. After termination, affected practice privileges generally continue for 180 days. A worker from a terminated state can keep another state's privilege longer by holding or obtaining a qualifying member-state license b… - Psychologists face compact fees and safeguards: mixed, medium. Alaska must set a fee for psychology compact practice authority, but the law gives no amount. Alaska must require an active E.Passport, maintain complaint investigations, report discipline information, and follow commission rules. Initial licensing must include compliant fingerprint or biometric hi… - Respiratory practitioners face new practice standards: mixed, medium. Respiratory care practitioners must complete 20 continuing education credit hours during each licensing period to renew their licenses. Public signs, stationery, and advertising must show professional letters or a title after the practitioner's name. The department can deny, suspend, or revoke lice… - Social worker discipline crosses state lines: mixed, medium. A state outside a social worker’s home state can discipline only the worker’s authorization to practice there. Only the home state can act against the multistate license, and it must give other member states’ reports equal priority. Restrictions on that license stop practice authorizations in all o… - Social workers get state-exit license protections: mixed, medium. Social work compact withdrawal takes effect 180 days after a state passes a repeal law. The state must recognize compact licenses for at least 180 days after notifying licensees of withdrawal. A majority of member-state delegates can terminate a defaulting state only after notice, assistance, and o… - Emergency medical applicants face paid checks: mixed, low. Alaska EMT, mobile intensive care paramedic, and covered advanced EMT applicants must submit fingerprints and pay required background-check fees. This applies to covered licenses and certificates. Checks include state criminal justice information and a national criminal history check. The departmen… - New compact rules for physician assistants: mixed, low. Alaska must recognize eligible physician assistants' compact permissions, use a nationally recognized licensing exam, investigate complaints, and share required records. Alaska may charge a practice-permission fee and must implement criminal background checks on the commission's schedule. Applicant… - Psychologist applicants must pay for checks: mixed, low. Applicants for an initial Alaska psychologist license or a license by credentials must submit fingerprints and pay required background-check fees. Checks include state criminal justice information and a national criminal history check. The board can use the results only to assess qualifications and… - Psychologist records shared with removal protections: mixed, low. Psychology compact states must submit required license, discipline, significant investigation, and specified denial records to a shared database. The database must promptly notify member states about discipline and significant investigation information. Records that the reporting state's law requir… - Social worker records gain interstate reach: mixed, low. The social work commission must keep a shared records system and give each multistate applicant a unique identifier. States must submit required license, discipline, denial, investigation, and specified alternative-program records. Significant investigation records are available only to member stat… - Social workers gain portability with fees: mixed, low. The social work compact provides multistate licensing, and member states choose the eligible license categories. States must meet exam, fingerprint or biometric background-check, data-sharing, reporting, and commission-rule requirements. Social workers practicing in another member state must follow… - Medical applicants face paid background checks: mixed, low. Applicants for covered expedited physician or osteopath licenses, and covered physician assistant licenses, must submit fingerprints and pay background-check fees. The medical board forwards the materials to Alaska's Department of Public Safety for state and national checks. The board can use the r… - Moving social workers must reissue licenses: mixed, low. Social workers moving between member states with active, unrestricted multistate licenses must immediately apply for reissuance by their new home state. They must pay applicable fees and notify their former home state. The new state verifies eligibility and conducts criminal-history procedures, inc… - Respiratory care services require supervised practice: mixed, low. Alaska-licensed respiratory care practitioners can provide listed heart and lung assessment, treatment, rehabilitation, and related services. They must work under a qualified medical director and an approved medical protocol or authorized provider order, except for specified emergency protocols. Al… - Social workers pay multistate licensing costs: mixed, low. Alaska multistate social work applicants must submit fingerprints and pay required Department of Public Safety fees. The board forwards fingerprints for state and national criminal-history checks. Results can be used only to assess qualifications and fitness for the multistate license. Applicants m… - Emergency medical commission gains legal powers: mixed, low. The emergency medical services commission can issue uniform rules with the force of law in every member state. Rules start on their stated dates and stop everywhere if a majority of member-state legislatures rejects them. Covered commission personnel receive civil immunity, defense, and payment of… - Emergency medical regulators share licensing records: mixed, low. Emergency medical services member states must share required license, discipline, and significant investigation data through a coordinated database. The database administrator must promptly notify member states about discipline and significant investigations. States can restrict public sharing, and… - Medical boards share interstate enforcement powers: mixed, low. Member medical boards can investigate doctors together, share case records, and enforce subpoenas across member states. The compact overrides conflicting state laws but preserves state power over medical practice and respects state constitutional limits. Commission officers and employees receive ci… - Psychology compact adds funding and safeguards: mixed, low. The psychology compact takes effect upon the seventh state's enactment; later states must follow existing commission rules. The commission can charge annual state assessments or fees to other parties for operating costs not covered elsewhere. Its allocation formula is set by binding rule, and charg… - Social work compact rules have limits: mixed, low. Social work commission rules have legal force, usually starting the day after adoption unless a later date is stated. A court can make a rule ineffective where it conflicts with state laws, regulations, or social work standards. A majority of member-state legislatures can reject a rule or part of o… - States face emergency medical compact duties: mixed, low. The emergency medical services compact activates upon enactment by the tenth state, initially allowing commission assembly and rulemaking. Member governments must enforce it; later-joining states must follow existing commission rules. The commission offers help and dispute resolution, can seek fede… - States face medical compact membership rules: mixed, low. The medical licensing compact first takes effect after seven states enact it; later states are bound upon enactment. A joint commission manages rules, enforcement, staff, budgets, and reports, and must help resolve disputes when a member state asks. After notice, assistance, and exhausted complianc… - Psychology compact withdrawal takes six months: mixed, low. A state can leave the psychology compact by passing a law repealing it. Withdrawal takes effect six months after enactment, rather than immediately. The state's psychology regulator must continue required investigation and discipline reporting until withdrawal takes effect. ## Sponsors and cosponsors - Sponsor: Andrew Gray (Democratic), House - Cosponsor: Alyse Galvin (Not), House - Cosponsor: Andy Josephson (Democratic), House - Cosponsor: Mike Prax (Republican), House - Cosponsor: Andi Story (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-20 | Senate | RESCIND ACTION Y13 N7 | pass | 13 | 7 | | | 2026-05-20 | Senate | AM NO 1 ADOPTED Y13 N7 | pass | 13 | 7 | | | 2026-05-20 | Senate | FAILED PASSAGE Y9 N11 | fail | 9 | 11 | | | 2026-05-20 | Senate | EFFECTIVE DATE(S) ADOPTED Y19 N1 | pass | 19 | 1 | | | 2026-05-20 | Senate | PASSED Y13 N7 | pass | 13 | 7 | | | 2026-02-11 | House | AM NO 2 FAILED Y19 N21 | fail | 19 | 21 | | ## Actions (93) - 2026-09-30: (H) FN6: (DPS) (House) - 2026-09-30: (H) FN4: (CED) (House) - 2026-09-30: (H) FN(S) ATTACHED TO APPROP. BILL HB 263 (House) - 2026-09-30: (H) LEG FINANCE APPROPRIATION MESSAGE 9/8/26 (House) - 2026-09-30: (S) LEG FINANCE APPROPRIATION MESSAGE 9/8/26 (Senate) - 2026-07-03: (H) EFFECTIVE DATE(S) OF LAW SEE CHAPTER (House) - 2026-07-03: (H) LAW W/O GOVERNOR SIGNATURE 6/22 CHAPTER 28 SLA 26 (House) - 2026-06-10: (H) 12:55 P.M. 6/5/26 TRANSMITTED TO GOVERNOR (House) - 2026-06-04: (H) MANIFEST ERROR(S) (House) - 2026-05-20: (H) EFFECTIVE DATE(S) SAME AS PASSAGE (House) - 2026-05-20: (H) CONCUR AM OF (S) Y39 A1 (House) - 2026-05-20: (H) CONCUR MESSAGE TAKEN UP (House) - 2026-05-20: (H) TITLE CHANGE: SCR 25 (House) - 2026-05-20: (H) CONCUR MESSAGE RECEIVED (House) - 2026-05-20: (S) VERSION: SCS HB 110(FIN) AM S (Senate) - 2026-05-20: (S) TRANSMITTED TO (H) AS AMENDED (Senate) - 2026-05-20: (S) EFFECTIVE DATE(S) ADOPTED Y19 N1 (Senate) - 2026-05-20: (S) PASSED Y13 N7 (Senate) - 2026-05-20: (S) RESCIND ACTION Y13 N7 (Senate) - 2026-05-20: (S) FAILED PASSAGE Y9 N11 (Senate) - 2026-05-20: (S) READ THE THIRD TIME SCS HB 110(FIN) AM S (Senate) - 2026-05-20: (S) ADVANCED TO THIRD READING UC (Senate) - 2026-05-20: (S) ...CHANGES TITLE OF LEGISLATION (Senate) - 2026-05-20: (S) AM NO 1 ADOPTED Y13 N7 (Senate) - 2026-05-20: (S) FIN SCS ADOPTED UC (Senate) - 2026-05-20: (S) READ THE SECOND TIME (Senate) - 2026-05-20: (S) RULES TO CALENDAR 5/20/2026 (Senate) - 2026-05-20: (S) FN6: (DPS) (Senate) - 2026-05-20: (S) FN5: ZERO(DOH) (Senate) - 2026-05-20: (S) FN4: (CED) (Senate) - 2026-05-20: (S) DNP: KIEHL (Senate) - 2026-05-20: (S) NR: OLSON, STEDMAN, KAUFMAN, CRONK, MERRICK (Senate) - 2026-05-20: (S) DP: HOFFMAN (Senate) - 2026-05-20: (S) TITLE CHANGE: SCR 25 (Senate) - 2026-05-20: (S) FIN RPT SCS 1DP 5NR 1DNP NEW TITLE (Senate) - 2026-05-19: (S) Moved SCS HB 110(FIN) Out of Committee (Senate) - 2026-05-19: (S) FINANCE at 01:30 PM SENATE FINANCE 532 (Senate) - 2026-05-19: (S) FINANCE at 09:00 AM SENATE FINANCE 532 (Senate) - 2026-05-19: Audio/Video (House) - 2026-05-19: Audio/Video (House) - 2026-05-16: (S) Heard & Held -- Please Note Time Change -- (Senate) - 2026-05-16: (S) FINANCE at 09:00 AM SENATE FINANCE 532 (Senate) - 2026-05-16: Audio/Video (House) - 2026-05-08: (S) FN3: ZERO(DPS) (Senate) - 2026-05-08: (S) FN2: ZERO(CED)(SUBMITTED BY RULES) (Senate) - 2026-05-08: (S) NR: DUNBAR, MERRICK, YUNDT (Senate) - 2026-05-08: (S) DP: BJORKMAN, GRAY-JACKSON (Senate) - 2026-05-08: (S) TITLE CHANGE: SCR 25 (Senate) - 2026-05-08: (S) L&C RPT SCS 2DP 3NR NEW TITLE (Senate) - 2026-05-06: (S) Moved SCS HB 110(L&C) Out of Committee (Senate) - 2026-05-06: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2026-05-06: Audio/Video (House) - 2026-04-10: (S) Heard & Held (Senate) - 2026-04-10: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2026-04-10: Audio/Video (House) - 2026-03-25: (S) Minutes (SL&C) (Senate) - 2026-03-25: (S) Heard & Held (Senate) - 2026-03-25: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2026-03-25: Audio/Video (House) - 2026-03-13: (S) Minutes (SL&C) (Senate) - 2026-03-13: (S) Heard & Held (Senate) - 2026-03-13: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2026-03-13: Audio/Video (House) - 2026-02-13: (S) L&C, FIN (Senate) - 2026-02-13: (S) READ THE FIRST TIME - REFERRALS (Senate) - 2026-02-11: (H) VERSION: HB 110 AM (House) - 2026-02-11: (H) TRANSMITTED TO (S) (House) - 2026-02-11: (H) EFFECTIVE DATE(S) SAME AS PASSAGE (House) - 2026-02-11: (H) PASSED Y40 (House) - 2026-02-11: (H) READ THE THIRD TIME HB 110 AM (House) - 2026-02-11: (H) ADVANCED TO THIRD READING UC (House) - 2026-02-11: (H) AM NO 2 FAILED Y19 N21 (House) - 2026-02-11: (H) BEFORE HOUSE IN SECOND READING (House) - 2026-02-09: (H) COSPONSOR(S): GALVIN, PRAX, JOSEPHSON (House) - 2026-02-09: (H) HELD IN SECOND READING TO 2/11 CALENDAR (House) - 2026-02-09: (H) AM NO 1 ADOPTED UC (House) - 2026-02-09: (H) FN2: ZERO(CED)(SUBMITTED BY RULES) (House) - 2026-02-09: (H) READ THE SECOND TIME (House) - 2026-02-09: (H) RULES TO CALENDAR 2/9/2026 (House) - 2025-05-14: (H) FIN REFERRAL REMOVED (House) - 2025-05-13: (H) FN1: ZERO(CED) (House) - 2025-05-13: (H) DP: BURKE, COULOMBE, SADDLER, CARRICK, HALL, FIELDS (House) - 2025-05-13: (H) L&C RPT 6DP (House) - 2025-05-09: (H) Minutes (HL&C) (House) - 2025-05-09: (H) Moved HB 110 Out of Committee (House) - 2025-05-09: (H) LABOR & COMMERCE at 03:15 PM BARNES 124 (House) - 2025-05-09: Audio/Video (House) - 2025-05-07: (H) Minutes (HL&C) (House) - 2025-05-07: (H) Heard & Held (House) - 2025-05-07: (H) LABOR & COMMERCE at 03:15 PM BARNES 124 (House) - 2025-05-07: Audio/Video (House) - 2025-02-21: (H) L&C, FIN (House) - 2025-02-21: (H) READ THE FIRST TIME - REFERRALS (House) ## Bill text - Enrolled HB 110, 2026-05-20: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110Z), [PDF](https://www.akleg.gov/PDF/34/Bills/HB0110Z.PDF) - SCS HB 110(FIN) am S, 2026-05-20: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110E), [PDF](https://www.akleg.gov/PDF/34/Bills/HB0110E.PDF) - SCS HB 110(FIN), 2026-05-19: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110D), [PDF](https://www.akleg.gov/PDF/34/Bills/HB0110D.PDF) - SCS HB 110(L&C), 2026-05-08: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110C), [PDF](https://www.akleg.gov/PDF/34/Bills/HB0110C.PDF) - HB 110 am, 2026-02-09: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110B), [PDF](https://www.akleg.gov/PDF/34/Bills/HB0110B.PDF) - HB 110, 2025-02-21: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110A), [PDF](https://www.akleg.gov/PDF/34/Bills/HB0110A.PDF) ## Related bills - HB 73: COMPLEX CARE RESIDENTIAL HOMES (signed) - HB 28: EDU: SCHOOLS/TEACHERS/SCHOOL BD/LOAN PRGM (became law) - SB 178: EXPAND EARLY INTERVENTION SERVICES (became law) - SB 86: MONEY TRANSMISSION; VIRTUAL CURRENCY (became law) - SB 104: VEHICLES/BOATS: TRANSFER ON DEATH TITLE (became law) - HB 263: APPROP: OPERATING BUDGET;FUNDS;SUPP (signed) ## Sources - [Enrolled HB 110 (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110Z) - [Enrolled HB 110 (PDF)](https://www.akleg.gov/PDF/34/Bills/HB0110Z.PDF) - [SCS HB 110(FIN) am S (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110E) - [SCS HB 110(FIN) am S (PDF)](https://www.akleg.gov/PDF/34/Bills/HB0110E.PDF) - [SCS HB 110(FIN) (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110D) - [SCS HB 110(FIN) (PDF)](https://www.akleg.gov/PDF/34/Bills/HB0110D.PDF) - [SCS HB 110(L&C) (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110C) - [SCS HB 110(L&C) (PDF)](https://www.akleg.gov/PDF/34/Bills/HB0110C.PDF) - [HB 110 am (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110B) - [HB 110 am (PDF)](https://www.akleg.gov/PDF/34/Bills/HB0110B.PDF) - [HB 110 (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110A) - [HB 110 (PDF)](https://www.akleg.gov/PDF/34/Bills/HB0110A.PDF) ## Related - [HB 73: COMPLEX CARE RESIDENTIAL HOMES](https://policyrisk.com/state-bill/AK-HB73-34) - [HB 28: EDU: SCHOOLS/TEACHERS/SCHOOL BD/LOAN PRGM](https://policyrisk.com/state-bill/AK-HB28-34) - [SB 178: EXPAND EARLY INTERVENTION SERVICES](https://policyrisk.com/state-bill/AK-SB178-34) - [SB 86: MONEY TRANSMISSION; VIRTUAL CURRENCY](https://policyrisk.com/state-bill/AK-SB86-34) - [SB 104: VEHICLES/BOATS: TRANSFER ON DEATH TITLE](https://policyrisk.com/state-bill/AK-SB104-34) - [HB 263: APPROP: OPERATING BUDGET;FUNDS;SUPP](https://policyrisk.com/state-bill/AK-HB263-34) - [Alaska bills](https://policyrisk.com/states/alaska/bills) - [Alaska state hub](https://policyrisk.com/states/alaska) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/AK-HB110-34 (as of 2026-11-04).