# Alaska SB 133: INSURANCE; PRIOR AUTHORIZATIONS Alaska SB 133, INSURANCE; PRIOR AUTHORIZATIONS, is a 34th Legislature (2025-2026) Senate bill sponsored by SENATE LABOR & COMMERCE; status became law, last action 2025-07-30 ((S) EFFECTIVE DATE(S) OF LAW SEE CHAPTER) (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/AK-SB133-34 - As of: 2026-11-04 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Alaska SB 133 - State: Alaska - Session: 34th Legislature (2025-2026) - Title: INSURANCE; PRIOR AUTHORIZATIONS - Status: became law - Chamber: Senate - Introduced: 2025-03-17 - Last action: 2025-07-30, (S) EFFECTIVE DATE(S) OF LAW SEE CHAPTER - Sponsor: SENATE LABOR & COMMERCE - Cosponsors: 0 - Touches household money: no - Roll calls: 1 (33 yes, 7 no in all) - Economic provisions PRIA read: 7 ## Summary No summary available. ## Bill overview: provisions PRIA read - Fewer drug trial barriers for patients: benefit, high. Beginning January 1, 2027, Alaska insurers covering Stage 4 advanced metastatic cancer cannot require patients to try other drugs first for qualifying treatments. The drug must be FDA-approved and on the plan's covered drug list; its use must be FDA-approved or listed as Category 1 or 2A in the Nat… - Faster care approval decisions for patients: benefit, medium. For Alaska plans issued or renewed on or after January 1, 2027, insurers must use a standard, efficient approval process. Complete requests require decisions within 72 hours for standard requests, including fax submissions, or 24 hours for urgent requests. Providers must certify that delay threaten… - Longer care approvals for insured patients: benefit, medium. Beginning January 1, 2027, Alaska insurers must keep chronic-care approvals valid for at least 12 months while patients remain covered. A chronic condition lasts at least 12 months or a lifetime and requires ongoing care. Approval automatically renews for another 12 months when treatment stays unch… - Clearer care rules and online approvals: benefit, low. Beginning January 1, 2027, Alaska insurers must post clear approval rules and required documents on their websites and portals. Rules must use peer-reviewed clinical evidence, apply consistently, and be reviewed and updated at least annually; conflicting insurer and review-organization rules must f… - Clearer denials and clinical patient reviews: benefit, low. Beginning January 1, 2027, Alaska insurers must let providers request clinical review of care approval requests. Reviewers must have relevant or equivalent specialty expertise and attest that they personally considered the submitted medical information. Providers can request the qualifications of a… - Coverage flexibility for religious nonmedical care: benefit, low. Beginning January 1, 2027, Alaska law preserves insurers' ability to cover care from religious nonmedical providers. Insurers are not required to use medical eligibility standards, require an examination, or use medical providers for access or appeal decisions. They are not required to exclude care… - Stronger oversight of insurer approval rules: benefit, low. Beginning January 1, 2027, Alaska's insurance director must monitor compliance and examine insurers at least once every two years. Insurers must report annually on response times, public rules, electronic systems, denials, and appeals. Reports must also show average approval times by diagnosis and… ## Sponsors and cosponsors - Sponsor: SENATE LABOR & COMMERCE ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-18 | House | ADVANCED TO THIRD READING Y33 N7 | pass | 33 | 7 | | ## Actions (70) - 2025-07-30: (S) EFFECTIVE DATE(S) OF LAW SEE CHAPTER (Senate) - 2025-07-30: (S) LAW W/O GOVERNOR SIGNATURE 7/15 CHAPTER 21 SLA 25 (Senate) - 2025-07-30: (S) MANIFEST ERROR(S) (Senate) - 2025-07-30: (S) 3:20 P.M. 6/23/25 TRANSMITTED TO GOVERNOR (Senate) - 2025-05-18: (H) VERSION: CSSB 133(L&C) (House) - 2025-05-18: (H) RETURN TO (S), TRANSMIT TO GOVERNOR NEXT (House) - 2025-05-18: (H) EFFECTIVE DATE(S) SAME AS PASSAGE (House) - 2025-05-18: (H) PASSED ON RECONSIDERATION Y40 (House) - 2025-05-18: (H) RECON SAME DAY UC - IN THIRD READING (House) - 2025-05-18: (H) RUFFRIDGE NOTICE OF RECONSIDERATION (House) - 2025-05-18: (H) EFFECTIVE DATE(S) SAME AS PASSAGE (House) - 2025-05-18: (H) PASSED Y40 (House) - 2025-05-18: (H) READ THE THIRD TIME CSSB 133(L&C) (House) - 2025-05-18: (H) ADVANCED TO THIRD READING Y33 N7 (House) - 2025-05-18: (H) ADVANCED TO THIRD READING 5/19 CALENDAR (House) - 2025-05-18: (H) READ THE SECOND TIME (House) - 2025-05-18: (H) RULES TO CALENDAR 5/18/2025 (House) - 2025-05-16: (H) FIN REFERRAL REMOVED (House) - 2025-05-16: (H) FN1: ZERO(CED) (House) - 2025-05-16: (H) DP: BURKE, CARRICK, SADDLER, NELSON, FIELDS, HALL (House) - 2025-05-16: (H) L&C RPT 6DP (House) - 2025-05-14: (H) Minutes (HL&C) (House) - 2025-05-14: (H) Moved CSSB 133(L&C) Out of Committee -- Delayed to 15 min Following Session -- (House) - 2025-05-14: (H) LABOR & COMMERCE at 03:15 PM BARNES 124 (House) - 2025-05-14: Audio/Video (House) - 2025-05-13: (H) L&C, FIN (House) - 2025-05-13: (H) READ THE FIRST TIME - REFERRALS (House) - 2025-05-12: (H) -- MEETING CANCELED -- (House) - 2025-05-12: (H) LABOR & COMMERCE at 03:15 PM BARNES 124 (House) - 2025-05-12: (S) VERSION: CSSB 133(L&C) (Senate) - 2025-05-12: (S) TRANSMITTED TO (H) (Senate) - 2025-05-12: (S) EFFECTIVE DATE(S) SAME AS PASSAGE (Senate) - 2025-05-12: (S) PASSED Y19 N- A1 (Senate) - 2025-05-12: (S) READ THE THIRD TIME CSSB 133(L&C) (Senate) - 2025-05-09: (H) Minutes (HL&C) (House) - 2025-05-09: (H) (House) - 2025-05-09: (H) LABOR & COMMERCE at 03:15 PM BARNES 124 (House) - 2025-05-09: (S) ADVANCED TO THIRD READING 5/12 CAL (Senate) - 2025-05-09: (S) L&C CS ADOPTED UC (Senate) - 2025-05-09: (S) READ THE SECOND TIME (Senate) - 2025-05-09: (S) RULES TO CALENDAR 5/9/2025 (Senate) - 2025-04-30: (S) FN1: ZERO(CED) (Senate) - 2025-04-30: (S) NR: STEDMAN, KAUFMAN (Senate) - 2025-04-30: (S) DP: HOFFMAN, CRONK, MERRICK, KIEHL (Senate) - 2025-04-30: (S) FIN RPT CS(L&C) 4DP 2NR (Senate) - 2025-04-29: (S) Minutes (SFIN) (Senate) - 2025-04-29: (S) Moved CSSB 133(L&C) Out of Committee (Senate) - 2025-04-29: (S) FINANCE at 09:00 AM SENATE FINANCE 532 (Senate) - 2025-04-29: Audio/Video (House) - 2025-04-15: (S) Minutes (SFIN) (Senate) - 2025-04-15: (S) Heard & Held (Senate) - 2025-04-15: (S) FINANCE at 09:00 AM SENATE FINANCE 532 (Senate) - 2025-04-15: Audio/Video (House) - 2025-04-04: (S) FN1: ZERO(CED) (Senate) - 2025-04-04: (S) DP: BJORKMAN, DUNBAR, MERRICK, GRAY-JACKSON, YUNDT (Senate) - 2025-04-04: (S) L&C RPT CS 5DP SAME TITLE (Senate) - 2025-04-02: (S) Minutes (SL&C) (Senate) - 2025-04-02: (S) Moved CSSB 133(L&C) Out of Committee (Senate) - 2025-04-02: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2025-04-02: Audio/Video (House) - 2025-03-26: (S) Minutes (SL&C) (Senate) - 2025-03-26: (S) Heard & Held (Senate) - 2025-03-26: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2025-03-26: Audio/Video (House) - 2025-03-19: (S) Minutes (SL&C) (Senate) - 2025-03-19: (S) Heard & Held (Senate) - 2025-03-19: (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) (Senate) - 2025-03-19: Audio/Video (House) - 2025-03-17: (S) L&C, FIN (Senate) - 2025-03-17: (S) READ THE FIRST TIME - REFERRALS (Senate) ## Bill text - Enrolled SB 133, 2025-05-18: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133Z), [PDF](https://www.akleg.gov/PDF/34/Bills/SB0133Z.PDF) - CSSB 133(L&C), 2025-04-04: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133B), [PDF](https://www.akleg.gov/PDF/34/Bills/SB0133B.PDF) - SB 133, 2025-03-17: [HTML](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133A), [PDF](https://www.akleg.gov/PDF/34/Bills/SB0133A.PDF) ## Related bills - SB 86: MONEY TRANSMISSION; VIRTUAL CURRENCY (became law) - SB 104: VEHICLES/BOATS: TRANSFER ON DEATH TITLE (became law) - HB 265: APPROP: MENTAL HEALTH BUDGET (signed) - HB 263: APPROP: OPERATING BUDGET;FUNDS;SUPP (signed) - HB 239: CRIME/CNTRL SUBST/ADDRESS CONFIDENTIALITY (became law) - HB 246: SPECIAL EDUCATION SERVICE AGENCY FUNDING (became law) ## Sources - [Enrolled SB 133 (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133Z) - [Enrolled SB 133 (PDF)](https://www.akleg.gov/PDF/34/Bills/SB0133Z.PDF) - [CSSB 133(L&C) (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133B) - [CSSB 133(L&C) (PDF)](https://www.akleg.gov/PDF/34/Bills/SB0133B.PDF) - [SB 133 (HTML)](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133A) - [SB 133 (PDF)](https://www.akleg.gov/PDF/34/Bills/SB0133A.PDF) ## Related - [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 265: APPROP: MENTAL HEALTH BUDGET](https://policyrisk.com/state-bill/AK-HB265-34) - [HB 263: APPROP: OPERATING BUDGET;FUNDS;SUPP](https://policyrisk.com/state-bill/AK-HB263-34) - [HB 239: CRIME/CNTRL SUBST/ADDRESS CONFIDENTIALITY](https://policyrisk.com/state-bill/AK-HB239-34) - [HB 246: SPECIAL EDUCATION SERVICE AGENCY FUNDING](https://policyrisk.com/state-bill/AK-HB246-34) - [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-SB133-34 (as of 2026-11-04).