AlaskaSB 18534th Legislature - Second Session (2026)SenateWALLET

INSURANCE; REBATES; ADVERTISING

Sponsored By: SENATE LABOR & COMMERCE

Became Law

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 2 benefits, 0 costs, 3 mixed.

Stronger prosthetic coverage in private plans

Health plans must cover prosthetic and orthotic devices at least at Medicare levels. Coverage includes an initial device and one more if needed, plus parts and instruction. If repair costs over 60% of replacement, the plan must replace it. Plans must have two in-network providers or let you go out-of-network with an in-network copay. Plans cannot set higher cost-sharing for these devices than for inpatient physician and surgical services. These rules apply when your plan is issued, delivered, or renewed on or after the section’s effective date.

Insurance perks and wellness rewards with limits

You can get wellness rewards from your plan if it meets the law’s rules. All wellness rewards under your policy are capped at 20% of the cost of coverage per year. Insurers may offer value-added services tied to your coverage at no or lower cost, but their total cost per policy term cannot exceed the greater of $250 or 5% of the premium. Insurers can test new services for up to three years after notifying the director, if the director does not object within 21 days. Noncash gifts and raffles are allowed for marketing, with no purchase required and within director-set limits, and offers must be fair and based on objective rules.

Medicaid prosthetic coverage after federal approval

Medicaid may cover prosthetic and orthotic devices as an optional service. This takes effect only after the U.S. Department of Health and Human Services approves the state plan change or says approval is not needed. HHS must act by January 1, 2029 for this change to start.

No 'free' ads or rebate deals

Insurers and agents cannot say insurance is 'free' or use similar words. Property, casualty, and surety insurers cannot give rebates, credits, or special favors to win or keep customers, unless allowed in a filing with the insurance director. These rules protect buyers from misleading ads but may reduce off-record discounts for some.

Most changes start January 1, 2027

The law takes effect on January 1, 2027, unless a section sets a different date. Some sections have different effective dates.

Sponsors & Cosponsors

Sponsor

  • SENATE LABOR & COMMERCE

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. (H) REFERRED TO FINANCE

    4/29/2026House
  2. (H) FIN REFERRAL ADDED AFTER L&C

    4/29/2026House
  3. (H) FN3: (CED)

    4/27/2026House
  4. (H) NR: CARRICK, SADDLER, D.NELSON

    4/27/2026House
  5. (H) DP: FRIER, HALL, FIELDS

    4/27/2026House
  6. (H) PENDING TITLE CHANGE HCR

    4/27/2026House
  7. (H) L&C RPT HCS(L&C) NEW TITLE 3DP 3NR

    4/27/2026House
  8. (H) Moved HCS CSSB 185(L&C) Out of Committee

    4/24/2026House
  9. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

    4/24/2026House
  10. Audio/Video

    4/24/2026House
  11. (H) Heard & Held

    4/20/2026House
  12. (H) LABOR & COMMERCE at 03:15 PM BARNES 124

    4/20/2026House
  13. Audio/Video

    4/20/2026House
  14. (H) L&C

    4/8/2026House
  15. (H) READ THE FIRST TIME - REFERRALS

    4/8/2026House
  16. (S) VERSION: CSSB 185(L&C)

    4/7/2026Senate
  17. (S) TRANSMITTED TO (H)

    4/7/2026Senate
  18. (S) EFFECTIVE DATE(S) SAME AS PASSAGE

    4/7/2026Senate
  19. (S) PASSED Y20 N-

    4/7/2026Senate
  20. (S) READ THE THIRD TIME CSSB 185(L&C)

    4/7/2026Senate
  21. (S) NOT TAKEN UP 4/3 - ON 4/7 CALENDAR

    4/3/2026Senate
  22. (S) ADVANCED TO THIRD READING 4/3 CAL

    4/1/2026Senate
  23. (S) L&C CS ADOPTED UC

    4/1/2026Senate
  24. (S) READ THE SECOND TIME

    4/1/2026Senate
  25. (S) RULES TO CALENDAR 4/1/2026

    4/1/2026Senate

Bill Text

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