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AlaskaSB 27234th Legislature (2025-2026)Senate

HEALTH INFORMATION EXCHANGE

Sponsored By: SENATE HEALTH & SOCIAL SERVICES

Became Law

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Alaska patients gain health record privacy controls

Alaska's exchange operator must protect information that identifies patients and follow the strictest applicable state or federal privacy law. It must keep a secure, traceable electronic record of access. Identifying information can be released only for treatment, payment, limited participant health care operations, public health activities, or patient-authorized uses. Marketing is prohibited. Patients with records in the exchange can opt out, receive notice of privacy violations, and request reports showing record access. The operator must also provide procedures for patients to approve sharing when privacy and security laws require additional permission.

Alaska builds a statewide health records exchange

The law takes effect immediately and requires Alaska's Department of Health to establish a statewide electronic health records exchange. The system must work with other systems and follow state and federal rules for exchanging health data. The commissioner selects one or more qualified Alaska groups to implement and operate it; private for-profit or nonprofit groups can qualify. The operator must support record connections, installation, training, continued use, better work processes, quality improvement, and ongoing evaluation. Its advisory or governing body includes the commissioner and nine representatives: hospitals and nursing facilities, private medical providers, community primary care providers, federal providers, tribal health organizations, insurers, consumers, employers or businesses, and behavioral health providers. It also includes two nonvoting University of Alaska Board of Regents liaisons and at least one additional nonvoting stakeholder liaison. The operator must involve stakeholders, provide technical help, follow state nondiscrimination and conflict-of-interest policies, and submit an annual budget for governing-body approval. It must provide infrastructure cost estimates and report cost and savings data to the department. An annual report to the Legislature is due December 31, covering participation, records exchanged, barriers including connectivity, and recommendations for lasting participation and state funding. The statewide system excludes participants' own technology, software, and information.

Alaska health exchange uses funding and fees

Alaska's health department must help apply for available federal money to plan and build the health records exchange. The department and exchange operator can seek and accept available funding and equipment. The department can also make contracts and adopt rules needed to carry out the law. The system must become self-supporting through user fees and other public and private funding. Fees can apply to the department or other government entities; the law sets no fee amount or required patient charge.

Sponsors & Cosponsors

Sponsor

  • SENATE HEALTH & SOCIAL SERVICES

    Affiliation unavailable

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 51 • No: 29

House vote • 5/7/2026

PASSED Y34 N6

Yes: 34 • No: 6

House vote • 5/7/2026

AM NO 1 AS AMD FAILED Y17 N23

Yes: 17 • No: 23

Actions Timeline

  1. (S) EFFECTIVE DATE(S) OF LAW 6/19/26

    6/19/2026Senate

  2. (S) LAW W/O GOVERNOR SIGNATURE 6/18 CHAPTER 19 SLA 26

    6/19/2026Senate

  3. (S) 10:14 A.M. 6/1/26 TRANSMITTED TO GOVERNOR

    6/4/2026Senate

  4. (S) MANIFEST ERROR(S)

    6/4/2026Senate

  5. (S) EFFECTIVE DATE(S) SAME AS PASSAGE

    5/8/2026Senate

  6. (S) CONCUR AM OF (H) Y18 N- E1 A1

    5/8/2026Senate

  7. (S) CONCUR MESSAGE READ AND TAKEN UP

    5/8/2026Senate

  8. (H) VERSION: HCS SB 272(HSS)

    5/7/2026House

  9. (H) TRANSMITTED TO (S) AS AMENDED

    5/7/2026House

  10. (H) EFFECTIVE DATE(S) SAME AS PASSAGE

    5/7/2026House

  11. (H) PASSED Y34 N6

    5/7/2026House

  12. (H) READ THE THIRD TIME HCS SB 272(HSS)

    5/7/2026House

  13. (H) ADVANCED TO THIRD READING UC

    5/7/2026House

  14. (H) AM NO 1 AS AMD FAILED Y17 N23

    5/7/2026House

  15. (H) AM 1 TO AM 1 ADOPTED UC

    5/7/2026House

  16. (H) AM NO 1 OFFERED

    5/7/2026House

  17. (H) HSS HCS ADOPTED UC

    5/7/2026House

  18. (H) READ THE SECOND TIME

    5/7/2026House

  19. (H) RULES TO CALENDAR 5/7/2026

    5/7/2026House

  20. (H) FN1: ZERO(DOH)

    4/29/2026House

  21. (H) NR: PRAX, SCHWANKE, RUFFRIDGE

    4/29/2026House

  22. (H) DP: GRAY, FIELDS, MINA

    4/29/2026House

  23. (H) HSS RPT HCS(HSS) 3DP 3NR

    4/29/2026House

  24. (H) Moved HCS SB 272(HSS) Out of Committee

    4/28/2026House

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

    4/28/2026House

Bill Text

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