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--- version:SB 76
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@@ -1,288 +1,208 @@
-					The Alaska State Legislature
+State of Alaska
+Department of Health
+Department of Family & Community Services
+SB 76: COMPLEX CARE RESIDENTIAL HOMES
+Emily Ricci, Deputy Commissioner, Department of Health
+Robert Lawrence, MD, Chief Medical Officer, Department of Health
+Clinton Lasley, Deputy Commissioner, Department of Family & Community Services
+Thursday, February 6, 20251
+SB 76 Supports Alaska’s System of Care
+SB 76 strengthens Alaska’s
+health care system,
+enabling Alaskans to
+access services in settings
+tailored to their specific
+care needs.
+2
 
-									menu
+What Is Complex Care?
+ Definition: Co-occurring behavioral,
+medical, or disability-related needs
+requiring a multi-disciplinary team and
+multiple programs.
+ Vision: A coordinated system that
+delivers compassionate, timely, and
+person-centered care for the most
+vulnerable and complex Alaskans.
+3
+Behavioral
+Health
+Conditions
+Medical
+Conditions
+& Disabilities
+Other Factors
+Complex
+Care
+What Is Complex Care?
+4
+Behavioral health
+conditions
+Disruptive
+behaviors
+Carceral
+system
+involvement
+Out of state
+treatment
+Psychiatric
+hospitalization
+Public safety encounters
+Co-occurring
+medical
+conditions
+Frequent
+emergency
+department
+visits
+Harm to
+self or
+others
+1:1+
+staffing
+required
+Extensive
+inpatient
+hospital
+visits
+What Does SB 76 Do?
+SB 76 creates the necessary
+statutory framework to allow the
+Department of Health to license
+and regulate a new setting:
+5
+Complex Care Residential
+Homes (CCRHs)
+CCRHs Fill a Gap in the Care Continuum
+There is a gap in Alaska’s current continuum of care for ongoing,
+specialized residential settings.
+6
+Home and Community
+Based Waiver Services
+Private
+Residence
+Foster
+Home
+Complex
+Care
+Residential
+Home
+Inpatient
+Psychiatric
+Hospital
+Assisted
+Living
+Home
+General
+Acute
+Hospital
+Residential
+Psychiatric
+Treatment
+Center
+Skilled
+Nursing
+Facility
+higher acuity carelower acuity care
+Identify Needs
+and Define
+Scope
+Create New
+License Type
+Determine
+Services to be
+Provided
+Establish
+Reimbursement
+Mechanisms
+Establishing a New Residential Setting
+7
+SB 76
+Who Would Benefit from CCRHs?
+8
+Youth
+Multiple behavioral
+health diagnoses
+Treatment in an
+out-of-state facility
+Adult
+Severe and persistent
+mental illness
+Frequent hospital visits
+and self harm history
+Senior
+Dementia with behavioral
+health diagnoses
+Does not qualify for
+Medicaid waiver services
+Fetal alcohol and autism
+spectrum disorders Cognitive impairment Highly disruptive
+behaviors
+8
+Key Features of a CCRH
+9
+CCRHs will offer a new residential care setting in Alaska.
+ Fewer than 15 residents
+ 24/7 care from a multi-disciplinary team
+ More supportive than assisted living homes
+and less restrictive than a psychiatric hospital
+ Specialized monitoring, intervention, and/or
+treatment to meet the needs of residents
 
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-SB 76: "An Act relating to complex care residential homes; and providing for an effective date."
-
-00                            SENATE BILL NO. 76
-01 "An Act relating to complex care residential homes; and providing for an effective
-02 date."
-03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:
-04    * Section 1.  AS 47.32.010(b) is amended to read:
-05            (b)  The following entities are subject to this chapter and regulations adopted
-06       under this chapter by the Department of Health:
-07                 (1)  ambulatory surgical centers;
-08                 (2)  assisted living homes;
-09                 (3)  child care facilities;
-10                 (4)  freestanding birth centers;
-11                 (5)  home health agencies;
-12                 (6)  hospices, or agencies providing hospice services or operating
-13       hospice programs;
-14                 (7)  hospitals;
-
-01                 (8)  host care homes;
-02                 (9)  intermediate care facilities for individuals with an intellectual
-03       disability or related condition;
-04                 (10)  maternity homes;
-05                 (11)  nursing facilities;
-06                 (12)  residential child care facilities;
-07                 (13)  residential psychiatric treatment centers;
-08                 (14)  rural health clinics;
-09                 (15)  subacute mental health facilities;
-10                 (16) complex care residential homes.
-11    * Sec. 2.  AS 47.32.900(2) is amended to read:
-12                 (2)  "assisted living home"
-13 (A)  means a residential facility that serves three or more adults
-14 who are not related to the owner by blood or marriage, or that receives state or
-15 federal payment for services regardless of the number of adults served; the
-16 Department of Health shall consider a facility to be an assisted living home if
-17            the facility
-18                           (i)  provides housing and food services to its residents;
-19 (ii)  offers to provide or obtain for its residents
-20                 assistance with activities of daily living;
-21 (iii)  offers personal assistance as defined in
-22                 AS 47.33.990; or
-23 (iv)  provides or offers any combination of these
-24                 services;
-25                      (B)  does not include
-26                           (i)  a correctional facility;
-27                           (ii)  an emergency shelter;
-28 (iii)  a program licensed under AS 47.10.310 for
-29                 runaway minors;
-30 (iv)  a type of entity listed in AS 47.32.010(b)(6) - (11),
-31                 (16), or (c)(2);
-
-01    * Sec. 3.  AS 47.32.900(11) is amended to read:
-02 (11)  "hospital" means a public or private institution or establishment
-03 devoted primarily to providing diagnosis, treatment, or care over a continuous period
-04 of 24 hours each day for two or more unrelated individuals suffering from illness,
-05 physical or mental disease, injury or deformity, or any other condition for which
-06 medical or surgical services would be appropriate; "hospital" does not include a
-07       frontier extended stay clinic or a complex care residential home;
-08    * Sec. 4.  AS 47.32.900 is amended by adding a new paragraph to read:
-09                 (22)  "complex care residential home" means a residential setting that
-10 provides 24-hour multi-disciplinary care on a continuing basis to not more than 15
-11 individuals with mental, behavioral, medical, or disability-related needs that require
-12       specialized care, services, and monitoring.
-13    * Sec. 5.   The uncodified law of the State of Alaska is amended by adding a new section to
-14 read:
-15 MEDICAID STATE PLAN; WAIVERS. The Department of Health shall, as
-16 necessary for federal approval by the United States Department of Health and Human
-17 Services, submit amendments to the state plan for medical assistance coverage or apply for
-18 any waivers necessary to implement secs. 1 - 4 of this Act.
-19    * Sec. 6.  The uncodified law of the State of Alaska is amended by adding a new section to
-20 read:
-21 CONDITIONAL EFFECT; NOTIFICATION. (a) Sections 1 - 4 of this Act take effect
-22 only if, and to the extent that, the United States Department of Health and Human Services
-23 approves, on or before July 1, 2031, waivers or amendments to the state plan submitted under
-24 sec. 5 of this Act.
-25 (b)  The commissioner of health shall notify the revisor of statutes in writing within 30
-26 days after the United States Department of Health and Human Services approves the waivers
-27 or amendments to the state plan.
-28    * Sec. 7.  If secs. 1 - 4 of this Act take effect, they take effect the day after the United States
-29 Department of Health and Human Services approves the waivers or amendments to the state
-30 plan submitted under sec. 5 of this Act.
-
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+Benefits of a CCRH
+ Improves care for Alaskans with complex needs
+ Adds a license type for home-like settings that offer care in the most
+clinically appropriate environment
+10
+ Allows for service specialization and for specific
+requirements to be set forth in regulations
+ Promotes community safety by
+offering a new service setting for
+individuals with complex
+behavioral health needs
+Sectional Analysis
+Section 1.
+Amends AS 47.32.010(b) to add "complex care
+residential homes" to the list of entities regulated by the Department of
+Health.
+Section 2.
+Amends AS 47.32.900(2) to update the definition of "assisted living home"
+to exclude complex care residential homes.
+Section 3.
+Adds AS 47.32.900(11) to modify the definition of "hospital" to clarify that it
+does not include complex care residential homes.
+11
+Sectional Analysis
+Section 4.
+Adds AS 47.32.900(22) to introduce a new definition for “complex care
+residential home. ” It is defined as a residential setting that provides 24-
+hour multi-disciplinary care on a continuing basis for up to 15 individuals
+with mental, behavioral, medical, or disability-related needs requiring
+specialized care, services and monitoring.
+Section 5.
+Amends the uncodified law by adding a new section that requires the
+Department of Health to submit for approval by the United States
+Department of Health and Human Services amendments to the state
+Medicaid plan or apply for waivers necessary to implement the provisions
+of Sections 1-4.
+12
+Sectional Analysis
+Section 6.
+Amends the uncodified law by adding a new section specifying that
+sections 1-4 of the bill will only take effect if the United States Department
+of Health and Human Services approves the required Medicaid waivers or
+amendments by July 1, 2031. The commissioner of health is required to
+notify the revisor of statutes within 30 days once the necessary approvals
+are received.
+Section 7.
+Provides that sections 1-4 take effect the day after the United States
+Department of Health and Human Services approves amendments to the
+state plan or waivers submitted under Section 5.
+13
+Questions?
+SB 76: COMPLEX CARE RESIDENTIAL HOMES
+Courtney Enright
+Department of Health
+Legislative Liaison
+Courtney.Enright@alaska.gov
+(907) 269-7803