REPRESENTATIVE JENNIFER JOHNSTON

(907) 269-0244 | State Capitol Building, Room 424 | WEBSITE
  PDF IconStatement PDF  | Sponsor's BILL Listing

Sponsor    Statement

HB 92 amends the state insurance code by exempting direct care agreements from the definition of insurance. It also, includes conditional language for the Department of Health and Social Services to apply for a State Plan Amendment with the Centers for Medicare & Medicaid Services to allow for direct care agreements for and, if approved, requires that providers accept Medicare and Medicaid patients up to 20 percent of their patient population. This bill does not mandate that direct care practices be formed, it only exempts them from regulation by the division of insurance.

Direct care agreements consist of a practitioner or group of physicians who contract with individual patients to provide care outlined in a contract for a monthly, quarterly or semi-annual fee. The relationship between physician and patient is contractual and the contractual relationship can be altered or amended by the same means that already govern existing contractual relationships. Through this arrangement patients gain access to as much care as they need.

Under existing care models, a patient sees a doctor and then the doctor bills the patient’s insurance. In a direct care practice, no bill is submitted to a third-party payer. The only money exchanged is the patient’s monthly, quarterly or semi-annual membership payments. This arrangement liberates the physician from all involvement with insurance and are relieved from paperwork required by payers. Physicians have more time to spend on direct patient care.

The American Academy of Family Physicians “Principles for Reform of the U.S. Health Care System” holds that: “Less complicated administrative systems are essential to reduce costs, create a more efficient health care system, and maximize funding for health care services.”

HB 92 creates an environment where a new market for the delivery of health care can exist and grow by allowing direct care agreements to create a less complicated administrative system.


 
REPRESENTATIVE JENNIFER JOHNSTON

SPONSOR STATEMENTS from Alaska House Majority Coalition

"An Act relating to exemptions from mortgage loan originator licensing requirements; and providing for an effective date"

From the office of Representative Wilson


"An Act Relating to Claims Against Protection and Indemnity Insurance Policies of Vessel Owners"

From the office of Representative Ortiz


"An Act relating to residency requirements for public school enrollment for certain children of active duty military members"

From the office of Representative Josephson


"An Act relating to the transfer of the title to a vehicle, including certain manufactured homes and trailers, on the death of the owner; allowing a person to act for the surviving spouse of a decedent to make a demand of the personal representative of the decedent’s estate related to enforcing a liability against real property or an interest in real property transferred at death by a transfer on death deed; and providing for an effective date.”

From the office of Representative Spohnholz


"An Act relating to a workforce enhancement program for health care professionals employed in the state; and providing for an effective date."

From the office of Representative Spohnholz


From the office of Representative Tuck


HB 117 – Municipal regulation of trapping

From the office of Representative Josephson


"An Act Relating to Protective Orders"

From the office of Representative Kopp


Strategically strengthening our laws will reduce Alaska’s sky-high crime rate. This bill will improve public safety by stiffening criminal procedures.

From the office of Representative Josephson


"An Act relating to the Funter Bay marine park unit of the state park system; relating to protection of the social and historical significance of the Unangax cemetery located in Funter Bay and providing for the amendment of the management plan for the Funter Bay marine park unit; and providing for an effective date."

From the office of Representative Hannan


“An Act relating to sentencing for vehicle theft in the first degree.”

From the office of Representative Fields


"An Act relating to the Alaska Food, Drug, and Cosmetic Act; and relating to the sale of milk, milk products, raw milk, and raw milk products."

From the office of Representative Tarr


"An Act requiring law enforcement agencies to send sexual assault examination kits for testing within six months after collection; and providing for an effective date."

From the office of Representative Tarr


"An Act relating to insurance coverage for contraceptives and related services; and relating to medical assistance coverage for contraceptives and related services."

From the office of Representative Claman


Confining Vehicle Loads

From the office of Representative Tuck


“Toxic-Free Firefighters and Children Act”

From the office of Representative Tarr


“An Act relating to insurance coverage for benefits provided through telehealth; and providing for an effective date.”

From the office of Representative Spohnholz


House Bill 30: The Abigail Caudle Act

From the office of Representative Josephson


Shellfish Enhancement Projects; Hatcheries

From the office of Representative Ortiz


House Bill 44, "Automated Teller Machines: Fees"

From the office of Representative Ortiz


"Establishing May 15th as Hmong American Veterans Day"

From the office of Representative Tarr


"Military Work Experience"

From the office of Representative Story


"An Act establishing the month of February as Black History Month."

From the office of Representative Story


"An Act relating to the liability of an excavator for damaging an underground facility"

From the office of Representative Claman


House Bill 81: An Act prohibiting disposable shopping bags; and providing for an effective date

From the office of Representative Josephson


House Bill 82: Prohibiting Discrimination Based on Sexual Orientation, Gender Identity and Expression

From the office of Representative Josephson


Sponsor Statement for HB 86

From the office of Representative Fields


"An Act extending the liquefied natural gas storage facility tax credit; and providing for an effective date."

From the office of Representative Thompson


From the office of Representative Johnston


From the office of Representative Johnston


"An Act relating to temporary courtesy licenses for certain nonresident professionals; and relating to the Department of Commerce, Community, and Economic Development."

From the office of Representative Tuck


House Bill 96

From the office of Representative Fields


From the office of Representative Edgmon


Proposing amendments to the Constitution of the State of Alaska relating to the duration of regular sessions of the Legislature

From the office of Representative Claman


Constitutional Amendment: Permanent Fund; POMV; Dividend

From the office of Representative Tuck


“Urging the United States Congress to reauthorize the Violence Against Women Act of 1994 without an exemption for tribal governments in the state and to support Savanna’s Act and highlight the crisis of missing and murdered Indigenous women.”

From the office of Representative Zulkosky