---
type: "Bill"
title: "An Act relating to the definition of 'direct supervision' for purposes of medical assistance coverage of behavioral health clinic services."
description: "An Act relating to the definition of 'direct supervision' for purposes of medical assistance coverage of behavioral health clinic services."
jurisdiction: "us/states/ak"
legislature: "Alaska Legislature"
session: "30"
identifier: "SB 169"
citation: "Alaska SB 169 (30)"
classification: ["bill"]
subjects: ["FEDERAL AID", "HEALTH & SOCIAL SERVICES", "MEDICAL CARE", "PSYCHOLOGISTS", "PUBLIC ASSISTANCE"]
status: "enacted"
primary_sponsors: ["GIESSEL"]
version_count: 4
action_count: 36
vote_count: 2
first_action: "2018-01-31"
last_action: "2018-11-07"
source: "openstates"
source_identifier: "ocd-bill/8e4f8b6d-ba08-40c2-84ae-51108b840264"
source_url: "https://www.akleg.gov/basis/Bill/Detail/30?Root=SB169"
source_hash: "2e9076c941ff6fc8d86d5fb99a8cceaaf17012ed4268e2b675a7c3ba0ef5abd3"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ak"]
---

# Alaska SB 169 (30) — An Act relating to the definition of 'direct supervision' for purposes of medical assistance coverage of behavioral health clinic services.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **SB0169A** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/30?hsid=SB0169A)
2. **SB0169B** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/30?hsid=SB0169B)
3. **SB0169C** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/30?hsid=SB0169C)
4. **SB0169Z** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/30?hsid=SB0169Z)

## Votes

- Shall CS FOR SENATE BILL NO. 169(RLS) "An Act relating to the definition of 'direct supervision' for purposes of medical assistance coverage of behavioral health clinic services" pass the Senate? — **19–0** (pass) · upper
- Shall CSSB 169(RLS) pass the House? — **38–0** (pass) · lower

## Sponsors

- GIESSEL — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-01-31** Read the first time - REFERRALS `introduction, reading-1`
- **2018-01-31** Referred to Health & Social Services `referral-committee`
- **2018-03-12** HSS RPT CS 5DP NEW TITLE
- **2018-03-12** HSS Do Pass: WILSON, BEGICH, VON IMHOF, MICCICHE, GIESSEL `committee-passage`
- **2018-03-12** Fiscal Note 1: No fiscal impact (Health and Social Services)
- **2018-03-21** RULES WAIVED PUBLIC HEARING NOTICE,RULE 23
- **2018-03-26** RLS RPT CS 5DP NEW TITLE
- **2018-03-26** RLS Do Pass: MEYER, MICCICHE, GARDNER, MACKINNON, KELLY `committee-passage`
- **2018-03-26** Fiscal Note 2: No fiscal impact (Health and Social Services)
- **2018-03-26** RULES TO CALENDAR 3/26/2018
- **2018-03-26** Read the second time `reading-2`
- **2018-03-26** RLS CS ADOPTED UC
- **2018-03-26** ADVANCED TO THIRD READING UC
- **2018-03-26** Read the third time CSSB 169(RLS) `reading-3`
- **2018-03-26** PASSED Y19 N- E1 `passage`
- **2018-03-26** TRANSMITTED TO (H)
- **2018-03-26** VERSION: CSSB 169(RLS)
- **2018-03-29** Read the first time - REFERRALS `introduction, reading-1`
- **2018-03-29** Referred to Health & Social Services `referral-committee`
- **2018-04-04** HSS RPT 4DP 2NR
- **2018-04-04** HSS Do Pass: TARR, ZULKOSKY, SULLIVAN-LEONARD, SPOHNHOLZ `committee-passage`
- **2018-04-04** HSS No Recommendation: KITO, EASTMAN
- **2018-04-04** Fiscal Note 2: No fiscal impact (Health and Social Services)
- **2018-05-02** RULES TO CALENDAR 5/2/2018
- **2018-05-02** Read the second time `reading-2`
- **2018-05-02** ADVANCED TO THIRD READING 5/3 CALENDAR
- **2018-05-02** CROSS SPONSOR(S): GARA
- **2018-05-03** NOT TAKEN UP 5/3 - ON 5/4 CALENDAR
- **2018-05-04** Read the third time CSSB 169(RLS) `reading-3`
- **2018-05-04** PASSED Y38 E2 `passage`
- **2018-05-04** RETURN TO (S), TRANSMIT TO GOV NEXT
- **2018-05-04** VERSION: CSSB 169(RLS)
- **2018-05-04** CROSS SPONSOR(S): MILLETT
- **2018-11-07** 3:57 PM 8/23/18 Transmitted to Governor `executive-receipt`
- **2018-11-07** Signed into law 8/29 CHAPTER 97 SLA 18 `executive-signature`
- **2018-11-07** EFFECTIVE DATE(S) OF LAW 11/27/18

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8e4f8b6d-ba08-40c2-84ae-51108b840264`. Confidence: reported (aggregated from official Alaska legislature records).