---
type: "Bill"
title: "An Act relating to insurance; relating to direct health care agreements; relating to the duties of the director of the division of insurance in the Department of Commerce, Community, and Economic Development; and providing for an effective date."
description: "An Act relating to insurance; relating to direct health care agreements; relating to the duties of the director of the division of insurance in the Department of Commerce, Community, and Economic Development; and providing for an effective date."
jurisdiction: "us/states/ak"
legislature: "Alaska Legislature"
session: "33"
identifier: "SB 45"
citation: "Alaska SB 45 (33)"
classification: ["bill"]
subjects: ["BUSINESS", "CONTRACTS", "FEES", "HEALTH & SOCIAL SERVICES", "INSURANCE", "MEDICAL CARE", "PHYSICIANS", "RIGHTS"]
status: "enacted"
primary_sponsors: ["Wilson"]
version_count: 8
action_count: 133
vote_count: 30
first_action: "2023-01-25"
last_action: "2024-10-09"
source: "openstates"
source_identifier: "ocd-bill/5bc770e1-7178-4677-a7b6-7c3b25734e9b"
source_url: "https://www.akleg.gov/basis/Bill/Detail/33?Root=SB45"
source_hash: "0a7dbbdafb5b669bc162d03f23fe667c3f0bef6b223889fd4a8daa596ce3374c"
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 45 (33) — An Act relating to insurance; relating to direct health care agreements; relating to the duties of the director of the division of insurance in the Department of Commerce, Community, and Economic Development; and providing for an effective date.

## Version chain

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

1. **CSSB 45(HSS)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045B)
2. **CSSB 45(L&C)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045C)
3. **CSSB 45(L&C) am** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045D)
4. **Enrolled SB 45** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045Z)
5. **HCS CSSB 45(2d L&C)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045F)
6. **HCS CSSB 45(2d L&C) am H(efd add H)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045G)
7. **HCS CSSB 45(L&C)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045E)
8. **SB 45** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0045A)

## Votes

- (S) EFFECTIVE DATE(S) ADOPTED Y19 E1 #2141 — **19–0** (pass) · upper
- (H) RECON TAKEN UP SAME DAY FAILED Y26 N14 #2110 — **26–14** (fail) · lower
- (H) PASSED Y28 N12 #2107 — **28–12** (pass) · lower
- (H) AM NO 1 FAILED Y3 N36 E1 # 2065 — **3–36** (fail) · lower
- (H) AM NO 5 FAILED Y1 N38 E1 # 2069 — **1–38** (fail) · lower
- (H) AM NO 4 FAILED Y9 N30 E1 # 2068 — **9–30** (fail) · lower
- (H) AM NO 9 ADOPTED Y34 N5 E1 # 2073 — **34–5** (pass) · lower
- (H) AM 1 TO AM 10 ADOPTED Y38 N1 E1 #2076 — **38–1** (pass) · lower
- (H) AM NO 3 FAILED Y1 N38 E1 # 2067 — **1–38** (fail) · lower
- (H) AM NO 2 FAILED Y1 N38 E1 # 2066 — **1–38** (fail) · lower
- (H) SUSTAINED RULING OF CHAIR Y23 N14 E2 A1 #2088 — **23–14** (pass) · lower
- (H) AM NO 14 FAILED Y9 N28 E1 A2 # 2083 — **9–28** (fail) · lower
- (H) MOTION TO RESCIND ACTION (ADOPTING) AM 1 TO AM 12 FAILED Y16 N22 E1 A1 #2081 — **16–22** (fail) · lower
- (H) AM NO 10 AS AMD ADOPTED Y38 N1 E1 # 2078 — **38–1** (pass) · lower
- (H) RESCIND ACTION (ADOPTING) AM 9 FAILED Y1 N36 E2 A1 #2089 — **1–36** (fail) · lower
- (H) AMEND 4/3 DEADLINE FOR ALL AMS TO 2 P.M., 4/5 FAILED Y16 N23 A1 #2051 — **16–23** (fail) · lower
- (H) AMEND 4/3 DEADLINE FOR ALL AMS T0 6 P.M. PASSED Y32 N8 #2052 — **32–8** (pass) · lower
- (H) AM NO 11 FAILED Y14 N25 E1 # 2079 — **14–25** (fail) · lower
- (H) DEADLINE FOR ALL AMS AT 6 P.M., 4/3 PASSED Y22 N18 #2053 — **22–18** (pass) · lower
- (H) AM NO 12 AS AMD FAILED Y18 N20 E1 A1 # 2082 — **18–20** (fail) · lower
- (H) AM 1 TO AM 12 ADOPTED Y36 N3 E1 #2081 — **36–3** (pass) · lower
- (H) AM NO 8 ADOPTED Y38 N1 E1 # 2073 — **38–1** (pass) · lower
- (H) AM NO 6 FAILED Y4 N35 E1 # 2070 — **4–35** (fail) · lower
- (H) AM NO 16 FAILED Y17 N20 E2 A1 # 2088 — **17–20** (fail) · lower
- (H) 2D L&C HCS ADOPTED Y23 N17 #2049 — **23–17** (pass) · lower
- (S) AM NO 5 FAILED Y8 N12 # 1039 — **8–12** (fail) · upper
- (S) PASSED Y18 N2 #1040 — **18–2** (pass) · upper
- (S) AM NO 4 ADOPTED Y18 N1 A1 # 1038 — **18–1** (pass) · upper
- (S) CONCUR AM OF (H) Y12 N7 E1 #2140 — **12–7** (pass) · upper
- (S) AM NO 3 FAILED Y5 N14 A1 # 1037 — **5–14** (fail) · upper

## Sponsors

- Wilson — primary (person)
- Hughes — cosponsor (person)
- Kaufman — cosponsor (person)
- Myers — cosponsor (person)

## Timeline

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

- **2023-01-25** (S) READ THE FIRST TIME - REFERRALS `reading-1`
- **2023-01-25** (S) HSS, L&C
- **2023-01-25** (S) COSPONSOR(S): HUGHES, MYERS
- **2023-02-07** (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205
- **2023-02-07** (S) Heard & Held
- **2023-02-07** (S) Minutes (SHSS)
- **2023-02-09** (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205
- **2023-02-09** (S) Heard & Held
- **2023-02-09** (S) Minutes (SHSS)
- **2023-02-21** (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205
- **2023-02-21** (S) Scheduled but Not Heard
- **2023-02-21** (S) Minutes (SHSS)
- **2023-02-23** (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205
- **2023-02-23** (S) Moved CSSB 45(HSS) Out of Committee
- **2023-02-23** (S) Minutes (SHSS)
- **2023-02-24** (S) HSS RPT CS 1DP 4NR SAME TITLE
- **2023-02-24** (S) DP: WILSON
- **2023-02-24** (S) NR: TOBIN, KAUFMAN, GIESSEL, DUNBAR
- **2023-02-24** (S) FN1: ZERO(CED)
- **2023-03-27** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2023-03-27** (S) Heard & Held
- **2023-03-27** (S) Minutes (SL&C)
- **2023-04-05** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2023-04-05** (S) Heard & Held
- **2023-04-05** (S) Minutes (SL&C)
- **2023-04-19** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2023-04-19** (S) Moved CSSB 45(L&C) Out of Committee
- **2023-04-19** (S) Minutes (SL&C)
- **2023-04-21** (S) L&C RPT CS 1DP 2NR NEW TITLE
- **2023-04-21** (S) DP: BJORKMAN
- **2023-04-21** (S) NR: DUNBAR, GRAY-JACKSON
- **2023-04-21** (S) FN1: ZERO(CED)
- **2023-05-09** (S) RULES TO CALENDAR 5/9/23
- **2023-05-09** (S) READ THE SECOND TIME `reading-2`
- **2023-05-09** (S) L&C CS ADOPTED UC
- **2023-05-09** (S) ADVANCED TO THIRD READING 5/10 CAL `reading-3`
- **2023-05-10** (S) READ THE THIRD TIME CSSB 45(L&C) `reading-3`
- **2023-05-10** (S) RETURN TO SECOND FOR AMDS UC
- **2023-05-10** (S) AM NO 1 ADOPTED UC `amendment-passage`
- **2023-05-10** (S) ...CHANGES TITLE OF LEGISLATION
- **2023-05-10** (S) AM NO 2 OFFERED AND WITHDRAWN
- **2023-05-10** (S) AM NO 3 FAILED Y5 N14 A1 `amendment-failure`
- **2023-05-10** (S) AM NO 4 ADOPTED Y18 N1 A1 `amendment-passage`
- **2023-05-10** (S) AM NO 5 FAILED Y8 N12 `amendment-failure`
- **2023-05-10** (S) AUTOMATICALLY IN THIRD READING `reading-3`
- **2023-05-10** (S) PASSED Y18 N2 `passage`
- **2023-05-10** (S) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2023-05-10** (S) COSPONSOR(S): KAUFMAN
- **2023-05-10** (S) TRANSMITTED TO (H) `passage`
- **2023-05-10** (S) VERSION: CSSB 45(L&C) AM
- **2023-05-10** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2023-05-10** (H) <Pending Referral> -- MEETING CANCELED --
- **2023-05-11** (H) READ THE FIRST TIME - REFERRALS `reading-1`
- **2023-05-11** (H) L&C
- **2023-05-12** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2023-05-12** (H) Scheduled but Not Heard -- Recessed to 5/13 at 11am --
- **2023-05-12** (H) Minutes (HL&C)
- **2023-05-13** (H) LABOR & COMMERCE at 11:00 AM BARNES 124
- **2023-05-13** (H) Moved HCS CSSB 45(L&C) Out of Committee -- Delayed to 2:05 PM --
- **2023-05-13** (H) Minutes (HL&C)
- **2023-05-15** (H) L&C RPT HCS(L&C) 2DP 3NR 2AM
- **2023-05-15** (H) DP: PRAX, SUMNER
- **2023-05-15** (H) NR: FIELDS, SADDLER, WRIGHT
- **2023-05-15** (H) AM: RUFFRIDGE, CARRICK
- **2023-05-15** (H) FN1: ZERO(CED)
- **2023-05-17** (H) RULES TO CALENDAR 5/17/2023
- **2023-05-17** (H) ADJOURNED - ON 1/16/2024 CALENDAR
- **2024-01-16** (H) RETURNED TO RLS COMMITTEE
- **2024-01-31** (H) RETURNED TO L&C COMMITTEE
- **2024-02-16** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2024-02-16** (H) -- MEETING CANCELED --
- **2024-02-19** (H) LABOR & COMMERCE at 04:15 PM BARNES 124
- **2024-02-19** (H) -- MEETING CANCELED --
- **2024-02-23** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2024-02-23** (H) Moved HCS CSSB 45(2d L&C) Out of Committee -- Delayed to 4:15 PM --
- **2024-02-23** (H) Minutes (HL&C)
- **2024-02-28** (H) L&C RPT HCS(2D L&C) NEW TITLE 4DP 1NR 1AM
- **2024-02-28** (H) TECHNICAL TITLE CHANGE
- **2024-02-28** (H) DP: PRAX, WRIGHT, RUFFRIDGE, SUMNER
- **2024-02-28** (H) NR: SADDLER
- **2024-02-28** (H) AM: CARRICK
- **2024-02-28** (H) FN2: ZERO(CED)
- **2024-04-03** (H) RULES TO CALENDAR 4/3/2024
- **2024-04-03** (H) READ THE SECOND TIME `reading-2`
- **2024-04-03** (H) 2D L&C HCS ADOPTED Y23 N17
- **2024-04-03** (H) TECHNICAL TITLE CHANGE
- **2024-04-03** (H) HELD IN SECOND READING TO 4/5 CALENDAR
- **2024-04-03** (H) AMEND 4/3 DEADLINE FOR ALL AMS TO 2 P.M., 4/5 FAILED Y16 N23 A1 `failure`
- **2024-04-03** (H) AMEND 4/3 DEADLINE FOR ALL AMS T0 6 P.M. PASSED Y32 N8 `passage`
- **2024-04-03** (H) DEADLINE FOR ALL AMS AT 6 P.M., 4/3 PASSED Y22 N18 `passage`
- **2024-04-05** (H) BEFORE HOUSE IN SECOND READING
- **2024-04-05** (H) AM NO 1 FAILED Y3 N36 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 2 FAILED Y1 N38 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 3 FAILED Y1 N38 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 4 FAILED Y9 N30 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 5 FAILED Y1 N38 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 6 FAILED Y4 N35 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 7 OFFERED AND WITHDRAWN
- **2024-04-05** (H) AM NO 8 ADOPTED Y38 N1 E1 `amendment-passage`
- **2024-04-05** (H) AM NO 9 ADOPTED Y34 N5 E1 `amendment-passage`
- **2024-04-05** (H) AM NO 10 OFFERED
- **2024-04-05** (H) AM 1 TO AM 10 ADOPTED Y38 N1 E1
- **2024-04-05** (H) AM NO 10 AS AMD ADOPTED Y38 N1 E1 `amendment-passage`
- **2024-04-05** (H) ...CHANGES TITLE OF LEGISLATION
- **2024-04-05** (H) AM NO 11 FAILED Y14 N25 E1 `amendment-failure`
- **2024-04-05** (H) AM NO 12 OFFERED
- **2024-04-05** (H) AM 1 TO AM 12 ADOPTED Y36 N3 E1
- **2024-04-05** (H) MOTION TO RESCIND ACTION (ADOPTING) AM 1 TO AM 12 FAILED Y16 N22 E1 A1 `failure`
- **2024-04-05** (H) AM NO 12 AS AMD FAILED Y18 N20 E1 A1 `amendment-failure`
- **2024-04-05** (H) AM NO 13 NOT OFFERED
- **2024-04-05** (H) AM NO 14 FAILED Y9 N28 E1 A2 `amendment-failure`
- **2024-04-05** (H) AM NO 15 OFFERED
- **2024-04-05** (H) AM NO 15 RULED OUT OF ORDER
- **2024-04-05** (H) SUSTAINED RULING OF CHAIR Y23 N14 E2 A1
- **2024-04-05** (H) AM NO 16 FAILED Y17 N20 E2 A1 `amendment-failure`
- **2024-04-05** (H) AM NOS 17 AND 18 NOT OFFERED
- **2024-04-05** (H) RESCIND ACTION (ADOPTING) AM 9 FAILED Y1 N36 E2 A1 `failure`
- **2024-04-05** (H) ADVANCED TO THIRD READING 4/8 CALENDAR `reading-3`
- **2024-04-08** (H) READ THE THIRD TIME HCS CSSB 45(2D L&C) AM H(EFD ADD H) `reading-3`
- **2024-04-08** (H) PASSED Y28 N12 `passage`
- **2024-04-08** (H) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2024-04-08** (H) EASTMAN NOTICE OF RECONSIDERATION
- **2024-04-08** (H) RECON TAKEN UP SAME DAY FAILED Y26 N14 `failure`
- **2024-04-09** (H) RECONSIDERATION NOT TAKEN UP
- **2024-04-09** (H) TRANSMITTED TO (S) AS AMENDED `passage`
- **2024-04-09** (H) VERSION: HCS CSSB 45(2D L&C) AM H(EFD ADD H)
- **2024-04-10** (S) CONCUR MESSAGE READ
- **2024-04-11** (S) CONCUR MESSAGE TAKEN UP
- **2024-04-11** (S) CONCUR AM OF (H) Y12 N7 E1
- **2024-04-11** (S) EFFECTIVE DATE(S) ADOPTED Y19 E1
- **2024-10-09** (S) 9:15 A.M. 8/19/24 Transmitted to Governor `executive-receipt`
- **2024-10-09** (S) Signed into law 8/30 CHAPTER 41 SLA 24 `executive-signature`
- **2024-10-09** (S) EFFECTIVE DATE(S) OF LAW 1/1/25 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5bc770e1-7178-4677-a7b6-7c3b25734e9b`. Confidence: reported (aggregated from official Alaska legislature records).