---
type: "Bill"
title: "An Act relating to the sharing of confidential health information between the Department of Health and the Department of Family and Community Services; relating to home- and community-based services under the medical assistance program; relating to medical assistance for recipients of Medicaid waivers; establishing a host care home license and procedures; providing for the transition of individuals from foster care to host home care settings; and providing for an effective date."
description: "An Act relating to the sharing of confidential health information between the Department of Health and the Department of Family and Community Services; relating to home- and community-based services under the medical assistance program; relating to medical assistance for recipients of Medicaid waivers; establishing a host care home license and procedures; providing for the transition of individuals from foster care to host home care settings; and providing for an effective date."
jurisdiction: "us/states/ak"
legislature: "Alaska Legislature"
session: "33"
identifier: "SB 57"
citation: "Alaska SB 57 (33)"
classification: ["bill"]
subjects: ["AGE OF PERSONS", "DISABILITIES", "FAMILIES", "FEDERAL AID", "FOSTER CARE", "HEALTH & SOCIAL SERVICES", "LICENSING", "MEDICAL CARE", "NURSING HOMES", "PUBLIC ASSISTANCE"]
status: "enacted"
primary_sponsors: []
version_count: 6
action_count: 86
vote_count: 4
first_action: "2023-02-06"
last_action: "2023-10-16"
source: "openstates"
source_identifier: "ocd-bill/ddb003b7-f8d1-4d3e-b5fa-076c2d7f9c36"
source_url: "https://www.akleg.gov/basis/Bill/Detail/33?Root=SB57"
source_hash: "5a1422d2c583e7802db152fc6b501285332054615a6348e03be6b57522659ab0"
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 57 (33) — An Act relating to the sharing of confidential health information between the Department of Health and the Department of Family and Community Services; relating to home- and community-based services under the medical assistance program; relating to medical assistance for recipients of Medicaid waivers; establishing a host care home license and procedures; providing for the transition of individuals from foster care to host home care settings; and providing for an effective date.

## Version chain

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

1. **CSSB 57(FIN)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0057B)
2. **CSSB 57(FIN) am** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0057C)
3. **Enrolled SB 57** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0057Z)
4. **HCS CSSB 57(FIN)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0057D)
5. **HCS CSSB 57(FIN) am H** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0057E)
6. **SB 57** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/33?Hsid=SB0057A)

## Votes

- (H) AM 1 TO AM 1 FAILED Y1 N39 #974 — **1–39** (fail) · lower
- (H) PASSED Y39 N1 #978 — **39–1** (pass) · lower
- (S) CONCUR AM OF (H) Y20 N- #1027 — **20–0** (pass) · upper
- (S) PASSED Y17 N- E2 A1 #840 — **17–0** (pass) · upper

## Sponsors

- Senate Rules — primary (organization)

## Timeline

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

- **2023-02-06** (S) READ THE FIRST TIME - REFERRALS `reading-1`
- **2023-02-06** (S) HSS, FIN
- **2023-02-06** (S) FN1: (DOH)
- **2023-02-06** (S) FN2: (DOH)
- **2023-02-06** (S) GOVERNOR'S TRANSMITTAL LETTER
- **2023-03-02** (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205
- **2023-03-02** (S) Heard & Held
- **2023-03-02** (S) Minutes (SHSS)
- **2023-03-09** (S) HEALTH & SOCIAL SERVICES at 03:30 PM BUTROVICH 205
- **2023-03-09** (S) Moved SB 57 Out of Committee
- **2023-03-09** (S) Minutes (SHSS)
- **2023-03-10** (S) HSS RPT 3DP 2NR
- **2023-03-10** (S) DP: WILSON, DUNBAR, GIESSEL
- **2023-03-10** (S) NR: TOBIN, KAUFMAN
- **2023-03-10** (S) FN1: (DOH)
- **2023-03-10** (S) FN2: (DOH)
- **2023-03-28** (S) FINANCE at 09:00 AM SENATE FINANCE 532
- **2023-03-28** (S) Heard & Held
- **2023-03-28** (S) Minutes (SFIN)
- **2023-04-19** (S) FINANCE at 09:00 AM SENATE FINANCE 532
- **2023-04-19** (S) Moved CSSB 57(FIN) Out of Committee
- **2023-04-19** (S) Minutes (SFIN)
- **2023-04-19** (S) FINANCE at 01:30 PM SENATE FINANCE 532
- **2023-04-19** (S) <Bill Hearing Canceled> -- Please Note Time Change --
- **2023-04-19** (S) Minutes (SFIN)
- **2023-04-21** (S) FIN RPT CS 3DP 3NR SAME TITLE
- **2023-04-21** (S) DP: HOFFMAN, BISHOP, KIEHL
- **2023-04-21** (S) NR: STEDMAN, OLSON, MERRICK
- **2023-04-21** (S) FN3: (DOH)
- **2023-04-21** (S) FN4: (DOH)
- **2023-04-21** (S) FN5: ZERO(DOH)
- **2023-04-24** (S) RULES TO CALENDAR 4/24/23
- **2023-04-24** (S) READ THE SECOND TIME `reading-2`
- **2023-04-24** (S) FIN CS ADOPTED UC
- **2023-04-24** (S) AM NO 1 ADOPTED UC `amendment-passage`
- **2023-04-24** (S) ...CHANGES TITLE OF LEGISLATION
- **2023-04-24** (S) ADVANCED TO THIRD READING UC `reading-3`
- **2023-04-24** (S) READ THE THIRD TIME CSSB 57(FIN) AM `reading-3`
- **2023-04-24** (S) PASSED Y17 N- E2 A1 `passage`
- **2023-04-24** (S) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2023-04-24** (S) TRANSMITTED TO (H) `passage`
- **2023-04-24** (S) VERSION: CSSB 57(FIN) AM
- **2023-04-26** (H) READ THE FIRST TIME - REFERRALS `reading-1`
- **2023-04-26** (H) FIN
- **2023-04-26** (H) FINANCE at 01:30 PM ADAMS 519
- **2023-04-26** (H) Heard & Held
- **2023-04-26** (H) Minutes (HFIN)
- **2023-05-01** (H) FIN RPT HCS(FIN) 11DP
- **2023-05-01** (H) DP: STAPP, GALVIN, HANNAN, JOSEPHSON, ORTIZ, TOMASZEWSKI, COULOMBE, CRONK,
- **2023-05-01** (H) D.JOHNSON, EDGMON, FOSTER
- **2023-05-01** (H) FN3: (DOH)
- **2023-05-01** (H) FN4: (DOH)
- **2023-05-01** (H) FN5: ZERO(DOH)
- **2023-05-01** (H) FN6: ZERO(DOH)
- **2023-05-01** (H) FN7: (DOH)
- **2023-05-01** (H) FINANCE at 10:00 AM ADAMS 519
- **2023-05-01** (H) Moved HSC CSSB 57(FIN) Out of Committee
- **2023-05-01** (H) Minutes (HFIN)
- **2023-05-08** (H) RULES TO CALENDAR 5/8/2023
- **2023-05-08** (H) READ THE SECOND TIME `reading-2`
- **2023-05-08** (H) FIN HCS ADOPTED UC
- **2023-05-08** (H) AM NO 1 OFFERED
- **2023-05-08** (H) AM 1 TO AM 1 FAILED Y1 N39 `failure`
- **2023-05-08** (H) AM NO 1 ADOPTED UC `amendment-passage`
- **2023-05-08** (H) ...CHANGES TITLE OF LEGISLATION
- **2023-05-08** (H) AM NO 2 ADOPTED UC `amendment-passage`
- **2023-05-08** (H) ...CHANGES TITLE OF LEGISLATION
- **2023-05-08** (H) ADVANCED TO THIRD READING UC `reading-3`
- **2023-05-08** (H) READ THE THIRD TIME HCS CSSB 57(FIN) AM H `reading-3`
- **2023-05-08** (H) PASSED Y39 N1 `passage`
- **2023-05-08** (H) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2023-05-08** (H) TITLE CHANGE: HCR 3
- **2023-05-08** (H) TRANSMITTED TO (S) AS AMENDED `passage`
- **2023-05-08** (H) VERSION: HCS CSSB 57(FIN) AM H
- **2023-05-09** (S) CONCUR MESSAGE READ AND HELD
- **2023-05-10** (S) CONCUR AM OF (H) Y20 N-
- **2023-05-10** (S) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2023-05-10** (S) TITLE CHANGE: HCR 3
- **2023-10-16** (S) MANIFEST ERROR(S)
- **2023-10-16** (S) 10:55 A.M. 7/14/23 Transmitted to Governor `executive-receipt`
- **2023-10-16** (S) Signed into law 7/29 CHAPTER 22 SLA 23 `executive-signature`
- **2023-10-16** (S) EFFECTIVE DATE(S) OF LAW SEE CHAPTER `became-law`
- **2023-10-16** (S) LEG FINANCE APPROPRIATION MESSAGE 8/28/23
- **2023-10-16** (H) LEG FINANCE APPROPRIATION MESSAGE 8/28/23
- **2023-10-16** (H) FN(S) ATTACHED TO APPROP. BILL HB 39
- **2023-10-16** (H) FN4: (DOH)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ddb003b7-f8d1-4d3e-b5fa-076c2d7f9c36`. Confidence: reported (aggregated from official Alaska legislature records).