---
type: "Bill"
title: "An Act relating to the rural health transformation program; relating to the interstate medical licensure compact; relating to the PA licensure compact; relating to the psychology interjurisdictional compact; relating to the practice of respiratory care; relating to the duties of the Department of Commerce, Community, and Economic Development; relating to telehealth provided by respiratory care practitioners; relating to a social work licensure compact; relating to the practice of social work; relating to medical malpractice liability of respiratory care practitioners; relating to immunity from civil liability for a respiratory care practitioner providing free health care services; relating to national criminal history record checks; relating to respiratory care practitioners providing documentation and treatment plans for public school students with asthma or anaphylaxis; relating to the recognition of EMS personnel licensure interstate compact; prohibiting unfair discrimination under group health insurance against respiratory care practitioners; establishing the Rural Health Transformation Program Advisory Council; and providing for an effective date."
description: "An Act relating to the rural health transformation program; relating to the interstate medical licensure compact; relating to the PA licensure compact; relating to the psychology interjurisdictional compact; relating to the practice of respiratory care; relating to the duties of the Department of Commerce, Community, and Economic Development; relating to telehealth provided by respiratory care practitioners; relating to a social work licensure compact; relating to the practice of social work; relating to medical malpractice liability of respiratory care practitioners; relating to immunity from civil liability for a respiratory care practitioner providing free health care services; relating to national criminal history record checks; relating to respiratory care practitioners providing documentation and treatment plans for public school students with asthma or anaphylaxis; relating to the recognition of EMS personnel licensure interstate compact; prohibiting unfair discrimination under group health insurance against respiratory care practitioners; establishing the Rural Health Transformation Program Advisory Council; and providing for an effective date."
jurisdiction: "us/states/ak"
legislature: "Alaska Legislature"
session: "34"
identifier: "HB 110"
citation: "Alaska HB 110 (34)"
classification: ["bill"]
subjects: ["ANIMALS", "BOARDS & COMMISSIONS", "COMPACTS", "CRIMES", "HEALTH & SOCIAL SERVICES", "INSURANCE", "INTERGOVERNMENTAL RELATIONS", "INTERNET", "LIABILITY", "LICENSING", "MEDICAL CARE", "OCCUPATIONS & PROFESSIONS", "PSYCHOLOGISTS", "SCHOOLS", "TOBACCO"]
status: "enacted"
primary_sponsors: ["Gray"]
version_count: 6
action_count: 77
vote_count: 8
first_action: "2025-02-21"
last_action: "2026-06-22"
source: "openstates"
source_identifier: "ocd-bill/19b6499a-0395-40de-9b46-d6550f60b5fe"
source_url: "https://www.akleg.gov/basis/Bill/Detail/34?Root=HB110"
source_hash: "53b2f47cdbffa54f7e369592896e0308b483aaf69b0f657988bc08150f6810c3"
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 HB 110 (34) — An Act relating to the rural health transformation program; relating to the interstate medical licensure compact; relating to the PA licensure compact; relating to the psychology interjurisdictional compact; relating to the practice of respiratory care; relating to the duties of the Department of Commerce, Community, and Economic Development; relating to telehealth provided by respiratory care practitioners; relating to a social work licensure compact; relating to the practice of social work; relating to medical malpractice liability of respiratory care practitioners; relating to immunity from civil liability for a respiratory care practitioner providing free health care services; relating to national criminal history record checks; relating to respiratory care practitioners providing documentation and treatment plans for public school students with asthma or anaphylaxis; relating to the recognition of EMS personnel licensure interstate compact; prohibiting unfair discrimination under group health insurance against respiratory care practitioners; establishing the Rural Health Transformation Program Advisory Council; and providing for an effective date.

## Version chain

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

1. **Enrolled HB 110** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110Z)
2. **HB 110** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110A)
3. **HB 110 am** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110B)
4. **SCS HB 110(FIN)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110D)
5. **SCS HB 110(FIN) am S** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110E)
6. **SCS HB 110(L&C)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=HB0110C)

## Votes

- (H) CONCUR AM OF (S) Y39 A1 #2988 — **39–0** (pass) · lower
- (H) AM NO 2 FAILED Y19 N21 # 1599 — **19–21** (fail) · lower
- (S) EFFECTIVE DATE(S) ADOPTED Y19 N1 #2840 — **19–1** (pass) · upper
- (H) PASSED Y40 #1600 — **40–0** (pass) · lower
- (S) FAILED PASSAGE Y9 N11 #2837 — **9–11** (fail) · upper
- (S) AM NO 1 ADOPTED Y13 N7 # 2836 — **13–7** (pass) · upper
- (S) RESCIND ACTION Y13 N7 #2838 — **13–7** (pass) · upper
- (S) PASSED Y13 N7 #2839 — **13–7** (pass) · upper

## Sponsors

- Gray — primary (person)
- Galvin — cosponsor (person)
- Josephson — cosponsor (person)
- Prax — cosponsor (person)
- Story — cosponsor (person)

## Timeline

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

- **2025-02-21** (H) READ THE FIRST TIME - REFERRALS `reading-1`
- **2025-02-21** (H) L&C, FIN
- **2025-05-07** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2025-05-07** (H) Heard & Held
- **2025-05-07** (H) Minutes (HL&C)
- **2025-05-09** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2025-05-09** (H) Moved HB 110 Out of Committee
- **2025-05-09** (H) Minutes (HL&C)
- **2025-05-13** (H) L&C RPT 6DP
- **2025-05-13** (H) DP: BURKE, COULOMBE, SADDLER, CARRICK, HALL, FIELDS
- **2025-05-13** (H) FN1: ZERO(CED)
- **2025-05-14** (H) FIN REFERRAL REMOVED
- **2026-02-09** (H) RULES TO CALENDAR 2/9/2026
- **2026-02-09** (H) READ THE SECOND TIME `reading-2`
- **2026-02-09** (H) FN2: ZERO(CED)(SUBMITTED BY RULES)
- **2026-02-09** (H) AM NO 1 ADOPTED UC `amendment-passage`
- **2026-02-09** (H) HELD IN SECOND READING TO 2/11 CALENDAR
- **2026-02-09** (H) COSPONSOR(S): GALVIN, PRAX, JOSEPHSON
- **2026-02-11** (H) BEFORE HOUSE IN SECOND READING
- **2026-02-11** (H) AM NO 2 FAILED Y19 N21 `amendment-failure`
- **2026-02-11** (H) ADVANCED TO THIRD READING UC `reading-3`
- **2026-02-11** (H) READ THE THIRD TIME HB 110 AM `reading-3`
- **2026-02-11** (H) PASSED Y40 `passage`
- **2026-02-11** (H) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2026-02-11** (H) TRANSMITTED TO (S) `passage`
- **2026-02-11** (H) VERSION: HB 110 AM
- **2026-02-13** (S) READ THE FIRST TIME - REFERRALS `reading-1`
- **2026-02-13** (S) L&C, FIN
- **2026-03-13** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2026-03-13** (S) Heard & Held
- **2026-03-25** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2026-03-25** (S) Heard & Held
- **2026-04-10** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2026-04-10** (S) Heard & Held
- **2026-05-06** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2026-05-06** (S) Moved SCS HB 110(L&C) Out of Committee
- **2026-05-08** (S) L&C RPT SCS 2DP 3NR NEW TITLE
- **2026-05-08** (S) TITLE CHANGE: SCR 25
- **2026-05-08** (S) DP: BJORKMAN, GRAY-JACKSON
- **2026-05-08** (S) NR: DUNBAR, MERRICK, YUNDT
- **2026-05-08** (S) FN2: ZERO(CED)(SUBMITTED BY RULES)
- **2026-05-08** (S) FN3: ZERO(DPS)
- **2026-05-16** (S) FINANCE at 09:00 AM SENATE FINANCE 532
- **2026-05-16** (S) Heard & Held -- Please Note Time Change --
- **2026-05-19** (S) FINANCE at 09:00 AM SENATE FINANCE 532
- **2026-05-19** (S) FINANCE at 01:30 PM SENATE FINANCE 532
- **2026-05-19** (S) Moved SCS HB 110(FIN) Out of Committee
- **2026-05-20** (S) FIN RPT SCS 1DP 5NR 1DNP NEW TITLE
- **2026-05-20** (S) TITLE CHANGE: SCR 25
- **2026-05-20** (S) DP: HOFFMAN
- **2026-05-20** (S) NR: OLSON, STEDMAN, KAUFMAN, CRONK, MERRICK
- **2026-05-20** (S) DNP: KIEHL
- **2026-05-20** (S) FN4: (CED)
- **2026-05-20** (S) FN5: ZERO(DOH)
- **2026-05-20** (S) FN6: (DPS)
- **2026-05-20** (S) RULES TO CALENDAR 5/20/2026
- **2026-05-20** (S) READ THE SECOND TIME `reading-2`
- **2026-05-20** (S) FIN SCS ADOPTED UC
- **2026-05-20** (S) AM NO 1 ADOPTED Y13 N7 `amendment-passage`
- **2026-05-20** (S) ...CHANGES TITLE OF LEGISLATION
- **2026-05-20** (S) ADVANCED TO THIRD READING UC `reading-3`
- **2026-05-20** (S) READ THE THIRD TIME SCS HB 110(FIN) AM S `reading-3`
- **2026-05-20** (S) FAILED PASSAGE Y9 N11 `failure`
- **2026-05-20** (S) RESCIND ACTION Y13 N7
- **2026-05-20** (S) PASSED Y13 N7 `passage`
- **2026-05-20** (S) EFFECTIVE DATE(S) ADOPTED Y19 N1
- **2026-05-20** (S) TRANSMITTED TO (H) AS AMENDED `passage`
- **2026-05-20** (S) VERSION: SCS HB 110(FIN) AM S
- **2026-05-20** (H) CONCUR MESSAGE RECEIVED
- **2026-05-20** (H) CONCUR MESSAGE TAKEN UP
- **2026-05-20** (H) CONCUR AM OF (S) Y39 A1
- **2026-05-20** (H) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2026-05-20** (H) TITLE CHANGE: SCR 25
- **2026-06-04** (H) MANIFEST ERROR(S)
- **2026-06-10** (H) 12:55 P.M. 6/5/26 Transmitted to Governor `executive-receipt`
- **2026-06-22** (H) LAW W/O GOV SIGNATURE 6/22 CH 28 SLA 26 `became-law`
- **2026-06-22** (H) EFFECTIVE DATE(S) OF LAW SEE CHAPTER `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/19b6499a-0395-40de-9b46-d6550f60b5fe`. Confidence: reported (aggregated from official Alaska legislature records).