---
type: "Bill"
title: "An Act relating to prior authorization requests for medical care covered by a health care insurer; relating to a prior authorization application programming interface; relating to step therapy; and providing for an effective date."
description: "An Act relating to prior authorization requests for medical care covered by a health care insurer; relating to a prior authorization application programming interface; relating to step therapy; and providing for an effective date."
jurisdiction: "us/states/ak"
legislature: "Alaska Legislature"
session: "34"
identifier: "SB 133"
citation: "Alaska SB 133 (34)"
classification: ["bill"]
subjects: ["APPEALS", "CLAIMS", "CONTRACTORS", "DATA PROCESSING", "DISCLOSURE", "DRUGS", "HEALTH & SOCIAL SERVICES", "INSURANCE", "MEDICAL CARE", "OCCUPATIONS & PROFESSIONS"]
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 64
vote_count: 4
first_action: "2025-03-17"
last_action: "2025-07-30"
source: "openstates"
source_identifier: "ocd-bill/a53a993a-7276-4b0a-8e4f-1f6f15077c7e"
source_url: "https://www.akleg.gov/basis/Bill/Detail/34?Root=SB133"
source_hash: "2a053d38dde1e76ba795a2064c5a2bd89e8cb2c474d3383707f031d732445a1d"
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 133 (34) — An Act relating to prior authorization requests for medical care covered by a health care insurer; relating to a prior authorization application programming interface; relating to step therapy; and providing for an effective date.

## Version chain

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

1. **CSSB 133(L&C)** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133B)
2. **Enrolled SB 133** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133Z)
3. **SB 133** (committee substitute) — [source](https://www.akleg.gov/basis/Bill/Text/34?Hsid=SB0133A)

## Votes

- (S) PASSED Y19 N- A1 #1232 — **19–0** (pass) · upper
- (H) PASSED ON RECONSIDERATION Y40 #1304 — **40–0** (pass) · lower
- (H) ADVANCED TO THIRD READING Y33 N7 #1302 — **33–7** (pass) · lower
- (H) PASSED Y40 #1303 — **40–0** (pass) · lower

## Sponsors

- Senate Labor & Commerce — primary (organization)

## Timeline

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

- **2025-03-17** (S) READ THE FIRST TIME - REFERRALS `reading-1`
- **2025-03-17** (S) L&C, FIN
- **2025-03-19** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2025-03-19** (S) Heard & Held
- **2025-03-19** (S) Minutes (SL&C)
- **2025-03-26** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2025-03-26** (S) Heard & Held
- **2025-03-26** (S) Minutes (SL&C)
- **2025-04-02** (S) LABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg)
- **2025-04-02** (S) Moved CSSB 133(L&C) Out of Committee
- **2025-04-02** (S) Minutes (SL&C)
- **2025-04-04** (S) L&C RPT CS 5DP SAME TITLE
- **2025-04-04** (S) DP: BJORKMAN, DUNBAR, MERRICK, GRAY-JACKSON, YUNDT
- **2025-04-04** (S) FN1: ZERO(CED)
- **2025-04-15** (S) FINANCE at 09:00 AM SENATE FINANCE 532
- **2025-04-15** (S) Heard & Held
- **2025-04-15** (S) Minutes (SFIN)
- **2025-04-29** (S) FINANCE at 09:00 AM SENATE FINANCE 532
- **2025-04-29** (S) Moved CSSB 133(L&C) Out of Committee
- **2025-04-29** (S) Minutes (SFIN)
- **2025-04-30** (S) FIN RPT CS(L&C) 4DP 2NR
- **2025-04-30** (S) DP: HOFFMAN, CRONK, MERRICK, KIEHL
- **2025-04-30** (S) NR: STEDMAN, KAUFMAN
- **2025-04-30** (S) FN1: ZERO(CED)
- **2025-05-09** (S) RULES TO CALENDAR 5/9/2025
- **2025-05-09** (S) READ THE SECOND TIME `reading-2`
- **2025-05-09** (S) L&C CS ADOPTED UC
- **2025-05-09** (S) ADVANCED TO THIRD READING 5/12 CAL `reading-3`
- **2025-05-09** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2025-05-09** (H) <Bill Hearing Canceled>
- **2025-05-09** (H) Minutes (HL&C)
- **2025-05-12** (S) READ THE THIRD TIME CSSB 133(L&C) `reading-3`
- **2025-05-12** (S) PASSED Y19 N- A1 `passage`
- **2025-05-12** (S) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2025-05-12** (S) TRANSMITTED TO (H) `passage`
- **2025-05-12** (S) VERSION: CSSB 133(L&C)
- **2025-05-12** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2025-05-12** (H) <Pending Referral> -- MEETING CANCELED --
- **2025-05-13** (H) READ THE FIRST TIME - REFERRALS `reading-1`
- **2025-05-13** (H) L&C, FIN
- **2025-05-14** (H) LABOR & COMMERCE at 03:15 PM BARNES 124
- **2025-05-14** (H) Moved CSSB 133(L&C) Out of Committee -- Delayed to 15 min Following Session --
- **2025-05-14** (H) Minutes (HL&C)
- **2025-05-16** (H) L&C RPT 6DP
- **2025-05-16** (H) DP: BURKE, CARRICK, SADDLER, NELSON, FIELDS, HALL
- **2025-05-16** (H) FN1: ZERO(CED)
- **2025-05-16** (H) FIN REFERRAL REMOVED
- **2025-05-18** (H) RULES TO CALENDAR 5/18/2025
- **2025-05-18** (H) READ THE SECOND TIME `reading-2`
- **2025-05-18** (H) ADVANCED TO THIRD READING NEXT CALENDAR `reading-3`
- **2025-05-18** (H) ADVANCED TO THIRD READING Y33 N7 `reading-3`
- **2025-05-18** (H) READ THE THIRD TIME CSSB 133(L&C) `reading-3`
- **2025-05-18** (H) PASSED Y40 `passage`
- **2025-05-18** (H) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2025-05-18** (H) RUFFRIDGE NOTICE OF RECONSIDERATION
- **2025-05-18** (H) RECON SAME DAY UC - IN THIRD READING `reading-3`
- **2025-05-18** (H) PASSED ON RECONSIDERATION Y40 `passage`
- **2025-05-18** (H) EFFECTIVE DATE(S) SAME AS PASSAGE
- **2025-05-18** (H) RETURN TO (S), TRANSMIT TO GOV NEXT
- **2025-05-18** (H) VERSION: CSSB 133(L&C)
- **2025-07-30** (S) 3:20 P.M. 6/23/25 Transmitted to Governor `executive-receipt`
- **2025-07-30** (S) MANIFEST ERROR(S)
- **2025-07-30** (S) LAW W/O GOV SIGNATURE 7/15 CHAPTER 21 SLA 25 `became-law`
- **2025-07-30** (S) 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/a53a993a-7276-4b0a-8e4f-1f6f15077c7e`. Confidence: reported (aggregated from official Alaska legislature records).