Alaska · Senate Bill 133 · 34th Legislature (2025-2026)

An Act relating to prior authorization requests for medical care covered by a health care insurer; relating to a prior authorization application…

SB 133 Sponsored by Senate Labor & Commerce Committee Became law

  1. Introduced Mar 17, 2025
  2. In committee Mar 17, 2025
  3. Passed the Senate May 12, 2025
  4. Passed the House May 18, 2025
  5. To the governor Jun 23, 2025
  6. Became law Jul 15, 2025

What it does

The legislature's own summary of the bill, or its official long title.

INSURANCE; PRIOR AUTHORIZATIONS

Read the full official title (34 words)

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.

Every action

57 steps, oldest first, as the legislature records them.

Show the 49 earlier steps
  1. SenateREAD THE FIRST TIME - REFERRALS
  2. CommitteeL&C, FIN · Senate Labor & Commerce
  3. CommitteeLABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) · Senate Labor & Commerce
  4. CommitteeHeard & Held · Senate Labor & Commerce
  5. CommitteeLABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) · Senate Labor & Commerce
  6. CommitteeHeard & Held · Senate Labor & Commerce
  7. CommitteeLABOR & COMMERCE at 01:30 PM BELTZ 105 (TSBldg) · Senate Labor & Commerce
  8. CommitteeMoved CSSB 133(L&C) Out of Committee · Senate Labor & Commerce
  9. CommitteeL&C RPT CS 5DP SAME TITLE · Senate Labor & Commerce
  10. CommitteeDP: BJORKMAN, DUNBAR, MERRICK, GRAY-JACKSON, YUNDT · Senate Labor & Commerce
  11. SenateFN1: ZERO(CED)
  12. CommitteeFINANCE at 09:00 AM SENATE FINANCE 532 · Senate Finance
  13. CommitteeHeard & Held · Senate Finance
  14. CommitteeFINANCE at 09:00 AM SENATE FINANCE 532 · Senate Finance
  15. CommitteeMoved CSSB 133(L&C) Out of Committee · Senate Finance
  16. CommitteeFIN RPT CS(L&C) 4DP 2NR · Senate Finance
  17. CommitteeDP: HOFFMAN, CRONK, MERRICK, KIEHL · Senate Finance
  18. CommitteeNR: STEDMAN, KAUFMAN · Senate Finance
  19. SenateFN1: ZERO(CED)
  20. SenateRULES TO CALENDAR 5/9/2025
  21. SenateREAD THE SECOND TIME
  22. SenateL&C CS ADOPTED UC
  23. SenateADVANCED TO THIRD READING 5/12 CAL
  24. CommitteeLABOR & COMMERCE at 03:15 PM BARNES 124 · House Labor & Commerce
  25. Committee<Bill Hearing Canceled> · House Labor & Commerce
  26. SenateREAD THE THIRD TIME CSSB 133(L&C)
  27. SenatePASSED Y19 N- A1
  28. SenateEFFECTIVE DATE(S) SAME AS PASSAGE
  29. SenateTRANSMITTED TO (H)
  30. SenateVERSION: CSSB 133(L&C)
  31. CommitteeLABOR & COMMERCE at 03:15 PM BARNES 124 · House Labor & Commerce
  32. Committee<Pending Referral> -- MEETING CANCELED -- · House Labor & Commerce
  33. HouseREAD THE FIRST TIME - REFERRALS
  34. CommitteeL&C, FIN · House Labor & Commerce
  35. CommitteeLABOR & COMMERCE at 03:15 PM BARNES 124 · House Labor & Commerce
  36. CommitteeMoved CSSB 133(L&C) Out of Committee -- Delayed to 15 min Following Session -- · House Labor & Commerce
  37. CommitteeL&C RPT 6DP · House Labor & Commerce
  38. CommitteeDP: BURKE, CARRICK, SADDLER, NELSON, FIELDS, HALL · House Labor & Commerce
  39. HouseFN1: ZERO(CED)
  40. HouseFIN REFERRAL REMOVED
  41. HouseRULES TO CALENDAR 5/18/2025
  42. HouseREAD THE SECOND TIME
  43. HouseADVANCED TO THIRD READING 5/19 CALENDAR
  44. HouseADVANCED TO THIRD READING Y33 N7
  45. HouseREAD THE THIRD TIME CSSB 133(L&C)
  46. HousePASSED Y40
  47. HouseEFFECTIVE DATE(S) SAME AS PASSAGE
  48. HouseRUFFRIDGE NOTICE OF RECONSIDERATION
  49. HouseRECON SAME DAY UC - IN THIRD READING
  1. HousePASSED ON RECONSIDERATION Y40
  2. HouseEFFECTIVE DATE(S) SAME AS PASSAGE
  3. HouseRETURN TO (S), TRANSMIT TO GOVERNOR NEXT
  4. HouseVERSION: CSSB 133(L&C)
  5. Senate3:20 P.M. 6/23/25 TRANSMITTED TO GOVERNOR
  6. SenateLAW W/O GOVERNOR SIGNATURE 7/15 CHAPTER 21 SLA 25
  7. SenateMANIFEST ERROR(S)
  8. SenateEFFECTIVE DATE(S) OF LAW SEE CHAPTER

Roll calls

4 recorded votes: 4 on the floor, 0 in committee. Each shows how every member voted.

Third Reading - Final Passage - Effective Date(s) · Full Senate

Passed 19–0
May 12, 2025 · journal entry
Yes 19 No 0 Not voting 1
Democrats: 9 yes, 0 no Republicans: 10 yes, 0 no
How each member voted

Yes · 19

Absent · 1

Second Reading - Advance to Third Reading on the Same Day · Full House

Passed 33–7
May 18, 2025 · journal entry
Yes 33 No 7
Democrats: 14 yes, 0 no Independents: 5 yes, 0 no Republicans: 14 yes, 7 no
How each member voted

Yes · 33

No · 7

Third Reading - Final Passage · Full House

Passed 40–0
May 18, 2025 · journal entry
Yes 40 No 0
Democrats: 14 yes, 0 no Independents: 5 yes, 0 no Republicans: 21 yes, 0 no
How each member voted

Yes · 40

Third Reading - Final Passage - Reconsideration · Full House

Passed 40–0
May 18, 2025 · journal entry
Yes 40 No 0
Democrats: 14 yes, 0 no Independents: 5 yes, 0 no Republicans: 21 yes, 0 no
How each member voted

Yes · 40

Sponsors

The 0 members who introduced it.

  • SL Senate Labor & Commerce Committee Sponsoring committee

From Alaska's official records (akleg.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.