AK SB45

Requires Alaska's Medicaid program to comply with federal mental health parity laws (26 U.S.C. 9812, 29 U.S.C. 1185a, and 42 U.S.C. 300gg-26), ensuring mental health and substance use disorder benefits are not more restrictive than medical and surgical benefits

Mandates the Commissioner of Health evaluate consumer and provider complaints for parity violations and conduct compliance examinations on nonquantitative treatment limitations such as prior authorization, step therapy, reimbursement rates, and network standards

Establishes an annual report due by March 1 to the legislature detailing medical necessity criteria, treatment limitations, and comparative analyses between mental health/substance use disorder coverage and medical/surgical benefits

Requires the Department of Health to submit Medicaid state plan amendments to the U.S. Department of Health and Human Services for approval by December 31, 2025

Makes the bill's core provisions contingent on federal approval of the state plan amendments, with implementation beginning the day after federal approval is received