AK SJR27

Alaska received $272,174,856 from the federal Centers for Medicare and Medicaid Services on December 29, 2025, for the first year of the rural health transformation program—the second-highest total and highest per capita funding of any state.

Federal law requires Alaska to enact enabling legislation by December 31, 2027, to maintain the full allocation; failure to meet commitments may result in fund redistribution to other states beginning March 31, 2028.

Six priority investment areas include maternal and child health services, expanding rural health care access, community wellness initiatives, value-based care financing, workforce recruitment and retention, and telehealth infrastructure modernization.

Legislature urges the Governor to obtain federal clarification on allowable fund uses, provide interim implementation reports, and identify barriers requiring legislative action.

Legislature urges Alaska's congressional delegation to advocate for maximum state flexibility and defend the full funding allocation against reduction or redistribution efforts.