ADMINISTRATIVE ORDER NO. 100
OFFICE OF THE GOVERNOR
September 18, 1987
Health care costs in Alaska have traditionally been significantly
higher than the costs of comparable services in the lower forty-eight.
In addition, while the nation's health care costs have, in recent
years, decreased in their growth rate, Alaska has not experienced
a similar reduction.
The cost of medical care in Alaska has grown at a rate that
is 10 per cent above inflation, with the particular costs of
acute and long term care showing even greater increases. While
it is essential that the health care industry in Alaska remain
vital, in order to provide access to health care services for
all Alaskans, the state must insure judicious spending patterns
in these years of a declining/consolidating economy.
It is important that the state define what it considers to
be an acceptable level of access to health care, with particular
concern for Alaska's rural and indigent populations. In a period
when a majority of states are exploring options for providing
indigent care, reducing uncompensated care, and providing health
insurance options to its uninsured citizenry, Alaska finds itself
in an opposite position, having to eliminate or reduce long standing
programs (like the Catastrophic Illness and General Relief Medical
Assistance Programs) which have had a history of improving the
health status of Alaskans.
It is in the best interests of the people of Alaska, and necessary
for the efficient administration of government, that a review
be conducted of the causes of increasing health care costs in
Alaska, and that the Governor and the Legislature be advised
of the status of Alaska's health care delivery system.
Therefore, I, Steve Cowper, Governor of the State of Alaska,
under the authority of Article III of the Alaska Constitution
and of AS 44.19.028, AS 44.19.145(c) and AS 44.17.060, order
Section 1. Creation and Composition.
The Governor's Interim Commission on the Status of Health
Care and the Health Care Industry in Alaska (hereafter Governor's
Interim Health Care Commission) is hereby created within the
Department of Health and Social Services. The commission consists
of the Commissioner of the Department of Health and Social Services
and the following members whom I have appointed: (1) one member
of the finance committee and one member of the health, education
and social services committee of each house of the legislature;
and (2) six members of the public knowledgeable in or experienced
in the provision of health care services in the state.
Section 2. Responsibilities.
The Governor's Interim Health Care Commission shall examine
the causes of increasing health care costs, review laws and regulations
relating to health care in the state, review the relevant efforts
of other states to contain health and medical care costs, and
make recommendations regarding legislation or regulations which
may be necessary to reduce the cost of health care and to increase
the effectiveness of health care delivery systems to the residents
of the state, especially the indigent.
Section 3. Report.
The Governor's Interim Health Care Commission shall submit
a report to me and the Legislature by March 1, 1988.
Section 4. Duration.
The Governor's Interim Health Care Commission shall cease
to exist on May' 10, 1988, unless it is extended by subsequent
administrative order or legislation.
This order takes effect immediately.
DATED at Juneau, Alaska, September 18th, 1987
Governor of the State of Alaska