Might be problematic... Alaska's nearly broke and federal matching funds decrease in 2021.

Recall the Legislature sued the Governor over expanding Medicaid without their approval.

Lawsuit died... state law says the state must cover all mandatory coverage groups. 

Obamacare expanded mandatory coverage to poor Alaskans without children.

Under the Senate bill that group becomes optional in 2020. 

So expansion may be reversed if legislature re-challenges governor’s expansion. 

Under Alaska law, legislature must approve adding optional Medicaid coverage groups.

Seems unlikely with declining federal funding for expansion and a population too small to be taxed enough to make up the difference...

There is, and will be, no deficit reduction.

Basic human rights notwithstanding, costs will rise to soak up every "federal dollar" partly because Medicaid grew far beyond subsidizing just clinical services and medications.

Now what, you may ask...