Alaska Primary Care Association
Alaska Health Center Policy Priorities
The APCA Board of Director Policy & Advocacy Committee annual draft legislative and regulatory priorities. These are reviewed by the APCA Board of Directors before the coming year’s Alaska legislative session.

Approved December 12, 2024
2025 APCA and Alaska FQHC Policy Priority Areas
1. FQHC PAYMENT
- Request Accurate and Legal Medicaid Payment for Alaska FQHCs.
- Support Efforts to Build Congressional Support for Meaningful 330 Funding Increase with new Multiyear Authorization.
- Support FQHC participation in Care Coordination Demonstration Projects.
FQHC Payment Policy Priorities include:
State:
- Influence Department of Health Officials to implement timely regulations to support corrections needed to support accurate FQHC payment.
- Encourage State of Alaska to submit Medicaid State Plan Amendments, if necessary.
- Request bi-partisan support to successfully pass new legislation, if necessary.
- Engage with Department of Health to support the development of new waiver programs and demonstration projects that recognize FQHCs and the unique and important role they play in Alaska’s Health Care System.
- Medicaid Waivers to support Health Related Social Needs
- Health Home primary care case management and care coordination
- Community Health Workers
Federal:
- Support national partners with opportunities to strengthen FQHC Payment Methodology and Federal oversight.
- Actively advocate for comprehensive multi-year authorization with national colleagues that prioritizes significant base rate increases, new access point funding, workforce loan repayment and development initiatives, and behavioral health base grant adjustments.
2. FQHC WORKFORCE
- Recommend building a tailored Teaching Health Center Program in Alaska to be established January 2028.
FQHC Workforce Policy Priorities Include:
State:
- Educate Legislators and State Officials about the value of the Teaching Health Center program and opportunities for Alaska.
Federal:
- Explore Federal resources and supports available to support Alaska’s Teaching Health Center program.
3. FQHC PATIENT ACCESS
- Protect Alaskans’ Access to Affordable Prescriptions via 340B Program.
- Protect Medicaid Eligibility through ongoing monitoring and rapid response.
- Request Medicare Geographical Adjustment Factor Increase by January 1, 2027.
Patient Access Policy Priorities Include:
State:
- Support key legislation to protect FQHC contract and entity owned pharmacy access to 340B discounts and/or support drafting and sponsoring of legislation.
- Collaborate with State Officials to build a case for support for Congressional action to provide a Medicare Geographical Adjustment Factor increase for Alaska.
Federal:
- Advocate with Senator Murkowski to advance 340B key legislation.
- Work with Senator Murkowski and team to communicate concern and request guidance and support with the process of requesting a Medicare Geographical Adjustment Factor increase for Alaska.