Alaska
Alaska House approves cut in draft budget for gender dysphoria treatments, but impacts remain unclear
JUNEAU — The Alaska House this week amended its draft budget to cut Medicaid funding for so-called optional treatments for gender dysphoria.
Multiple lawmakers said if the proposed cut is ultimately approved by the Legislature, it would likely not cut health care for transgender Alaskans. But that remains unclear.
Additionally, the Legislature’s attorneys warned the proposed cut to gender dysphoria care could be unconstitutional and unenforceable.
Rep. Sarah Vance, R-Homer, noted that the Alaska State Medical Board urged the Legislature in March to ban hormonal and surgical treatments for minors seeking to transition from one gender to another.
She said the cut would ensure taxpayer-funded coverage for gender dysphoria treatments are limited to only what is “medically necessary” and required by the courts.
In 2021, the state settled a class-action lawsuit that challenged the legality of excluding transgender Alaskans from health coverage related to their gender transitions. Now, that coverage through Medicaid is required.
Jennifer Martinez, a spokesperson for Planned Parenthood Great Northwest, said the organization believed that the proposed cut would likely not result in reduced Medicaid coverage for transgender Alaskans.
But if the cut is ultimately approved by the Legislature, Martinez said that Alaska’s Medicaid office would determine which treatments to cover. That could impact what she called “edge” treatments, such as follow-up surgeries for transgender Alaskans, Martinez said, but it remained unclear.
The intended cut to gender dysphoria treatments was approved on a 21-19 vote. Two Republican members of the Democrat-dominated majority — Reps. Chuck Kopp and Louise Stutes — joined the 19-member, all-Republican minority to approve the cut in the draft budget. All other members of the majority voted no.
Kopp amended the bill to state that optional psychiatric coverage would still be funded for children under age 18 who are experiencing gender dysphoria. He said those services could help “interdict” a child before they made “a life-altering, permanent medical decision.”
Anchorage independent Rep. Alyse Galvin, the mother of a transgender daughter, called the vote largely “political.” She said it would make transgender Alaskans feel “othered and hated.”
The amendment prompted passionate debate on the House floor.
Anchorage Democratic Rep. Andrew Gray, the first openly gay man to serve in the Alaska Legislature, opposed cutting Medicaid funding for transgender Alaskans, who he said are “one of the most marginalized, powerless minorities in our country.”
“I know what it was like to be a 16-year-old whose mother told you that you were wrong, that you were a mistake,” he added.
In response, Vance said the cut was about reducing the deficit. She told the House that it was not intended to suggest transgender children are “broken.”
“God doesn’t make mistakes,” Vance said on the House floor.
In 2021, the state estimated it would cost $28,000 per year to extend Medicaid coverage in Alaska for gender dysphoria treatments, Alaska Public Media reported.
Vance asserted on the House floor that gender dysphoria coverage through Medicaid costs the state $338,000 per year. But she didn’t know how much the state spends on treatments that are required by court order.
That dollar figure was shared with Vance’s office from the Alaska Division of Health Care Services. It represents Medicaid claims since July last year with a primary diagnosis indicating gender dysphoria, Vance’s staff said. But the $338,000 in Medicaid coverage includes funding from both federal and state sources, Vance’s staff added.
Ruth Botstein, the ACLU of Alaska’s legal director, opposed the amendment. She said medical decisions should be made by doctors, patients, and parents in cases involving minor children — not the Alaska Legislature.
”The American Medical Association, together with all other major medical organizations in the United States, supports gender-affirming care because it is medically necessary, evidence-based health care that is crucial to the health and well-being of people suffering from gender dysphoria and gender incongruence,” she said.
Rose O’Hara-Jolley, Alaska state director of Planned Parenthood Alliance Advocates, said the organization is “deeply disappointed” that the House approved “a harmful, performative amendment attacking gender affirming health care.”
“This amendment is rooted in bad faith. It aims to stir confusion, spread misinformation, and fuel fear within Alaska’s LGBTQ+ community,” O’Hara-Jolley said in a prepared statement. “We urge lawmakers to reject this amendment in the final version of the budget. All Alaskans — no matter their income or gender identity — deserve dignity, respect, and access to the care they need.”
Last year, the prior Republican-led majority spent days debating a transgender sports ban bill. But the measure was rejected by the Senate. In 2023, the Alaska School Activities Association banned transgender girls from competing on girls’ teams in high school sports.
Minority House Republicans separately tried to cut Medicaid funding in Alaska for abortions. But the minority’s proposal was rejected on a 20-20 vote. Stutes joined her colleagues in the Democrat-dominated majority to block the proposed cut.
Monday’s vote was the latest in a yearslong series of attempts by Alaska legislators to cancel public funding for abortion services. Prior votes have had little effect.
The Alaska Supreme Court has repeatedly ruled that the right to an abortion is protected by the state’s constitutional right to privacy. Additionally, the court ruled in 2001 that the state would violate the constitution’s equal protection clause and discriminate against poor women if it denied abortion services under Medicaid.
Budget amendment debates continued in the House on Tuesday. Once it is approved by the House, the operating budget next heads to the Senate for its consideration.
Alaska
Alaska Airlines adding new daily flight between Bellingham, Portland | Cascadia Daily News
Alaska Airlines is adding a daily flight between Bellingham International Airport and Portland International Airport starting next spring, the airline announced Dec. 18.
The flights will begin March 18, 2026 and will be offered during the year on the E175 jets. The announcement is part of a slew of expanded routes Alaska will begin offering in the new year across the Pacific Northwest, Wyoming and Boston.
“Anchorage and Portland are essential airports to our guests and us in our growing global network,” Kristen Amrine, vice president of revenue management and network planning for Alaska, said in the announcement. “Portland is not only a great city to visit, but we also offer convenient nonstop connections for those continuing their travel across our wide network.”
The Portland route is the first time in years the Bellingham airport has offered a flight outside of Seattle or its typical routes in California, Nevada and Arizona. In the last 10 years, Alaska and Allegiant Air ceased non-stop flights to Portland, Hawaii and Las Vegas.
Matthew Rodriguez, the aviation director for the Port of Bellingham, said Thursday his team is excited for the expanded route. The route will also allow Alaska to start data gathering to see if there’s market demand for more direct flights out of Bellingham.
The airline will be able to examine how many people from Bellingham are flying into Portland and then connecting to other flights, including popular destinations like Hawaii and San Diego.
“It’s going to help our community justify a direct flight, which, in my opinion, we have a data that already supports the direct flights, and we already had an incumbent carrier doing those direct flights,” he said. “So I don’t think it’s going to take very much additional data for Alaska to acknowledge that.”
Guests can already start booking the hour-long flight to Oregon on the Alaska Air website or app.
Intrepid airport enthusiasts have also noted Alaska is phasing out one of its nonstop flights between Bellingham and Seattle in early January.
In a statement, Alaska said the “flight adjustments are about putting more connecting flights from Bellingham through Portland to decrease some of the strain in Seattle.”
The phase-out allows for the Portland route to be brought online in time for spring travel.
Alaska is also adding a daily year-round flight between Paine Field in Everett and Portland in June.
This story was updated at 11:53 a.m. with additional comments from the Port of Bellingham.
Annie Todd is CDN’s criminal justice/enterprise reporter; reach her at annietodd@cascadiadaily.com; 360-922-3090 ext. 130.
Alaska
Alaska is reporting 18 in-custody deaths so far this year, tying a grim record
The Department of Corrections this week reported the 18th death of an inmate this year, tying the record for the highest number of annual in-custody deaths in at least the past decade.
Kane William Huff, who had been imprisoned at Goose Creek Correctional Center near Wasilla, died Dec. 11, according to a DOC statement. Huff, 46, was serving a sentence for a 2018 conviction on two counts of sexual abuse of a minor, according to online court records. DOC officials said he had been in custody since 2015.
Huff was found unresponsive in the prison’s infirmary, where he had been housed, said Department of Public Safety spokesman Austin McDaniel. Alaska State Troopers, who handle in-custody death investigations, have closed their investigation and are awaiting autopsy results from the State Medical Examiner Office, McDaniel said. Troopers don’t believe Huff died by suicide or that foul play was involved, he said.
The last time as many people died in state custody was in 2022, when a record seven inmates also died by suicide, according to a department snapshot of deaths since 2015.
The Department of Corrections began consistently keeping inmate death statistics in 2001, said spokesperson Betsy Holley. The department also posts data showing in-custody deaths since 2015. That year, 15 people died while in DOC custody.
The state’s official count for 2025 doesn’t include the death of 36-year-old William Farmer, who died in a hospital in January after he was severely beaten by his cellmate at the Anchorage Correctional Complex the month before.
An upward trend of in-custody deaths in the past several years has alarmed some prisoner rights advocates and prompted state lawmakers to ask Department of Corrections officials to address the deaths in multiple hearings this year. The department has also found itself under fire for inmate suicides.
This year, at least four inmates have died of natural or expected causes, such as disease or a medical event, while at least five have died by suicide, according to information provided by Alaska State Troopers.
Officials have also said that a Spring Creek Correctional Center prisoner died of an overdose in April.
Another inmate, 53-year-old Jeffrey Foreman, died in July after being restrained by guards after an altercation with his cellmate at the Anchorage Correctional Complex.
[Correction: An earlier version of this story incorrectly described the year the Department of Corrections started consistently keeping inmate death statistics. It was 2001, not 2015.]
Alaska
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