Alaska
Opinion: Protecting Medicaid — A call to action for Alaska’s communities of color
As the President and CEO of the Alaska Black Caucus, I feel compelled to address the recent discussions in Congress regarding potential cuts of up to $2 trillion to Medicaid. These proposed cuts threaten not only the health and well-being of countless Alaskans but also exacerbate existing systemic barriers that people of color in our state face when accessing essential health care services.
Medicaid is a lifeline for over 250,000 Alaskans, particularly those who are low-income or uninsured. It offers essential coverage for medical services, preventive care, mental health support, and substance abuse treatment. In Alaska, Medicaid covers nearly 38% of annual births, and almost half of all enrollees are under the age of 18. This program is fundamental in providing our youngest residents with the best opportunities for a healthy and productive life.
In a state where the cost of living is high and health disparities are prevalent, this program is vital. Cutting Medicaid would lead to increased financial strain on families, higher rates of untreated health issues, a deterioration of overall community health, and a significant financial strain on a state budget that is already in crisis. Alaska receives over $2 billion in federal funding for Medicaid annually, which accounts for 78% of Medicaid spending in the state, and losing this funding would be catastrophic to our state and local economies.
For communities of color in Alaska, the stakes are even higher. We already navigate a complex web of systemic inequities that hinder our access to quality health care. Historical injustices, economic disparities, and cultural barriers contribute to poor health outcomes for these populations. Discontinuing or reducing Medicaid funding would only deepen these disparities, leaving our most vulnerable citizens without the necessary resources to maintain their health and well-being.
Research consistently shows that Medicaid expansion reduces uninsured rates among different racial and ethnic groups, and we’re seeing the benefits right here at home. Expanding access to affordable health care is not just about saving lives; it’s about promoting equity, improving community health, and strengthening the economic foundation of our state.
The consequences of cutting Medicaid extend beyond individual health; they impact our communities as a whole. When families lack access to health care, it strains our hospitals and emergency services, leading to higher costs for everyone. It also creates a ripple effect in our economy, as healthier individuals are better equipped to contribute to the workforce and support local businesses.
Opposing these cuts is not just a matter of policy; it is a moral imperative. We must advocate for a health care system that is equitable and accessible for all Alaskans, regardless of their race or economic status. We need to ensure that every individual has the opportunity to lead a healthy life, free from the burdens of systemic barriers.
I urge our lawmakers to reconsider any measures that would cut Medicaid funding. Instead, we should be investing in programs that expand access to health care, improve health literacy, and address the unique needs of our communities of color. It is time to dismantle the barriers that have long plagued our health care system and work towards a future where everyone in Alaska can access the care they need.
Let us come together as a community to support our most vulnerable citizens. We must raise our voices in opposition to these cuts and advocate for a health care system that prioritizes equity, compassion, and access for all.
Celeste Hodge Growden is the president and CEO of the Alaska Black Caucus. She lives in Anchorage.
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Alaska
Bangladeshi man flown to Alaska to face federal charges in ‘extensive’ child sexual exploitation case
A Bangladeshi man who authorities say operated an international child sexual exploitation enterprise involving hundreds of children, including those in Alaska, arrived in Anchorage this week after spending several years out on bail in Malaysia.
Zobaidul Amin, 28, made his first federal court appearance in Anchorage on Thursday.
A federal grand jury in Alaska indicted Amin in July 2022 on 13 charges related to the production and distribution of child pornography, cyberstalking and child exploitation. Law enforcement in Malaysia was prosecuting him on similar accusations.
Amin is accused of orchestrating a vast online sexual extortion ring that resulted in the abuse of minors, primarily from the United States.
“Amin delighted in sexually abusing hundreds of minor victims over social media,” prosecutors said in a memorandum filed Thursday recommending that a judge keep Amin jailed while awaiting trial. “He bragged about causing victims to become suicidal and engage in self-harm. He shared hundreds of nude images and videos of minor victims all over the internet and encouraged other perpetrators to do the same.”
The FBI arrested Amin on Wednesday in Malaysia and took him to Alaska, Anchorage FBI spokesperson Chloe Martin said in an emailed statement.
Amin pleaded not guilty at Thursday’s hearing.
U.S. Magistrate Judge Kyle Reardon assigned Amin a public defender and ordered that he remained jailed while his case proceeds.
Amin, wearing a yellow Anchorage Correctional Complex jumpsuit, quietly spoke only two words during the hearing: “Yes,” when Reardon asked whether he understood his rights, and “yes” after Reardon asked if Amin agreed to waive his right to a speedy trial to allow his attorney to adequately prepare.
For more than three years, federal officials sought to have Amin “expelled” from Malaysia, where he was a medical student, to face charges in the U.S., prosecutors said in their memorandum.
Authorities have said they uncovered the sophisticated child sexual abuse material production scheme after a 14-year-old girl told Alaska State Troopers in 2021 that Amin coerced her via social media into sending him lewd images of herself and participating in sexually explicit conduct over video calls.
When the girl stopped communicating with Amin, prosecutors said, he carried out previous threats to distribute the images to her friends and social media followers.
“Dozens of search warrants, subpoenas, and legal process revealed that Amin did the same thing to hundreds of minor victims,” prosecutors said in the detention memo, adding that it was one of the “most extensive” operations of its kind investigated by law enforcement.
But authorities had been unable to extradite Amin from Malaysia, they said.
Malaysian authorities, with help from U.S. law enforcement, also charged Amin for offenses related to the production and distribution of child sexual abuse images in 2022.
He was released from custody in Malaysia after his family paid a bail equivalent to $24,000, according to the detention memo.
The requirements of Amin’s release included that he surrender his passport, not contact his victims or engage in child sexual abuse image conduct, and report to police monthly, according to the memo.
Prosecutors said they were not aware of any violations but added that it was unclear how strictly the requirements were enforced.
Had Amin fled to Bangladesh, he would have been able to evade prosecution because the U.S. doesn’t have an extradition treaty with the South Asian country, according to the memo.
Officials didn’t publicly disclose additional details about the circumstances that led to his arrest and transfer to Alaska or why he hadn’t been moved to the U.S. sooner.
The FBI and U.S. Department of Justice have been working “in conjunction with Malaysian authorities” to get Amin transferred to U.S. custody, the U.S. Attorney’s Office in Alaska said in a prepared statement Thursday.
A child exploitation and human trafficking task force based out of the FBI’s Anchorage offices investigated the case with the support of numerous agencies, including the Anchorage Police Department and Alaska State Troopers, the Royal Malaysia Police, and a long list of law enforcement entities in Wyoming, Oregon, West Virginia and Florida as well as cities including Atlanta, Los Angeles, Minneapolis, Newark, Salt Lake City and Seattle.
Alaska
Bill allowing physician assistants to practice independently passes Alaska Senate
JUNEAU — The Alaska Senate has passed a bill that would allow physician assistants with sufficient training to practice under an independent license, removing the state’s current requirement that they work under a formal collaborative agreement with physicians.
Supporters say the change would reduce administrative burdens that can delay and increase the cost of care. But physicians who opposed the bill argue it lowers the bar for training and could affect patient care.
Senate Bill 89, sponsored by Anchorage Democratic Sen. Löki Tobin, passed by a unanimous vote in the Senate on Wednesday, with 18 votes in favor and two members absent. The bill would allow physician assistants to apply for an independent license after completing 4,000 hours of postgraduate supervised clinical practice.
Under current law, physician assistants in Alaska must operate under a collaborative plan with physicians. These plans outline the medical services a physician assistant can provide and require oversight from doctors.
The Alaska State Medical Board regulates physician assistants and authorizes them to provide care only within the scope of their training. Most physician assistants in Alaska work in family practice, though some are specially trained in particular fields. All care must be provided under a physician’s license through a collaborative agreement that also requires a second, alternate physician to sign off.
For some clinics, particularly in more remote areas, finding those physicians can be difficult.
Mary Swain, CEO of Cama’i Community Health Center in Bristol Bay, testified in support of the bill before the Senate Labor and Commerce Committee in March 2025. Her practice employs two physicians to maintain collaborative plans for its physician assistants. She said neither of them lived in the community, and the primary physician lived out of state.
Roughly 15% of physicians who hold collaborative agreements with Alaska-based physician assistants do not live in the state, according to Tobin. At the same time, Alaskans face some of the highest health care costs in the nation.
Jared Wallace, a physician assistant in Kenai and owner of Odyssey Family Practice, testified in support of the bill at a committee meeting in April.
Wallace said maintaining collaborative agreements is one of the most difficult parts of running his clinic. He said he pays a collaborative physician about $2,000 per physician assistant per month, roughly $96,000 a year, simply to maintain the required agreement.
“In my experience, a collaborative plan does not improve nor ensure good patient care,” Wallace said. “Instead, it is a barrier in providing good health care in a rural community where access is limited, is a threat that delicately suspends my practice in place, and if severed, the 6,000 patients that I care for would lose access to (their) primary provider and become displaced.”
Opposition to the bill largely came from physicians, who testified that physician assistants do not receive the same depth of training as doctors.
Dr. Nicholas Cosentino, an internal medicine physician, testified in opposition to the bill last April. He said that medical school training provides crucial experience in diagnosing complex cases.
“It’s not infrequent that you get a patient that you’re not exactly sure you know what’s going on, and you have to fall back on your scientific background, the four years of medical school training, the countless hours of residency to come up with that differential, to think critically and come up with a plan for that patient,” Cosentino said. “I think the bill as stated, 4,000 hours, does not equate to that level of training.”
The Alaska Primary Care Association said it supports the intent of the bill but argued that physician assistants should complete 10,000 hours in a collaborative practice model with a physician before practicing independently.
Other states that have moved to allow independent licensure for physician assistants have adopted a range of thresholds. North Dakota requires 4,000 hours, while Montana requires 8,000 hours. Utah requires 10,000 hours of postgraduate supervised work, while Wyoming does not set a specific statewide minimum hour requirement.
Tobin said the hour requirement chosen in the bill came from conversations with experts during the bill’s drafting.
“When we were working with stakeholders on this piece of legislation, we came to a compromise of 4,000 hours, recognizing and understanding that there was concerns, but also … understanding that it is a bit of an arbitrary choice,” she said.
The bill now heads to House committees before a potential vote on the House floor.
Alaska
Dunleavy, EPA visit UAF to discuss regulations in the arctic environment
Fairbanks, Alaska (KTUU/KTVF) – On Wednesday, Gov. Mike Dunleavy, Alaska Attorney General Stephen Cox and Lee Zeldin, the administrator for the Environmental Protection Agency (EPA), spoke to press at the University of Alaska Fairbanks power plant.
During their time at the university, the federal and state leaders spoke about developing resources such as coal, oil, gas and critical minerals in the 49th state.
During his 24-hour trip to Fairbanks, Zeldin said he has spoke to business and state leaders about environmental regulations impacting operations in Alaska, saying the EPA needs to consider whether regulations are solving problems or are solutions in search of a problem.
He also discussed the concept of “cooperative federalism,” where the EPA takes its cues from state leaders to determine where regulations and help are needed.
“We’re here at the University of Alaska’s coal plant, and the most modern coal plant in the United States of America,” Dunleavy said.
Zeldin said visiting Fairbanks in winter helps inform decisions the agency is considering.
“There are a lot of decisions right now in front of this agency that the first-hand perspective of being here on the ground helps inform our agency to make the right decision,” he said.
Zeldin also said the agency is hearing concerns from Alaska truckers about diesel exhaust rules in extreme cold.
“We then met with truckers who have been dealing with unique cold weather concerns with the implementation of EPA regulations related to diesel exhaust fluid system,” he said.
When asked about PFAS in drinking water, Zeldin said the EPA is not rolling back the standards.
“So the PFAS standards are not being rolled back at all,” he said.
On Fairbanks air quality and PM2.5 regulations, Zeldin said the agency wants to work with the state.
“We want, at the EPA, to help the Fairbanks community be able to be in attainment on PM 2.5. We want to make it work,” he said.
Dunleavy said energy costs and heating needs remain a major factor in Interior air quality discussions.
“People have to be able to live. They’ve got to be able to afford to live,” he said.
Zeldin said EPA is considering further changes to diesel regulations and urged Alaskans to participate in the rulemaking process.
“We need Alaskans to participate in that public comment period,” he said.
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