An Act relating to health care insurance; relating to insurance reimbursement for health care services provided through telehealth; relating to telehealth; relating to workers' compensation coverage for disability from diseases for certain firefighters; repealing programs for catastrophic illness assistance and medical assistance for chronic and acute medical conditions; relating to occupational disability benefits and medical benefits available under the public employees' retirement system; providing for an effective date by amending the effective date of secs. 9 and 10, ch. 38, SLA 2022; and providing for an effective date.

Removed all telehealth reimbursement parity requirements that would have required insurers to pay the same rate for telehealth as in-person services (AS 21.42.422(c)).

Removed firefighter workers' compensation disease presumptions, including expanded cancer list, extended presumption period after termination (from 3 to 6 months per year of service, capped at 120 instead of 60 months), and increased minimum service requirement from 6 to 7 years.

Removed new municipal health care insurance plan requirements (AS 29.20.420) that would have subjected self-insured municipal group plans to telehealth parity rules.

Removed amendment extending telehealth parity requirements to state self-insured group health plans under AS 39.30.091.

Removed increase in public employees' retirement system occupational disability benefit from 40 percent to 75 percent of gross monthly compensation (AS 39.35.410(d) and AS 39.35.890(d)).

Removed provision making disabled members fully vested in employer contributions at time of disability appointment, with continued employer contributions to individual account during disability.

Removed elimination of retiree major medical insurance premiums for disabled members not eligible for Medicare (AS 39.35.880(l)).

Effective date provisions were simplified: the enrolled version had staggered effective dates (January 1, 2027 for some sections, immediate for others) and an amendment to a 2022 law's sunset date from 2030 to 2040; the new version has no such provisions since those topics were removed.