NOTICE OF PROPOSED REGULATION CHANGES REGARDING PHARMACY BENEFITS MANAGER GRIEVANCES AND APPEALS IN THE REGULATIONS OF THE DIVISION OF INSURANCE BRIEF DESCRIPTION The Alaska Division of Insurance proposes new regulations to address grievances and appeals from adverse pricing adjustments and claim denials by pharmacy benefits managers. The Alaska Division of Insurance proposes to adopt regulation changes in Title 3 of the Alaska Administrative Code, dealing with pharmacy benefits manager grievances and appeals. 3 AAC 23 is proposed to be amended by adding new sections 3 AAC 23.870 - 3 AAC 23.939 with respect to grievances and appeals from adverse pricing adjustments or claim denials by pharmacy benefits managers. You may comment on the proposed regulation changes, including the potential costs to private persons in complying with the proposed changes, by submitting written comments to Heather Carpenter, P.O. Box 110802, Juneau, AK 99811-0802. Additionally, the Division of Insurance will accept comments by fax at 907-269-7910 and by electronic mail at lieann.amante@alaska.gov. Comments may also be submitted through the Alaska Online Public Notice System by accessing this notice on the system and using the comment link. The comments must be received not later than 5:00 p.m. on Friday, March 13, 2026. Oral or written comments also may be submitted in person at the scheduled hearings. The division invites you to attend a public hearing to be held on Thursday, March 5, 2026, from 11:00 a.m. to 12:00 p.m. AST. The hearing will be held at the following two locations: Anchorage Alaska Division of Insurance Atwood Building, 15th floor, located at 550 West 7th Ave., Ste. 1560, Anchorage, Alaska Juneau State Office Building, 9th Floor, Conference Room C, located at 333 Willoughby Avenue, Juneau, Alaska. If you would like to join virtually via Microsoft Teams, use the links below: Microsoft Teams meeting Join: https://teams.microsoft.com/meet/21023903999340?p=yrF0KaGeN4VTtyyQcx Meeting ID: 210 239 039 993 40 Passcode: od9Md6xK Dial in by phone +1 907-202-7104, 240693801# United States, Anchorage Find a local number Phone conference ID: 240 693 801# Join on a video conferencing device Tenant key: 260748889@t.plcm.vc Video ID: 112 265 459 2 More info For organizers: Meeting options | Reset dial-in PIN If you are a person with a disability who needs a special accommodation in order to participate in the process, please contact Ira Blankenship at ira.blankenship@alaska.gov or 907-269-7892 no later than Wednesday, February 25, 2026 to ensure any necessary accommodations can be provided. After the public comment period ends, the Division of Insurance will either adopt the proposed regulation changes or other provisions dealing with the same subject, without further notice or decide to take no action. The language of the final regulation may be different from that of the proposed regulation. You should comment during the time allowed if your interests could be affected. Written comments received are public records and are subject to public inspection. Statutory authority: AS 21.06.090, AS 21.06.180, AS 21.27.953. Statutes being implemented, interpreted, or made specific: AS 21.27.901 - 21.27.975. Fiscal information: The proposed regulation changes are not expected to require an increased appropriation. The Division of Insurance keeps a list of individuals and organizations interested in its regulations. Those on the list will automatically be sent a copy of all of the Division of Insurance notices of proposed regulation changes. To be added to or removed from the list, send a request to the Division of Insurance Publication Specialist Mike Gorman at mike.gorman@alaska.gov, giving your name, and either your e-mail address or mailing address, as you prefer for receiving notices. Pub: Feb. 1, 2026