From the transcript

The 6-month renewal also excludes individuals who are Alaska Native or who are American Indian. They would remain on a 12-month renewal period. So we estimate that that is probably around 28% of the current Medicaid population. So when we kind of look at the, the current enrollment and try to back out those individuals that would remain on a 12-month cycle. We estimate around 40,000 Alaskans will move from a 12-month renewal cycle to a 6-month renewal cycle effective January 1.