ANCHORAGE – A recent report commissioned by the Alaska Mental Health Trust Authority suggests Alaska is at risk of a recession for the fourth time in the state’s history. The report indicates a recession could be prolonged due, in part, to the downturn in oil prices and subsequent decreases in state spending. However, the report outlines options to mitigate a recession including accepting Medicaid expansion, which will be paid for almost entirely by the federal government. House Finance Committee member Representative Les Gara (D-Anchorage) tried repeatedly this past session to garner legislative approval for Medicaid expansion but the Republican-controlled Majorities refused to allow the issue to be put to a vote.