2026-2027; health care.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill makes changes to how Arizona’s Medicaid program (AHCCCS) verifies member eligibility, particularly focusing on identifying individuals who have won lottery or gambling winnings of $3,000 or more. It requires the administration to regularly review member information, including tax records and out-of-state electronic benefit transfer card transactions, to detect potential income changes. The bill also establishes a presumptive eligibility system for children and pregnant women, requiring hospitals to quickly determine eligibility and notifying applicants of potential coverage changes. Finally, it addresses funding for the Arizona Long-Term Care System and makes adjustments to state employee health insurance premiums.
Key provisions
- Requires data matching with the Department of Revenue to identify members with lottery/gambling winnings of $3,000+.
- Mandates monthly eligibility redeterminations for able-bodied adults.
- Establishes a presumptive eligibility system for children and pregnant women, with hospital notification requirements.
- Authorizes a 1115 waiver to eliminate mandatory hospital presumptive eligibility and restrict it to children and pregnant women.
- Increases health insurance premium contributions for state employees and retirees.
- Adjusts county contributions to the Arizona Long-Term Care System for fiscal year 2026-2027.
- Requires a report on mental health medication utilization by AHCCCS.
- Excludes certain county contributions from expenditure limitations.
Who is affected
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Sponsors
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Cosponsors
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