SB1527 is a budget reconciliation bill (BRB) that outlines the necessary session law changes related to health care to implement the FY 2024 state budget in Arizona. The bill details the financial contributions required from each county for the Arizona Long-Term Care System (ALTCS) and county acute care for FY 2024. It also establishes Disproportionate Share Hospital (DSH) payments for the fiscal year, including specific amounts for public hospitals, the Arizona State Hospital, and private qualifying DSHs. Additionally, the bill includes provisions for the collection of county contributions, the distribution of DSH payments, and the intent of the Legislature regarding Maricopa County acute care contributions and AHCCCS's Medicaid program implementation.

The bill was vetoed by the Governor, who indicated that the FY 2024 state budget did not address her priorities, which include addressing the state's housing crisis, lowering costs, preparing the workforce, and investing in public education. The bill's language includes an insertion that specifies the order in which DSH payments are to be allocated to qualifying private hospitals, following the distributions made pursuant to a specific subsection of the Arizona Revised Statutes.