The proposed bill, if enacted, would amend current statutes by adding a new section to the Arizona Revised Statutes that specifically addresses the provision of continuous glucose monitors (CGMs) by contractors of the Arizona Health Care Cost Containment System (AHCCCS). The bill would require these contractors to provide CGMs through both pharmacy and durable medical equipment benefits, allowing prescribing providers to determine the most appropriate option for their patients.

Additionally, the bill mandates that AHCCCS update the coverage criteria for CGMs to align with current standards of care, ensuring that the criteria remain consistent regardless of the benefit type through which the CGM is provided. Furthermore, it requires that the updated coverage criteria be posted as a standalone document on AHCCCS's public website for easy access by members. Overall, these changes aim to enhance the accessibility and clarity of CGM coverage for AHCCCS members.

Statutes affected:
Introduced Version: 36-2903.17
Senate Engrossed Version: 36-2903.17
Chaptered Version: 36-2903.17