If enacted, this bill 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. Furthermore, it requires that these updated criteria be made available as a standalone document on the AHCCCS public website, enhancing accessibility for members seeking information about their coverage.

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