This bill proposes several updates to the Arizona Revised Statutes regarding the Arizona health care cost containment system. Key changes include the establishment of a data matching agreement with the department of gaming and the Arizona state lottery commission to identify members with lottery or gambling winnings of $3,000 or more, which will be reviewed monthly. Additionally, the administration will regularly review death records, changes in employment status, and tax records to ensure accurate eligibility determinations. The bill also mandates that the administration cannot accept self-attestation for various eligibility criteria without independent verification and must independently verify eligibility determinations from exchanges.

Furthermore, the bill introduces new requirements for qualified hospitals making presumptive eligibility determinations, including timely notification to the administration and assistance to individuals in completing full applications. It outlines standards for evaluating the accuracy of these determinations and establishes a process for addressing violations, including mandatory training for hospital staff after repeated failures to meet standards. The act is set to take effect after December 31, 2025.

Statutes affected:
Introduced Version: 36-2903.17, 36-2903.18