The proposed bill would update the Arizona Revised Statutes by introducing new requirements for the Arizona Health Care Cost Containment System (AHCCCS) regarding enrollment verification and presumptive eligibility determinations. Specifically, it would mandate AHCCCS to enter into data matching agreements with the Department of Revenue to identify members with significant lottery or gambling winnings, and to regularly review this information. The bill would also require AHCCCS to independently verify eligibility based on various data sources, including death records and changes in employment or income, while prohibiting self-attestation without independent verification unless mandated by federal law.

Additionally, the bill establishes standards for qualified hospitals making presumptive eligibility determinations, including timely notification to AHCCCS and assistance for individuals in completing full applications. It would require hospitals to notify the administration of determinations within five working days and outline the consequences for repeated violations of these standards. Overall, these updates aim to enhance the integrity and accuracy of eligibility determinations within the health care system, with a planned implementation date of January 1, 2026.

Statutes affected:
Introduced Version: 36-2903.17, 36-2903.18
House Engrossed Version: 36-2903.17, 36-2903.18
Senate Engrossed Version: 36-2903.17, 36-2903.18