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. It mandates that AHCCCS 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 also requires 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. Additionally, the bill outlines new responsibilities for qualified hospitals in making presumptive eligibility determinations, including timely notifications to AHCCCS and assisting individuals in completing full applications for eligibility. It establishes standards for these hospitals and details the consequences for failing to meet them, including mandatory training for staff after violations. Overall, the bill aims to enhance the integrity of the eligibility verification process while streamlining the responsibilities of both AHCCCS and qualified hospitals.

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