The proposed bill seeks to amend the eligibility criteria for the Arizona Health Care Cost Containment System (AHCCCS) by adjusting the federal medical assistance percentage (FMAP) threshold for discontinuing eligibility for the Medicaid expansion population. Currently, eligibility is discontinued when the FMAP drops below 80% for individuals under 65 years of age with a modified adjusted gross income between 100% and 133% of the federal poverty level. The bill would raise this threshold to 90% .... and introduce new requirements, including a work requirement for able-bodied adults, maintaining a Medicaid improper payment rate of 5% or less, and conducting biannual redeterminations of eligibility ..... Additionally, the bill would implement a lifetime benefit limit of sixty months for able-bodied adults and restrict hospital presumptive eligibility determinations to children and pregnant women. It mandates that AHCCCS submit necessary amendments to the current Section 1115 waiver and notify legislative committees of any changes related to eligibility. If the specified conditions are not met by January 1, 2027, eligibility must be terminated, and the collection of assessments for costs associated with services would be prohibited if the FMAP falls below 90% .....

Statutes affected:
Introduced Version: 42-2003, 42-5010, 42-5029, 42-5032.03, 42-5075, 43-302, 4-101, 42-2002, 42-1101, 42-12006, 43-1083.03, 43-1164.04, 41-1512, 41-1517, 41-1519, 43-1082, 43-1165, 32-1164, 12-821.01, 36-2806, 5-401, 42-1124, 42-3401, 42-6002, 9-500.39, 11-269.17, 43-221, 42-2001, 42-1122, 46-291, 42-5031, 44-7101, 44-7111, 42-1103.02, 42-1125.01, 43-419, 42-5001, 42-5032.02, 42-5076, 42-5008.01, 42-5070, 42-5005, 42-5072, 42-5069, 35-146, 35-147, 42-1116, 42-5014, 42-5155, 42-5010.01, 42-5061, 42-5164, 42-5205, 42-1118, 42-1254, 42-5030, 42-5030.01, 42-5032, 42-5032.01, 49-282, 17-273, 15-2084, 15-1648, 15-1472, 42-5031.01, 15-971, 2001-2002, 2002-2003, 2003-2004, 2004-2005, 2005-2006, 15-154, 15-154.01, 15-241, 43-1072.01, 15-977, 41-2257, 41-2258, 42-5033, 42-5033.01, 42-6010, 9-626, 41-194.01, 15-1402, 15-1403, 15-1409
House Engrossed Version: 36-2901.07, 36-2901.08, 36-2901, 36-2901.09, 36-2903.09