The proposed bill seeks to amend current statutes related to the Arizona Health Care Cost Containment System (AHCCCS) by raising the federal medical assistance percentage (FMAP) threshold for discontinuing eligibility for certain Medicaid expansion populations. Under the new law, eligibility for individuals under 65 years of age with a household modified adjusted gross income between 100% and 133% of the federal poverty level would be discontinued if the FMAP drops below 90%, as opposed to the current threshold of 80% .... rather than 80%. The bill also introduces new requirements for maintaining eligibility, including a work requirement and a Medicaid improper payment rate of 5% or less ..... Additionally, the bill mandates that AHCCCS must comply with these new requirements by submitting amendments to the current Section 1115 waiver and providing biannual reports on its Medicaid improper payment rate ..... It establishes a deadline for terminating eligibility by January 1, 2027, if the required conditions are not met ..... The bill also modifies the definition of "eligible person" by correcting the phrasing of income thresholds and introduces a lifetime benefit limit of sixty months for able-bodied adults, thereby tightening eligibility criteria and ensuring compliance with new work requirements while enhancing oversight of the health care program.

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