If HB2926 were to become law, it would 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 from 80% to 90% for individuals under 65 years of age with household incomes between one hundred per cent and one hundred thirty-three per cent of the federal poverty level. The bill would also introduce new requirements, including a work requirement for able-bodied adults and a mandate to maintain a low Medicaid improper payment rate of 5% or less, while establishing a lifetime benefit limit for these individuals. Additionally, the bill would require AHCCCS to submit necessary amendments to the current Section 1115 waiver to comply with the new eligibility criteria and stipulate that if the specified conditions are not met, eligibility must be terminated. It would also implement biannual redeterminations and limit hospital presumptive eligibility determinations to certain groups. Overall, these changes aim to tighten eligibility requirements, ensure compliance with federal standards, and enhance legislative oversight of the AHCCCS 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