This bill proposes several updates to current statutes regarding county contributions for the Arizona long-term care system and the Arizona health care cost containment system for fiscal year 2025-2026. Specifically, it introduces new financial contributions from various counties, detailing specific amounts for each county's contribution towards the long-term care system and hospitalization and medical care. The bill also establishes a mechanism for the state treasurer to collect any excess costs from counties if the overall expenses exceed the appropriated amounts, ensuring compliance with federal maintenance of effort requirements. Additionally, it mandates monthly payments from counties to the state treasurer and outlines the process for withholding funds if counties fail to meet their financial obligations.

Furthermore, the bill includes provisions for disproportionate share payments to hospitals, specifying amounts allocated for both the Arizona state hospital and private qualifying hospitals, along with criteria for eligibility. It also emphasizes the exclusion of certain county contributions from expenditure limitations and allows for the continuation of specific funding rates for managed care organizations. The legislature expresses its intent to adjust Maricopa County's contributions annually based on the GDP price deflator, ensuring that the financial framework remains responsive to economic changes. Overall, these updates aim to enhance the funding structure and operational efficiency of health care services in Arizona.