The proposed bill would update the Arizona Health Care Cost Containment System (AHCCCS) statutes by introducing new requirements for enrollment verification and presumptive eligibility determinations. Key additions include the establishment of data matching agreements with the Arizona Department of Revenue to identify members with lottery or gambling winnings exceeding $3,000, and a mandate for AHCCCS to regularly review death records and other relevant information to ensure accurate member eligibility. The bill also prohibits the acceptance of self-attestation for various eligibility criteria without independent verification, enhancing the integrity of the eligibility verification process. Additionally, the bill modifies the process for presumptive eligibility determinations made by qualified hospitals, requiring them to notify AHCCCS within five working days and assist individuals in completing full applications. It sets specific standards for these determinations and outlines consequences for non-compliance, including mandatory training for hospital staff after repeated violations. The updates aim to streamline the eligibility framework and improve oversight, with an effective date of January 1, 2027, if enacted.

Statutes affected:
Introduced Version: 36-2903.18, 36-2903.19