The proposed bill would update the current statutes governing the American Indian Health Program (AIHP) by mandating the Arizona Health Care Cost Containment System (AHCCCS) to contract with an administrative services organization starting October 1, 2027. This organization would handle specific administrative functions while AHCCCS maintains oversight. Key provisions include compliance with federal and state regulations protecting Indian health care providers, meaningful tribal consultations before issuing requests for proposals, and the establishment of an office of tribal relations within the administrative services organization.

Additionally, the bill introduces new protections for AIHP members, such as preserving their rights to choose fee-for-service coverage and enroll or disenroll from managed care organizations. It prohibits prior authorization for services provided to AIHP members under certain conditions and requires coordination of care management with tribal health programs. The bill also mandates quarterly consultations with tribal representatives to evaluate the performance of the administrative services organization, ensuring that the rights and interests of American Indian and Alaska Native members are safeguarded while enhancing administrative efficiency.

Statutes affected:
Introduced Version: 36-2903.18
Senate Engrossed Version: 36-2903.18