The proposed bill would significantly update current statutes related to the Arizona Health Care Cost Containment System (AHCCCS) by introducing new requirements for data matching agreements with the Arizona Department of Revenue to identify members with lottery or gambling winnings over $3,000. It mandates monthly reviews of this information and requires AHCCCS to independently verify eligibility, prohibiting self-attestation of income and residency without verification. Additionally, the bill outlines new responsibilities for qualified hospitals regarding presumptive eligibility determinations, including timely notifications to AHCCCS and assistance with full applications, while establishing standards and consequences for non-compliance.

In terms of funding and contributions for the Arizona Long Term Care System (ALTCS) and Disproportionate Share Hospital (DSH) payments, the bill directs the State Treasurer to collect any differences in contributions from counties if ALTCS costs exceed specified amounts. It requires compliance with federal maintenance of effort requirements and mandates monthly contributions from counties, with provisions for withholding payments if obligations are not met. The bill also establishes specific DSH payment amounts and prioritizes allocations based on county populations, while continuing to exclude certain county contributions from expenditure limitations and expressing intent to adjust Maricopa County's contributions based on economic indicators. Overall, these updates aim to enhance financial management and accountability within the health care funding processes.

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