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, along with monthly reviews of this information. It would also mandate regular eligibility verification using various data sources, prohibit self-attestation for certain criteria without independent verification, and remove existing provisions that allow for more lenient eligibility determinations. Stricter standards would be imposed on qualified hospitals for presumptive eligibility determinations, including timely notifications to AHCCCS and assistance in completing applications. Additionally, the bill would update funding and contribution statutes for the Arizona Long Term Care System (ALTCS) and Disproportionate Share Hospital (DSH) payments. It would direct the State Treasurer to collect any difference between total contributions and counties' shares if ALTCS costs exceed specified amounts, require compliance with federal maintenance of effort requirements, and establish specific DSH payment amounts while prioritizing allocations based on county populations. The bill also mandates monthly county contributions and allows for advance payments, aiming to ensure proper funding management and compliance with federal regulations. Overall, these updates are designed to enhance the integrity and efficiency of Arizona's health care system.

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