REFERENCE TITLE: acute care services; pilot program
State of Arizona
House of Representatives
Second Regular Session
Amending Laws 2021, chapter 320, section 22; relating to the acute care at home pilot program.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Laws 2021, chapter 320, section 22 is amended to read:
Sec. 22. Department of health services; acute care services at home; pilot program; delayed repeal
A. On or before the earlier of thirty days after the effective date of this section or September 1, 2021, the department of health services shall develop a three-year pilot program that allows the delivery of acute care services to patients in the patient's home by licensed hospitals in this state. The department may waive rules necessary to implement the requirements of the pilot program. The pilot program shall be designed in a manner and in coordination with the acute care at home program authorized by the centers for medicare and medicaid services.
B. In collaboration with interested hospitals in this state, the department shall determine:
1. The criteria necessary for a licensed hospital to be eligible for the pilot program. Eligible hospitals must demonstrate the required in-person and telehealth equipment necessary to provide acute in-home services.
2. The protocols for eligible hospitals to determine patient eligibility in the program.
3. The protocols for health care services to be provided by or under the direction of eligible hospitals to patients in the program.
C. Hospitals participating in the pilot program may use applicable protocols determined by the department to set:
1. The patient eligibility criteria.
2. The categories of licensed health care providers that may be used.
3. The services that may be outsourced by the hospital.
4. The health care services to be provided by or under the direction of the hospital, which shall include services of mobile health practitioners.
D. For the purposes of the pilot program, a mobile health practitioner:
1. Must have at least two years of experience as a paramedic and be certified in community paramedicine by a recognized certifying body before January 1, 2023.
2. Beginning January 1, 2023, must have at least two years of experience as a paramedic and be certified in community paramedicine by a recognized certifying body BEFORE being employed as a mobile health practitioner.
3. Must provide health care services under the supervision and delegation of a physician who is licensed pursuant to title 32, chapter 13 or 17, Arizona Revised Statutes, and who works for the ambulance service that employs the mobile health practitioner and is performing services for the hospital. The supervising physician is responsible for directing and reviewing the health care services and other activities of the mobile health practitioner. A mobile health practitioner's scope of practice is that which is delegated to the mobile health practitioner by the supervising physician. If the pilot program requires in-person visits, a mobile health practitioner may provide one or more of those visits, which may replace any required in-person nurse visit.
E. Any required nurse visits under the pilot program may be virtual or in person.
D. F. The Arizona state board of pharmacy may waive rules necessary to implement the requirements of the pilot program.
E. G. Hospitals participating in the pilot program shall:
1. Report patient progress and program quality outcomes as required by the department.
2. Comply with any reporting requirements established by the Arizona state board of pharmacy for purposes of the pilot program.
F. H. This section is repealed on from and after December 31, 2024.