ARIZONA HOUSE OF REPRESENTATIVES

Fifty-sixth Legislature

First Regular Session

House: HHS DP 8-1-0-0 | APPROPS DP 13-1-0-1

HB 2563: on-call health services; appropriations

Sponsor: Representative Hernandez C, LD 21

House Engrossed

Overview

Appropriates $7,500,000 from the state General Fund (GF) in FYs 2024 through 2026 to the Arizona Health Care Cost Containment System (AHCCCS) to use for on-call obstetrics and gynecological services to maintain service availability in low-volume obstetric delivery areas and rural communities with populations of less than 350,000.

History

Established in 1981, AHCCCS is Arizona's Medicaid program that oversees contracted health plans for the delivery of health care to individuals and families who qualify for Medicaid and other medical assistance programs. Through contracted health plans across the state, AHCCCS delivers health care to qualifying individuals including low-income adults, their children or people with certain disabilities.

AHCCCS requires contractors to provide covered health and medical services to members, including: 1) inpatient hospital services; 2) outpatient health services; 3) laboratory and X-ray services; 4) prescription medications; 5) medical supplies, durable medical equipment, insulin pumps and prosthetic devices; 6) treatment of medical conditions of the eye; 7) early and periodic health screening and diagnostic services; 8) family planning services; 9) podiatry services; 10) nonexperimental transplants; 11) emergency dental care; 12) ambulance and non-ambulance transportation; 13) hospice care; 14) orthotics; 15) medically necessary chiropractic services; and 16) diabetes outpatient self-management training services (A.R.S. § 36-2907).

Provisions

1.   ☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal NoteAppropriates $7,500,000 from the state GF in FYs 2024 through 2026 to AHCCCS for on-call obstetrics and gynecological services to maintain service availability in low-volume obstetric delivery areas and rural communities with populations of less than 350,000. (Sec. 1)

2.   Requires AHCCCS to distribute up to $2,500,000 annually to each qualifying community health center and rural hospital for the unreimbursed costs necessary to maintain the availability of on-call obstetrics and gynecological services in low-volume obstetric delivery areas and rural communities. (Sec. 1)

3.   Instructs a qualifying health care center or rural hospital that receives monies to submit an annual report to AHCCCS regarding the use of the monies, including the number of deliveries and emergency procedures provided by the on-call health care providers. (Sec. 1)

4.   Directs AHCCCS to convene stakeholders and staff to develop recommendations to maintain that obstetrics and gynecological services are provided to low-volume, high risk and rural communities in Arizona. (Sec. 1)

5.   Exempts the appropriation from lapsing. (Sec. 1)

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9.                     HB 2563

10.  Initials AG/BSR    Page 0 House Engrossed

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