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REFERENCE TITLE: AHCCCS; eligibility; children's health insurance |
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State of Arizona Senate Forty-ninth Legislature Second Regular Session 2010
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SCR 1030 |
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Introduced by Senator Harper
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A CONCURRENT RESOLUTION
proposing an amendment to the constitution of Arizona and Arizona revised statutes; amending the constitution of Arizona by adding article XXXI; repealing sections 36-2901.01 and 36-2901.02, Arizona Revised Statutes; amending section 36-2981, Arizona Revised Statutes; relating to the Arizona health care cost containment system.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it resolved by the Senate of the State of Arizona, the House of Representatives concurring:
1. Article XXXI, Constitution of Arizona, is proposed to be added as follows if approved by the voters and on proclamation of the Governor:
ARTICLE XXXI. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM
1. Arizona health care cost containment system; eligibility
Section 1. To be eligible to receive acute care services pursuant to the Arizona health care cost containment system, a person must be under eighteen years of age.
2. Sections 36-2901.01 and 36-2901.02, Arizona Revised Statutes, are proposed to be repealed as follows if approved by the voters and on proclamation of the Governor:
Sections 36-2901.01 and 36-2901.02, Arizona Revised Statutes, are repealed.
3. Section 36-2981, Arizona Revised Statutes, is proposed to be amended as follows if approved by the voters and on proclamation of the Governor:
36-2981. Definitions
In this article, unless the context otherwise requires:
1. "Administration" means the Arizona health care cost containment system administration.
2. "Contractor" means a health plan that contracts with the administration for the provision of hospitalization and medical care to members according to the provisions of this article or a qualifying plan.
3. "Director" means the director of the administration.
4. "Federal poverty level" means the federal poverty level guidelines published annually by the United States department of health and human services.
5. "Health plan" means an entity that contracts with the administration for services provided pursuant to article 1 of this chapter.
6. "Member" means a person who is eligible for and enrolled in the program, who is under nineteen years of age and whose gross household income meets the following requirements:
(a) Beginning on November 1, 1998 through September 30, 1999, has income at or below one hundred fifty per cent of the federal poverty level.
(b) Beginning on October 1, 1999 and for each fiscal year thereafter through December 31, 2010, has income at or below two hundred per cent of the federal poverty level.
(c) Beginning January 1, 2011 and for each fiscal year thereafter, has income at or below two hundred one per cent of the federal poverty level.
7. "Noncontracting provider" means an entity that provides hospital or medical care but does not have a contract or subcontract with the administration.
8. "Physician" means a person licensed pursuant to title 32, chapter 13 or 17.
9. "Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month without regard to the number of members who receive care or the amount of health care services provided to a member.
10. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, obstetrician or gynecologist.
11. "Primary care practitioner" means a nurse practitioner who is certified pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25 and who is acting within the respective scope of practice of those chapters.
12. "Program" means the children's health insurance program.
13. "Qualifying plan" means a contractor that contracts with the state pursuant to section 38‑651 to provide health and accident insurance for state employees and that provides services to members pursuant to section 36‑2989, subsection A.
14. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31.
15. "Tribal facility" means a facility that is operated by an Indian tribe and that is authorized to provide services pursuant to Public Law 93‑638, as amended.
4. Conforming legislation
The legislative council staff shall prepare proposed legislation conforming the Arizona Revised Statutes to the provisions of these propositions for consideration in the fiftieth legislature, first regular session.
5. The Secretary of State shall submit these propositions to the voters at the next general election as separate ballot propositions as provided by article IV, part 1, section 1 and article XXI, Constitution of Arizona, and section 19-125, Arizona Revised Statutes.