Bill
Number: S.B. 1535
Brophy
McGee Floor Amendment
Reference
to: HEALTH AND HUMAN SERVICES
Committee
amendment
Amendment
drafted by: Leg Council
FLOOR
AMENDMENT EXPLANATION
1. Requires the Arizona
Health Care Cost Containment System (AHCCCS) to report to the Opioid Use
Disorder Review Council (Council) regarding:
a)
the
number of patients treated by each opioid treatment program (OTP) provider;
b)
the
number of patients treated by each treatment type; and
c)
the
length of stay for each treatment type.
2. Directs the Council to
make recommendations to AHCCCS regarding OTP models in other states and patient
outcomes.
3. Modifies the Council
membership to include:
a)
representatives
from an OTP and an office-based OTP;
b)
an
administrator of a publicly-funded OTP; and
c)
a
representative of a commercial healthcare insurer.
4. Requires that an OTP
disclose a process for community contacts to notify AHCCCS's Clinical Resolution
Unit regarding deficiencies as part of the prescribed community relations plan.
5. Directs AHCCCS to
provide notification before suspending reimbursement for failure to comply with
required reporting requirements for OTPs.
6. Requires the Director
of AHCCCS to publish the draft and final standards for OTP centers of
excellence (COE) and requires that at least two public hearings be held prior
to implementing COE standards.
7. Makes technical and
conforming changes.
Page 1,
between lines 9 and 10, insert:
"Line
16, strike "best practices" insert "standards""
Strike line
13, insert:
"Strike
lines 41 through 44
Page 2, strike
lines 1 and 2, insert:"
Page 2,
between lines 23 and 24, insert:
"(vii) Disclosing the process for
community contacts to notify the Administration's clinical resolution unit of
any unresolved problems or deficiencies that includes, if appropriate, coordination
with the state opioid treatment authority."
Renumber to
conform
Strike line
30
Line 31,
strike "the comma" insert "timelines"
After line
32, insert:
"Line
17, after "administration" insert ", with appropriate notification to the provider,""
Page 3, line
10, after the period insert "The director of the Arizona
health care cost containment system shall publish the draft standards on the
administration's public website and hold at least two public hearings to
receive input before implementing the standards. The administration shall
publish the final standards for designating centers of excellence for treating
opioid use disorder on its public website.
B."
Reletter to
conform
Page 3, line 11, after "standards"
insert "established
pursuant to subsection A of this section"
Line 14, strike "office based" insert "office-based"
Strike lines
26 through 28
Reletter to
conform
Page 4,
lines 8 and 9, strike "and the American society of addiction
medicine" insert ", a federally designated accreditation agency for
rehabilitation facilities and the Administration"
Page 5, line
1, strike "Three representatives" insert "A
representative"; after "from" insert "a"; strike
"organizations" insert "organization"
Line 2,
after the period strike remainder of line
Strike line
3
Lines 4 and
6, after "A" strike remainder of line insert "representative
of"
Between
lines 7 and 8, insert:
"(e) An
administrator of a publicly funded opioid treatment program.
(f) A
representative of a commercial health care insurer."
Reletter to
conform
Line 8,
strike "city" insert "municipality"
Line 12,
after "of" insert "more than two hundred thousand and"
Line 13,
strike "one million" insert "two hundred ten thousand"
Between
lines 17 and 18, insert:
"D. The
Arizona health care cost containment system administration shall provide
reports periodically on a schedule determined by the council that include the
following information based on utilization data received by the administration
and in compliance with all federal and state privacy laws and regulations:
1. The
number of patients provided medication‑assisted treatment services for
each provider submitting claims and encounters received by the administration
for services during the period covered by the report.
2. The
treatment type, if available, including medications and other related services
provided by each provider and the number of patients receiving those treatment
types and services.
3. The
length of stay based on utilization data for each treatment type."
Reletter to
conform
Page 5, line
25, strike "Direct" insert "Availability of and barriers
to"
Between
lines 27 and 28, insert:
"(d) Other
state licensure and treatment models that provide outpatient opioid treatment.
(e) Patient
outcomes that are reported to the Arizona health care cost containment system
administration by contracted providers who receive reimbursement for medication‑assisted
treatment for opioid use disorder."
Amend title to conform