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REFERENCE TITLE: veteran suicides; annual report |
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State of Arizona House of Representatives Fifty-fourth Legislature First Regular Session 2019
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HB 2488 |
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Introduced by Representative Lawrence
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AN ACT
Amending title 36, chapter 1, article 2, Arizona Revised Statutes, by adding section 36‑146; Amending section 36‑325, Arizona Revised Statutes; relating to veterans.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 36, chapter 1, article 2, Arizona Revised Statutes, is amended by adding section 36-146, to read:
36-146. Veteran suicides; annual report; distribution
A. Beginning January 1, 2020, the department of health services shall annually compile a report on veteran suicides in this state that includes all of the following information:
1. The number of veterans who died by suicide or accidental death in the preceding five years.
2. The prevalence of medications or illegal substances in each Veteran who died by suicide.
3. The number of instances in which veterans who died by suicide were taking multiple medications prescribed by either:
(a) Physicians who work for the United States department of Veterans affairs.
(b) Physicians who do not work for the United States department of Veterans affairs.
B. In the initial report provided pursuant to subsection A of this section, the department of health services shall also include information on all of the following:
1. The percentage of veterans in this state who receive nonmedication first‑line treatments, such as cognitive behavioral therapy, and their effectiveness compared to medication treatments received by Veterans.
2. A state‑by‑state analysis of programs of the United States department of Veterans affairs that collaborate with state medicaid agencies, including an analysis of sharing prescription information and behavioral health data relating to veterans.
3. any other aspects of care and recommendations to improve VETERAN safety and well‑being.
C. The department of health services shall provide the annual report required by this section to the speaker of the house of representatives, the president of the senate and the department of veterans' services and shall provide a copy to the secretary of state. The department may seek guidance from university researchers in this state who have prepared similar reports.
Sec. 2. Section 36-325, Arizona Revised Statutes, is amended to read:
36-325. Death certificate registration; moving human remains; immunity
A. Within seven calendar days after receiving possession of human remains, a funeral establishment or responsible person who takes possession of the human remains shall:
1. Obtain and complete on the death certificate the information, including the social security number of the decedent and whether the decedent was ever a member of the United States armed forces, on the death certificate required pursuant to this chapter and rules adopted pursuant to this chapter.
2. Provide on the death certificate the name and address of the person completing the death certificate.
3. Submit the death certificate for registration to a local registrar, a deputy local registrar or the state registrar. The funeral establishment or responsible person may submit the death certificate by electronic means in the format prescribed by the state registrar.
B. Within seventy‑two hours after receiving a death certificate pursuant to this section, a local registrar, a deputy local registrar or the state registrar shall register a the death certificate if it is accurate and complete and submitted pursuant to this chapter and rules adopted pursuant to this chapter.
C. If a county medical examiner or alternate medical examiner determines that the circumstances of a death provide jurisdiction pursuant to section 11‑593, subsection B, the medical examiner or alternate medical examiner shall complete and sign the medical certification of death on a death certificate within seventy‑two hours after the examination, excluding weekends and holidays. If the medical examiner or alternate medical examiner cannot determine the cause of death within that time, the medical examiner or alternate medical examiner shall enter "pending" for the cause of death and sign the medical certification of death within seventy-two hours after the examination, excluding weekends and holidays.
D. A local registrar, a deputy local registrar or the state registrar shall register a death certificate if there is a medical certification of death signed by the medical examiner or alternate medical examiner with a pending cause of death.
E. Final disposition of human remains with a pending cause of death shall not occur until the medical examiner or alternate medical examiner releases the human remains for final disposition.
F. When the medical examiner or alternate medical examiner determines the cause of death, the medical examiner or alternate medical examiner shall submit the information to the local registrar, deputy local registrar or state registrar.
G. If a person under the current care of a health care provider for an acute or chronic medical condition dies of that condition, or complications associated with that condition, the health care provider or a health care provider designated by that provider shall complete and sign the medical certification of death on a death certificate within seventy‑two hours. If current care has not been provided, the medical examiner or alternate medical examiner shall complete and sign the medical certification of death on a death certificate within seventy-two hours after the examination, excluding weekends and holidays.
H. If a person dies in a hospital, nursing care institution or hospice inpatient facility of natural causes, the hospital, nursing care institution or facility shall designate a health care provider to complete and sign the medical certification of death within seventy-two hours.
I. If a person dies on an Indian reservation in this state and a county medical examiner or alternate medical examiner is not available, the tribal law enforcement authority, acting in an official investigative capacity, may complete and sign the medical certification of death.
J. If the place of death is unknown, the death is considered to have occurred in the place where the human remains were found.
K. If a person dies in a moving conveyance, the death is considered to have occurred in the place where the human remains were initially removed from the conveyance. In all other cases, the place where death is pronounced is considered the place where the death occurred.
L. The state registrar shall create and register a death certificate when the state registrar receives a court order of a presumptive death. The court order shall contain the following information, if known:
1. The decedent's name, social security number, date of birth, date of death, cause of death, and location of death and whether the decedent was ever a member of the United STates armed forces.
2. Any other information necessary to complete a death certificate for a presumptive death.
M. If a murder victim's body is not recovered, a conviction for the murder is proof of death. The court shall forward a record of the conviction to the state registrar. The state registrar shall obtain the personal data regarding the murder victim from information provided by the court, a family member of the murder victim or another reliable source and create and register the death certificate.
N. A health care provider who completes and signs a medical certification of death in good faith pursuant to this section is not subject to civil liability or professional disciplinary action.