ARIZONA HOUSE OF REPRESENTATIVES Fifty-fourth Legislature Second Regular Session

---

HB 2052: AHCCCS; chiropractic care; report.

Sponsor:  Representative Barto, LD 15

Committee on Health & Human Services

Overview

Includes chiropractic services, performed by a chiropractor and ordered by a primary care physician or practitioner, as an Arizona Health Care Cost Containment System (AHCCCS) covered service.

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.

Arizona statute outlines covered health and medical services offered to AHCCCS members. (A.R.S. § 36-2907)

Provisions

1. Includes chiropractic services, performed by a chiropractor, and ordered by a primary care physician or primary care practitioner as an AHCCCS covered service. (Sec. 1)

2. Allows the primary care physician or practitioner to initially order up to 20 visits annually and may provide for additional services in the same year if it is determined to be medically necessary. (Sec. 1)

3. Requires AHCCCS to adopt rules to implement the above. (Sec. 1)

4. Prohibits the use of monies from the Hospital Assessment Fund to provide chiropractic services. (Sec. 1)

5. Upon approval by the Centers for Medicare and Medicaid Services (CMS), AHCCCS and its contractors may provide medically necessary chiropractic services. (Sec. 2)

6. Requires AHCCCS to prescribe qualifying conditions under which chiropractic services may be used, prescribe provider qualifications for chiropractic services and require contractors to report to AHCCCS on the use of the services. (Sec. 2)

7. On or before January 1, 2025, AHCCCS must submit a report to the governor, legislature and a copy to the secretary of state, on the cost savings determinations. (Sec. 2)

8. Repeals the section relating to approval by CMS, AHCCCS prescribing conditions and the report on July 1, 2026. (Sec. 2)

9. Makes technical and conforming changes. (Sec. 1)

---------- DOCUMENT FOOTER ---------

Initials IG                     Health & Human Services

---------- DOCUMENT FOOTER ---------