ARIZONA HOUSE OF REPRESENTATIVES Fifty-fifth Legislature First Regular Session
	House: GE DP 13-0-0-0 | 3^rd Read 60-0-0-0 Senate: HHS DPA/SE 5-3-0-0 | 3^rd Read 18-11-1-0

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HB 2386: town councils; financial statements; websites

NOW: crisis standards of care; plans

Sponsor:  Representative Griffin, LD 14

Senate Engrossed

The House Engrossed version of HB 2386 requires the common council of a town to post a financial statement on the town's website at least 10 days before biennial elections.

The Senate adopted a strike-everything amendment that does the following:

Overview

Establishes requirements for a crisis standards of care (CSC) plan adopted by the Arizona Department of Health Services (DHS).

History

DHS, in collaboration with public health professionals, emergency management, first responders, healthcare and legal partners, established the Arizona CSC Plan. The CSC plan provides clear and consistent guidance for allocating scarce healthcare resources during a public health disaster. The Arizona CSC plan establishes the State Disaster Medical Advisory Committee (SDMAC) and consists of individuals from Arizona's public health and health care systems. When there is a public health disaster and the CSC Plan is activated, the SDMAC must convene to develop incident-specific priorities and guidance for the delivery of healthcare and use of scarce medical resources.

On June 26, 2020, DHS activated the Arizona CSC plan based on recommendations from the SDMAC due to the COVID-19 Pandemic (SDMAC Recommendations).

Provisions

1. Requires DHS, if DHS establishes a CSC plan or crisis guidelines or standards to address resource allocation when the demand for certain health care services exceeds the supply of necessary resources, to include the following in the CSC plan:

a) The allocation of health care resource decisions must be made on the basis of valuing all life;

b) A patient or a patient's health care decision maker has the right to make the patient's health care choices;

c) Decisions on the allocation of health care resources may not discriminate based on disability, age, race religion, sex, veteran or income status;

d) Health care providers may only consider short-term survival when making decisions regarding the allocation of health care resources;

e) Treatment resources may not be allocated based on:

i. Quality of life judgements;

ii. Consideration of long-term mortality and life expectancy;

iii. Resource intensity and duration of need due to disability or age;

f) Each patient has the right to an individualized assessment based on the best available objective medical evidence;

g) Persons with disabilities and the aged have the right to reasonable modifications to ensure that all patients have equal access to medical care; and

h) A patient or the patient's family or health care decision maker has the right to appeal any triage decision. (Sec. 1)

2. Prohibits a health care provider or health care institution staff member from requiring a patient or the patient's health care decision maker to:

a) Sign a do-not-resuscitate order;

b) Make a particular health care treatment decision. (Sec. 1)

3. Requires DHS to modify any existing CSC plan or crisis guidelines or standards within 60 days after the effective date of this act. (Sec. 1)

4. Requires representatives of the State Protection and Advocacy Agency and Advocates for the Aged to be members of the SDMAC. (Sec. 1)

5. Defines short-term survival. (Sec. 1)

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9.                   HB 2386

10. Initials EB  Page 0 Senate Engrossed

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