ARIZONA HOUSE OF REPRESENTATIVES Fifty-fifth Legislature First Regular Session
	Senate: APPROP DP 10-0-0-0 | 3^rd Read 30-0-0-0 House: MAPS DP 13-1-0-0

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SB 1354: rate structure; hospital services; prisoners

Sponsor: Senator Barto, LD 15

Caucus & COW

Overview

Enables the Arizona Department of Corrections (ADC) to establish an alternative reimbursement rate that does not exceed 120% of the current Medicare rate for inpatient and outpatient hospital services that are provided in fully locked unit settings.

History

If a prisoner in a secure care facility requires health services that ADC, the facility or private prison provider contracted by ADC cannot provide, ADC is required to pay approved claims from a facility or provider that provides these services:

1) For inpatient and outpatient hospital services, ADC must reimburse at a level that does not exceed the reimbursement methodology; and

2) For health and medical services, ADC must reimburse at a level that does not exceed the capped fee-for-service schedule that is adopted by the Arizona Health Cost Care Containment System (AHCCCS) administration and that is in effect at the time the services are delivered (A.R.S. § 41-1608).

Provisions

1. Allows ADC to establish an alternative reimbursement rate for inpatient and outpatient hospital services that are provided in a fully locked unit setting. (Sec. 1)

2. Prohibits ADC from establishing an alternative reimbursement rate that exceeds 120% of the current Medicare rate. (Sec. 1)

3. Defines fully locked unit setting to mean a ward or wing in which treatment and services are provided and that is secure in a manner that prevents patients form leaving the ward or wing at will. (Sec. 1)

4. Excludes a ward or wing that is locked only for preventing unauthorized entry and that allows a patient to exit the ward or wing at will from the definition of fully locked unit setting. (Sec. 1)

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8.                   SB 1354

9. Initials ES/SM       Page 0 Caucus & COW

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