Second Regular Session H.B. 2201
PROPOSED
SENATE AMENDMENTS TO H.B. 2201
(Reference to House engrossed bill)
Strike everything after the enacting clause and insert:
"Section 1. Title 41, chapter 4, article 1, Arizona Revised Statutes, is amended by adding section 41-703.01, to read:
41-703.01. Competitive grant program; technology solution; patient continuity of care; hospital interconnectivity; annual report
A. The department shall administer a THREE-YEAR competitive grant program that provides an interoperability software technology solution to support rural hospitals, health care providers and urban trauma centers to further treatment care coordination with a focus on reducing public and private health care costs and unnecessary transportation costs. the department shall award the first grant under this program not later than December 31, 2022.
B. The Arizona health care cost containment system shall work with the department to supplement the grant monies by identifying and applying to receive federal matching monies.
C. The grant program shall enable the implementation of An interoperability software technology solution that is shared by hospitals and health care providers to benefit patients before and after a patient is discharged from the provider's care.
D. THE SOFTWARE SHALL BE MADE AVAILABLE TO RURAL HOSPITALS, HEALTH CARE PROVIDERS AND URBAN TRAUMA CENTERS THAT WISH TO PARTICIPATE BY ENABLING A HOSPITAL'S ELECTRONIC MEDICAL RECORDS SYSTEM TO INTERFACE WITH OTHER ELECTRONIC MEDICAL RECORDS SYSTEMS AND PROVIDERS TO PROMOTE CONNECTIVITY BETWEEN HOSPITAL SYSTEMS AND facilitate INCREASED COMMUNICATION BETWEEN HOSPITAL STAFF AND PROVIDERS THAT USE DIFFERENT OR DISTINCTIVE ONLINE PLATFORMS AND INFORMATION SYSTEMS WHEN TREATING PATIENTS. THE DEPARTMENT SHALL AWARD grants for AN INTEROPERABILITY SOFTWARE TECHNOLOGY SOLUTION THAT, at a minimum:
1. Complies with the health insurance portability and accountability act privacy standards (45 code of federal regulations part 160 and part 164, subpart E).
2. Captures and forwards clinical data, including laboratory results and images, and provides synchronous patient clinical data to health care providers regardless of geographic location.
3. Provides a synchronous data exchange that is not batched or delayed, at the point the clinical data is captured and available in the hospital's electronic record system.
4. Is capable of providing proactive alerts to health care providers.
5. Allows both synchronous and asynchronous communication.
6. Has patient-centric communication and is tracked with date and time stamping.
7. IS CONNECTED TO THE APPROPRIATE PHYSICIAN RESOURCES.
8. Provides data to update cost reports to enhance emergency triage and to treat and transport patients.
E. On or before July 1 of each fiscal year of the grant program, the grant recipient shall provide to the president of the senate, the speaker of the house of representatives, the chairpersons of the health and human services committees of the senate and the house of representatives and the directors of the department of administration and the Arizona health care cost containment system a report that provides metrics and quantifies cost and time savings and complies with the health insurance portability and accountability act privacy standards (45 code of federal regulations part 160 and part 164, subpart e).
Sec. 2. Delayed repeal
Section 41-703.01, Arizona Revised Statutes, is repealed from and after June 30, 2026.
Sec. 3. Appropriations; department of administration; hospital interconnectivity grants; exemption
A. The sum of $12,000,000 is appropriated from the state general fund in each of fiscal years 2022-2023, 2023-2024 and 2024-2025 to the department of administration to provide hospital interconnectivity grants over a three-year period to a grant recipient pursuant to section 41-703.01, Arizona Revised Statutes, as added by this act, to facilitate increased communication between health care providers while treating patients in this state.
B. The appropriations made in subsection A of this section are exempt from the provisions of section 35-190, Arizona Revised Statutes, relating to lapsing of appropriations.
Sec. 4. Legislative intent
The legislature intends to create a competitive grant program to award a grant recipient monies to implement a statewide interoperability software technology solution to support rural hospitals, health care providers and urban trauma centers to further treatment care coordination with a focus on reducing public and private health care costs and unnecessary transportation costs. The grant recipient will provide this state's hospital systems with technology to facilitate streamlined communications between electronic health record providers and to further connect rural providers with regional hospitals to reduce unnecessary health care costs, reduce overtriage and demonstrate to the centers for medicare and medicaid services the costs savings associated with efficient hospital operations."
Amend title to conform