ARIZONA HOUSE OF REPRESENTATIVES Fifty-fifth Legislature Second Regular Session
	Senate: HHS DP 4-3-1-0 | 3^rd Read 16-11-3-0

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SB 1467: AHCCCS; drug treatment; testing; reporting

Sponsor: Senator Barto, LD 15

Committee on Health & Human Services

Overview

Creates the Arizona Health Care Cost Containment System (AHCCCS) Recovery Support and Accountability Program (Program) to incentivize providers to increase successful recovery by monitoring and supporting members and increasing successful recovery. Contains a conditional enactment clause.

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.

Statute outlines the covered health and medical services offered to AHCCCS members, including: 1) inpatient hospital services; 2) outpatient health services; 3) laboratory and X-ray services; 4) prescription medications; 5) medical supplies, durable medical equipment, insulin pumps and prosthetic devices; 6) treatment of medical conditions of the eye; 7) early and periodic health screening and diagnostic services; 8) family planning services; 9) podiatry services; 10) nonexperimental transplants; 11) emergency dental care; 12) ambulance and non-ambulance transportation; 13) hospice care; and 14) orthotics (A.R.S. § 36-2907).

The AHCCCS Director administers the Substance Use Disorder Services Fund (Fund) which consists of appropriated monies, any gifts or donations to the Fund and interest earned on those monies. AHCCCS uses this fund to enter into agreements with contractors for substance use disorder services. Statute prescribes requirements for these agreements (A.R.S. § 36-2930.06).

Provisions

1. Creates, subject to approval by the U.S. Centers for Medicare and Medicaid Services (CMS), the AHCCCS Program to incentivize providers to monitor and support members and increase successful recovery. (Sec. 1)

2. Incentivizes AHCCCS substance use treatment providers to implement transitional supports, including random semi-monthly DNA-matched drug testing for the first six months after a member graduates from an AHCCCS-funded treatment program, unless the member is on probation or parole. (Sec. 1)

3. Requires drug testing to occur at least two times each month for six months immediately following graduation from the treatment program and include testing for psychotropic medications. (Sec. 1)

4. Requires, beginning October 1, 2023, and annually thereafter, AHCCCS to submit a report to the Governor, President of the Senate, Speaker of the House of Representatives and the Chairpersons of the Health and Human Services Committees in the Senate and the House of Representatives and provide a copy to the Secretary of State. (Sec. 1)

5. Outlines the information to be included in the report for the preceding year relating to AHCCCS-funded substance use disorder treatment programs. (Sec. 1)

6. Conditions the enactment of the AHCCCS Program upon CMS approval by October 1, 2025. (Sec. 1)

7. Requires AHCCCS to notify the Director of Legislative Council in writing by October 1, 2025, either of the date the condition was met or not met. (Sec. 1)

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11.                   SB 1467

12. Initials AG Page 0 Health & Human Services

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