COMMITTEE ON APPROPRIATIONS
HOUSE OF REPRESENTATIVES AMENDMENTS TO H.B. 2423
(Reference to printed bill)
Strike everything after the enacting clause and insert:
"Section 1. Section 41-703.01, Arizona Revised Statutes, is amended to read:
41-703.01. Competitive grant program; technology solution; patient continuity of care; hospital interconnectivity; annual report; definitions
A. The department shall administer a three-year competitive grant program that provides A SINGLE COMPANY THAT LICENSES an interoperability software technology solution to support ACUTE CARE FOR rural hospitals, health care providers and urban trauma centers with resources to further treatment AND care coordination with a focus on reducing public and private health care costs and unnecessary transportation costs. The grant recipient may not use a third-party vendor to comply with any of the grant program requirements. The department shall award the first grant under this program not later than December 31, 2022 2023.
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 A SINGLE LICENSED 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 AND THAT IS ACCESSIBLE TO CURRENT AND FUTURE PROVIDERS VIA A mobile, NATIVE SMARTPHONE APPLICATION.
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 INTEROPERABILITY TECHNOLOGY AND other electronic medical records systems and providers to promote MOBILE connectivity between hospital systems and facilitate increased communication between hospital staff and providers that use different or distinctive online AND MOBILE platforms and information systems when treating ACUTE patients. The department shall award grants ONE GRANT 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 ON THEIR SMARTPHONES or a smart device.
5. Allows both synchronous and asynchronous communication VIA A NATIVE SMARTPHONE APPLICATION.
6. Is mobile and can be used on multiple electronic devices. The mobile technology must include, at a minimum, the industry standard built-in application for the two most popular operating systems and a built-in application available to all users.
6. 7. Has patient-centric communication and is tracked with date and time stamping.
7. 8. Is connected to the appropriate physician resources.
8. 9. Provides data to update cost reports to enhance emergency triage and to treat and transport patients.
E. Each The grant recipient shall demonstrate both of the following:
1. That its interoperability software technology solution meets all of the requirements of subsection D of this section at least thirty days BEFORE applying for the grant.
2. Proof of veteran employment.
F. The interoperability software technology solution license must be renewed on an annual basis.
F. G. For each year of the grant program, each the grant recipient shall provide to the department of administration a report that provides metrics and quantifies cost and time savings for using an interoperable software solution in health care that complies with the health insurance portability and accountability act privacy standards (45 Code of Federal Regulations part 160 and part 164, subpart E). On or before July 1 of each fiscal year of the grant program, the department of administration in coordination with the Arizona health care cost containment system 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 joint legislative budget committee and the governor's office of strategic planning and budgeting a report on the allocation of grant funding and a compiled analysis of the reports provided by the grant recipients recipient.
G. H. For the purposes of this section:
1. "Mobile" means available to end users on a smart device via a native application and not an internet page or web portal.
2. "Native" means an application that is specifically developed for the hardware and operating system that runs the application.
1. 3. "Rural" mean means a county with a population of less than nine hundred thousand persons.
2. 4. "Veteran employment" means a business organization that employs an individual or has a company officer who served and who was honorably discharged from or released under honorable conditions from service in the United States armed forces.
Sec. 2. Repeal
Laws 2022, chapter 314, section 6 is repealed.
Sec. 3. Appropriation; department of administration; interoperability software technology solution grant; exemption
A. The sum of $12,000,000 is appropriated onetime from the state general fund in fiscal year 2023-2024 to the department of administration for an interoperability software technology solution grant pursuant to section 41-703.01, Arizona Revised Statutes, as amended by this act.
B. The appropriation made in subsection A of this section is exempt from the provisions of section 35-190, Arizona Revised Statutes, relating to lapsing of appropriations."
Amend title to conform