ARIZONA HOUSE OF REPRESENTATIVES Fifty-sixth Legislature First Regular Session
	Senate: HHS DP 6-0-1-0 | 3^rd Read 29-0-1-0

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SB 1285: obstetric services; rural communities; recommendations

S/E: AHCCCS; continuous glucose monitoring

Sponsor: Senator Shamp, LD 29

Committee on Health & Human Services

Overview

Adds continuous glucose monitors to the list of health and medical services that are covered by the Arizona Health Care Cost Containment System (AHCCCS), beginning October 1, 2023.

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 nonambulance transportation; 13) hospice care; 14) orthotics; 15) medically necessary chiropractic services; and 16) diabetes outpatient self-management training services (A.R.S. § 36-2907).

Continuous glucose monitors are devices used for monitoring blood glucose on a continual basis (National Institutes of Health).  

Provisions

1. Requires AHCCCS, beginning October 1, 2023, to provide continuous glucose monitors to its members as an AHCCCS covered service. (Sec. 2)

2. Requires AHCCCS to:

a) purchase continuous glucose monitors as a pharmacy benefit; and

b) update the criteria for the coverage of continuous glucose monitors to align with the current standards of care. (Sec. 1)

3. Makes technical changes. (Sec. 2)

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7.                   SB 1285

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