ARIZONA HOUSE OF REPRESENTATIVES

Fifty-seventh Legislature

First Regular Session

House: HHS DP 11-1-0-0 | APPROP DPA 11-1-0-0

☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note

HB 2329: appropriation; health care directives registry

Sponsor: Representative Willoughby, LD 13

House Engrossed

Overview

Requires the Arizona Department of Health Services (DHS), by December 31, 2025 and June 30, 2026, to submit a report to the Governor and Legislature that includes information regarding the Arizona Healthcare Directives Registry (AzHDR). Appropriates an unspecified amount from the state General Fund (GF) in FY 2026 to DHS for AzHDR operations.

History

Health care directive means a document drafted to deal with a person's future health care decisions and includes a written designation of an agency to make heath care and mental health care decisions (A.R.S. § 36-3201). AzHDR is an online registry that stores health care directives for Arizona residents (AzHDR).

DHS is required to designate a qualifying health information exchange organization to operate a health care directives registry. Subject to the availability of monies, the qualifying health information exchange organization must establish and maintain a health care directives registry (A.R.S. § 36-3291).

A person may submit to the health care directives registry, in a manner prescribed by the qualifying health information exchange organization, health care directives, including prehospital medical care directives and any amendments to or revocations of these documents. The qualifying health information exchange must establish a process for authenticating the identity of the person who submits a document to a health care directives registry (A.R.S. § 36-3292).

Provisions

1.   Requires, by December 31, 2025 and June 30, 2026, DHS to submit a report to the Governor and Legislature that includes the following information:

a)   an overview of operations and technological capabilities of the AzHDR;

b)   a description of the subscriber organizations using AzHDR in the preceding six months;

c) the average time to process documents in AzHDR; and

d)   an overview of the past growth in AzHDR year over year. (Sec. 1)

2.   Requires DHS to include in the reports the total number of:

a)   individual AzHDR accounts;

b)   individual AzHDR accounts created in the preceding six months;

c) AzHDR document uploads;

d)   AzHDR document uploads in the preceding six months;

e)   subscriber organizations using AzHDR;

f) active AzHDR users; and

g)   participant searches. (Sec. 1)

3.   Requires DHS to provide a copy of the AzHDR reports to the Secretary of State. (Sec. 1)

4.   Repeals the AzHDR reporting requirement on January 1, 2027. (Sec. 1)

5.   Appropriates $500,000 from the state GF in FY 2026 to DHS for the operation of AzHDR. (Sec. 2)

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9.                     HB 2329

10.  Initials AG/BG    Page 0 House Engrossed

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