ARIZONA STATE SENATE
RESEARCH STAFF
TO: MEMBERS OF THE SENATE
APPROPRIATIONS COMMITTEE
DATE: March 25, 2022
SUBJECT: Strike everything amendment to H.B. 2658, relating to nurse; family; partnership
Purpose
Establishes the Nurse-Home Visitor Grant Program (Program) within the Department of
Health Services (DHS). Appropriates $2,300,000 from the state General Fund (state GF) in FYs
2023, 2024 and 2025 to DHS for the Program.
Background
DHS provides and coordinates public health services and programs for Arizona. DHS is
responsible for: 1) protecting and improving public health; 2) implementing prevention and control
programs for diseases and disabilities; 3) licensing and regulating health care institutions, child
care facilities and various health care providers; 4) providing personnel and administrative services
such as budgeting, information systems and facilities management for the agency; 5) administering
radiation control programs; 6) operating the Arizona State Hospital; 7) overseeing the state
laboratory; 8) administering a statewide system of emergency medical services, trauma care and a
trauma registry; 9) collecting and maintaining vital records, including birth and death certificates;
and 10) publishing public health statistics on a variety of public health measures and trends (A.R.S.
ยงยง 36-104 and 36-132).
The strike-everything amendment to H.B. 2658 appropriates $2,300,000 from the state GF
in FYs 2023, 2024 and 2025 to DHS.
Provisions
1. Establishes the Program within DHS and requires DHS to award grant monies to at least one
eligible organization to provide nurse-home visiting services for a three-year period.
2. Specifies that the nurse-home visiting services, for first-time, low-income, expectant mothers
that enroll voluntarily before the third trimester, include:
a) assessments and screenings;
b) care coordination;
c) case management;
d) preventive education and counseling;
e) nurse-delivered interventions;
f) referrals to health and human services;
g) educational or job development resources; and
h) other appropriate support.
3. Specifies that eligible organizations that receive grants include public or private entities,
nonprofit organizations, county or local government entities and tribal nations.
LIAM M MAHER
LEGISLATIVE RESEARCH ANALYST
APPROPRIATIONS COMMITTEE
Telephone: (602) 926-3171 STRIKER MEMO
H.B. 2658
Page 3
4. Requires DHS, when determining whether to award grants to organizations, to give preference
to organizations that:
a) are working and providing services in Arizona;
b) can demonstrate either delivery as of December 31, 2021, or capacity to deliver within 90
days after receiving grant monies by registered nurses that meet U.S. Department of Health
and Human Services criteria for an evidence-based early childhood home visiting service
delivery model;
c) limit program enrollees to voluntary first-time expectant mothers before 28 weeks of
pregnancy;
d) provide services to program enrollees and their children from early prenatal enrollment
through the child's second birthday;
e) employ nurses that have received a Bachelor of Science in nursing degree or a higher
degree to provide services; and
f) provide services in the enrollee's home, via telehealth or at another location as directed by
the enrollees.
5. Requires a selected organization to submit data prescribed by DHS, which may include client
demographic information relating to services and referrals that meet performance benchmarks
developed by U.S. Health Resources and Services Administration for evidence-based nurse-
home visiting.
6. Specifies that the data submitted by the selected organization include:
a) improvements in maternal and newborn health;
b) reduction of child injuries, child maltreatment and emergency department visits for
accidental injuries;
c) improvements in school readiness and achievement;
d) reduction of crime or domestic violence;
e) improvements in family economic self-sufficiency; and
f) improvements in coordinating and referring other community resources and supports.
7. Requires the nurse-home visiting services delivered in the Program to be delivered to voluntary
participants with their consent and in a location and method preferred by participants, which
may include in-home, via telehealth or in another nonclinical setting.
8. Requires DHS, by February 1, 2023, and each year thereafter, to report to the Appropriations
Committees of the Senate and the House of Representatives with the:
a) number of grants awarded in the Program, recipient organizations and number of
participants expected to be served;
b) number of participants newly enrolled;
c) extent to which each grant recipient made monthly visits to enrolled participants; and
d) data and information related to measures of health and well-being of participants and their
children participating in the Program.
9. Specifies that the Program does not prevent DHS from identifying performance measurers
consistent with those reported by DHS to the U.S. Health Resources and Services
Administration for delivery of evidence-based nurse-home visiting services supported in whole
or in part by federal maternal, infant and early childhood home visiting services.
STRIKER MEMO
H.B. 2658
Page 4
10. Appropriates $2,300,000 from the state GF in FYs 2023, 2024 and 2025 to DHS for
administering the Program for the delivery of evidence-based nurse-home visiting services.
11. Exempts the appropriations from lapsing.
12. Contains a legislative findings and intent clause.
13. Becomes effective on the general effective date.