Assigned to HHS AS PASSED BY COW
ARIZONA STATE SENATE
Fifty-Fifth Legislature, Second Regular Session
AMENDED
FACT SHEET FOR S.B. 1467
AHCCCS; drug treatment; testing; reporting
Purpose
Establishes the Arizona Health Care Cost Containment System (AHCCCS) Recovery
Support and Accountability Program (Program), subject to approval by the U.S. Centers for
Medicare and Medicaid Services (CMS), to incentivize providers to increase successful recovery
by monitoring and supporting members who have graduated from an AHCCCS-funded treatment
program. Incentivizes AHCCCS substance use treatment providers to implement transitional
supports, including the use of random semi-monthly DNA-matched drug testing for the first six
months after a member graduates from a treatment program.
Background
The Substance Use Disorder Treatment Services (Fund) is established under AHCCCS,
consisting of appropriated monies, gifts or donations to the Fund and interest earned on those
monies. Using monies from the Fund, AHCCCS must enter into agreements with contractors for
substance use disorder services (A.R.S. § 36-2930.06).
If there is an increased cost associated with implementing random drug testing, there may
be a fiscal impact to the state General Fund.
Provisions
1. Establishes, subject to approval by CMS, the AHCCCS Program to incentivize providers to
monitor and support members and increase successful recovery.
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 a treatment program, unless the member is on probation or parole.
3. Requires, beginning October 1, 2023, AHCCCS to submit an annual report to the Governor,
the President of the Senate, the Speaker of the House, the Chairpersons of the Health and
Human Services committees in the Senate and the House of Representatives and the Secretary
of State regarding AHCCCS-funded substance use disorder treatment programs.
4. Requires the annual report to include:
a) the total number of graduated members and their employment status;
b) the percentage of graduated members who relapsed within the six-month tracking period;
c) the number of graduated members who are the subjects of Department of Child Safety
oversight, including the number of those members who are parents engaged in reunification
or have been reunified with their children; FACT SHEET – Amended
S.B. 1467
Page 2
d) the number of graduated members who returned to an AHCCCS-funded drug treatment
program within six months of graduation; and
e) the number of graduated members who are identified as homeless or are in supportive sober
living.
5. Requires, by October 1, 2025, AHCCCS to notify the Director of Legislative Council in writing
of either:
a) the date that CMS approves the request to implement the Program; or
b) the denial of the request.
6. Conditions the enactment of this legislation on CMS approval by October 1, 2025.
7. Becomes effective on the general effective date or later, subject to the provisions of the
conditional enactment
Amendments Adopted by Committee of the Whole
1. Establishes, subject to approval by CMS, the AHCCCS Program to incentivize providers to
monitor and support members and increase successful recovery.
2. Incentivizes, rather than requires, providers to implement transitional supports for members
who recently graduated from a drug treatment program, including the use of semimonthly
DNA-matched drug testing.
3. Removes the requirement that AHCCCS report the number of graduated members that are
enrolled in school or job skills training as well as the number of members who own a home or
who live with a friend or family member.
4. Requires the AHCCCS report to include the number of graduated members that are identified
as homeless or are living in supportive sober living.
5. Adds a conditional enactment clause.
Senate Action
HHS 2/21/22 DP 4-3-1
Prepared by Senate Research
March 2, 2022
MM/CC/sr