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| 49 | 50 | | |
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| 50 | 51 | | An Act |
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| 52 | 53 | | |
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| 53 | 54 | | |
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| 54 | 55 | | amending section 36-3415, Arizona Revised Statutes; relating to behavioral health services. |
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| 60 | 61 | | (TEXT OF BILL BEGINS ON NEXT PAGE) |
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| 62 | 63 | | |
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| 63 | 64 | | |
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| 64 | 65 | | Be it enacted by the Legislature of the State of Arizona: Section 1. Section 36-3415, Arizona Revised Statutes, is amended to read: START_STATUTE36-3415. Behavioral health expenditures; annual reports A. The administration shall report annually to the joint legislative budget committee on each fiscal year's medicaid and nonmedicaid behavioral health expenditures, including behavioral health demographics that include client income, utilization and expenditures, medical necessity oversight practices, tracking of high-cost beneficiaries, mortality trends, placement trends, program integrity and access to services. B. The administration shall report annually to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and the house of representatives, or their successor committees. The report shall be in a substantially comparable format as the fiscal year 2014-2015 annual report of the department of health services submitted pursuant to this section and shall include the following information relating to individuals living with serious mental illness: 1. annual mortality. the administration and the DEPARTMEnt of health services shall enter into a data sharing agreement for the purposes of vital records information necessary for the report under this subsection. 2. Complaints received from individuals with serious mental illness or their representatives REGARDING access to services by geographic service area and eligibility category. 3. Enrollment by geographic service area and eligibility category. 4. Demographics by geographic service area and eligibility category, including: (a) Age. (b) Gender. (c) Race. (d) Student status. (e) Employment status. (f) Percentage incarcerated in the preceding year. (g) Percentage who are homeless. (h) type of disability, if the individual is deaf, hard of hearing or deafblind. 5. Per capita expenditures by geographic service area and eligibility category for the following: (a) The number receiving services. (b) Per capita expenditures. (c) The number receiving services and per capita costs per service category. 6. Per capita expenditures by service type and eligibility category for the following: (a) Support services. (b) Inpatient services. (c) Pharmacy. (d) Rehabilitation services. (e) Treatment services. (f) Medical services. (g) Crisis intervention services. 7. Average length of stay and readmission rates by eligibility category for the following settings: (a) Level I. (b) Level I subacute. (c) Behavioral health residential facilities. 8. Beginning with information from state fiscal year 2022-2023 and annually thereafter, for individuals living with serious mental illness, by geographic service area: (a) The number of individuals who are on a waitlist maintained by the administration or its contractors for a type of housing and the length of time that each individual was on the waitlist. (b) The criteria and process that the administration or its contractors use to assign an individual to the housing waitlist or to move an individual up or down on the housing waitlist in prioritizing housing placement. END_STATUTE Sec. 2. Arizona health care cost containment system administration; methodology; accommodations; report; delayed repeal A. On or before December 31, 2022, the Arizona health care cost containment system administration shall: 1. Develop a methodology to track accommodations that are requested and provided pursuant to the Americans with disabilities act to persons with disabilities who are living with serious mental illness and any complaints related to accommodations requested or provided pursuant to the Americans with disabilities act. 2. Report to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and the house of representatives on the methodology that is developed and the implementation costs that will be incurred by the administration to implement the methodology. B. This section is repealed from and after June 30, 2023. |
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| 65 | 66 | | |
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| 66 | 67 | | Be it enacted by the Legislature of the State of Arizona: |
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| 67 | 68 | | |
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| 68 | 69 | | Section 1. Section 36-3415, Arizona Revised Statutes, is amended to read: |
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| 69 | 70 | | |
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| 70 | 71 | | START_STATUTE36-3415. Behavioral health expenditures; annual reports |
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| 71 | 72 | | |
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| 72 | 73 | | A. The administration shall report annually to the joint legislative budget committee on each fiscal year's medicaid and nonmedicaid behavioral health expenditures, including behavioral health demographics that include client income, utilization and expenditures, medical necessity oversight practices, tracking of high-cost beneficiaries, mortality trends, placement trends, program integrity and access to services. |
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| 73 | 74 | | |
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| 74 | 75 | | B. The administration shall report annually to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and the house of representatives, or their successor committees. The report shall be in a substantially comparable format as the fiscal year 2014-2015 annual report of the department of health services submitted pursuant to this section and shall include the following information relating to individuals living with serious mental illness: |
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| 75 | 76 | | |
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| 76 | 77 | | 1. annual mortality. the administration and the DEPARTMEnt of health services shall enter into a data sharing agreement for the purposes of vital records information necessary for the report under this subsection. |
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| 77 | 78 | | |
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| 78 | 79 | | 2. Complaints received from individuals with serious mental illness or their representatives REGARDING access to services by geographic service area and eligibility category. |
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| 79 | 80 | | |
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| 80 | 81 | | 3. Enrollment by geographic service area and eligibility category. |
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| 81 | 82 | | |
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| 82 | 83 | | 4. Demographics by geographic service area and eligibility category, including: |
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| 83 | 84 | | |
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| 84 | 85 | | (a) Age. |
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| 85 | 86 | | |
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| 86 | 87 | | (b) Gender. |
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| 87 | 88 | | |
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| 88 | 89 | | (c) Race. |
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| 89 | 90 | | |
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| 90 | 91 | | (d) Student status. |
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| 91 | 92 | | |
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| 92 | 93 | | (e) Employment status. |
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| 93 | 94 | | |
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| 94 | 95 | | (f) Percentage incarcerated in the preceding year. |
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| 95 | 96 | | |
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| 96 | 97 | | (g) Percentage who are homeless. |
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| 97 | 98 | | |
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| 98 | 99 | | (h) type of disability, if the individual is deaf, hard of hearing or deafblind. |
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| 99 | 100 | | |
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| 100 | 101 | | 5. Per capita expenditures by geographic service area and eligibility category for the following: |
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| 101 | 102 | | |
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| 102 | 103 | | (a) The number receiving services. |
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| 103 | 104 | | |
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| 104 | 105 | | (b) Per capita expenditures. |
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| 105 | 106 | | |
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| 106 | 107 | | (c) The number receiving services and per capita costs per service category. |
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| 107 | 108 | | |
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| 108 | 109 | | 6. Per capita expenditures by service type and eligibility category for the following: |
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| 109 | 110 | | |
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| 110 | 111 | | (a) Support services. |
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| 111 | 112 | | |
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| 112 | 113 | | (b) Inpatient services. |
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| 113 | 114 | | |
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| 114 | 115 | | (c) Pharmacy. |
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| 115 | 116 | | |
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| 116 | 117 | | (d) Rehabilitation services. |
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| 117 | 118 | | |
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| 118 | 119 | | (e) Treatment services. |
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| 119 | 120 | | |
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| 120 | 121 | | (f) Medical services. |
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| 121 | 122 | | |
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| 122 | 123 | | (g) Crisis intervention services. |
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| 123 | 124 | | |
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| 124 | 125 | | 7. Average length of stay and readmission rates by eligibility category for the following settings: |
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| 125 | 126 | | |
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| 126 | 127 | | (a) Level I. |
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| 127 | 128 | | |
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| 128 | 129 | | (b) Level I subacute. |
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| 129 | 130 | | |
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| 130 | 131 | | (c) Behavioral health residential facilities. |
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| 131 | 132 | | |
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| 132 | 133 | | 8. Beginning with information from state fiscal year 2022-2023 and annually thereafter, for individuals living with serious mental illness, by geographic service area: |
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| 133 | 134 | | |
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| 134 | 135 | | (a) The number of individuals who are on a waitlist maintained by the administration or its contractors for a type of housing and the length of time that each individual was on the waitlist. |
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| 135 | 136 | | |
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| 136 | 137 | | (b) The criteria and process that the administration or its contractors use to assign an individual to the housing waitlist or to move an individual up or down on the housing waitlist in prioritizing housing placement. END_STATUTE |
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| 137 | 138 | | |
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| 138 | 139 | | Sec. 2. Arizona health care cost containment system administration; methodology; accommodations; report; delayed repeal |
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| 139 | 140 | | |
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| 140 | 141 | | A. On or before December 31, 2022, the Arizona health care cost containment system administration shall: |
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| 141 | 142 | | |
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| 142 | 143 | | 1. Develop a methodology to track accommodations that are requested and provided pursuant to the Americans with disabilities act to persons with disabilities who are living with serious mental illness and any complaints related to accommodations requested or provided pursuant to the Americans with disabilities act. |
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| 143 | 144 | | |
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| 144 | 145 | | 2. Report to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and the house of representatives on the methodology that is developed and the implementation costs that will be incurred by the administration to implement the methodology. |
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| 145 | 146 | | |
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| 146 | 147 | | B. This section is repealed from and after June 30, 2023. |
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