Arizona 2023 Regular Session

Arizona House Bill HB2137 Compare Versions

Only one version of the bill is available at this time.

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1	1	REFERENCE TITLE: children's health insurance program; eligibility State of Arizona House of Representatives Fifty-sixth Legislature First Regular Session 2023 HB 2137 Introduced by Representatives Salman: De Los Santos, Ortiz, Sandoval, Stahl Hamilton An Act amending section 36-2981, Arizona Revised Statutes; relating to the children's health insurance program. (TEXT OF BILL BEGINS ON NEXT PAGE)
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9	9	REFERENCE TITLE: children's health insurance program; eligibility
10	10	State of Arizona House of Representatives Fifty-sixth Legislature First Regular Session 2023
11	11	HB 2137
12	12	Introduced by Representatives Salman: De Los Santos, Ortiz, Sandoval, Stahl Hamilton
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14	14	REFERENCE TITLE: children's health insurance program; eligibility
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24	24	State of Arizona
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40	40	HB 2137
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44	44	Introduced by
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46	46	Representatives Salman: De Los Santos, Ortiz, Sandoval, Stahl Hamilton
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64	64	An Act
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68	68	amending section 36-2981, Arizona Revised Statutes; relating to the children's health insurance program.
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74	74	(TEXT OF BILL BEGINS ON NEXT PAGE)
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78	78	Be it enacted by the Legislature of the State of Arizona: Section 1. Section 36-2981, Arizona Revised Statutes, is amended to read: START_STATUTE36-2981. Definitions In this article, unless the context otherwise requires: 1. "Administration" means the Arizona health care cost containment system administration. 2. "Contractor" means a health plan that contracts with the administration for the provision of to provide hospitalization and medical care to members according to the provisions of this article or a qualifying plan. 3. "Director" means the director of the administration. 4. "Federal poverty level" means the federal poverty level guidelines published annually by the United States department of health and human services. 5. "Health plan" means an entity that contracts with the administration for services provided pursuant to article 1 of this chapter. 6. "Member" means a person who is eligible for and enrolled in the program, who is under nineteen years of age and whose gross household income meets the following requirements: (a) Beginning on November 1, 1998 through September 30, 1999, has income at or below one hundred fifty per cent of the federal poverty level. (b) (a) Beginning on October 1, 1999 and for each fiscal year thereafter through September 30, 2023, has income at or below two hundred per cent percent of the federal poverty level. (b) Beginning on October 1, 2023 and for each fiscal year thereafter, has income at or below two hundred fifty percent of the federal poverty level. 7. "Noncontracting provider" means an entity that provides hospital or medical care but does not have a contract or subcontract with the administration. 8. "Physician" means a person who is licensed pursuant to title 32, chapter 13 or 17. 9. "Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month without regard to the number of members who receive care or the amount of health care services provided to a member. 10. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, obstetrician or gynecologist. 11. "Primary care practitioner" means a nurse practitioner who is certified pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25 and who is acting within the respective scope of practice of those chapters. 12. "Program" means the children's health insurance program. 13. "Qualifying plan" means a contractor that contracts with the state pursuant to section 38-651 to provide health and accident insurance for state employees and that provides services to members pursuant to section 36-2989, subsection A. 14. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31. 15. "Tribal facility" means a facility that is operated by an Indian tribe and that is authorized to provide services pursuant to Public Law 93-638, as amended. END_STATUTE
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80	80	Be it enacted by the Legislature of the State of Arizona:
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82	82	Section 1. Section 36-2981, Arizona Revised Statutes, is amended to read:
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84	84	START_STATUTE36-2981. Definitions
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86	86	In this article, unless the context otherwise requires:
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88	88	1. "Administration" means the Arizona health care cost containment system administration.
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90	90	2. "Contractor" means a health plan that contracts with the administration for the provision of to provide hospitalization and medical care to members according to the provisions of this article or a qualifying plan.
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92	92	3. "Director" means the director of the administration.
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94	94	4. "Federal poverty level" means the federal poverty level guidelines published annually by the United States department of health and human services.
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96	96	5. "Health plan" means an entity that contracts with the administration for services provided pursuant to article 1 of this chapter.
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98	98	6. "Member" means a person who is eligible for and enrolled in the program, who is under nineteen years of age and whose gross household income meets the following requirements:
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100	100	(a) Beginning on November 1, 1998 through September 30, 1999, has income at or below one hundred fifty per cent of the federal poverty level.
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102	102	(b) (a) Beginning on October 1, 1999 and for each fiscal year thereafter through September 30, 2023, has income at or below two hundred per cent percent of the federal poverty level.
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104	104	(b) Beginning on October 1, 2023 and for each fiscal year thereafter, has income at or below two hundred fifty percent of the federal poverty level.
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106	106	7. "Noncontracting provider" means an entity that provides hospital or medical care but does not have a contract or subcontract with the administration.
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108	108	8. "Physician" means a person who is licensed pursuant to title 32, chapter 13 or 17.
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110	110	9. "Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month without regard to the number of members who receive care or the amount of health care services provided to a member.
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112	112	10. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, obstetrician or gynecologist.
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114	114	11. "Primary care practitioner" means a nurse practitioner who is certified pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25 and who is acting within the respective scope of practice of those chapters.
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116	116	12. "Program" means the children's health insurance program.
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118	118	13. "Qualifying plan" means a contractor that contracts with the state pursuant to section 38-651 to provide health and accident insurance for state employees and that provides services to members pursuant to section 36-2989, subsection A.
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120	120	14. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31.
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122	122	15. "Tribal facility" means a facility that is operated by an Indian tribe and that is authorized to provide services pursuant to Public Law 93-638, as amended. END_STATUTE