Assigned to HHS AS PASSED BY COW
ARIZONA STATE SENATE
Fifty-Sixth Legislature, First Regular Session
AMENDED
FACT SHEET FOR H.B. 2530
substance exposure; pregnant women; neglect
Purpose
Requires the Department of Child Safety (DCS), on the receipt of communication
involving substance use by a pregnant woman, to provide the caller with the Arizona Care Cost
Containment System's (AHCCCS's) contact information and, if possible, transfer the call to
AHCCCS for referral to a provider for substance use treatment. Directs a licensed or certified
health care professional to refer a pregnant woman for substance abuse services and support, with
the woman's consent, to facilitate maternal and infant safety on a finding of a pregnant women
using alcohol or dangerous or narcotic drugs.
Background
DCS's primary purpose is to protect children. Required DCS duties necessary to achieve
that purpose include investigating reports of abuse and neglect and working cooperatively with
law enforcement regarding reports that include criminal conduct allegations (A.R.S. § 8-451).
DCS must operate and maintain a centralized intake hotline to protect children by receiving
communications concerning suspected abuse or neglect. If a person communicates suspected abuse
or neglect to a DCS employee other than through the hotline, the employee must refer the person
or communication to the hotline. If a communication provides a reason to believe a criminal
offense has been committed and the communication does not meet the criteria for a DCS report, a
hotline worker must immediately provide the information to the appropriate law enforcement
agency. Additionally, a hotline worker must prepare a DCS report if the identity or location of a
child victim, the child's family or the person suspected of abuse or neglect is known or can be
reasonably ascertained and outlined criteria is met (A.R.S. § 8-455).
In determining if a child is neglected, consideration must be given to the drug or alcohol
abuse of the child's parent, guardian, or custodian and the mother's use of a dangerous drug,
narcotic drug or alcohol during pregnancy if the child, at birth or within a year after birth, is
demonstrably adversely affected by drug or alcohol use (A.R.S. § 8-819).
After a routine newborn infant's physical assessment or following notification of a
newborn infant's positive toxicology screen, a regulated health care professional who reasonably
believes that the newborn infant may be affected by the presence of alcohol or dangerous or
narcotic drugs must immediately report the information, or cause a report to be made to, DCS
(A.R.S. § 13-3620).
There is no anticipated fiscal impact to the state General Fund associated with this
legislation. FACT SHEET – Amended
H.B. 2530
Page 2
Provisions
1. Requires DCS, if a communication involving substance abuse by a pregnant woman is
received, to provide the caller with AHCCC's contact information and, if possible, transfer the
call to AHCCCS, and requires AHCCCS to refer the woman to a provider for substance use
treatment.
2. Prohibits the receipt of communication involving substance use by a pregnant woman from
resulting in an investigation of abuse or neglect.
3. Prohibits DHS from maintaining the receipt of communication involving substance use by a
pregnant woman.
4. Requires a licensed or certified health care professional, on a finding of a pregnant woman
using alcohol or a dangerous or narcotic drug and subject to mandatory reporting requirements,
to refer the woman to substance use services and support to facilitate maternal and infant safety.
5. Requires a licensed or certified health care professional, on a finding or report to DCS of a
pregnant woman using alcohol or a dangerous or narcotic drug, to refer the woman to substance
use services and support to facilitate maternal and infant safety.
6. Adds, to the factors used in determining if a child is neglected, proof that the mother was
referred for, and participated in, substance use treatment certified by a licensed health care
professional and allows the mother's participation to be considered a mitigating factor in
determining neglect.
7. Requires a licensed or certified health care professional who suspects the use of alcohol or a
dangerous or narcotic drug through clinical indicators in the prenatal period, including
maternal presentation or positive toxicology or other laboratory tests, to immediately refer the
woman, with the woman's consent, to substance use services and support.
8. Prohibits the presence of prenatal clinical indictors or the woman's history of substance use or
participation in substance use services and support alone to be the basis of a mandatory report
of suspected neglect on the birth of the child.
9. Makes technical and conforming changes.
10. Becomes effective on the general effective date.
Amendments Adopted by Committee
1. Requires DCS, on receiving a communication involving substance abuse by a pregnant
woman, to provide the caller with AHCCCS's contact information, rather than providing the
information to AHCCCS.
2. Prohibits DCS from maintaining the receipt of a communication involving substance use by a
pregnant woman. FACT SHEET – Amended
H.B. 2530
Page 3
3. Requires a pregnant woman's consent for a licensed healthcare professional to refer the woman
to substance abuse services and support.
4. Makes technical changes.
Amendments Adopted by Committee of the Whole
1. Requires a health care professional mandated to report suspected abuse or neglect of a child
that suspects a pregnant woman is using alcohol or dangerous or narcotic drugs to refer the
woman for substance use services only with the woman's consent.
2. Removes the requirement that substance use services for pregnant women suspected of
substance use be provided by AHCCCS.
House Action Senate Action
HHS 2/13/23 DPA 9-0-0-0 HHS 3/21/23 DPA 4-3-0
3
rd
Read 2/28/23 31-28-1
Prepared by Senate Research
April 10, 2023
MG/JM/slp