Arizona 2023 2023 Regular Session

Arizona House Bill HB2563 Comm Sub / Analysis

Filed 04/18/2023

                      	HB 2563 
Initials AG/BSR 	Page 1 	Caucus & COW 
 
ARIZONA HOUSE OF REPRESENTATIVES 
Fifty-sixth Legislature 
First Regular Session 
House: HHS DP 8-1-0-0 | APPROPS DP 13-1-0-1 
 
HB 2563: on-call health services; appropriations 
Sponsor: Representative Hernandez C, LD 21 
Caucus & COW 
Overview 
Appropriates $7,500,000 from the state General Fund (GF) in FYs 2024 through 2026 to the 
Arizona Health Care Cost Containment System (AHCCCS) to use for on-call obstetrics and 
gynecological services to ensure service availability in low-volume obstetric delivery areas and 
rural communities.  
History 
Established in 1981, AHCCCS is Arizona's Medicaid program that oversees contracted health 
plans for the delivery of health care to individuals and families who qualify for Medicaid and other 
medical assistance programs. Through contracted health plans across the state, AHCCCS 
delivers health care to qualifying individuals including low-income adults, their children or people 
with certain disabilities. 
AHCCCS requires contractors to provide covered health and medical services to members, 
including: 1) inpatient hospital services; 2) outpatient health services; 3) laboratory and X-ray 
services; 4) prescription medications; 5) medical supplies, durable medical equipment, insulin 
pumps and prosthetic devices; 6) treatment of medical conditions of the eye; 7) early and periodic 
health screening and diagnostic services; 8) family planning services; 9) podiatry services; 10) 
nonexperimental transplants; 11) emergency dental care; 12) ambulance and non-ambulance 
transportation; 13) hospice care; 14) orthotics; 15) medically necessary chiropractic services; and 
16) diabetes outpatient self-management training services (A.R.S. § 36-2907). 
Provisions 
1. Appropriates $7,500,000 from the state GF in FYs 2024 through 2026 to AHCCCS for on-call 
obstetrics and gynecological services to ensure service availability in low-volume obstetric 
delivery areas and rural communities. (Sec. 1) 
2. Requires AHCCCS to distribute up to $2,500,000 annually to each qualifying community 
health center for the unreimbursed costs necessary to ensure the availability of on-call 
obstetrics and gynecological services in low-volume obstetric delivery areas and rural 
communities. (Sec. 1) 
3. Instructs a qualifying health care center that receives monies to submit an annual report to 
AHCCCS regarding the use of the monies, including the number of deliveries and emergency 
procedures provided by the on-call health care providers. (Sec. 1) 
4. Directs AHCCCS to convene stakeholders and staff to develop recommendations to ensure 
that obstetrics and gynecological services are provided to low-volume, high risk and rural 
communities in Arizona. (Sec. 1) 
5. Exempts the appropriation from lapsing. (Sec. 1) 
☐ Prop 105 (45 votes)     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes) ☐ Fiscal Note