Arizona 2023 2023 Regular Session

Arizona Senate Bill SB1158 Comm Sub / Analysis

Filed 03/30/2023

                      	SB 1158 
Initials AF 	Page 1 	Caucus & COW 
 
ARIZONA HOUSE OF REPRESENTATIVES 
Fifty-sixth Legislature 
First Regular Session 
Senate: APPROP DP 8-2-0-0 | HHS DP 7-0-0-0 | 3
rd
 Read 22-5-3-0 
House: APPROP DP 13-2-0-0  
 
SB 1158: AHCCCS; naturopathic physicians 
Sponsor: Senator Shope, LD 16 
Caucus & COW 
Overview 
Adds naturopathic physicians to the definition of physician for the Arizona Health Care Cost 
Containment System (AHCCCS), subject to approval by the federal Centers for Medicare and 
Medicaid Services (CMS). 
History 
Naturopathic medicine is a medical system of diagnosing and treating diseases and other 
conditions, including by natural means, drugless methods, nonsurgical methods, devices and 
other measures (A.R.S. § 32-1501). Naturopathic physicians are licensed to practice naturopathic 
medicine by the Naturopathic Physicians Medical Board after meeting qualifications for licensure 
(A.R.S. 32-1522). 
For AHCCCS coverage, a physician is defined as an individual who is licensed as a doctor of 
medicine or a doctor of osteopathy (A.R.S. § 36-2901). 
Provisions 
1. Expands the definition of physician for AHCCCS to include naturopathic physicians licensed 
by the Naturopathic Physicians Medical Board. (Sec. 1, 2) 
2. Contains a conditional enactment on October 1 of the year following approval by CMS, 
provided doctors of naturopathic medicine are approved as service providers by CMS by 
October 1, 2026. (Sec. 3) 
3. Requires AHCCCS to notify Legislative Council by November 1, 2026, either: 
a) The date of approval by CMS; or 
b) That CMS did not approve AHCCCS's request. (Sec. 3) 
4. Makes technical changes. (Sec. 1) 
☐ Prop 105 (45 votes)     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes) ☒ Fiscal Note