Arizona 2024 Regular Session

Arizona House Bill HB2453 Compare Versions

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Version 2 (New)

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1		-	~~House Engrossed~~ AHCCCS; naturopathic physicians State of Arizona House of Representatives Fifty-sixth Legislature Second Regular Session 2024 ~~HOUSE BILL~~ 2453 An Act amending section 36-2901, Arizona Revised Statutes; relating to the Arizona health care cost containment system. (TEXT OF BILL BEGINS ON NEXT PAGE)
	1	+	REFERENCE TITLE: AHCCCS; naturopathic physicians State of Arizona House of Representatives Fifty-sixth Legislature Second Regular Session 2024 HB 2453 Introduced by Representative Montenegro An Act amending section 36-2901, Arizona Revised Statutes; relating to the Arizona health care cost containment system. (TEXT OF BILL BEGINS ON NEXT PAGE)
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9		-	~~House Engrossed~~ AHCCCS; naturopathic physicians
	9	+	REFERENCE TITLE: AHCCCS; naturopathic physicians
10	10		State of Arizona House of Representatives Fifty-sixth Legislature Second Regular Session 2024
11		-	HOUSE BILL 2453
	11	+	HB 2453
	12	+	Introduced by Representative Montenegro
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17		-	AHCCCS; naturopathic physicians
	14	+	REFERENCE TITLE: AHCCCS; naturopathic physicians
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53	64		An Act
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57	68		amending section 36-2901, Arizona Revised Statutes; relating to the Arizona health care cost containment system.
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63	74		(TEXT OF BILL BEGINS ON NEXT PAGE)
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67	78		Be it enacted by the Legislature of the State of Arizona: Section 1. Section 36-2901, Arizona Revised Statutes, is amended to read: START_STATUTE36-2901. Definitions In this article, unless the context otherwise requires: 1. "Administration" means the Arizona health care cost containment system administration. 2. "Administrator" means the administrator of the Arizona health care cost containment system. 3. "Contractor" means a person or entity that has a prepaid capitated contract with the administration pursuant to section 36-2904 or chapter 34 of this title to provide health care to members under this article or persons under chapter 34 of this title either directly or through subcontracts with providers. 4. "Department" means the department of economic security. 5. "Director" means the director of the Arizona health care cost containment system administration. 6. "Eligible person" means any person who is: (a) Any of the following: (i) Defined as mandatorily or optionally eligible pursuant to title XIX of the social security act as authorized by the state plan. (ii) Defined in title XIX of the social security act as an eligible pregnant woman or a woman who is less than one year postpartum with a family income that does not exceed one hundred fifty percent of the federal poverty guidelines, as a child under the age of six years and whose family income does not exceed one hundred thirty-three percent of the federal poverty guidelines or as children who have not attained nineteen years of age and whose family income does not exceed one hundred thirty-three percent of the federal poverty guidelines. (iii) Under twenty-six years of age and who was in the custody of the department of child safety pursuant to title 8, chapter 4 when the person became eighteen years of age. (iv) Defined as eligible pursuant to section 36-2901.01. (v) Defined as eligible pursuant to section 36-2901.04. (vi) Defined as eligible pursuant to section 36-2901.07. (b) A full-time officer or employee of this state or of a city, town or school district of this state or other person who is eligible for hospitalization and medical care under title 38, chapter 4, article 4. (c) A full-time officer or employee of any county in this state or other persons authorized by the county to participate in county medical care and hospitalization programs if the county in which such officer or employee is employed has authorized participation in the system by resolution of the county board of supervisors. (d) An employee of a business within this state. (e) A dependent of an officer or employee who is participating in the system. (f) Not enrolled in the Arizona long-term care system pursuant to article 2 of this chapter. (g) Defined as eligible pursuant to section 1902(a)(10)(A)(ii)(XV) and (XVI) of title XIX of the social security act and who meets the income requirements of section 36-2929. 7. "Graduate medical education" means a program, including an approved fellowship, that prepares a physician for the independent practice of medicine by providing didactic and clinical education in a medical discipline to a medical student who has completed a recognized undergraduate medical education program. 8. "Malice" means evil intent and outrageous, oppressive or intolerable conduct that creates a substantial risk of tremendous harm to others. 9. "Member" means an eligible person who enrolls in the system. 10. "Modified adjusted gross income" has the same meaning prescribed in 42 United States Code section 1396a(e)(14). 11. "Noncontracting provider" means a person who provides health care to members pursuant to this article but not pursuant to a subcontract with a contractor. 12. "Physician" means a person who is licensed pursuant to title 32, chapter 13, 14 or 17. 13. "Prepaid capitated" means a mode of payment by which a health care contractor directly delivers health care services for the duration of a contract to a maximum specified number of members based on a fixed rate per member notwithstanding: (a) The actual number of members who receive care from the contractor. (b) The amount of health care services provided to any member. 14. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, or obstetrician or gynecologist. 15. "Primary care practitioner" means a nurse practitioner or certified nurse midwife who is certified licensed pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25. This paragraph does not expand the scope of practice for nurse practitioners or certified nurse midwives as defined pursuant to title 32, chapter 15 or for physician assistants as defined pursuant to title 32, chapter 25. 16. "Regional behavioral health authority" has the same meaning prescribed in section 36-3401. 17. "Section 1115 waiver" means the research and demonstration waiver granted by the United States department of health and human services. 18. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31. 19. "State plan" has the same meaning prescribed in section 36-2931. 20. "System" means the Arizona health care cost containment system established by this article. END_STATUTE Sec. 2. Conditional enactment; notice A. Section 36-2901, Arizona Revised Statutes, as amended by this act: 1. Does not become effective unless on or before October 1, 2027 the centers for medicare and medicaid services approve doctors of naturopathic medicine as service providers. 2. Becomes effective from and after September 30 of the year following the approval. B. The Arizona health care cost containment system administration shall notify the director of the Arizona legislative council in writing on or before November 1, 2027 either: 1. Of the date of the approval by the centers for medicare and medicaid services. 2. That the centers for medicare and medicaid services did not approve the administration's request.
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69	80		Be it enacted by the Legislature of the State of Arizona:
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71	82		Section 1. Section 36-2901, Arizona Revised Statutes, is amended to read:
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73	84		START_STATUTE36-2901. Definitions
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75	86		In this article, unless the context otherwise requires:
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77	88		1. "Administration" means the Arizona health care cost containment system administration.
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79	90		2. "Administrator" means the administrator of the Arizona health care cost containment system.
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81	92		3. "Contractor" means a person or entity that has a prepaid capitated contract with the administration pursuant to section 36-2904 or chapter 34 of this title to provide health care to members under this article or persons under chapter 34 of this title either directly or through subcontracts with providers.
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83	94		4. "Department" means the department of economic security.
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85	96		5. "Director" means the director of the Arizona health care cost containment system administration.
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87	98		6. "Eligible person" means any person who is:
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89	100		(a) Any of the following:
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91	102		(i) Defined as mandatorily or optionally eligible pursuant to title XIX of the social security act as authorized by the state plan.
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93	104		(ii) Defined in title XIX of the social security act as an eligible pregnant woman or a woman who is less than one year postpartum with a family income that does not exceed one hundred fifty percent of the federal poverty guidelines, as a child under the age of six years and whose family income does not exceed one hundred thirty-three percent of the federal poverty guidelines or as children who have not attained nineteen years of age and whose family income does not exceed one hundred thirty-three percent of the federal poverty guidelines.
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95	106		(iii) Under twenty-six years of age and who was in the custody of the department of child safety pursuant to title 8, chapter 4 when the person became eighteen years of age.
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97	108		(iv) Defined as eligible pursuant to section 36-2901.01.
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99	110		(v) Defined as eligible pursuant to section 36-2901.04.
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101	112		(vi) Defined as eligible pursuant to section 36-2901.07.
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103	114		(b) A full-time officer or employee of this state or of a city, town or school district of this state or other person who is eligible for hospitalization and medical care under title 38, chapter 4, article 4.
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105	116		(c) A full-time officer or employee of any county in this state or other persons authorized by the county to participate in county medical care and hospitalization programs if the county in which such officer or employee is employed has authorized participation in the system by resolution of the county board of supervisors.
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107	118		(d) An employee of a business within this state.
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109	120		(e) A dependent of an officer or employee who is participating in the system.
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111	122		(f) Not enrolled in the Arizona long-term care system pursuant to article 2 of this chapter.
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113	124		(g) Defined as eligible pursuant to section 1902(a)(10)(A)(ii)(XV) and (XVI) of title XIX of the social security act and who meets the income requirements of section 36-2929.
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115	126		7. "Graduate medical education" means a program, including an approved fellowship, that prepares a physician for the independent practice of medicine by providing didactic and clinical education in a medical discipline to a medical student who has completed a recognized undergraduate medical education program.
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117	128		8. "Malice" means evil intent and outrageous, oppressive or intolerable conduct that creates a substantial risk of tremendous harm to others.
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119	130		9. "Member" means an eligible person who enrolls in the system.
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121	132		10. "Modified adjusted gross income" has the same meaning prescribed in 42 United States Code section 1396a(e)(14).
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123	134		11. "Noncontracting provider" means a person who provides health care to members pursuant to this article but not pursuant to a subcontract with a contractor.
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125	136		12. "Physician" means a person who is licensed pursuant to title 32, chapter 13, 14 or 17.
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127	138		13. "Prepaid capitated" means a mode of payment by which a health care contractor directly delivers health care services for the duration of a contract to a maximum specified number of members based on a fixed rate per member notwithstanding:
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129	140		(a) The actual number of members who receive care from the contractor.
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131	142		(b) The amount of health care services provided to any member.
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133	144		14. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, or obstetrician or gynecologist.
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135	146		15. "Primary care practitioner" means a nurse practitioner or certified nurse midwife who is certified licensed pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25. This paragraph does not expand the scope of practice for nurse practitioners or certified nurse midwives as defined pursuant to title 32, chapter 15 or for physician assistants as defined pursuant to title 32, chapter 25.
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137	148		16. "Regional behavioral health authority" has the same meaning prescribed in section 36-3401.
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139	150		17. "Section 1115 waiver" means the research and demonstration waiver granted by the United States department of health and human services.
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141	152		18. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31.
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143	154		19. "State plan" has the same meaning prescribed in section 36-2931.
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145	156		20. "System" means the Arizona health care cost containment system established by this article. END_STATUTE
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147	158		Sec. 2. Conditional enactment; notice
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149	160		A. Section 36-2901, Arizona Revised Statutes, as amended by this act:
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151	162		1. Does not become effective unless on or before October 1, 2027 the centers for medicare and medicaid services approve doctors of naturopathic medicine as service providers.
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153	164		2. Becomes effective from and after September 30 of the year following the approval.
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155	166		B. The Arizona health care cost containment system administration shall notify the director of the Arizona legislative council in writing on or before November 1, 2027 either:
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157	168		1. Of the date of the approval by the centers for medicare and medicaid services.
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159	170		2. That the centers for medicare and medicaid services did not approve the administration's request.