Assigned to HHS AS PASSED BY COW
ARIZONA STATE SENATE
Fifty-Sixth Legislature, Second Regular Session
AMENDED
FACT SHEET FOR S.B. 1254
nursing care; assisted living; continuation
Purpose
Continues the Board of Examiners of Nursing Care Institution Administrators and Assisted
Living Facility Managers (NCIA Board) for eight years. Requires, by June 15, 2026, the NCIA
Board, the Department of Health Services (DHS) and the Arizona Health Care Cost Containment
System (AHCCCS) to collaborate on updating training standards and programs for caregivers,
assisted living facility managers and nursing care institution administrators.
Background
The NCIA Board regulates nursing care institution administrators and assisted living
facility managers in Arizona. NCIA Board duties include: 1) adopting rules for licensing and
certifying qualified applicants; 2) conducting examinations to determine applicant qualification;
3) adopting application, certification and examination fees; 4) conducting investigations or
administrative hearings in response to complaints; 5) prescribing standards for assisted living
facility training programs; 6) meeting biannually; and 7) reporting to the Legislature (A.R.S.
§ 36-446.03).
The NCIA Board consists of 11 members appointed by the Governor, including: 1) one
administrator who holds an active license in nursing care institution administration; 2) one
manager who holds an active license in assisted living facility management; 3) one administrator
of a nonprofit or faith-based skilled nursing facility; 4) one administrator of a proprietary skilled
nursing facility; 5) two managers of an assisted living center; 6) one manager of an assisted living
home; 7) two public members who are not affiliated with a nursing care institution or an assisted
living facility; 8) one public member who represents an organization that advocates for the elderly;
and 9) one person who is a family member of a resident in either a skilled nursing facility or an
assisted living facility at the time the person is appointed. Members are appointed to two-year
terms for members not affiliated with a nursing care institution or an assisted living facility, and
three-year terms for members who are administrators of a nursing care institution or the manager
of an assisted living facility. Active members may not serve on any other regulatory board relating
to long-term care or serve more than two consecutive terms (A.R.S. § 36-446.02).
The Senate Health and Human Services Committee of Reference (COR) held a public
meeting on January 11, 2024, to review and evaluate the NCIA Board's response to the sunset
review factors and receive public testimony. The COR recommended that the NCIA Board be
continued for eight years until July 1, 2032 (COR Report). The NCIA Board is set to terminate on
July 1, 2024, unless continued by the Legislature (A.R.S. § 41-3024.03).
There is no anticipated fiscal impact to the state General Fund associated with this
legislation. FACT SHEET – Amended
S.B. 1254
Page 2
Provisions
1. Continues, retroactive to July 1, 2024, the NCIA Board until July 1, 2032.
2. Repeals the NCIA Board on January 1, 2033.
3. Requires, by June 15, 2026, the NCIA Board, DHS and AHCCCS to:
a) collaborate to update training programs, oversight and standards for caregivers, assisted
living facility managers and nursing care institution administrators;
b) form an advisory workgroup to inform the NCIA Board's and agencies' efforts; and
c) recommend the appropriate board or agency to oversee the training standards, program
approval, program oversight and implementation date.
4. Contains a purpose statement.
5. Becomes effective on the general effective date, with a retroactive provision as noted.
Amendments Adopted by Committee of the Whole
• Requires, by June 15, 2026, the NCIA Board, DHS and AHCCCS to:
a) collaborate to update training programs, oversight and standards for caregivers, assisted
living facility managers and nursing care institution administrators;
b) form an advisory workgroup to inform the NCIA Board's and agencies' efforts; and
c) recommend the appropriate board or agency to oversee the training standards, program
approval, program oversight and implementation date.
Senate Action
HHS 2/20/24 DP 7-0-0
Prepared by Senate Research
March 5, 2024
MM/DM/slp