SB 1254
Initials AG/ KT Page 1 Caucus & COW
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-sixth Legislature
Second Regular Session
Senate: HHS DP 7-0-0-0 | 3
rd
Read 24-5-1-0
House: HHS DP 9-1-0-0
SB 1254: nursing care; assisted living; continuation
Sponsor: Senator Shope, LD 16
Caucus & COW
Overview
Continues the Arizona State Board of Examiners of Nursing Care Institution Administrators
and Assisted Living Facility Managers (NCIA Board) for 8 years. Tasks the NCIA Board, the
Arizona Department of Health Services (DHS) and the Arizona Health Care Cost
Containment System (AHCCCS) with collaborating on updating training standards and
programs for caregivers, assisted living facility managers and nursing care institution
administrators by June 15, 2026.
History
The NCIA Board was created to regulate nursing care institution administrators and assisted
living facility managers in Arizona. Responsibilities of the NCIA Board 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; and 6) 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 to the NCIA Board. 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. Members may not serve more than two consecutive terms (A.R.S.
§ 36-446.02).
The Senate Health and Human Services and House Health & Human Services Committees
of Reference met jointly on January 11, 2024, to conduct a review of the NCIA Board. Both
Committees of Reference recommended the NCIA Board be continued for eight years (COR
Report).
SB 1254
Initials AG/ KT Page 2 Caucus & COW
Provisions
1. Continues, retroactive to July 1, 2024, the NCIA Board until July 1, 2032. (Sec. 2, 5)
2. Repeals the NCIA Board on January 1, 2033. (Sec. 2)
3. Directs the NCIA Board, DHS and AHCCCS by June 15, 2026, to:
a) collaborate to update the caregiver, assisted living facility manager and nursing care
institution administrator training standards, training programs and training
program oversight;
b) form an advisory workgroup to inform the NCIA Board and agencies' efforts; and
c) recommend the appropriate board or agency to oversee the training standards,
training program approval, training program oversight and a date for the
implementation. (Sec. 3)
4. Contains a purpose statement. (Sec. 4)
5. Makes a conforming change. (Sec. 1)
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note