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| 52 | 55 | | An Act |
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| 56 | 59 | | amending title 36, chapter 29, article 1, Arizona Revised Statutes, by adding sections 36-2903.14, 36-2903.15 and 36-2903.16; relating to the Arizona health care cost containment system administration. |
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| 62 | 65 | | (TEXT OF BILL BEGINS ON NEXT PAGE) |
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| 66 | 69 | | Be it enacted by the Legislature of the State of Arizona: Section 1. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding sections 36-2903.14, 36-2903.15 and 36-2903.16, to read: START_STATUTE36-2903.14. Personal health information; duplicative paperwork requirements A. The administration shall require its contracted housing program administrators to review and minimize duplicative paperwork requirements for and limit the number of contractors and entities that unnecessarily receive personal health information of members with serious mental illness who are receiving services pursuant to this chapter or chapter 34 of this title. B. contracted housing program administrators may not sell or otherwise share any member's personal health information, unless authorized or required by state or federal law, including the health insurance portability and accountability act privacy standards (45 Code of federal regulations part 160 and part 164, subpart E). END_STATUTE START_STATUTE36-2903.15. Peer specialists; qualifications; oversight; training; annual report A. The administration shall develop and implement processes to monitor its contractors' oversight of peer specialists to ensure that the peer specialists meet qualifications and receive the required supervision and training. B. Beginning October 1, 2025, In addition to any other qualifications, peer specialists shall complete training that is developed by the administration and that includes psychosis-specific content, including anosognosia. C. On or before November 1, 2024 and each November 1 thereafter, The administration shall provide an annual report to the Governor, the president of the senate and the speaker of the house of representatives on the development, implementation and monitoring processes required by this section. END_STATUTE START_STATUTE36-2903.16. Patients with a designation of serious mental illness; discharge; list of medications A health care institution that provides inpatient behavioral health services to a patient with a designation of serious mental illness by the administration shall provide, on the patient's discharge, an accurate list of all necessary medications, including psychiatric medications and all other prescription medications and over-the-counter medications, that are to be taken regularly or to be taken as needed. The discharging health care institution shall provide the list to the patient or the patient's representative and to a designated person from the residential care institution or health care institution that is to provide outpatient behavioral health services to the patient as identified by the discharging health care institution that provided inpatient behavioral health services to the patient. END_STATUTE Sec. 2. Arizona health care cost containment system administration; study; report On or before January 31, 2025, the Arizona health care cost containment system administration shall: 1. Study the implementation of developing and distributing a real-time, automated survey to members with a serious mental illness, or their representatives, to collect feedback, identify quality of care issues and respond to the needs of members. In studying the implementation of the survey, the administration shall solicit and consider input from the public, including, at a minimum, individuals with a serious mental illness and their representatives. 2. Report to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and house of representatives on the development and implementation costs that would be incurred by the administration. Sec. 3. Arizona health care cost containment system administration; requirements and processes; inpatient psychiatric facility discharges The Arizona health care cost containment system administration shall establish requirements, through rulemaking if necessary, regarding the discharge of Arizona health care cost containment system members with a designation of serious mental illness from inpatient psychiatric facilities. The discharge requirements shall identify processes and the responsible entities to ensure continuity of care for Arizona health care cost containment system members on discharge, including psychiatric and nonpsychiatric medications for which the administration or its contractors is the primary payor. The processes shall include verification against the Arizona health care cost containment system member's treatment plan of medication doses, schedules, quantities and routes of administration by qualified members of the Arizona health care cost containment system member's inpatient and outpatient treatment teams. |
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| 67 | 70 | | |
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| 68 | 71 | | Be it enacted by the Legislature of the State of Arizona: |
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| 69 | 72 | | |
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| 70 | 73 | | Section 1. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding sections 36-2903.14, 36-2903.15 and 36-2903.16, to read: |
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| 71 | 74 | | |
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| 72 | 75 | | START_STATUTE36-2903.14. Personal health information; duplicative paperwork requirements |
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| 73 | 76 | | |
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| 74 | 77 | | A. The administration shall require its contracted housing program administrators to review and minimize duplicative paperwork requirements for and limit the number of contractors and entities that unnecessarily receive personal health information of members with serious mental illness who are receiving services pursuant to this chapter or chapter 34 of this title. |
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| 75 | 78 | | |
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| 76 | 79 | | B. contracted housing program administrators may not sell or otherwise share any member's personal health information, unless authorized or required by state or federal law, including the health insurance portability and accountability act privacy standards (45 Code of federal regulations part 160 and part 164, subpart E). END_STATUTE |
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| 77 | 80 | | |
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| 78 | 81 | | START_STATUTE36-2903.15. Peer specialists; qualifications; oversight; training; annual report |
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| 79 | 82 | | |
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| 80 | 83 | | A. The administration shall develop and implement processes to monitor its contractors' oversight of peer specialists to ensure that the peer specialists meet qualifications and receive the required supervision and training. |
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| 81 | 84 | | |
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| 82 | 85 | | B. Beginning October 1, 2025, In addition to any other qualifications, peer specialists shall complete training that is developed by the administration and that includes psychosis-specific content, including anosognosia. |
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| 83 | 86 | | |
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| 84 | 87 | | C. On or before November 1, 2024 and each November 1 thereafter, The administration shall provide an annual report to the Governor, the president of the senate and the speaker of the house of representatives on the development, implementation and monitoring processes required by this section. END_STATUTE |
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| 85 | 88 | | |
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| 86 | 89 | | START_STATUTE36-2903.16. Patients with a designation of serious mental illness; discharge; list of medications |
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| 87 | 90 | | |
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| 88 | 91 | | A health care institution that provides inpatient behavioral health services to a patient with a designation of serious mental illness by the administration shall provide, on the patient's discharge, an accurate list of all necessary medications, including psychiatric medications and all other prescription medications and over-the-counter medications, that are to be taken regularly or to be taken as needed. The discharging health care institution shall provide the list to the patient or the patient's representative and to a designated person from the residential care institution or health care institution that is to provide outpatient behavioral health services to the patient as identified by the discharging health care institution that provided inpatient behavioral health services to the patient. END_STATUTE |
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| 89 | 92 | | |
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| 90 | 93 | | Sec. 2. Arizona health care cost containment system administration; study; report |
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| 91 | 94 | | |
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| 92 | 95 | | On or before January 31, 2025, the Arizona health care cost containment system administration shall: |
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| 93 | 96 | | |
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| 94 | 97 | | 1. Study the implementation of developing and distributing a real-time, automated survey to members with a serious mental illness, or their representatives, to collect feedback, identify quality of care issues and respond to the needs of members. In studying the implementation of the survey, the administration shall solicit and consider input from the public, including, at a minimum, individuals with a serious mental illness and their representatives. |
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| 95 | 98 | | |
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| 96 | 99 | | 2. Report to the joint legislative budget committee and the chairpersons of the health and human services committees of the senate and house of representatives on the development and implementation costs that would be incurred by the administration. |
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| 97 | 100 | | |
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| 98 | 101 | | Sec. 3. Arizona health care cost containment system administration; requirements and processes; inpatient psychiatric facility discharges |
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| 99 | 102 | | |
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| 100 | 103 | | The Arizona health care cost containment system administration shall establish requirements, through rulemaking if necessary, regarding the discharge of Arizona health care cost containment system members with a designation of serious mental illness from inpatient psychiatric facilities. The discharge requirements shall identify processes and the responsible entities to ensure continuity of care for Arizona health care cost containment system members on discharge, including psychiatric and nonpsychiatric medications for which the administration or its contractors is the primary payor. The processes shall include verification against the Arizona health care cost containment system member's treatment plan of medication doses, schedules, quantities and routes of administration by qualified members of the Arizona health care cost containment system member's inpatient and outpatient treatment teams. |
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