HB 2329
Initials AG/BG Page 1 House Engrossed
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-seventh Legislature
First Regular Session
House: HHS DP 11-1-0-0 | APPROP DPA 11-1-0-0
HB 2329: appropriation; health care directives registry
Sponsor: Representative Willoughby, LD 13
House Engrossed
Overview
Requires the Arizona Department of Health Services (DHS), by December 31, 2025 and June
30, 2026, to submit a report to the Governor and Legislature that includes information
regarding the Arizona Healthcare Directives Registry (AzHDR). Appropriates an unspecified
amount from the state General Fund (GF) in FY 2026 to DHS for AzHDR operations.
History
Health care directive means a document drafted to deal with a person's future health care
decisions and includes a written designation of an agency to make heath care and mental
health care decisions (A.R.S. § 36-3201). AzHDR is an online registry that stores health care
directives for Arizona residents (AzHDR).
DHS is required to designate a qualifying health information exchange organization to
operate a health care directives registry. Subject to the availability of monies, the qualifying
health information exchange organization must establish and maintain a health care
directives registry (A.R.S. § 36-3291).
A person may submit to the health care directives registry, in a manner prescribed by the
qualifying health information exchange organization, health care directives, including
prehospital medical care directives and any amendments to or revocations of these
documents. The qualifying health information exchange must establish a process for
authenticating the identity of the person who submits a document to a health care directives
registry (A.R.S. § 36-3292).
Provisions
1. Requires, by December 31, 2025 and June 30, 2026, DHS to submit a report to the
Governor and Legislature that includes the following information:
a) an overview of operations and technological capabilities of the AzHDR;
b) a description of the subscriber organizations using AzHDR in the preceding six
months;
c) the average time to process documents in AzHDR; and
d) an overview of the past growth in AzHDR year over year. (Sec. 1)
2. Requires DHS to include in the reports the total number of:
a) individual AzHDR accounts;
b) individual AzHDR accounts created in the preceding six months;
c) AzHDR document uploads;
d) AzHDR document uploads in the preceding six months;
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note HB 2329
Initials AG/BG Page 2 House Engrossed
e) subscriber organizations using AzHDR;
f) active AzHDR users; and
g) participant searches. (Sec. 1)
3. Requires DHS to provide a copy of the AzHDR reports to the Secretary of State. (Sec. 1)
4. Repeals the AzHDR reporting requirement on January 1, 2027. (Sec. 1)
5. Appropriates $500,000 from the state GF in FY 2026 to DHS for the operation of AzHDR.
(Sec. 2)