Assigned to HHS & APPROP FOR COMMITTEE
ARIZONA STATE SENATE
Fifty-Seventh Legislature, First Regular Session
FACT SHEET FOR H.B. 2329
appropriation; health care directives registry
Purpose
Appropriates $500,000 from the state General Fund (state GF) in FY 2026 to the
Department of Health Services (DHS) for the operation of the health care directives registry and
establishes reporting requirements associated with the registry.
Background
Laws 2019, Chapter 314 transferred the health care directives registry from the Secretary
of State (SOS) to a qualifying health information exchange organization (HIE) designated by DHS.
Subject to available monies, the qualifying HIE must maintain the health care directives registry.
A person may submit health care directives, including prehospital medical care directives and any
amendments to or revocations of directives, to the registry in a manner prescribed by the HIE.
Information maintained in the registry is confidential and may only be accessed by the person who
submits the directives to the registry or a health care provider for the provision of health services,
unless otherwise authorized under state or federal law. The designated HIE for Arizona is the
Arizona Healthcare Directives Registry (AzHDR). There is no fee for users to register advance
directives in AzHDR and users may submit documents directly to the registry without passing it
through a subscriber organization (A.R.S. §§ 36-3291 and 36-3292; AzHDR).
A health care directive is a document, such as a mental health care power of attorney or a
living will, that is drafted to deal with a person's future health care decisions (A.R.S. § 36-3201).
H.B. 2329 appropriates $500,000 from the state GF in FY 2026 to DHS.
Provisions
1. Appropriates $500,000 from the state GF in FY 2026 to DHS for the operation of the health
care directives registry.
2. Requires DHS to submit two reports to the Governor, Speaker of the House of Representatives
and the President of the Senate by December 31, 2025, and June 30, 2026, respectively, which
include:
a) an overview of the operations and technological capabilities of the health care directives
registry;
b) the total number of individual accounts and the number of individual accounts created
within the previous six months;
c) the total number of document uploads and the number of document uploads within the
previous six months;
d) the total subscriber organizations that use the registry; FACT SHEET
H.B. 2329
Page 2
e) a description of the subscriber organizations that have been using the registry within the
previous six months;
f) the total number of active registry users;
g) the total number of participant searches;
h) the average time to process documents; and
i) an overview of the registry's growth over the past year.
3. Requires DHS to provide a copy of the reports to the SOS.
4. Repeals the outlined reporting requirements on January 1, 2027.
5. Becomes effective on the general effective date.
House Action
HHS 2/10/25 DP 11-1-0-0
APPROP 2/24/25 DPA 16-0-0-2
3
rd
Read 2/27/25 47-10-3
Prepared by Senate Research
March 10, 2025
MM/KS/slp