| 1 | 1 | | REFERENCE TITLE: public health emergencies; essential medicines State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session 2025 HB 2489 Introduced by Representatives Hernandez A: Hernandez C AN ACT Amending title 36, chapter 6, article 9, Arizona Revised Statutes, by adding section 36-792; relating to public health emergencies. (TEXT OF BILL BEGINS ON NEXT PAGE) |
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| 9 | 9 | | REFERENCE TITLE: public health emergencies; essential medicines |
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| 10 | 10 | | State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session 2025 |
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| 11 | 11 | | HB 2489 |
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| 12 | 12 | | Introduced by Representatives Hernandez A: Hernandez C |
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| 14 | 14 | | REFERENCE TITLE: public health emergencies; essential medicines |
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| 24 | 24 | | State of Arizona |
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| 26 | 26 | | House of Representatives |
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| 28 | 28 | | Fifty-seventh Legislature |
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| 30 | 30 | | First Regular Session |
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| 32 | 32 | | 2025 |
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| 40 | 40 | | HB 2489 |
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| 44 | 44 | | Introduced by |
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| 46 | 46 | | Representatives Hernandez A: Hernandez C |
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| 64 | 64 | | AN ACT |
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| 68 | 68 | | Amending title 36, chapter 6, article 9, Arizona Revised Statutes, by adding section 36-792; relating to public health emergencies. |
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| 74 | 74 | | (TEXT OF BILL BEGINS ON NEXT PAGE) |
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| 78 | 78 | | Be it enacted by the Legislature of the State of Arizona: Section 1. Title 36, chapter 6, article 9, Arizona Revised Statutes, is amended by adding section 36-792, to read: START_STATUTE36-792. Statewide strategic essential buffer stock; emergencies; essential medications; medical supplies; definitions A. The department of health services, in coordination with the department of emergency and military affairs, the department of education, medical and health care operational area coordinators, regional disaster medical and health care coordinators and other state agencies, shall establish a statewide strategic essential buffer stock for emergency preparedness and drug shortages prevention to be used and dispensed in the event of public health emergencies, including natural disasters, man-made disasters and mass casualty events at the local and state levels. B. The department of health services, in coordination with the department of emergency and military affairs, shall establish guidelines for procuring, managing and distributing medicines, vaccines and medical supply items in an essential buffer stock, including a virtually sequestered buffer stock. The department of health services may contract with private entities for the procurement of strategic emergency readiness supplies for, and management and distribution of, the essential buffer stock, including a virtually sequestered buffer stock. To fulfill this requirement, the department of health services may contract for the reservation of supplies stored by a private vendor-managed entity for the essential buffer stock and the distribution of those supplies to locations specified by the department of health services, consistent with this section and the policies established by the department of health services. C. The department of health services, in collaboration with the department of emergency and military affairs, the department of education and other stakeholders, as necessary, shall conduct demand planning and essential buffer stock modeling for emergency readiness supplies to be included at the discretion of the department of health services. The department of health services' planning and essential buffer stock modeling shall include, at a minimum: 1. Recommendations for the types of emergency supplies to be included, especially for rural and medically underserved settings. 2. The anticipated demand for emergency supplies for various public health emergencies and natural disaster scenarios. 3. The recommended quantities to be held in the essential buffer stock for each type of medical supply. 4. Distribution guidelines for these supplies to be disbursed to municipalities and health care settings in the event of a local or regional public health emergency. 5. Possible logistical and operational strategies that could be used to reduce the costs of these supplies, including the use of a virtually sequestered buffer stock procured and managed by an external vendor. D. The guidelines established pursuant to subsection B of this section, at a minimum, shall consider all of the following: 1. The various types of items that may be required during an outbreak or other public health emergency, including natural disasters, man-made disasters and mass casualty events. 2. The amount of each type of item required for a sustained outbreak, public health emergency, natural disaster, man-made disaster or mass casualty event. 3. An action plan establishing policies and standards for an essential buffer stock surge capacity, including a virtually sequestered buffer stock, to ensure that hospitals, emergency medical providers and other designated recipients have access to an adequate supply of any relevant items during an outbreak or other public health emergency. 4. The federal and state policies and funding that would be required for this state to establish an essential buffer stock. 5. How distribution from any procurement will be prioritized if there are insufficient resources to meet the identified needs of health care providers, health care facilities and other designated recipients, including consideration of all the following: (a) The health care provider, designated recipient or employer is in a location with a high share of rural or underserved residents. (b) The health care provider, designated recipient or employer is in a medically underserved area, as designated by the United States department of health and human services, health resources and services administration. (c) The health care provider, designated recipient or employer disproportionately serves a medically underserved or rural population, as designated by the United States department of health and human services, health resources and services administration. (d) The health care provider, designated recipient or employer is in a county with a high infection rate or high hospitalization rate related to the declared emergency. E. The department of health services, in consultation with other relevant agencies, shall define a list of entities to which essential buffer stock resources may be disbursed in, public health emergency, including a natural disaster, a man-made disaster or mass casualty event at the local and state levels. F. In maintaining and securing supplies, the department shall seek to maximize available federal and state funding for the statewide strategic essential buffer stock established pursuant to this section. G. For the purposes of this section: 1. "Designated recipients" includes health care providers, health care facilities, state disaster relief organizations, state-operated facilities and other entities that strategically reserve medical resources and that may receive essential buffer stock resources. 2. "Essential buffer stock" means the essential emergency and chronic disease management medicine, vaccine and medical supplies buffer stock, essential medicine reserve or strategic inventory of essential medicines established pursuant to this section. 3. "Natural disaster" means any catastrophic event, including a hurricane, tornado, earthquake, flood, winter storm or wildfire, that is declared by the governor as a state of emergency or disaster. 4. "Outbreak" means any widespread illness or disease or other specific health-related emergency. 5. "Virtually sequestered buffer stock" means an inventory of medications that is managed by a distribution vendor to avoid expiration and ensure availability during emergencies and disasters. END_STATUTE |
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| 80 | 80 | | Be it enacted by the Legislature of the State of Arizona: |
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| 82 | 82 | | Section 1. Title 36, chapter 6, article 9, Arizona Revised Statutes, is amended by adding section 36-792, to read: |
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| 84 | 84 | | START_STATUTE36-792. Statewide strategic essential buffer stock; emergencies; essential medications; medical supplies; definitions |
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| 86 | 86 | | A. The department of health services, in coordination with the department of emergency and military affairs, the department of education, medical and health care operational area coordinators, regional disaster medical and health care coordinators and other state agencies, shall establish a statewide strategic essential buffer stock for emergency preparedness and drug shortages prevention to be used and dispensed in the event of public health emergencies, including natural disasters, man-made disasters and mass casualty events at the local and state levels. |
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| 88 | 88 | | B. The department of health services, in coordination with the department of emergency and military affairs, shall establish guidelines for procuring, managing and distributing medicines, vaccines and medical supply items in an essential buffer stock, including a virtually sequestered buffer stock. The department of health services may contract with private entities for the procurement of strategic emergency readiness supplies for, and management and distribution of, the essential buffer stock, including a virtually sequestered buffer stock. To fulfill this requirement, the department of health services may contract for the reservation of supplies stored by a private vendor-managed entity for the essential buffer stock and the distribution of those supplies to locations specified by the department of health services, consistent with this section and the policies established by the department of health services. |
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| 90 | 90 | | C. The department of health services, in collaboration with the department of emergency and military affairs, the department of education and other stakeholders, as necessary, shall conduct demand planning and essential buffer stock modeling for emergency readiness supplies to be included at the discretion of the department of health services. The department of health services' planning and essential buffer stock modeling shall include, at a minimum: |
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| 92 | 92 | | 1. Recommendations for the types of emergency supplies to be included, especially for rural and medically underserved settings. |
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| 94 | 94 | | 2. The anticipated demand for emergency supplies for various public health emergencies and natural disaster scenarios. |
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| 96 | 96 | | 3. The recommended quantities to be held in the essential buffer stock for each type of medical supply. |
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| 98 | 98 | | 4. Distribution guidelines for these supplies to be disbursed to municipalities and health care settings in the event of a local or regional public health emergency. |
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| 100 | 100 | | 5. Possible logistical and operational strategies that could be used to reduce the costs of these supplies, including the use of a virtually sequestered buffer stock procured and managed by an external vendor. |
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| 102 | 102 | | D. The guidelines established pursuant to subsection B of this section, at a minimum, shall consider all of the following: |
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| 104 | 104 | | 1. The various types of items that may be required during an outbreak or other public health emergency, including natural disasters, man-made disasters and mass casualty events. |
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| 106 | 106 | | 2. The amount of each type of item required for a sustained outbreak, public health emergency, natural disaster, man-made disaster or mass casualty event. |
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| 108 | 108 | | 3. An action plan establishing policies and standards for an essential buffer stock surge capacity, including a virtually sequestered buffer stock, to ensure that hospitals, emergency medical providers and other designated recipients have access to an adequate supply of any relevant items during an outbreak or other public health emergency. |
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| 110 | 110 | | 4. The federal and state policies and funding that would be required for this state to establish an essential buffer stock. |
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| 112 | 112 | | 5. How distribution from any procurement will be prioritized if there are insufficient resources to meet the identified needs of health care providers, health care facilities and other designated recipients, including consideration of all the following: |
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| 114 | 114 | | (a) The health care provider, designated recipient or employer is in a location with a high share of rural or underserved residents. |
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| 116 | 116 | | (b) The health care provider, designated recipient or employer is in a medically underserved area, as designated by the United States department of health and human services, health resources and services administration. |
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| 118 | 118 | | (c) The health care provider, designated recipient or employer disproportionately serves a medically underserved or rural population, as designated by the United States department of health and human services, health resources and services administration. |
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| 120 | 120 | | (d) The health care provider, designated recipient or employer is in a county with a high infection rate or high hospitalization rate related to the declared emergency. |
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| 122 | 122 | | E. The department of health services, in consultation with other relevant agencies, shall define a list of entities to which essential buffer stock resources may be disbursed in, public health emergency, including a natural disaster, a man-made disaster or mass casualty event at the local and state levels. |
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| 124 | 124 | | F. In maintaining and securing supplies, the department shall seek to maximize available federal and state funding for the statewide strategic essential buffer stock established pursuant to this section. |
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| 126 | 126 | | G. For the purposes of this section: |
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| 128 | 128 | | 1. "Designated recipients" includes health care providers, health care facilities, state disaster relief organizations, state-operated facilities and other entities that strategically reserve medical resources and that may receive essential buffer stock resources. |
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| 130 | 130 | | 2. "Essential buffer stock" means the essential emergency and chronic disease management medicine, vaccine and medical supplies buffer stock, essential medicine reserve or strategic inventory of essential medicines established pursuant to this section. |
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| 132 | 132 | | 3. "Natural disaster" means any catastrophic event, including a hurricane, tornado, earthquake, flood, winter storm or wildfire, that is declared by the governor as a state of emergency or disaster. |
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| 134 | 134 | | 4. "Outbreak" means any widespread illness or disease or other specific health-related emergency. |
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| 136 | 136 | | 5. "Virtually sequestered buffer stock" means an inventory of medications that is managed by a distribution vendor to avoid expiration and ensure availability during emergencies and disasters. END_STATUTE |
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