Arizona 2025 Regular Session

Arizona Senate Bill SB1276 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	REFERENCE TITLE: children's health insurance program; eligibility State of Arizona Senate Fifty-seventh Legislature First Regular Session 2025 SB 1276 Introduced by Senator Fernandez AN ACT amending section 36-2981, Arizona Revised Statutes; relating to the children's health insurance program. (TEXT OF BILL BEGINS ON NEXT PAGE)
2	2
3	3
4	4
5	5
6	6
7	7
8	8
9	9
10	10
11	11	REFERENCE TITLE: children's health insurance program; eligibility
12	12	State of Arizona Senate Fifty-seventh Legislature First Regular Session 2025
13	13	SB 1276
14	14	Introduced by Senator Fernandez
15	15
16	16	REFERENCE TITLE: children's health insurance program; eligibility
17	17
18	18
19	19
20	20
21	21
22	22
23	23
24	24
25	25
26	26	State of Arizona
27	27
28	28	Senate
29	29
30	30	Fifty-seventh Legislature
31	31
32	32	First Regular Session
33	33
34	34	2025
35	35
36	36
37	37
38	38
39	39
40	40
41	41
42	42	SB 1276
43	43
44	44
45	45
46	46	Introduced by
47	47
48	48	Senator Fernandez
49	49
50	50
51	51
52	52
53	53
54	54
55	55
56	56
57	57
58	58
59	59
60	60
61	61
62	62
63	63
64	64
65	65
66	66	AN ACT
67	67
68	68
69	69
70	70	amending section 36-2981, Arizona Revised Statutes; relating to the children's health insurance program.
71	71
72	72
73	73
74	74
75	75
76	76	(TEXT OF BILL BEGINS ON NEXT PAGE)
77	77
78	78
79	79
80	80	Be it enacted by the Legislature of the State of Arizona: Section 1. Section 36-2981, Arizona Revised Statutes, is amended to read: START_STATUTE36-2981. Definitions In this article, unless the context otherwise requires: 1. "Administration" means the Arizona health care cost containment system administration. 2. "Contractor" means a health plan that contracts with the administration to provide hospitalization and medical care to members according to this article or a qualifying plan. 3. "Director" means the director of the administration. 4. "Federal poverty level" means the federal poverty level guidelines published annually by the United States department of health and human services. 5. "Health plan" means an entity that contracts with the administration for services provided pursuant to article 1 of this chapter. 6. "Member" means a person who is eligible for and enrolled in the program, who is under nineteen years of age and whose gross household income meets the following requirements: (a) Beginning on October 1, 1999 through September 30, 2023, has income at or below two hundred percent of the federal poverty level. (b) (a) Beginning on October 1, 2023 and for each fiscal year thereafter through September 30, 2025, subject to the approval of the centers for medicare and medicaid services, has income at or below two hundred twenty-five percent of the federal poverty level. (b) Beginning ON October 1, 2025 and for each fiscal year thereafter, has an income at or below two hundred fifty percent of the federal poverty level. 7. "Noncontracting provider" means an entity that provides hospital or medical care but does not have a contract or subcontract with the administration. 8. "Physician" means a person who is licensed pursuant to title 32, chapter 13 or 17. 9. "Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month without regard to the number of members who receive care or the amount of health care services provided to a member. 10. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, obstetrician or gynecologist. 11. "Primary care practitioner" means a nurse practitioner who is certified pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25 and who is acting within the respective scope of practice of those chapters. 12. "Program" means the children's health insurance program. 13. "Qualifying plan" means a contractor that contracts with the state pursuant to section 38-651 to provide health and accident insurance for state employees and that provides services to members pursuant to section 36-2989, subsection A. 14. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31. 15. "Tribal facility" means a facility that is operated by an Indian tribe and that is authorized to provide services pursuant to Public Law 93-638, as amended. END_STATUTE
81	81
82	82	Be it enacted by the Legislature of the State of Arizona:
83	83
84	84	Section 1. Section 36-2981, Arizona Revised Statutes, is amended to read:
85	85
86	86	START_STATUTE36-2981. Definitions
87	87
88	88	In this article, unless the context otherwise requires:
89	89
90	90	1. "Administration" means the Arizona health care cost containment system administration.
91	91
92	92	2. "Contractor" means a health plan that contracts with the administration to provide hospitalization and medical care to members according to this article or a qualifying plan.
93	93
94	94	3. "Director" means the director of the administration.
95	95
96	96	4. "Federal poverty level" means the federal poverty level guidelines published annually by the United States department of health and human services.
97	97
98	98	5. "Health plan" means an entity that contracts with the administration for services provided pursuant to article 1 of this chapter.
99	99
100	100	6. "Member" means a person who is eligible for and enrolled in the program, who is under nineteen years of age and whose gross household income meets the following requirements:
101	101
102	102	(a) Beginning on October 1, 1999 through September 30, 2023, has income at or below two hundred percent of the federal poverty level.
103	103
104	104	(b) (a) Beginning on October 1, 2023 and for each fiscal year thereafter through September 30, 2025, subject to the approval of the centers for medicare and medicaid services, has income at or below two hundred twenty-five percent of the federal poverty level.
105	105
106	106	(b) Beginning ON October 1, 2025 and for each fiscal year thereafter, has an income at or below two hundred fifty percent of the federal poverty level.
107	107
108	108	7. "Noncontracting provider" means an entity that provides hospital or medical care but does not have a contract or subcontract with the administration.
109	109
110	110	8. "Physician" means a person who is licensed pursuant to title 32, chapter 13 or 17.
111	111
112	112	9. "Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month without regard to the number of members who receive care or the amount of health care services provided to a member.
113	113
114	114	10. "Primary care physician" means a physician who is a family practitioner, general practitioner, pediatrician, general internist, obstetrician or gynecologist.
115	115
116	116	11. "Primary care practitioner" means a nurse practitioner who is certified pursuant to title 32, chapter 15 or a physician assistant who is licensed pursuant to title 32, chapter 25 and who is acting within the respective scope of practice of those chapters.
117	117
118	118	12. "Program" means the children's health insurance program.
119	119
120	120	13. "Qualifying plan" means a contractor that contracts with the state pursuant to section 38-651 to provide health and accident insurance for state employees and that provides services to members pursuant to section 36-2989, subsection A.
121	121
122	122	14. "Special health care district" means a special health care district organized pursuant to title 48, chapter 31.
123	123
124	124	15. "Tribal facility" means a facility that is operated by an Indian tribe and that is authorized to provide services pursuant to Public Law 93-638, as amended. END_STATUTE