2009 Legislative Summary 2009 AHCCCS Legislative Summary HB2098 Disposition Effective Date Summary HB2158 Disposition developmental disabilities; reimbursement rates; study (Rep. McComish) Failed to pass out of the Senate 9/30/2009 • Requires a third party to annual review DDD reimbursement rates • Requires DES to suspend service requirements if the Department fails to reimburse at the rate recommended in the study adult immunization information system (Rep. Barto) Failed to pass out of the Senate Effective Date Summary 9/30/2009 • Establishes the Adult Immunization Information System to be administered by ADHS HB2164 administration of immunizations; pharmacists (Rep. Barto) Disposition Effective Date Summary Enacted; Chapter 41 9/30/2009 • Allows pharmacists to administer immunizations without a prescription • Establishes the Adult Immunization Information System HB2207 Disposition Effective Date Summary HB2236 Disposition Effective Date Summary behavior analysts (Rep. Barto) Enacted; Chapter 161 9/30/2009 • Repeals statutes related to the regulation of behavior analysts July 1st if Board of Psychological Examiners does not receive funding to begin licensing county operation; management (Rep. Tobin) Enacted; Chapter 45 E 9/30/2009 • Makes various changes to the county responsibilities • Stipulates that the County may draw down Medicaid matching funds for court- 2 ordered evaluations HB2237 Disposition Effective Date Summary AHCCCS; verification of eligibility (Rep. Seel) Failed to pass out of the Senate 9/30/2009 • As amended, codifies federal documentation requirements into state statute HB2238 Disposition Effective Date Summary AHCCCS; DES; fraud reduction (Rep. Seel) Failed to pass out of the Senate 9/30/2009 • Requires AHCCCS to enter into a pilot and a contract with a vendor for fraud reduction technology HB2240 Disposition Effective Date Summary rule-making; state agencies; moratorium (Rep. Tobin) Failed to pass out of the Senate 9/30/2009 • Prohibits agencies from promulgating rules until July 1, 2010 HB2264 Disposition agencies; fund sources; expenditures; report (Rep. Crump) Failed to pass out of the Senate Effective Date Summary 9/30/2009 • Requires agencies to either submit a monthly report to JLBC or maintain daily expenditure/receipt tracking on the agency website HB2461 developmental disabilities; program plans; burial (Rep. Ash) Disposition Effective Date Summary Enacted; Chapter 51 9/30/2009 • Requires that DD program plans include burial plans HCR2014 Disposition Effective Date health care services; direct purchase (Rep. Barto) Approved by Voters 1/1/2009 3 Summary SB1013 Disposition Effective Date Summary SB1024 Disposition Effective Date Summary SB1171 Disposition Effective Date Summary SB1312 Disposition Effective Date Summary SB1326 Disposition Effective Date Summary • Amends the Constitution to stipulate that individuals have the right to select a health provider and carrier AHCCCS; ambulance services (Sen. Harper) Failed to pass out of the Senate 9/30/2009 • Amendment codifies AHCCCS reimbursement for ambulance providers at 80% of DHS rates consumer fraud; technical correction (Sen. Pearce) Failed to pass out of the Senate 9/30/2009 • Establishes documentation requirements for applicants for federal benefit programs state agency rule making; moratorium (Sen. Pearce) Failed to pass out of the Senate 9/30/2009 • Prohibits agencies from promulgating rules until July 1, 2010 perinatal mood disorder study committee (Sen. Lopez) Failed to pass out of the Senate 9/30/2009 • Establishes the Perinatal Mood Disorder Study Committee • Includes Director of AHCCCS or designee safe haven providers; placement protocols (Sen. Gray) Enacted; Chapter 156 9/30/2009 • Requires private adoption agencies to take custody of safe haven babies 4 • HB2578 Disposition Effective Date Summary HB2602 Disposition Effective Date Summary Requires custodian to fill out AHCCCS application or pay hospital for baby’s medical care AHCCCS; members’ employers; reports (Rep. Fleming) Failed to pass out of the House 9/30/2009 • Requires that if an employer of more than 100 people has an employee on AHCCCS, they must reimburse AHCCCS for the cost of coverage large employers; AHCCCS; reimbursement (Rep. Fleming) Failed to pass out of the House 9/30/2009 • Requires applicants for AHCCCS to identify their employer HB2188 Disposition health security act (Rep. Lopes) Failed to pass out of the House Effective Date Summary 9/30/2009 • Establishes a Commission to oversee the development and implementation of a Health Security Act for the State of Arizona SB1400 dental assistants; community oral health (Sen. Verschoor) Disposition Effective Date Summary SB1228 Disposition Effective Date Summary Enacted; Chapter 188 9/30/2009 • As amended allows dental hygienists in affiliated practice to perform preventative dental services on individuals over 18 prescription marketing costs; full disclosure (Sen. Burton Cahill) Failed to pass out of the Senate 9/30/2009 • Requires AHCCCS to prepare a report on prescription marketing costs 5 SB1417 Disposition Effective Date Summary HB2205 Disposition Effective Date Summary HB2556 Disposition Effective Date Summary AHCCCS; payment system; reform (Sen. Leff) Failed to pass out of the Senate 9/30/2009 • Revises Timely Pay Requirements for AHCCCS behavioral health task force (Rep. Barto) Failed to pass out of the House 9/30/2009 • Establishes the Behavioral Health Task Force including the Director of AHCCCS AHCCCS; health information changes (Rep. Heinz) Failed to pass out of the House 9/30/2009 • Requires that any stimulus funds earmarked for health information technology be applied to programs administered by AHCCCS SB1188 general appropriations; FY 2009-2010 As Engrossed Appropriations Administration- $198.3M  Operating Budget- $70.1M  DOA Data Center Charges- $5.7M  Indian Advisory Council- $233K  DES Eligibility- $55.7M  DES Title XIX Pass-Thru- $358K  Healthcare Group & Reinsurance- $6.2M  Office of Administrative Hearings- $271K  Kidscare Administration- $6.7M  Prop. 204 AHCCCS Administration- $9.4M  Prop. 204 DES Eligibility- $43.6M Acute Care- $5.8B  Capitation $2.4B  Reinsurance $129.6M  Fee-for-Service: $514.5M  Medicare Premiums: $104.5M 6               GME: $42M Part D Copays: $1M DSH: $30.4M Critical Access Hospitals: $1.7M Breast & Cervical Cancer: $1.7M Ticket to Work: $7M Prop 204- Capitation: $2.1B Prop 204- Reinsurance: $81.7M Prop 204- Fee-for-Service: $209.8M Prop 204- Medicare Premiums: $33M Prop 204- County Hold Harmless- $4.8M Kidscare Children: $119M Rural Hospital Reimbursement: $12.2M Medicare Clawback Payments: $32M ALTCS- $1.2B  Program Lump Sum: $1.2B  Medicare Clawback: $23M  Dual Eligible: $470K  Board of Nursing: $210K Agency Lump Sum Reduction: $27M (TF) • The Lump Sum Reduction may not be taken against the appropriation made for rural hospital reimbursement • Stipulates legislative intent that any reduction taken with the lump sum shall be taken against administrative functions before programmatic functions Lump Sum Reduction Deferral: $344.2M ($117.9M GF & $226.3 Expenditure Authority) FY 2009-2010 Fund Transfers • Requires that the following amounts be transferred to the General Fund on or before June 30,2010: o AHCCCS Third Party Collections Fund- Excess Balance: $130.7K o Healthcare Group Fund- Salary Reduction: $361.9K o IGA Services Fund- Excess Balance: $273.2K • Permits a budget unit to request a cash transfer between its own funds to comply with fund transfer requirements AHCCCS Health Plan Payment Deferral • Appropriates $117.9M ($226.3M Expenditure Authority) from AHCCCS to the State General Fund for health plan payments deferred from FY 2009-2010 ARRA Reductions • Reduces the AHCCCS appropriation from the General Fund by $575.2M, conditional upon the receipt of ARRA funds Disproportionate Share 7  Stipulates that the $30.4M appropriation for disproportionate share payments for FY 20092010 includes $4.2M for Maricopa County Healthcare District and $26.1 M for private qualifying disproportionate share hospitals Proposition 204 County Hold Harmless • Outlines distributions to counties under the Prop. 204 county hold harmless line-item as follows o $234.2K- Graham County o $3.8M- Pima County o $234.4- Greenlee County o $159.7- La Paz County o $214.8- Santa Cruz County o $164.7- Yavapai County Reporting Requirements  Provides that prior to making fee-for-service program changes that pertain to fee-for-service categories AHCCCS must report the expenditure plan for review by JLBC  Requires AHCCCS to annually report capitation rate changes for the following fiscal year  Requires AHCCCS to report proposed changes in policy that would impact the amount, sufficiency, duration and scope of health care services and who may provide services o AHCCCS must prepare a fiscal analysis on the impact of proposed changes on the following year’s capitation rates. o If the analysis suggests additional state costs equal to or greater than $500K, AHCCCS shall submit the proposed policy changes to JLBC. Notes  Notes that all ALTCS funds that pass through AHCCCS to DES for developmental disabilities shall not count against ALTCS expenditure authority  Provides that the county portion of the FY 2009-2010 nonfederal portion of the costs of providing ALTCS is included in the expenditure authority fund source 8