2007 Bills of Interest
Health
                                                                   Health

HB2133, AHCCCS; eligibility
Increases acute care eligibility for AHCCCS to 300% FPL.

The bill has been assigned to House Health, Appropriations and Rules Committees.

HB2155, Prescriptions; emergencies
Requires the Pharmacy Board to cooperate with the Governor or other local jurisdiction when an emergency has been
declared in order to assure that prescriptions and other medical devices are available.

Heard before Health Committee on February 14th, and approved with an amendment that makes clarifying changes related to
responsibilities of the individual pharmacist.

Rules approved as constitutional and proper on 2/27.

Approved by the Committee of the Whole on March 5th with the Health Committee amendment.

Approved by the House on March 6th.

Heard in Senate Health on March 15th and approved without any amendments.

Heard by Senate Rules on April 2nd as proper for consideration.

Approved in Committee of the Whole on April 16th with an amendment that clarifies the length of the disaster under which
emergency prescribing could occur.  

Approved by the Senate on April 18th and transmitted to the House.

Concurrence recommended by the House, awaiting final approval.                         

Final passage on 5/9 with approval.  Bill transmitted to Governor on the same day.  

Governor signed the bill on May 14th and Chaptered as
207.

HB2255, pharmacies; quality assurance
Requires pharmacies, as prescribed to board rules, to implement and participate in a continuous quality assurance program
targeting medication errors.

Approved by House Health on 1/31 with an amendment.  Exempts hospital pharmacies from the Program if they hold certain
licenses and accreditations.  Removes language stating the Program shall improve patient use of medication and patient care
services.  Removes language requiring pharmacies to assess their practices and identify areas for improvement and language
regarding confidentiality of documents and records. Removes the sunset date. Clarifies that records are for peer review and not
subject to subpoena or discovery.  Adds a representative of a health system that represents hospital pharmacists to the
advisory committee.

Heard by House Rules on Tuesday, February 13th, and considered constitutional and proper.

Approved by Committee of the Whole on 2/15 with an additional amendment that allows hospital pharmacies that meet
standards if licensed by the state or certified by Medicare or JCAHO.

Approved by the House on 2/19.

Assigned to the Senate Health and Rules Committees.

Heard by Senate Health Committee on March 1st and approved without an amendment.  

Approved by Senate Rules on March 26th as proper for consideration.

Approved in Committee of the Whole on April 16th without adding any amendments.

The Senate passed the bill on April 18th and transmitted to the House.

The bill was transmitted to the Governor on April 18th.  Signed as Chapter
121 on April 24th.

HB2256, medication therapy management service
Expands medication therapy management services as a covered services under AHCCCS subject to availability of funds.

Assigned to House Health, Appropriations and Rules Committee.

Heard in House Health on 1/31 approved with an amendment.  The amendment makes clarifying changes regarding number
of meds or number of conditions being treated.  

Awaiting House Appropriations hearing.

HB2438, controlled substances; monitoring program
Allows the release of information if authorized by the patient, prescriber, in response to a medical licensing Board carrying out
an investigation, law enforcement, AHCCCS or other authorized parties or a court order.  A controlled substances prescription
monitoring program fund is established from fees collected by this article.  As of 11/1/07, the Board shall charge a fee for a
license or permit for dispensing controlled substances.  The fee may not exceed $50.  Outlines disciplinary actions for misuse
of medications.  Provides civil immunity for an individual or entity that reports. Program terminates 7/1/07.  Requires a 2/3s
vote due to Prop 105.

Assigned to House Health, Judiciary and Rules Committee.

Heard in  House Health Committee on Wednesday, February 7th and approved with an amendment that:  
•        Indicates that the CSPMP Fund will consist of legislative appropriations, instead of registration fees.  Removes
pharmacies from the registration requirements.
•        Strikes provisions related to the establishment of registration, registration renewal, and registration replacement fees, as
well as fee exemptions.  
•        Eliminates the Prop. 108 clause.
•        Includes a continuous appropriation of $395,795 from the Arizona State Board of Pharmacy Fund to the CSPMP Fund for
the operation of the CSPMP.     
•        Exempts the appropriation from lapsing.

Awaiting action by Judiciary and Rules Committees.

HB2498, clean elections; technical corrections, NOW:  Health Care Group
Heard by Government on Tuesday, February 13th, with a strike everything amendment.  The amendment would make Health
care Group subject to the same requirements as other private health insurance companies  Requires AHCCCS to issue an
RFP to privatize the administration of the program.

House Appropriations heard the bill on 2/22 and approved a different strike everything amendment that subjects Health care
Group to the same requirements as private insurers for mandated benefits.  Stipulates that employees of this state or a political
subdivision of this state are not eligible to receive coverage provided by Health Care Group.  Requires AHCCCS to issue a
RFP for privatization of administration of Health Care Group by November 15, 2007 with the administration converted to a
private provider by October 1, 2008.

Approved by as constitutional and proper for consideration by Rules Committee on February 27th.

Approved by the Committee of the Whole on March 8th with an amendment.  The floor amendment added that health plans
are to cover various cancer screening examinations.  Made the act effective as of August 31, 2008.

Approved by the House on March 15th.  

Assigned to Senate Health and Rules Committee.

Scheduled for Thursday, March 29th, at 9 am in Senate Hearing Room 1.

Failed in Senate Health Committee.  

HB2541: insurance; mental health coverage; parity
In 2008 health insurance policies that provide medical-surgical benefits and mental health benefits must not impose different
treatment limits or financial requirements on mental health benefits than is imposed on medical-surgical benefits.  Financial
requirements include deductibles, coinsurance, co payments and other cost sharing requirements.  Treatment limits is the
limitations on frequency or number of treatments.

Assigned to House Financial Institutions and Insurance Committee, Appropriations and Rules.  

HB2587, in home provider study committee
Establishes a in home care providers study committee composed of 2 House members, 2 Senate members, 1 AAA
representative, 1 representative from the Board of Nursing, 1 representative from NASW and 1 representative from a statewide
association of nursing home providers, 1 in home care services provider all appointed by the Speaker, and 1 representative
who is a psychologist,  1 representative who is a psychologist specializing in cognitive disabilities, 1 representative from a
statewide group of persons with cognitive and physical disabilities, 1 consumer of in-home care, 1 home care service provider
all appointed by the President.  The Governor will appoint 1 consumer of in home care services and GACA. Recommendations
will be made on training requirements for in home care service providers, level of regulation, ethical and sensitivity training
standards and necessity of fingerprinting.  The report is due by December 31, 2007.  Committee is repealed 9/30/08.

Human Services Committee heard bill on 2/8 and approved with a minor amendment related to committee structure.

Heard by House Health Committee on February 14th with an identical amendment added.

House Rules approved on March 5th as constitutional and proper.

Approved by Committee of the Whole on March 8th with adoption of the House Health Committee amendment only.

Approved by the House on March 14th.

Assigned to Senate Health and Rules Committees.

Heard in Senate Health on March 22nd and approved with an amendment that adds an additional representative to the
committee appointed by the Governor.

Approved by Senate Rules as proper for consideration with a Rules amendment on March 26th.

Bill approved on May 9th with an amendment that makes small changes to the Committee composition.  

House accepted the Senate changes with final passage on May 24th.  Bill transmitted to the Governor.  Signed into law on May
30th and assigned Chapter
235.

HB2623, AHCCCS; children's health insurance program
Subject to CMS approval as of 1/1/08, KidsCare eligibility would increase to 300% FPL.  Allows AHCCCS to contract with
community, faith based or schools to conduct outreach and education.  Exempts the program from rulemaking.

Assigned to House Health, Appropriations and Rules Committees.

HB2727, AHCCCS; health care group; waiting period
Removes the 6-month required bare period for obtaining health care group coverage.

Awaiting assignment to committees.

HB2748, human rights committees
Clarifies that the human rights committee serves individuals with mental illness who are enrolled in the behavioral health
system.

Assigned to Health and Rules Committees.

HB2757, health insurance; certain mandates excluded
Assigned to House Health and Rules Committees.

Allows certain health insurance providers to offer policies to individuals that exclude coverage for services that are part of state
mandates such as psychologist, surgical procedures, etc.

Heard in House Health on February 14th, and approved with an amendment that  defines small business of between 2-25.  
Requires 6 month bare period immediately prior to effective date of coverage.

Approved as constitutional and proper by the House Rules Committee on 2/20.

Approved by the Committee of the Whole on March 8th with an amendment.  Added the definition of an uninsured small
business to being offer health insurance for at least 6 consecutive months prior to effective date of the bill.  Adds a  retroactive
clause to September 21, 2006.  

Approved by the House on March 14th.

Assigned to Senate Health and Rules Committees.
Scheduled for Senate Health on Thursday, March 29th, at 9 am in Senate Hearing Room 1.

Failed in Senate Health Committee.

A similar strike everything amendment was attached to SB 1107 in House Appropriations dealing with "mandate lite"
provisions.  

HB2773, AHCCCS; children's health insurance program
Assigned to House Health and Rules Committees.

Extends KidsCare coverage to pregnant women for prenatal care services to 200% FPL subject to legislative appropriation.

Heard in House Health on February 14th and approved.

Approved by Rules on March 5th as constitutional and proper.

Retained on the Committee of Whole calendar on March 12th and 14th.

Approved by the Committee of the Whole on March 19th without any amendments.

Awaiting 3rd reading and approval by the House.

SB1107:  NOW: health insurance; certain mandates excluded
Strike everything amendment offered and adopted in House Appropriations on April 12th.  The amendment allows certain
health insurance providers to offer policies to individuals that exclude coverage for services that are currently required by
statute. It also narrows the coverage exemptions and increases the eligible group size for SBHIPs.  It is similar to HB 2757 with
the exception that surgical services, regardless of the place of service has been dropped from the exclusion of benefits that
can be excluded.  
Considered by the Rules Committee on April 17th as proper for consideration.
Debated on the floor of the House on April 19th with an amendment that is technical in nature adopted.

SB1174, insurance; mental health coverage; parity
Defines mental health coverage parity as limitations on frequency of treatment or number of visits or days of coverage being
eliminated.  Applicable for insurance and managed care organizations regulated by DOI.  Directs DOI to develop rules to
implement the law at it relates to deductibles, coinsurance, co payments or other cost sharing requirements.  Effective in 2008.  

Approved by the Senate Health Committee on January 25th with no amendments.

SB1249, psychotropic medication; disclosure
Requires health professionals who prescribe a psychotropic medication in combination with a drug to treat a biologic condition
to provide written disclosure prior to administering the medication.

Assigned to:  Senate Health and Rules Committees.

SB1248, AHCCCS; children; treatment reports
Requires AHCCCS to maintain public computer records regarding psychiatric medications administered to children that
includes types of meds, age of child, type and dosage of meds, county and city of child's residence, and name of health
professional who prescribed.

Assigned to Senate Health and Rules committees.

Bill heard in Senate Health on February 15th and failed.

SB1277, mental disease waiver lapse; appropriation
Appropriates $6.5 M from the GF for FY 07-08 to DHS to fund services in inpatient treatment facilities with 16 or more beds.  
Appropriation is exempt from lapsing.

Assigned to:  Senate Health, Appropriation and Rules Committees.

SB1317, lifespan respite care program
Establishes a lifespan respite care program for community based services for family caregivers or adults with special needs.  
Requires DES to conduct a study, coordinate services and id training.  Services are to coordinated with other services for
AHCCCS, aging, etc.  An advisory committee  is established.  Appropriates $500,000 GF and 1 FTE at DES.

Assigned to Public Safety and Human Services, Appropriations and Rules Committee.

Heard before the Public Safety and Human Services Committee on February 15th and approved.

Heard by Senate Appropriations on February 20th and approved.  

Funding included in the feed bill.

SB1379, appropriation; dental services; long-term care
Appropriates $2 M from GF for FY 07-08 to DHS for dental services for ALTCS patients.  Appropriation is exempt from lapsing.

Assigned to Appropriations and Rules Committees.


SB1396, appropriation; adult dental services
Appropriates $2 M from GF for FY 07-08 to AHCCCS for adult dental services.   Appropriations shall be matched by $3.3 M
from county funds and $10.5 M from federal funds.  Appropriation is exempt from lapsing.

Assigned to Appropriations and Rules Committees.

SB1397, appropriation; children's health care initiative
Appropriates $6 M from the GF for FY 07-08 to AHCCCS for a children's health care initiative.  Appropriation is exempt from
lapsing.  Does not specify a change in eligibility standard.

Assigned to Appropriations and Rules Committees.

SB1399, appropriation; health insurance; parents
Appropriates $6.2 M from the SCHIP fund to AHCCCS for FY 07-08 to continue the KidsCare parents program.  Appropriates
$705,100 from the GF for this purpose.  Appropriation is exempt from lapsing.

Assigned to Senate Appropriations and Rules Committees.

SB1400, appropriation; developmental status evaluations
Appropriates $1.4 M from the GF to AHCCCS for FY 07-08 to administer a developmental status evaluation as part of well-child
visits.  Appropriation is exempt from lapsing.

Assigned to Appropriation and Rules Committees.

SB1401, appropriation; Medicare part D co-payments
Appropriates $322,600 from the GF in FY 07-08 to DHS to pay for assistance for Medicare part D co-payments.  Appropriation
is exempt from lapsing.

Assigned to Senate Appropriations and Rules Committees.

SB1403, forensic unit; state hospital; appropriation
Appropriates $32.2 M from the GF for FY 07-08 to DHS to fund a new forensic unit at ASH.  Appropriation is exempt from
lapsing.

Assigned to Senate Appropriations and Rules Committees.

Included in the final budget deal.

SB1410, appropriation; meth treatment
Appropriates $2.5 M from GF for FY 07-08 to DHS for meth treatment.  Appropriation is exempt from lapsing.

Assigned to Appropriations and Rules Committees.

SB1413, appropriation; ASH; full electronic records
Appropriates $1 M from GF for FY 07-08 to DHS to implement an electronic medical records system at ASH.  Appropriation is
exempt from lapsing.
Assigned to Senate Appropriations Committee.

SB1440, AHCCCS; health insurance; children
Allows AHCCCS and health plans to conduct outreach for KidsCare.  Exempt from rule making.

Assigned to Senate Health, Government and Rules Committees.

Health Committee approved the bill with an amendment that excludes the exemption from rulemaking.

Withdrawn from the Government Committee on 2/19.

SB1449, children's health insurance; co-payments; premiums
Repeals imposition of co payments and premiums for recipients of KidsCare with incomes greater than 150% FPL.

Assigned to Senate Health, Appropriations and Rules committees.

SB1450, children's health insurance; parents; premiums
Prohibits AHCCCS from collecting co payments or premiums for parents.

Assigned to Health, Appropriations and Rules committees.

SB1481, AHCCCS eligibility privatization; repeal
Repeals plans to privatize AHCCCS eligibility.

Assigned to Senate Health, Appropriations and Rules committees.

SB1488, dental coverage; appropriations
Appropriates $2,019,000 of GF for FY 07-08 to AHCCCS to provide a $1,000 annual dental benefit for ALTCS members.  
Appropriates to DES $1,701,300 for DD dental care for adult ALTCS members.  Makes adjustment in the total expenditure
authority.

Assigned to Health, Appropriations and Rules Committees.

Heard by Senate Health on February 8th and approved the bill with an amendment that clarifies the funding is for FY 2007-08.

SB1518, prescriptions; confidentiality
Prohibits the release of prescription information that contains patient info and prescriber info to use by a pharmacy benefits
manager, insurance company or others as outlined.  Releases are allowed under specified circumstances.  Violation are a civil
penalty with a fine of $1,000 per each violation.

Assigned to Health, Commerce and Economic Development and Rules Committees.

SB1560, AHCCCS; health care group; waiting period
Eliminates the 180 day bare period for health care group.

Assigned to Health, Commerce and Economic Development and Rules Committees.

Heard by the Health Committee on 2/15 and approved.

SB1578, children's health insurance program; outreach
Allows AHCCCS and health plans to conduct outreach for KidsCare.

Assigned to Senate Health, Appropriations and Rules Committees

SB1561, AHCCCS; physician recruitment fund
As of 1/1/08 a training, recruitment and retention fund is established to be used by AHCCCS to pay for grants or
reimbursement for new graduate medical education programs, expand the physician residency and health training, and place
medical student, residents or other medical professionals in rural or understaffed settings.  10% of the funds are set aside for
physician and health care recruitment and retention efforts.  Allows use of local funds, IGAs and Title XIX match funds.

Assigned to Health, Appropriations, and Rules Committees.

SB1579, graduate medical education; appropriation
Appropriates $3 M from the GF in FY 07-08 to DHS for graduate medical education residencies.  Appropriation is exempt from
lapsing.

Assigned to Appropriations and Rules Committees.