Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R

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Hi,

I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec.

Requirements:

– Professional work.

– Specialized tutoring ( Law and Healthcare )

– Module 1 assignment required faculty approval so that we will go into a discussion about the healthcare policy topic.

– Obligatory commitment to materials included in the attached files + external resources.

– All the resources and materials are available and will be sent after the deal.


– Each module is due in 5 days of (10th Nov 2021).

Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
Module 5: Overview Overview In these next modules, we will explore directions for the future of healthcare policy. This module includes readings and lectures pertaining to characteristics of change agents and ways to involve the public in policy-making activities. The materials should assist you with shaping your own ideas about how to involve individuals, groups and organizations in problem solving as you continue to develop your practice or initiate change within your organization or area of interest. Learning Objectives By the end of this module, students will be able to:   Analyze the process for creating and amending healthcare policy specific to financing, technology, institutions and stakeholders. Explain the relationship between innovation, change management and policy development. Learning Materials Readings Read the following: Directions for the Future Another way to look at innovation: Review Kurt Lewin’s change theory model from any source. Characteristics of Change Agents and Innovators Stone (2011) – Chapters 11, 12 & 13 Paulus, R., Davis, K., & Steele, G. (2008, September-October). Continuous innovation in health care: Implications of the Geisinger experience Actions .Health Affairs, 27(5), 1235-1245. Retrieved from content.healthaffairs.com. Unterschuetz, C., Hughes, P., Nienhauser, D., Weberg, D. & Jackson, L. (2008, April-June). Caring for innovation and caring for the innovator Actions . Nursing Administration Quarterly, 32(2), 133-141.  (This article was written by MHI program graduates.) Buell, John (2014, May). Innovation in Healthcare: It is Possible, and it is Happening Healthcare Executive, 29(3), 32. Actions Videos Watch the following: The impact of electronic health records (EHRs) produced by Health and Human Services. ABC News Clip On Telemedicine (3:36) As you watch the following video on Telemedicine, what concerns do you have about this innovative approach to healthcare? Telemedicine Lewin’s Three Step Change Model Module 5: Prepare for Final Presentation Project Writing Assignment: Researching and Working on Healthcare Policy and Innovation Final Presentation Project This week should be devoted to working on your final healthcare policy presentation that is due in week 7. There are no written assignments due this week.
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
Module 6: Overview Overview In the 6th module of HCI 550 Healthcare Policy and Innovation, we learn about financing healthcare and strategies to increase consumer participation in the policy-making process. Of great interest to healthcare industry experts and policy-makers, is the million dollar (actually, multi-million) question of how to pay for healthcare and the ongoing debates concerning the financial impact of health care reform. How might innovative approaches to delivery of healthcare services help control medical costs? What impact may consumers have in expanding access and availability of healthcare? As a reminder, your final healthcare policy presentation project is due the end of this week. To finalize your healthcare policy presentation, utilize the information garnered from readings, other PP presentations, lectures, videos and websites, as well as the research conducted pursuant to your healthcare policy issue topic. Learning Objectives By the end of this module, students will be able to:   Analyze the process for creating and amending healthcare policy specific to financing, technology, institutions and stakeholders. Explain the relationship between innovation, change management and policy development. Learning Materials Readings Read the following: Healthcare Financing Murray, R., Delbanco, S., & King, J., (2021, January 6).  How can state legislation promote value in health care? Three innovative models. Health Affairs. 10.1377/hblog20201222.609656 (Links to an external site.).  HEALTH AFFAIRS BLOG State Legislation.docx Actions    Osborn, R., Squires, D., Doty, M., Sarnak, D., Schneider, E.  (2016,November). In New Survey of 11 Countries, U.S. Adults Still Struggle with Access to and Affordability of Health Care. Actions   The Commonwealth Fund. Retrieved from www.commonwealthfund.org. Squires, D. (2012, May). Explaining high health care spending in the United States: An international comparison of supply, utilization, prices, and quality. Actions  The Commonwealth Fund. Retrieved from www.commonwealthfund.org (Links to an external site.). Kacik, A. (2019, February). Hospital price growth driving healthcare spending Actions .  Modern Healthcare.  Retrieved from www.modernhealthcare.com (Links to an external site.) Strategies for Increasing Citizen Participation in the Policy Process Longest (2016) – Chapter 10 Videos Watch the following: Insurance Makes Healthcare Far More Expensive (6:44) John Stossel, ABC News, examines the cost of healthcare treatment. As you watch this video think about transparency in healthcare treatment options and costs. Whole Foods uses a Consumer-Driven Health Plan (CDHP) model where employees are provided a specified number of dollars in an account and choose how to spend these medical dollars. Is Whole Foods’ approach to cost-sharing of medical costs fair and equitable to employees? Why the US Pays More for Health Care than the Rest of the World (9:24) Why are American health care costs by far the highest in the world? Journalist and former practicing physician Elisabeth Rosenthal chronicles how we got here in her book, “An American Sickness.” Economics correspondent Paul Solman talks with Rosenthal about the forces driving high prices and what could be done to bring costs down. Health Reform: Why are Health Care Costs Rising? The following lecture and staff activity was developed by a former MHI student and analyzes the financial impact of health reform. Mollica (2011) – Health Reform: Why are Health Care Costs Rising? Actions Website: The Agency for Healthcare Research and Quality (AHRQ) Innovations Exchange website outlines criteria for inclusion as health care policy innovations. Also included on the website is a video series which recognizes frontline innovators which have made a difference in healthcare. https://innovations.ahrq.gov/ (Links to an external site.) PreviousNext Explore the Center for Medicare and Medicaid(CMS) website in the Innovation Department and post your finding in Extra Credit discussion board.    https://innovation.cms.gov/. (Links to an external site.)    In a concise manner, write a summary of an innovation project from the site.  As part of the summary, include the department, section, or project specifics, the stakeholders that would benefit from the program, any potential pitfalls, and what innovative ideas you have for the project you are reviewing.  In addition, your innovative idea could be included and what the next steps would be to bring your project to the CMS Innovation Department.   The goal of this assignment is to intrigue your readers enough to have them want to check into it themselves for more information.  (Summaries should be 250 – 400 words.)
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
Module 7: Overview  Overview As part of this final module of HCI 550 Healthcare Policy and Innovation, you will post your presentation, and you will watch other presentations from your group and reply to the following questions through the third and final discussion board. For the DB portion of the assignment we are looking for YOUR thoughts.  Follow the rubric.   Please cover the points below: In a few sentences, summarize your understanding of the Healthcare Policy. Who are the (specific) stakeholders?  Who and how does or could this policy help / hurt? As a Healthcare Innovator, how would you change this Policy? Learning Objectives By the end of this module, students will be able to:   Analyze the process for creating and amending healthcare policy specific to financing, technology, institutions and stakeholders.  Examine the development and evolution of healthcare policy including regulatory and statutory mechanisms. Evaluate the relationship between healthcare policy and health disparities. Analyze the perspective and role of consumers, as stakeholders, who represent various populations in creating policy. Explain the relationship between innovation, change management and policy development. PreviousNext Learning Materials Readings Read the following: Disparities Policies:  (Links to an external site.)Links to an external site. The Henry J. Keiser Family Foundation Website Module 7: Assignment: Healthcare and Innovation Policy Presentation Project Start Assignment Due Apr 18 by 11:59pm   Points 40   Submitting a text entry box, a website url, a media recording, or a file upload Create an 8-12 minute Prezi or PowerPoint presentation with voice-over narration. Utilize the information garnered from readings, PP presentations, lectures, videos and websites, as well as the research conducted pursuant to your policy issue topic. Please review the Healthcare Policy and Innovation Final Presentation Grading Rubric to ensure you are including all of the requirements. 40 points Requirements Please structure your presentation by including the following topics: Healthcare and Innovation Policy Presentation Project Criteria Ratings Pts This criterion is linked to a Learning OutcomeIntroduction 6 to >3.5 pts Full Marks Introduction and importance of policy issue to your area of interest, organization or practice is clear; topic is presented creatively and captures reader’s interest; introduction is organized. 3.5 to >1.5 pts Satisfactory Introduction is broad, general and vague; importance of policy issue to your area of interest, organization or practice is not clearly stated. 1.5 to >0 pts No Marks/ Fails to Meet Expectations Introduction is cursory; relationship of policy issue to your area of interest, organization or practice is not included. 6 pts This criterion is linked to a Learning OutcomeDescription and Historical Development of Policy 9 to >5.0 pts Full Marks Policy is thoroughly described; historical development is organized, accurate and includes a timeline of policy discussions, implementation and impact to date; pros and cons are identified with rationale. 5 to >2.5 pts Satisfactory Policy description is vague; historical development is minimalistic and does not include a timeline of policy discussions, implementation and impact to date; pros and cons are identified, rationale is missing. 2.5 to >0 pts No Marks/ Fails to Meet Expectations Policy description and historical development are missing; timeline of policy discussions, implementation and impact are not included. Pros and cons are not identified; rationale is not included. 9 pts This criterion is linked to a Learning OutcomeStakeholder Roles and Agendas 9 to >5.0 pts Full Marks Specific stakeholders and their roles in agenda setting and changes to policy are clearly identified; references are provided to support stakeholders’ positions; the proponent and opponent positions are reviewed and referenced. 5 to >2.0 pts Satisfactory Only generic stakeholders are identified; roles are not clearly defined. Stakeholder positions are not supported by references. The proponent and opponent positions are reviewed, but not referenced. 2 to >0 pts No Marks/ Fails to Meet Expectations No stakeholders are identified; proponent and opponent positions are not included. 9 pts This criterion is linked to a Learning OutcomeAdvocacy Strategies from a Consumer Perspective 6 to >3.5 pts Full Marks Consumer strategies to advocate policy are clearly identified; references are provided to support consumers’ positions. 3.5 to >1.5 pts Satisfacory Consumer strategies to advocate policy are not clearly identified; references are not provided to support consumers’ positions. 1.5 to >0 pts No Marks/ Fails to Meet Expectations Consumer strategies to advocate policy are not identified. 6 pts This criterion is linked to a Learning OutcomeRecommendations/Ideas for Reform 6 to >3.5 pts Full Marks Current status of policy is clearly identified; status of future reform is outlined; supporting references are provided. 3.5 to >1.5 pts Satisfactory Current status of policy is not clearly identified; status of future reform is vague; references do not provide support. 1.5 to >0 pts No Marks/ Fails to Meet Expectations Current status of policy is not identified; status of future reform is not included; supporting references are not included. 6 pts This criterion is linked to a Learning OutcomeTiming/Clarity/ APA Format 4 to >3.0 pts Full Marks Presentation is 8-12 minutes. Presentation is easy to understand, Content is well organized and well sequenced. Correct APA format (7th ed.) with fewer than 3 grammatical and/or spelling errors; references are mentioned and cited throughout presentation and reference pages are included. 3 to >1.0 pts Satisfactory Presentation is over or under by no more than 1 minute or the 8-12 minute assignment. Content is organized but not well sequenced. APA format (7th ed.) with fewer than 6 grammatical and/or spelling errors; references mentioned and cited in body and reference pages are included. 1 to >0 pts No Marks/ Fails to Meet Expectations Presentation is more than 1 minute greater or less than assigned 8-12 minutes. Content is not well organized or well sequenced. Poor attempt at APA format (7th ed.) with more than 6 grammatical and/or spelling errors or APA format not used; references not mentioned or cited during presentation, no reference list included. 4 pts Total Points: 40 Follow the grading rubric and include all required criteria. Introduce the issue and describe its importance to your practice, organization or area of interest. Describe the policy and its historical development. Discuss controversial viewpoints and provide proponents’ and opponents’ perspectives and rationale. Discuss the roles of specific stakeholders in the agenda-setting and how their positions  contributed to strategies which influenced the policy. Include any changes that were made during the course of policy development. Describe advocacy strategies from a consumer perspective. Discuss what you would to do to innovate the policy and what you would reforms you would recommendations.  Include your opinion on the policy as part of the presentation.  Apply the appropriate policymaking process and steps you would take as the next step(s). Show evidence of critical thinking and application of course materials. Demonstrate ability to synthesize sources and combine with original thoughts. Include narration as part of the presentation. Use correct grammar, punctuation and spelling. APA (7th ed.) format required.   If your project is in Prezi, please turn in the URL link for the project.
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
HCI 550 – Healthcare Policy and Innovations Prof. Lustig How to cite Legislation Federal – Congress ( U.S. House of Representatives and U.S. Senate) Bill Title, Bill number (H.R. or S.), Session ( Date). Sponsor: _____ _. Ex.: Health Care Options for All Act, H.R. 2770, 115th Congress (2017 -2018). Sponsor: Rep. Loebsack, David [D -IA-2] Health Care Options for All Act, S. 1201, 115th Congress (2017 -2018). Sponsor: Sen. McCaskill, Claire [D -MO] State of Arizona – Every state legislature has its own identifying information. Consult the specific state legi slative website for information, and use the same style for the citation . Bill number, Bill title, Session (Date). Sponsor: ________________. Ex.: HB 2149: pharmacies; remote dispensing, AZ Fifty -third Legislat ure, Second Regular Session (2018). Sponsor: Rep. Weninger SB 1451: patient referral inducements; prohibited compensation, AZ Fifty -third Legislat ure, Second Regular Session ( 2018). Spons or: Sen. Barto. Citing existing law (has passed the Congress/Legislature and has been signed by the President/Governor) : Federal: Public Law No: 115 -159, 115 th Congress. ‘‘State Veterans Home Adult Day Health Care Improvement Act of 2017’’ Arizona: A.R. S. 36 -2174: Rural private primary care provider loan repayment program; private practice; rules
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
1 Health Bills 55th Legislature – 1st Regular Session, 2021 Friday, Mar 5 2021 2:51 PM Bill summaries and histories copyright 2021 Arizona Capitol Reports, L.L.C. Health Posted Calendars and Committee Hearings H2266 : MEDICAL ASSISTANTS; TRAINING REQUIREMENTS Hearing: Senate Rules (Monday 03/08/21 at 1:00 PM, Sen ate Rm. 109) H2311 : LABORATORY PROCEDURES; CHIROPRACTORS Hearing: Senate Rules (Monday 03/08/21 at 1:00 PM, Senate Rm. 109) H2392 : AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT Hearing: Senate Rules (Monday 03/08/21 at 1:00 PM, Senate Rm. 109) H2521 : LONG -TERM CARE; HEALTH AIDES Hearing: Senate Rules (Monday 03/08/21 at 1:00 PM, Senate Rm. 109) H2570 : LICENSES; PANDEMICS; REVOCATION PROHIBITION Calendar: 3/4 House COW H2575 : HOSPITALS; VISITATION Hearing: Senate Health & Human Services (Wednesday 03/10/21 at 9:30 AM, Senate Rm. 1) H2615 : EPINEPHRINE INJECTIO NS; FIRST RESPONDERS IMMUNITY Hearing: Senate Rules (Monday 03/08/21 at 1:00 PM, Senate Rm. 109) H2622 : NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS Hearing: Senate Rules (Monday 03/08/21 at 1:00 PM, Senate Rm. 109) S1001 : BREAST IMPLANT SURGERY; INFORMED CONSENT Hearing: House Rules (Monday 03/08/21 at 1:00 PM, House Rm. 4) S1011 : MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE Hearing: House Rules (Monday 03/08/21 at 1:00 PM, Hou se Rm. 4) S1016 : PHYSICIANS; NATUROPATHIC MEDICINE Hearing: House Health & Human Services (Monday 03/08/21 at 2:00 PM, House Rm. 4) S1017 : INFORMED CONSENT; PELVIC EXAMINATIONS Hearing: House Rules (Monday 03/08/21 at 1:00 PM, House Rm. 4) S1034 : TECH CORRECTION; HEALTH PROFESSIONALS Calendar: 3/4 Senate COW S1078 : MEDICAL STUDENT LOAN PROGRAM Hearing: House Appropriations (Wednesday 03/10/21 at 2:00 PM, House Rm. 1) S1082 : PHARMACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES Hearing: House Health & Human Services (Monday 03/08/21 at 2:00 PM, House Rm. 4) S1085 : NURSING -SUPPORTED GROUP HOMES; LICENSURE Hearing: House Rules (Monday 03/08/21 at 1:00 PM, House Rm. 4) S1088 : CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION Hearing: House Rules (Monday 03/08/21 at 1:00 PM, House Rm. 4) S1089 : BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE Hearing: House Rules (Monday 03/08/21 at 1:00 PM, House Rm. 4) S1090 : OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH Hearing: House Rules (Monday 03/08/21 at 1:00 PM , House Rm. 4) S1094 : AHCCCS; SUBSTANCE ABUSE TREATMENT Hearing: House Health & Human Services (Monday 03/08/21 at 2:00 PM, House Rm. 4) S1097 : PUPILS; EXCUSED ABSENCES; MENTAL HEALTH Hearing: House Rules (Monday 03/08/21 at 1:00 PM, House Rm. 4) S1219 : DONATED MEDICINE; REQUIREMENTS Hearing: House Health & Human Services (Monday 03/08/21 at 2:00 PM, House Rm. 4) S1220 : MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING Hearing: House Health & Human Services (Monday 03/08/21 at 2:00 PM, House Rm. 4) S1354 : RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS Hearing: House Military Affairs & Public Safety (Monday 03/08/21 at 2:00 PM, House Rm. 1) S1356 : PHARMACY BENEFIT MANAGERS; PROHIBITED FEES Hearing: House Health & Human Services (Monday 03/08/21 at 2:00 PM, House Rm. 4) S1418 : PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS Calendar: 3/4 Senate COW S1604 : REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 2 Hearing: House Health & Human Services (Monday 03/ 08/21 at 2:00 PM, House Rm. 4) S1716 : ARIZONA STATE HOSPITAL Calendar: 3/4 Senate COW Active Bill Summaries H2119 : HEALTH CARE INSURANCE; AMENDMENTS Various changes to statutes relating to health insurance. The article of statute regulating insurance holding company systems applies to all service corporations. Statute prohibiting payment for services to persons other than the assignee applies to a serv ice corporation. Hospital, medical, dental and optometric service corporations are no longer prohibited from influencing the subscriber in the subscriber’s free choice of hospital or practitioner. Modifies reporting requirements due dates. Statute establis hing requirements for premium rates and rating practices does not apply if a small employer obtains a health benefits plan that is subject to and complies with specified federal law. Modifies exemptions from utilization review activities. AS SIGNED BY GOVE RNOR First sponsor: Rep. Bolick (R – Dist 20) H2119 Daily History Date Action HEALTH CARE INSURANCE; AMENDMENTS 2/18 signed by governmor. Chap. 24, Laws 2021. message HEALTH CARE INSURANCE; AMENDMENTS 2/11 substituted in Senate for identical bill 1075. Passed Senate 29 -0; ready for governor. HEALTH CARE INSURANCE; AMENDMENTS 2/8 House COW approved with flr amend #4133 . Passed House 58-0; ready for Senate. HEALTH CARE INSURANCE; AMENDMENTS 2/2 from House rules okay. HEALTH CARE INSURANCE; AMENDMENTS 1/27 from House com do pass. HEALTH CARE INSURANCE; AMENDMENTS 1/26 House com do pass; report awaited. HEALTH CARE INSURAN CE; AMENDMENTS 1/20 referred to House com . H2258 : DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS Licenses issued by the State Board of Dental Examiners expire 30 days after the licensee’s birthday every third year, instead of on June 30 of every third year. Effective January 1, 2022. First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Butler (D – Dist 28) , Rep. Cobb (R – Dist 5) , Rep. Lieberman (D – Dist 28) H2258 Daily History Date Action DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 2/2 from House rules okay. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/25 from House hel-hu ser do pass. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/25 House hel -hu ser do pass; report awaited. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/20 referred to House hel -hu ser . H2261 : PRISONERS; HEALTH; TRAINING; VISITATION; RULES On request of a female inmate, the Arizona Department of Corrections (ADC) is required to provide female inmates with a sufficient supply of “feminine hygiene products” (defined) and is prohibited from charging female inmates for feminine hygiene products. To the greatest extent possible and after accounting for security and capacity factors, ADC is required to place a prisoner who is a parent of a minor child in a prison facility that is located within 250 miles of the prisoner’s permanent address on recor d. ADC is required to adopt rules that authorize a prisoner who is a parent of a minor child and who is classified as a low or minimum security risk to be visited by the minor child, and the rules must include specified provisions. ADC is required to adopt rules that limit a male correctional officer from conducting an inspection or search of a female prisoner who is in a “state of undress” (defined), with some exceptions. Except for licensed health professionals, correctional employees are prohibited from conducting a body cavity search on a pregnant prisoner unless the employee has a reasonable belief that the prisoner is concealing contraband. A correctional institution is required to ensure that a pregnant prisoner is provided sufficient food and dietary supplements when ordered by the attending medical staff or a nutritionist. Establishes requirements for hygiene and nutritional products and housing for a prisoner who gives birth. A correctional institution is required to allow a newborn baby to remain w ith the mother for 72 hours following the delivery unless the attending medical staff has a reasonable belief that doing so poses a health or safety risk to the baby. ADC is required to provide all correctional employees who have contact with pregnant pris oners with training related to the care of a pregnant woman, and to 3 provide all pregnant prisoners with a list of educational programming related to prenatal care and parenting. First sponsor: Rep. Blackman (R – Dist 6) Others: Rep. Cano (D – Dist 3) , Rep. DeGrazia (D – Dist 10) , Rep. A. Hernandez (D – Dist 3) , Rep. Rodriguez (D – Dist 27) , Rep. Salman (D – Dist 26) H2261 Daily History Date Action PRISONERS; HEALTH; TRAINING; VISITATION; RULES 2/18 referred to Senate jud . PRISONERS; HEALTH; TRAINING; VISITATION; RULES 2/11 passed House 60-0; ready for Senate. PRISONERS; HEALTH; TRAINING; VISITATION; RULES 2/8 from House rules okay. PRISONERS; HEALTH; TRAINING; VISITATION; RULES 2/4 from House crim jus ref do pass. PRISONERS; HEALTH; TRAINING; VISITATION; RULES 1/25 referred to House crim jus ref . H2266 : MEDICAL ASSISTANTS; TRAINING REQUIREMENTS The training requirements for a medical assistant may be satisfied through a training program that is designed and offered by a physician, that meets or exceeds any of the approved training program requirements specified in Arizona Medical Board rule, and that verifies the entry -level competencies of a medical assistant as prescribed by Board rule. First sponsor: Rep. Grantham (R – Dist 12) H2266 Daily History Date Action MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 3/4 from Senate hel -hu ser do pass. MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 3/3 Senate hel -hu ser do pass; report awaited. MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 2/18 referred to Senate hel -hu ser . MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 2/4 passed House 59-0; ready for Senate. MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 2/2 from House rules okay. MEDICAL ASSISTANTS; TRAINING REQUIRE MENTS 1/25 from House hel -hu ser do pass. MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 1/25 House hel -hu ser do pass; report awaited. MEDICAL ASSISTANTS; TRAINING REQUIREMENTS 1/20 referred to House hel -hu ser . H2290 : HEALTH CARE INSTITUITIONS; ACCREDITATION; INSPECTIONS The Department of Health Services is authorized to accept an accreditation report in lieu of a compliance inspection for any health care institution, instead of only a behavioral health residential facility providing services to children, only if the insti tution is accredited by an independent, nonprofit accrediting organization approved by the Secretary of the U.S. Department of Health and Human Services, and the institution has not been subject to an enforcement action within the year preceding the annual licensing fee anniversary date. First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Chaplik (R – Dist 23 ), Rep. Dunn (R – Dist 13) , Rep. Longdon (D – Dist 24) H2290 Daily History Date Action HEALTH CARE INSTITUITIONS; ACCREDITATION; INSPECTIONS 2/2 from House rules okay. HEALTH CARE INSTITUITIONS; ACCREDITATION; INSPECTIONS 1/25 from House hel -hu ser do pass. HEALTH CARE INSTITUITIONS; ACCREDITATION; INSPECTIONS 1/25 House hel -hu ser do pass; report awaited. HEALTH CARE INSTITUITIONS; ACCREDITATION; INSPECTIONS 1/20 referred to House hel -hu ser . H2291 : AHCCCS; PREGNANT WOMEN; DENTAL CARE The list of covered services under the Arizona Health Care Cost Con tainment System (AHCCCS) is expanded to include comprehensive dental care during a pregnancy for women who are at least 21 years of age and in any stage of pregnancy. Appropriates $468,000 from the general fund in FY2021 -22 to the AHCCCS Administration for dental services to pregnant women. Appropriates $3.63 million from the general fund in FY2021 -22 to the AHCCCS Administration to cover costs incurred due to eligibility changes directly related to the introduction of a dental benefit for pregnant women. B y October 1, 2022, the AHCCCS Administration is required to report to the Governor and the Legislature the actual costs incurred to provide dental services to pregnant women and the actual costs incurred due to eligibility changes directly related to the i ntroduction of a dental benefit for pregnant women during FY2021 -22. First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Butler (D – Dist 28) , Rep. Cobb (R – Dist 5) H2291 Daily History Date Action AHCCCS; PREGNANT WOMEN; DENTAL CARE 1/25 House hel -hu ser held. AHCCCS; PREGNANT WOMEN; DENTAL CARE 1/20 referred to House hel -hu ser , appro . H2299 : DHS; LONG -TERM FACILITY SURVEYORS 4 Makes a supplemental appropriation of $3.3 million and 44 FTE from the general fund in FY2021 -22 to the Department of Health Services to hire additional long -term care facility surveyors. AS PASSED HOUSE First sponsor: Rep. Dunn (R – Dist 13) Others: Rep. Longdon (D – Dist 24) H2299 Daily History Date Action DHS; LONG -TERM FACILITY SURVEYORS 2/18 referred to Senate appro . DHS; LONG -TERM FACILITY SURVEYORS 2/8 House COW approved with amend #4016 . Passed House 40-18; ready for Senate. DHS; LONG -TERM FACILITY SURVEYORS 2/2 from House rules okay. DHS; LONG -TERM FACILITY SURVEYORS 1/28 from House appro do pass. DHS; LONG -TERM FACILITY SURVEYORS 1/27 House appro do pass; report awaited. DHS; LONG -TERM FACILITY SURVEYORS 1/25 from House hel -hu ser with amend #4016 . DHS; LONG -TERM FACILITY SURVEYORS 1/25 House hel -hu ser amended; report awaited. DHS; LONG -TERM FACILITY SURVEYORS 1/20 referred to House hel -hu ser , appro . H2303 : MARIJUANA; LABORATORIES; PROFICIENCY TESTING Beginning January 1, 2024, the Department of Health Services (DHS) is required, instead of allowed, to conduct proficiency testing and remediate problems with independent third -party laboratories that are certified to test medical marijuana. DHS is allowed to conduct proficiency testing and remediate problems with marijuana testing facilities through December 31, 2023, and is required to do so beginning January 1, 2024. DHS is authorized to use monies in the Medical Marijuana Fund to renovate the State Labo ratory to comply with the proficiency testing requirements. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage. AS PASSED HOUSE First sponsor: Rep. Friese (D – Dist 9) Others: Rep. Andrade (D – Dist 29) , Rep. Powers Hannley (D – Dist 9) , Rep. Salman (D – Dist 26) H2303 Daily History Date Action MARIJUANA; LABORATORIES; PROFICIENCY TESTING 3/3 House COW approved with flr amend #4679 . Passed House 57-0; ready for Senate. 3/4 referred to Senate hel – hu ser . MARIJUANA; LABORATORIES; PROFICIENCY TESTING 2/16 from House hel -hu ser do pass. MARIJUANA; LABORATORIES; PROFICIENCY TESTING 2/15 House hel -hu ser do pass; report awaited. MARIJUANA; LABORATORIES; PROFICIENCY TESTING 1/21 referred to House hel -hu ser . H2311 : LABORATORY PROCEDURES; CHIROPRACTORS The scope of practice for a doctor of chiropractic is expanded to include clinical diagnostic laboratory procedures that use nasal swabs, oral swabs and sputum collection to determine the propriety of a regimen of chiropractic care or to form a basis for r eferring patients to other licensed health care professionals. If a chiropractic patient is tested for COVID -19 by a licensed chiropractic physician and receives a positive test result, the chiropractic physician is required to refer the patient to an appr opriate licensed health care provider for treatment. Emergency clause. AS PASSED HOUSE First sponsor: Rep. Parker (R – Dist 16) H2311 Daily History Date Action LABORATORY PROCEDURES; CHIROPRACTORS 3/4 from Senate hel -hu ser do pass. LABORATORY PROCEDURES; CHIROPRACTORS 3/3 Senate hel -hu ser do pass; report awaited. LABORATORY PROCEDURES; CHIROPRACTORS 2/23 referred to Sena te hel -hu ser . LABORATORY PROCEDURES; CHIROPRACTORS 2/18 House COW approved with amend #4135 . Passed House 56-4; ready for Senate. LABORATORY PROCEDURES; CHIROPRACTORS 2/16 from House rules okay. LABORATORY PROCEDURES; CHIROPRACTORS 2/8 from House hel -hu ser with amend #4135 . LABORATORY PROCEDURES; CHIROPRACTORS 2/8 House hel -hu ser amended; report awaited. LABORATORY PROCEDURES; CHIROPRACTORS 1/26 referred to House hel -hu ser . H2392 : AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT Beginning March 1, 2022, the Arizona Health Care Cost Containment System Administration is required to establish a separate Graduate Medical Education Program to reimburse qualifying community health centers and rural health clinics that have an approved p rimary care graduate medical education program. The AHCCCS Administration is required to adopt rules specifying the formula by which monies appropriated for graduate medical education are distributed to qualifying 5 community health centers and rural health clinics. Establishes reporting requirements for recipients of the funds, and requires the AHCCCS Administration to report to the Joint Legislative Budget Committee by July 1 of each year on the number of new residency positions created with the funds. AS P ASSED HOUSE First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Cobb (R – Dist 5) , Rep. Dunn (R – Dist 13) , Rep. John (R – Dist 4) H2392 Daily History Date Action AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 3/4 from Senate hel -hu ser do pass. AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 3/3 Senate hel -hu ser do pass; report awaited. AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 2/18 referred to Senate hel -hu ser . AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 2/15 House COW approved with amend #4055 and flr amend #4248. Passed House 54-6; ready for Senate. AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 2/11 retained on House COW calendar. AHCCCS; GRADUATE MEDICAL EDUCATION; REI MBURSEMENT 2/8 from House rules okay. AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 2/2 from House hel -hu ser with amend #4055 . AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 2/1 House hel -hu ser do pass; report awaited. AHCCCS; GRADUATE MEDICAL EDUCATION; REIMBURSEMENT 1/27 referred to House hel -hu ser . H2423 : IMMUNIZATIONS; EXEMPTION; REQUIREMENTS A person who is required to receive an immunization for any purpose, including as a condition of employment, school attendance or obtaining any license, certification or degree, is allowed to claim an exemption from the immunization requirement if there is not a vaccine that has been approved by the U.S. Food and Drug Administration available to fulfill the requirement that also meets all of a list of specified criteria, including that the risk of permanent disability or death from the vaccine has been prov en to be less than that caused by the infection it is intended to prevent. A person may claim the exemption on the person’s own behalf or on behalf of the person’s child or dependent. First sponsor: Rep. Carroll (R – Dist 22) Others: Rep. Nutt (R – Dist 14) , Rep. Wilmeth (R – Dist 15) H2423 Daily History Date Action IMMUNIZATIONS; EXEMPTION; REQUIREMENTS 1/26 referred to House hel -hu ser . H2454 : TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS Modifies the requirements for health and disability insurers to cover telehealth services, and applies these requirements to policies issued, delivered or renewed on or after January 1, 2021. Insurers are required to reimburse health care providers at the same level of payment for equivalent services whether provided through telehealth or in -person care. The definition of “telehealth” is expanded to include the use of an audio -only telephone encounter between an insured and a health care provider if specifi ed conditions are met. Medical examinations for workers’ compensation insurance may be conducted via telehealth with the consent of both the employee and the requesting party. A health care provider regulatory board or agency is prohibited from enforcing any statute, rule or policy that would require a health care provider who is licensed by that board or agency and who is authorized to write prescriptions to require an in -person examination of the patient before issuing a prescription, except as specifical ly prescribed by federal law. Health care providers are required to make a good faith effort to use best practices in determining whether a health care service should be provided through telehealth instead of in person. Prohibits health insurers from using contracted telehealth providers to meet network adequacy standards required by state or federal law. Prohibits health insurers from requiring a health care provider to use a telehealth platform that is sponsored or provided by the insurer. Health care pro viders who are licensed in another state are authorized to provide telehealth services to a person in Arizona if the provider complies with a list of requirements, including maintaining liability insurance and following community of care standards. Establi shes a 27 -member Telehealth Advisory Committee on Telehealth Best Practices to review standards for telehealth best practices and relevant peer – reviewed literature. The Committee is required to submit a report of its findings and recommendations to the Gov ernor and the Legislature by September 1, 2021, and self -repeals July 1, 2029. Retroactive to January 1, 2021. By September 1, 2021, the Department of Health Services is required to develop a three -year pilot program that allows the delivery of acute care services to patients in the patient’s home by licensed hospitals in Arizona working in coordination with licensed home health professionals. By January 1, 2023, the Department of Insurance and Financial Institutions is required to report specified informat ion on telehealth encounters to the Legislature. Emergency clause. AS PASSED HOUSE 6 First sponsor: Rep. Cobb (R – Dist 5) Others: Sen. Barto (R – Dist 15) , Rep. Osborne (R – Dist 13) H2454 Daily History Date Action TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 2/18 referred to Senate fin. TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 2/11 passed House 37-22; ready for Senate. TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 2/11 House COW approved with amend #4060 and flr amend #4231 . TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 2/8 from House rules okay. TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 2/2 from House hel -hu ser with amend #4060 . TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 2/1 House hel -hu ser amended; report awaited. TELEHEALTH; HEALTH CARE PROVIDERS; REQUIREMENTS 1/27 referred to House hel -hu ser . H2521 : LONG -TERM CARE; HEALTH AIDES Subject to approval by the Centers for Medicare and Medicaid Services, the Director of the Arizona Health Care Cost Containment Sy stem Administration is required to implement a program under which licensed health aide services may be provided to Arizona Long -Term Care System (ALTCS) members who are under 21 years of age. Licensed health aide services may be provided only by a parent, guardian or family member who is a licensed health aide employed by a Medicare -certified home health agency service provider. A person who wishes to practice as a licensed health aide is required to apply to the Board of Nursing and pay an application fee of $50. Establishes qualifications for licensure as a health aide, including completion of a training program approved by the Board and a competency examination. First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Cobb (R – Dist 5) H2521 Daily History Date Action LONG -TERM CARE; HEALTH AIDES 3/4 from Senate hel -hu ser do pass. LONG -TERM CARE; HEALTH AIDES 3/3 Senate hel -hu ser do pass; report awaited. LONG -TERM CARE; HEALTH AIDES 2/18 referred to Senate hel -hu ser . LONG -TERM CARE; HEALTH AIDES 2/11 passed House 52-7; ready for Senate. LONG -TERM CARE; HEALTH AIDES 2/8 from House rules okay. LONG -TERM CARE; HEALTH AIDES 2/2 from House hel -hu ser do pass. LONG -TERM CARE; HEALTH AIDES 2/1 House hel -hu ser do pass; report awaited. LONG -TERM CARE; HEALTH AIDES 1/27 referred to House hel -hu ser . H2531 : AHCCCS; ELIGIBILITY DETERMINATION Subject to approval by the Centers for Medicare and Medicaid Services, the Arizona Health Care Cost Containment System (AHCCCS) Administration is required to use the average of six months of income to determine a person’s eligibility for AHCCCS benefits. First sponsor: Rep. Longdon (D – Dist 24) Others: Rep. Dunn (R – Dist 13) , Rep. Jermaine (D – Dist 18) , Rep. Nutt (R – Dist 14) , Rep. Rodriguez (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Sierra (D – Dist 19) H2531 Daily History Date Action AHCCCS; ELIGIBILITY DETERMINATION 2/15 House hel -hu ser held. AHCCCS; ELIGIBILITY DETERMINATION 1/27 referred to House hel-hu ser . H2542 : VETERAN SUICIDES; ANNUAL REPORT Information that the Department of Health Services must include in the annual report on veteran suicides is expanded to include utilization and encounter data for a nonprofit veterans’ services organization that provides services related to reducing suicid es among Arizona’s military and veteran populations. First sponsor: Rep. Wilmeth (R – Dist 15) Others: Rep. Blackman (R – Dist 6) , Rep. Chavez (D – Dist 29) , Sen. Gowan (R – Dist 14) , Rep. Jermaine (D – Dist 18) , Rep. John (R – Dist 4) , Rep. Kaiser ( R – Dist 15) , Rep. Lieberman (D – Dist 28) , Sen. Navarrete (D – Dist 30) , Rep. Osborne (R – Dist 13) , Rep. Shah (D – Dist 24) H2542 Daily History Date Action VETERAN SUICIDES; ANNUAL REPORT 2/24 referred to Senate jud . VETERAN SUICIDES; ANNUAL REPORT 2/16 from House rules okay. VETERAN SUICIDES; ANNUAL REPORT 2/9 from House mil -pub safety do pass. VETERAN SUICIDES; ANNUAL REPORT 2/8 House mil -pub safety do pass; report awaited. VETERAN SUICIDES; ANNUAL REPORT 1/28 referred to House mil -pub safety . H2556 : TOBACCO; VAPING; PENALTIES; LEGAL AGE 7 It is unlawful for a person to knowingly sell, give or furnish a tobacco product, vapor product or any instrument or paraphernalia solely designed for smoking or ingesting tobacco or shisha to a person who is under the minimum age of sale for tobacco produ cts as set by the Federal Food, Drug, and Cosmetic Act, instead of to minors. Establishes penalties for violations, including mandatory attendance at a court -approved tobacco retailer educational course and graduated fines. In addition to the fines, if a p erson commits a second or subsequent violation, the court is required to prohibit the enterprise from selling, giving or furnishing tobacco products or vapor products for a specified period based on the number of violations. If an enterprise has more than one location, these penalties apply only to the specific location where the violation occurred. Beginning January 1, 2022, each tobacco products or vapor products retailer is required to keep records to separately show the gross proceeds of sales of tobacc o products and vapor products and the gross proceeds of sales or gross income derived from sales of other forms of tangible personal property or other business activities subject to transaction privilege taxes, and report the sales separately to the Depart ment of Revenue. AS PASSED HOUSE First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Nutt (R – Dist 14) , Rep. Payne (R – Dist 21) , Rep. Shah (D – Dist 24) H2556 Daily History Date Action TOBACCO; VAPING; PENALTIES; LEGAL AGE 3/2 referred to Senate com . TOBACCO; VAPING; PENALTIES; LEGAL AGE 2/24 House COW approved with amend #4289 . Passed House 57-2; ready for Senate. TOBACCO; VAPING; PENALTIES; LEGAL AGE 2/22 from House rules okay. TOBACCO; VAPING; PENALTIES; LEGAL AGE 2/17 from House com with amend #4289 . TOBACCO; VAPING; PENALTIES; LEGAL AGE 2/16 House com amended; report awaited. TOBACCO; VAPING; PENALTIES; LEGAL AGE 1/28 referred to House com . H2561 : PSYCHOLOGISTS; LICENSURE REQUIREMENTS An applicant for licensure as a psychologist automatically meets a list of specified licensure requirements if the applicant earned a doctoral degree from a program that was accredited by the Psychological Clinical Science Accreditation System at the time of graduation. First sponsor: Rep. Dunn (R – Dist 13) H2561 Daily History Date Action PSYCHOLOGISTS; LICENSURE REQUIREMENTS 3/2 referred to Senate hel -hu ser . PSYCHOLOGISTS; LICENSURE REQUIREMENTS 2/23 passed House 59-0; ready for Senate. PSYCHOLOGISTS; LICENSURE REQUIREMENTS 2/23 House COW approved. PSYCHOLOGISTS; LICENSURE REQUIREMENTS 2/22 from House rules okay. PSYCHOLOGISTS; LICENSURE REQUIREMENTS 2/16 from House hel -hu ser do pass. PSYCHOLOGISTS; LICENSURE REQUIREMENTS 2/15 House hel -hu ser do pass; report awaited. PSYCHOLOGISTS; LICENSURE REQUIREMENTS 2/2 referred to House hel -hu ser . H2570 : LICENSES; PANDEMICS; REVOCATION PROHIBITION State agencies, counties, and municipalities are prohibited from revoking any license that is required to operate a business for not complying with an order issued by the Governor due to a state of emergency proclaimed by the Governor for an epidem ic or pandemic disease, unless the agency, county or municipality can demonstrate by clear and convincing evidence that the business was the actual cause of transmission of the disease that is the subject of the order. First sponsor: Rep. Hoffman (R – Dist 12) Others: Sen. Barto (R – Dist 15) , Rep. Barton (R – Dist 6) , Rep. Blackman (R – Dist 6) , Rep. Bowers (R – Dist 25) , Rep. Chaplik (R – Dist 23) , Rep. Cobb (R – Dist 5) , Rep. Dunn (R – Dist 13) , Rep. Grantham (R – Dist 12) , Rep. Griffin (R – Dist 14) , Rep. John (R – Dist 4) , Rep. Kaiser (R – Dist 15) , Rep. Kavanagh (R – Dist 23) , Sen. Leach (R – Dist 11) , Sen. Livingston (R – Dist 22) , Rep. Nguyen (R – Dist 1) , Rep. Parker (R – Dist 16) , Sen. Petersen (R – Dist 12) , Rep. Roberts (R – Dist 11) , Rep. Toma (R – Dist 22) , Sen. Townsend (R – Dist 16) , Rep. Wilmeth (R – Dist 15) H2570 Daily History Date Action LICENSES; PANDEMICS; REVOCATION PROHIBITION 3/4 FAILED House 28-32. LICENSES; PANDEMICS; REVOCATION PROHIBITION 3/4 House COW approved. LICENSES; PANDEMICS; REVOCATION PROHIBITION 2/23 from House rules okay. LICENSES; PANDEMICS; REVOCATION PROHIBITION 2/22 from House gov -elect do pass. LICENSES; PANDEMICS; REVOCATION PROHIBITION 2/18 House gov -elect do pass; report awaited. LICENSES; PANDEMICS; REVOCATION PROHIBITION 2/18 House gov -elect held. LICENSES; PANDEMICS; REVOCATION PROHIBITION 2/10 House gov -elec t held. LICENSES; PANDEMICS; REVOCATION PROHIBITION 1/28 referred to House gov -elect . H2575 : HOSPITALS; VISITATION 8 A hospital’s visitation policy is required to facilitate the ability of clergy to visit patients for religious purposes, including during a pandemic. In an end -of-life situation, a hospital is required to facilitate in-person clergy visitation regardless o f the time of day. Clergy are required to comply with reasonable health and safety precautions imposed by hospitals in connection with clergy visitation. Emergency clause. AS PASSED HOUSE First sponsor: Rep. Nguyen (R – Dist 1) Others: Rep. Bowers (R – Dist 25) , Rep. Grantham (R – Dist 12) , Rep. John (R – Dist 4) , Rep. Kaiser (R – Dist 15) , Rep. Shah (D – Dist 24) , Rep. Toma (R – Dist 22) H2575 Daily History Date Action HOSPITALS; VISITATION 3/2 referred to Senate hel -hu ser . HOSPITALS; VISITATION 2/23 passed House 46-13; ready for Senate. HOSPITALS; VISITATION 2/23 House COW approved with amend #4260 and flr amend #4445 . HOSPITALS; VISITATION 2/22 from House rules okay. HOSPITALS; VISITATION 2/16 from House hel -hu ser with amend #4260 . HOSPITALS; VISITATION 2/15 House hel -hu ser amended; report awaited. HOSPITALS; VISITATION 2/2 referred to House hel -hu ser . H2605 : MEDICAL MARIJUANA; TESTING Medical marijuana testing is no longer required to be used to determine unsafe levels of herbicides. Department of Health Services rules are required to prohibit a marijuana testing facility from having any direct or indirect familial or financial relation ship with or interest in a marijuana establishment or related marijuana business entity or management company. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passa ge. AS PASSED HOUSE First sponsor: Rep. Friese (D – Dist 9) H2605 Daily History Date Action MEDICAL MARIJUANA; TESTING 3/2 referred to Senate hel -hu ser . MEDICAL MARIJUANA; TESTING 2/24 House COW approved with amend #4263 . Passed House 59-0; ready for Senate. MEDIC AL MARIJUANA; TESTING 2/22 from House rules okay. MEDICAL MARIJUANA; TESTING 2/16 from House hel -hu ser with amend #4263 . MEDICAL M ARIJUANA; TESTING 2/15 House hel -hu ser amended; report awaited. MEDICAL MARIJUANA; TESTING 1/25 referred to House hel -hu ser . H2615 : EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY Pursuant to a standing order issued by a licensed physician, naturopathic physician, physician assistant, or nurse practitioner, a “first responder” (defined) who is trained in administering epinephrine injections is authorized to administer an epinephrine injection to a person who the first responder believes in good faith is experiencing anaphylaxis. Licensed physicians and nurse practitioners who issue a standing order and first responders who administer epinephrine injections are immune from professiona l liability and criminal prosecution for any decision made, act or omission or injury that results from that act if the person acts with reasonable care and in good faith, except in cases of wanton or willful neglect. First sponsor: Rep. Osborne (R – Dist 13) Others: Rep. Blackman (R – Dist 6) , Rep. Bowers (R – Dist 25) , Rep. Cobb (R – Dist 5) H2615 Daily History Date Action EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 3/4 from Senate hel -hu ser do pass. EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 3/3 Senate hel -hu ser do pass; report awaited. EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 2/18 referred to Senate hel -hu ser . EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 2/11 passed House 60-0; ready for Senate. EPINEPHRIN E INJECTIONS; FIRST RESPONDERS IMMUNITY 2/8 from House rules okay. EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 2/2 from House hel -hu ser do pass. EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 2/1 House hel -hu ser do pass; report awaited. EPINEPHRINE INJECTIONS; FIRST RESPONDERS IMMUNITY 1/27 referred to House hel -hu ser . H2620 : HEALTH CARE WORKERS; ASSAULT; PREVENTION The list of victims of assault that cause an assault to be classified as aggravated assault if the defendant knows of their profession is expanded to include a “health care worker” (defined) while engaged in the health care worker’s work duties. Aggravated assault committed on a health care worker is a class 5 (second lowest) felony if the assault involves physical injury and a class 6 (lowest) felony otherwise. By July 1, 2022, “health care employers” (defined as licensed health care 9 institutions with more than 50 employees) are required to develop, implement and maintain a written workplace violence prevention plan that includes specified provisions. As soon as practicable after a workplace violence incident is reported to a health care employer, the employer is required to investigate the incident and to document the findings, recommendations and corrective measures take n for each investigation conducted. AS PASSED HOUSE First sponsor: Rep. Shah (D – Dist 24) Others: Rep. Biasiucci (R – Dist 5) , Rep. Blackman (R – Dist 6) , Rep. Bolick (R – Dist 20) , Rep. Bowers (R – Dist 25) , Rep. Cobb (R – Dist 5) , Rep. Li eberman (D – Dist 28) , Rep. Nguyen (R – Dist 1) , Rep. Nutt (R – Dist 14) , Rep. Osborne (R – Dist 13) , Rep. Teller (D – Dist 7) , Rep. Toma (R – Dist 22) , Rep. Weninger (R – Dist 17) H2620 Daily History Date Action HEALTH CARE WORKERS; ASSAULT; PREVENTION 2/18 referred to Senate jud . HEALTH CARE WORKERS; ASSAULT; PREVENTION 2/11 passed House 42-17; ready for Senate. HEALTH CARE WORKERS; ASSAULT; PREVENTION 2/11 House COW approved with amend #4057 and flr amend #4233 . HEALTH CARE WORKERS; ASSAULT; PREVENTION 2/8 from House rules okay. HEALTH CARE WORKERS; ASSAULT; PREVENTION 2/2 from House hel -hu ser with amend #4057 . HEALTH CARE WORKERS; ASSAULT; PREVENTION 2/1 House hel -hu ser amended; report awaited. HEALTH CARE WORKERS; ASSAULT; PREVENTION 1/27 referred to House hel -hu ser . H2622 : NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS The policy prohibiting retaliatory action against a health professional who in good faith reports a practice or policy that violates professional standards of practice or is against the law or poses a substantial risk to the health, safety or welfare of a patient, which licensed health care institutions are required to adopt, is expanded to include prohibiting retaliatory action by any of the health care institutions’ “third -party contractors” (defined). There is a rebuttable presumption that any terminatio n or other adverse action that occurs more than 6 months, instead of 180 days, after the date of a report made is not a retaliatory action. AS PASSED HOUSE First sponsor: Rep. Shah (D – Dist 24) Others: Rep. Biasiucci (R – Dist 5) , Rep. Bowers (R – Dist 25) , Rep. Carroll (R – Dist 22) , Rep. Cobb (R – Dist 5) , Rep. M. Hernandez (D – Dist 26) , Rep. Kavanagh (R – Dist 23) , Rep. Lieberman (D – Dist 28) , Rep. Longdon (D – Dist 24) , Rep. Nguyen (R – Dist 1) , Rep. Nutt (R – Dist 14) , Rep. Osborne (R – Dist 13) , Rep. Roberts (R – Dist 11) , Rep. Stahl Hamilton (D – Dist 10) , Rep. Teller (D – Dist 7) , Rep. Toma (R – Dist 22) , Rep. Weninger (R – Dist 17) , Rep. Wilmeth (R – Dist 15) H2622 Daily History Date Action NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 3/4 from Senate hel -hu ser do pass. NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 3/3 Senate hel -hu ser do pass; report awaited. NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 2/18 referred to Senate hel -hu ser . NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 2/11 passed House 59-0; ready for Senate. NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 2/11 House COW approved with amend #4061 . NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 2/8 from House rules okay. NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 2/2 from House hel -hu ser with amend #4061 . NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 2/1 House hel -hu ser amended; report awaited. NONRETALIATION POLICIES; HEALTH CARE INSTITUTIONS 1/27 referred to House hel -hu ser . H2633 : NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN Establishes an 18 -member Nursing Workforce Preparation and Shortage Work Group in the Department of Health Services to review nursing education curriculum, establish a long -term plan to address Arizona’s nursing workforce preparation and shortage, and prep are recommendations for changes to curriculum and the feasibility of a nurse residency pilot program. The Work Group is required to report its recommendations to the Legislature, the Arizona Board of Regents, and the Joint Legislative Budget Committee by D ecember 31, 2021. Self -repeals January 1, 2024. Emergency clause. AS PASSED HOUSE First sponsor: Rep. Shah (D – Dist 24) Others: Rep. Cobb (R – Dist 5) , Rep. Jermaine (D – Dist 18) H2633 Daily History Date Action NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 3/2 referred to Senate hel -hu ser . NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 2/24 House COW approved with amend #4261 . Passed House 59-0; ready for Senate. NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 2/22 from House rules okay. NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 2/16 from House hel-hu ser with amend #4261 . NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 2/15 House hel -hu ser do pass; report awaited. NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 1/28 referred to House hel -hu ser . H2668 : NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 10 The Department of Economic Security (DES) is required to develop the infrastructure necessary to implement a produce incentive program for Supplemental Nutrition Assistance Program (SNAP) enrollees to purchase eligible “Arizona -grown fruits and vegetables” (defined) at SNAP -authorized farmers markets, farm stands, mobile markets, community supported agriculture sites, grocery stores and convenience stores. Subject to available appropriations, DES is required to provide matching monies of up to $20 per parti cipating SNAP -authorized site per transaction for a SNAP enrollee to purchase eligible Arizona -grown fruits and vegetables. Appropriates $1 million from the general fund in FY2021 -22 to DES for the produce incentive program for SNAP enrollees. The appropri ated monies cannot be spent without matching contributions from federal, local or private sources. AS PASSED HOUSE First sponsor: Rep. John (R – Dist 4) Others: Rep. Dunn (R – Dist 13) , Rep. Fernandez (D – Dist 4) , Sen. Kerr (R – Dist 13) , Rep. Osborne (R – Dist 13) , Sen. Otondo (D – Dist 4) H2668 Daily History Date Action NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 3/2 referred to Senate appro . NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/23 passed House 40-19; ready for Senate. NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/23 House COW approved with flr amend #4446 . NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/22 from House rules okay. NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/11 from House appro do pass. NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/10 House appro do pass; report awaited. NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/8 from House hel -hu ser do pass. NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/8 House hel -hu ser do pass; report awaited. NUTRITION ASSISTANCE; BENEFIT MATCH; APPROPRIATION 2/2 referred to House hel -hu ser , appro . H2682 : PHARMACY BOARD; RULEMAKING AUTHORITY A licensed pharmacist who meets statutory requirements is authorized to prescribe and administer oral flouride varnish and to prescribe and dispense tobacco cessation drug therapies, the authority for the Board of Pharmacy to adopt rules for these prescrip tions is deleted. For the purpose of Board of Pharmacy statues, the definition of “pharmacy” is modified. First sponsor: Rep. Wilmeth (R – Dist 15) Others: Sen. Navarrete (D – Dist 30) H2682 Daily History Date Action PHARMACY BOARD; RULEMAKING AUTHORITY 2/23 passed House 58-0; ready for Senate. 2/24 referred to Senate hel -hu ser . PHARMACY BOARD; RULEMAKING AUTHORITY 2/16 from House rules okay. PHARMACY BOARD; RULEMAKING AUTHORITY 2/8 from House hel -hu ser do pass. PHARMACY BOARD; RULEMAKING AUTHORITY 2/8 House hel -hu ser do pass; report awaited. PHARMACY BOARD; RULEMAKING AUTHORITY 2/1 referred to House hel -hu ser . H2802 : AMBULANCE SERVICES; SERVICE AREAS Various changes to statutes relating to ambulance service. Within 90 days after receiving a complete application for an ambulance service certificate of necessity, the Department of Health Services (DHS) is required to determine whether public necessity re quires the proposed ambulance service in a service area. If necessity for the ambulance service is found to exist, DHS is required to issue a certificate of necessity to operate the ambulance service. DHS rules are required to provide for DHS to determine a separate set of response times of ambulances for each city, town or fire district within each certificate of necessity if the service area includes a response area designated as urban or suburban. More. First sponsor: Rep. Burges (R – Dist 1) Others: Rep. Cook (R – Dist 8) , Rep. Fillmore (R – Dist 16) , Rep. Finchem (R – Dist 11) , Rep. Nguyen (R – Dist 1) , Rep. Roberts (R – Dist 11) H2802 Daily History Date Action AMBULANCE SERVICES; SERVICE AREAS 2/15 House hel -hu ser held. AMBULANCE SERVICES; SERVICE AREAS 2/10 referred to House hel-hu ser . H2812 : PATIENT CONSENT; SPECIMEN DISPOSAL; USE A laboratory is prohibited from using or sharing a specimen or other material derived from a human body for any purpose other than the purpose for which the laboratory obtained the patient’s affirmative consent. Laboratories are required to dispose of spec imens and other materials derived 11 from a human body within three days after a diagnostic test has been completed, unless the laboratory has obtained the patient’s affirmative consent to do otherwise. First sponsor: Rep. Bolick (R – Dist 20) Others: Rep. Biasiucci (R – Dist 5) , Rep. Blackma n (R – Dist 6) , Rep. Carroll (R – Dist 22) , Rep. Nguyen (R – Dist 1), Rep. Parker (R – Dist 16) , Rep. Payne (R – Dist 21) , Rep. Powers Hannley (D – Dist 9) , Rep. Roberts (R – Dist 11) H2812 Daily History Date Action PATIENT CONSENT; SPECIMEN DISPOSAL; USE 2/8 referred to House hel -hu ser . H2837 : PATIENT UTILIZATION REPORTS; DEFINITION The Arizona State Board of Pharmacy is required to promote and enter into data sharing agreements to integrate “patient utilization reports” (defined) into electronic medical records. First sponsor: Rep. Wilmeth (R – Dist 15) H2837 Daily History Date Action PATIENT UTILIZATION REPORTS; DEFINITION 2/10 referred to House hel -hu ser . HCR2024 : MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH The 2022 general election ballot is to carry the question of whether to amend state statute to make various changes relating to medical marijuana. The Department of Health Services (DHS) is required to develop warning labels based on the U.S. Surgeon Gener al’s warnings on marijuana and to require the labels to be affixed to the packaging of any medical marijuana dispensed. DHS is required to provide grants from monies in the Medical Marijuana Fund for meta -analysis on the correlation between marijuana use a nd mental illness and violent behavior. The DHS Director is required to transfer $2 million from the Fund to DHS to provide grants for the research studies. AS PASSED HOUSE First sponsor: Rep. Bowers (R – Dist 25) HCR2024 Daily History Date Action MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 3/4 referred to Senate hel -hu ser . MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 3/3 House COW approved with flr amend #4674 . Passed House 44-16; ready for Senate. MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 2/24 retained on House COW calendar. MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 2/22 from House rules okay. MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 2/16 from House hel -hu ser do pass. MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 2/15 House hel -hu ser do pass; report awaited. MEDICAL MARIJUANA; MENTAL HEALTH; RESEARCH 2/3 referred to House hel -hu ser . S1001 : BREAST IMPLANT SURGERY; INFORMED CONSENT Beginning January 1, 2022, before performing “breast implant surgery” (defined), a licensed physician is required to provide specified information, in writing or in an electronic format, to the patient and obtain written informed consent before performing the surgery. A physician who knowingly violates this requirement commits an act of unprofessional conduct and is subject to disciplinary action. By December 1, 2021, the Arizona Medical Board and the Arizona Board of Osteopathic Examiners in Medicine and S urgery are required to convene a work group to jointly develop an informed consent checklist for physicians to discuss with patients before breast implant surgery. AS PASSED SENATE First sponsor: Sen. Ugenti -Rita (R – Dist 23) S1001 Daily History Date Action BREAST IMPLANT SURGERY; INFORMED CONSENT 3/2 from House hel -hu ser do pass. BREAST IMPLANT SURGERY; INFORMED CONSENT 3/1 House hel -hu ser do pass; report awaited. BREAST IMPLANT SURGERY; INFORMED CONSENT 2/23 referred to House hel -hu ser . BREAST IMPLANT SURGERY; INFORMED CONSENT 2/1 passed Senate 30-0; ready for House. BREAST IMPLANT SURGERY; INFORMED CONSENT 1/28 Senate COW appr oved with floor amend #4045 . BREAST IMPLANT SURGERY; INFORMED CONSENT 1/26 from Senate rules okay. BREAST IMPLANT SURGERY; INFORMED CONSENT 1/14 from Senate hel -hu ser do pass. BREAST IMPLANT SURGERY; INFORMED CONSENT 1/13 Senate hel -hu ser do pass; report awaited. BREAST IMPLANT SURGERY; INFORMED CONSENT 1/11 referred to Senate hel -hu ser . S1011 : MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 12 Establishes a 21 -member Maternal Mental Health Advisory Committee to recommend improvements for screening and treating maternal mental health disorders. The Committee is required to submit a report of its recommendations to the Governor and the Legislature by December 31, 2022, and self -repeals July 1, 2023. AS PASSED SENATE First sponsor: Sen. Mesnard (R – Dist 17) S1011 Daily History Date Action MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 3/2 from House hel -hu ser do pass. MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 3/1 House hel -hu ser do pass; report awaited. MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 2/23 referred to House hel -hu ser . MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 2/8 passed Senate 30-0; ready for House. MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 2/4 Senate COW approved with flr amend #4110 . MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 1/26 from Senate rules okay. MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 1/20 from Senate hel -hu ser do pass. MATERNAL MENTAL HEALTH; ADVISORY COMMITTEE 1/11 referred to Senate hel -hu ser . S1014 : AHCCCS; CHIROPRACTIC CARE; REPORT Subject to approval by the federal Centers for Medicare and Medicaid Services, the list of medically necessary health and medical services that Arizona Health Care Cost Containment System (AHCCCS) contractors are required to provide is expanded to include chiropractic services that are performed by a licensed chiropractor and that are ordered by a primary care physician or primary care practitioner pursuant to rules adopted by the AHCCCS Administration. The primary care physician or practitioner is permitte d to initially order up to 20 visits annually and to authorize additional medically necessary chiropractic services in that same year. Monies from the Hospital Assessment Fund are prohibited from being used to provide chiropractic services. The AHCCCS Admi nistration is required to prescribe qualifying conditions for chiropractic services and require contractors to report on the use of chiropractic services. The AHCCCS Administration is required to submit a report of chiropractic care cost savings determinat ions to the Governor and the Legislature by January 21, 2024. First sponsor: Sen. Barto (R – Dist 15) S1014 Daily History Date Action AHCCCS; CHIROPRACTIC CARE; REPORT 2/23 referred to House hel -hu ser , appro . AHCCCS; CHIROPRACTIC CARE; REPORT 1/28 passed Senate 27-2; ready for House. AHCCCS; CHIROPRACTIC CARE; REPORT 1/26 from Senate rules okay. AHCCCS; CHIROPRACTIC CARE; REPORT 1/20 from Senate appro do pass. AHCCCS; CHIROPRACTIC CARE; REPORT 1/19 Senate appro do pass; report awaited. AHCCCS; CHIROPRACTIC CARE; REPORT 1/14 from Senate hel -hu ser do pass. AHCCCS; CHIROPRACTIC CARE; REPORT 1/13 Senate hel -hu ser do pass; report awaited. AHCCCS; CHIROPRACTIC CARE; REPORT 1/11 referred to Senate hel -hu ser , appro . S1016 : PHYSICIANS; NATUROPATHIC MEDICINE Licensed doctors of naturopathic medicine are added to the list of licensed health professionals who may certify illness, disease or accident for the purpose of excusing a student’s absence from school and who may issue a standing order for administration of epinephrine auto -injectors by school personnel. Physicians licensed by the Naturopathic Physicians Medical Board are added to the definition of “physician” for statutes relating to medical code information on driver licenses and statutes relating to med ically -underserved areas, added to the definition of “health care provider” for statutes regulating genetic testing and HIV -related testing, and added to the definition of “submitting entity” for statutes regulating human immunodeficiency virus and sexuall y transmitted disease testing. Physicians licensed by the Naturopathic Physicians Medical Board are required to report to the Department of Health Services all analyses of blood samples that indicate significant levels of lead. First sponsor: Sen. Barto (R – Dist 15) S1016 Daily History Date Action PHYSICIANS; NATUROPATHIC MEDICINE 2/23 referred to House hel -hu ser . PHYSICIANS; NATUROPATHIC MEDICINE 2/1 passed Senate 30-0; ready for House. PHYSICIANS; NATUROPATHIC MEDICINE 1/28 Senate COW approved. PHYSICIANS; NATUROPATHIC MEDICINE 1/26 from Senate rules okay. PHYSICIANS; NATUROPATHIC MEDICINE 1/14 from Senate hel -hu ser do pass. PHYSICIANS; NATUROPATHIC MEDICINE 1/13 Senate hel -hu ser do pass; report awaited. 13 PHYSICIANS; NATUROPATHIC MEDICINE 1/11 referred to Senate hel -hu ser . S1017 : INFORMED CONSENT; PELVIC EXAMINATIONS It is an act of unprofessional conduct for a licensed physician, nurse practitioner, or physician assistant to perform or supervise an individual who performs a pelvic examination on an anesthetized or unconscious patient without first obtaining the patien t’s informed consent to the pelvic examination. Some exceptions. First sponsor: Sen. Barto (R – Dist 15) S1017 Daily History Date Action INFORMED CONSENT; PELVIC EXAMINATIONS 3/2 from House hel -hu ser do pass. INFORMED CONSENT; PELVIC EXAMINATIONS 3/1 House hel -hu ser do pass; report awaited. INFORMED CONSENT; PELVIC EXAMINATIONS 2/23 referred to House hel -hu ser . INFORMED CONSENT; PELVIC EXAMINATIONS 1/28 passed Senate 29-0; ready for House. INFORMED CONSENT; PELVIC EXAMINATIONS 1/26 from Senate rules okay. INFORMED CONSENT; PELVIC EXAMINATIONS 1/14 from Senate hel -hu ser do pass. INFORMED CONSENT; PELVIC EXAMINATIONS 1/13 Senate hel -hu ser do pass; report awaited. INFORMED CONSENT; PELVIC EXAMINATIONS 1/11 referred to Senate hel -hu ser . S1033 : TECH CORRECTION; STATE BUILDINGS; DEFIBRILLATORS Minor change in Title 34 (Public Buildings and Improvements) related to state buildings. Apparent striker bus. First sponsor: Sen. Barto (R – Dist 15) S1033 Daily History Date Action TECH CORRECTION; STATE BUILDINGS; DEFIBRILLATORS 1/11 referred to Senate rules only. S1034 : TECH CORRECTION; HEALTH PROFESSIONALS Minor change in Title 32 (Professions and Occupations) related to dentistry. Apparent striker bus. First sponsor: Sen. Barto (R – Dist 15) S1034 Daily History Date Action TECH CORRECTION; HEALTH PROFESSIONALS 3/4 retained on Senate COW calendar. TECH CORRECTION; HEALTH PROFESSIONALS 2/24 retained on Senate COW calendar. TECH CORRECTION; HEALTH PROFESSIONALS 2/23 from Senate rules okay. TECH CORRECTION; HEALTH PROFESSIONALS 2/22 from Senate hel -hu ser with amend #4400 . TECH CORRECTION; HEALTH PROFESSIONALS 2/17 Senate hel -hu ser amended; report awaited. TECH CORRECTION; HEALTH PROFESSIONALS 1/11 referred to Senate rules only. S1043 : PUBLIC SAFETY; CANCER INSURANCE; ELIGIBILITY The Board of Trustees of the Public Safety Personnel Retirement System is required to annually review the premiums required under the Public Safety Cancer Insurance Policy Program to ensure the financial security of the Program. Persons eligible for covera ge under the Program remain eligible upon retirement for the statutorily specified time periods, regardless of whether the person has a cancer diagnosis. First sponsor: Sen. Livingston (R – Dist 22) S1043 Daily History Date Action PUBLIC SAFETY; CANCER INSURANCE; ELIGIBILITY 1/26 from Senate rules okay. PUBLIC SAFETY; CANCER INSURANCE; ELIGIBILITY 1/14 from Senate fin do pass. PUBLIC SAFETY; CANCER INSURANCE; ELIGIBILITY 1/13 Senate fin do pass; report awaited. PUBLIC SAFETY; CANCER INSURANCE; ELIGIBILITY 1/11 referred to Se nate fin. S1048 : HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION For the purpose of the exemption from insurance regulations for health care sharing ministries, the definition of a “health care sharing ministry” is modified to change the federal code referred to. First sponsor: Sen. Livingston (R – Dist 22) S1048 Daily History Date Action HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION 2/22 passed Senate 16-14; ready for House. HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION 2/22 Senate COW approved. HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION 2/9 from Senate rules okay. HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION 2/4 from Senate fin do pass. 14 HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION 2/3 Senate fin do pass; report awaited. HEALTH CARE MINISTRIES; EXEMPTION; DEFINITION 1/11 referred to Senate fin. S1059 : MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATMENT A person who has a substance use disorder without any co -occurring mental disorder cannot be considered for involuntary treatment. A person who initially presents with impairments consistent with both a mental disorder and substance use disorder is eligibl e for screening and evaluation, and may be eligible for involuntary treatment if, after considering the person’s history, an appropriate examination and a reasonable period of time to rule out substance abuse as the primary cause of the alleged behavior, t he person’s presentation is consistent with a mental disorder that would benefit from treatment. A person who has an intellectual disability cannot be considered for involuntary treatment unless the person also has a mental disorder that would benefit from treatment. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1059 Daily History Date Action MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATMENT 2/23 referred to House hel -hu ser . MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATMENT 2/11 passed Senate 29 -0; ready for House. MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATMENT 2/10 Senate COW approved with amend #4006 and flr amend #4167 . MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATMENT 1/26 from Senate rules okay. MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATM ENT 1/20 from Senate hel -hu ser with amend #4006 . MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TREATMENT 1/20 Senate hel -hu ser do pass; report awaited. MENTAL DISORDERS; CONSIDERATIONS; INVOLUNTARY TR EATMENT 1/11 referred to Senate hel -hu ser . S1060 : CHIROPRACTORS; LABORATORY PROCEDURES The scope of practice for a doctor of chiropractic is expanded to include clinical diagnostic laboratory procedures that use nasal swabs, oral swabs and sputum collection to determine the propriety of a re gimen of chiropractic care or to form a basis for referring patients to other licensed health care professionals. If a chiropractic patient is tested for COVID -19 by a licensed chiropractic physician and receives a positive test result, the chiropractic ph ysician is required to refer the patient to an appropriate licensed health care provider for treatment. Emergency clause. AS PASSED SENATE. First sponsor: Sen. Barto (R – Dist 15) S1060 Daily History Date Action CHIROPRACTORS; LABORATORY PROCEDURES 2/23 referred to House hel -hu ser . CHIROPRACTORS; LABORATORY PROCEDURES 2/9 passed Senate 29-0; ready for House. CHIROPRACTORS; LABORATORY PROCEDURES 2/4 Senate COW approved with amend #4002 and flr amend #4114 . CHIROPRACTORS; LABORATORY PROCEDURES 1/28 retained on Senate COW calendar. CHIROPRACTORS; LABORATORY PROCEDURES 1/26 from Senate rules okay. CHIROPRACTORS; LABORATORY PROCEDURES 1/14 from Senate hel -hu ser with amend #4002 . CHIROPRACTORS; LABORATORY PROCEDURES 1/13 Senate hel -hu ser do pass; report awaited. CHIROPRACTORS; LABORATORY PR OCEDURES 1/11 referred to Senate hel -hu ser . S1063 : ADMINISTRATIVE REVIEW OF AGENCY DECISIONS For review of final administrative decisions of agencies that regulate a profession or occupation under Title 32 (Professions and Occupations), or specified articles in Title 36 (Public Health), which refer to nursing care institution administrators, assis ted living facilities managers, midwives, hearing aid dispensers, audiologists and speech -language pathologists, the trial is required to be be de novo if trial de novo is demanded in the notice of appeal or motion of an appellee other than the agency. In a proceeding brought by or against the regulated party, the court is required to decide all questions of fact without deference to any previous determination that may have been made on the question by the agency. First sponsor: Sen. Mesnard (R – Dist 17) S1063 Daily History Date Action ADMINISTRATIVE REVIEW OF AGENCY DECISIONS 3/3 passed Senate 16-14; ready for House. ADMINISTRATIVE REVIEW OF AGENCY DECISIONS 2/24 Senate COW approved. ADMINISTRATIVE REVIEW OF AGENCY DECISIONS 2/16 from Senate rules okay. ADMINISTRATIVE REVIEW OF AGENCY DECISIONS 2/9 from Senate gov do pass. ADMINISTRATIVE REVIEW OF AGENCY DECISIONS 2/8 Senate gov do pass; report awaited. ADMINISTRATIVE REVIEW OF AGENCY DECISIONS 1/11 referred to Senate gov . 15 S1075 : HEALTH CARE INSURANCE; AMENDMENTS Various changes to statutes relating to health insurance. The article of statute regulating insurance holding company systems applies to all service corporations. Statute prohibiting payment for services to persons other than the assignee apply to a hospit al and medical service corporation. Hospital, medical, dental and optometric service corporations are no longer prohibited from influencing the subscriber in the subscriber’s free choice of hospital or practitioner. Modifies reporting requirements due date s. Statute establishing requirements for premium rates and rating practices does not apply if a small employer obtains a health benefits plan that is subject to and complies with specified federal law. Modifies exemptions from utilization review activities . First sponsor: Sen. Livingston (R – Dist 22) S1075 Daily History Date Action HEALTH CARE INSURANCE; AMENDMENTS 2/3 Senate COW approved with amend #4020 and flr amend #4081 . HEALTH CARE INSURANCE; AMENDMENTS 2/2 from Senate rules okay. HEALTH CARE INSURANCE; AMENDMENTS 1/28 from Senate fin with amen d #4020 . HEALTH CARE INSURANCE; AMENDMENTS 1/27 Senate fin amended; report awaited. HEALTH CARE INSURANCE; AMENDMENTS 1/20 referred to Senate fin. S1078 : MEDICAL STUDENT LOAN PROGRAM Various changes to the Medical Student Loan Program. Membership of the Board of Medical Student Loans is modified to remove all current members except the Director of the Department of Health Services and two Governor’s appointees who are knowledgeable in the problems of health care in Arizona and replace them with one representative from each accredited medical school in Arizona. Session law allows current Board members to continue to serve until the expiration of their normal terms. Retroactive to July 1, 2021, the statutory life of the Board is extended eight years to July 1, 2029. Removes the requirement for at least 50 percent of loan monies to be apportioned for students attending private medical schools. Modifies penalties for a loan recipient who doe s not fulfill the conditions of the loan contract. Appropriates $2 million from the general fund in FY2021 – 22 to the Medical Student Loan Fund. First sponsor: Sen. Livingston (R – Dist 22) S1078 Daily History Date Action MEDICAL STUDENT LOAN PROGRAM 2/23 referred to House appro . MEDICAL STUDENT LOAN PROGRAM 2/11 passed Senate 29 -0; ready for House. MEDICAL STUDENT LOAN PROGRAM 2/9 from Senate rules okay. MEDICAL STUDENT LOAN PROGRAM 2/3 from Senate appro do pass. MED ICAL STUDENT LOAN PROGRAM 2/2 Senate appro do pass; report awaited. MEDICAL STUDENT LOAN PROGRAM 1/20 referred to Senate appro . S1082 : PHARMACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES A pharmacist is authorized to dispense a “self -administered hormonal contraceptive” (defined) to a patient who is 18 years of age or older pursuant to a standing prescription drug order. A prescriber who is licensed to prescribe a self -administered hormona l contraceptive is authorized to issue a standing prescription drug order authorizing the dispensing of a self -administered hormonal contraceptive. The State Board of Pharmacy is required to adopt rules to establish standard procedures for pharmacists to d ispense self -administered hormonal contraceptives. A pharmacist or prescriber acting reasonably and in good faith in dispensing or prescribing a self -administered hormonal contraceptive is not liable for any civil damages for acts or omissions resulting fr om doing so. Some exceptions. First sponsor: Sen. Ugenti -Rita (R – Dist 23) S1082 Daily History Date Action PHARMACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES 3/1 referred to House hel -hu ser . PHARMACISTS; DISPENSING AUTHORITY; HORMONA L CONTRACEPTIVES 2/23 passed Senate 23-7; ready for House. PHARMACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES 2/23 from Senate rules okay. Senate COW approved. PHARMACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES 2/22 from Senate hel -hu ser do pass. PHARMACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES 2/17 Senate hel -hu ser do pass; report awaited. PHAR MACISTS; DISPENSING AUTHORITY; HORMONAL CONTRACEPTIVES 1/20 referred to Senate hel -hu ser . S1085 : NURSING -SUPPORTED GROUP HOMES; LICENSURE 16 By July 1, 2022, a “nursing supported group home” (defined) that is operated in Arizona by a service provider under contract with the Department of Economic Security is required to be licensed as a health care institution. Effective July 1, 2022, nursing s upported group homes are added to various statutes regulating group homes. A nursing supported group home is not required to comply with the zoning standards for a health care institution prescribed by the Department of Health Services. First sponsor: Sen. Pace (R – Dist 25) S1085 Daily History Date Action NURSING -SUPPORTED GROUP HOMES; LICENSURE 3/2 from House hel -hu ser do pass. NURSING -SUPPORTED GROUP HOMES; LICENSURE 3/1 House hel -hu ser do pass; report awaited. NURSING -SUPPORTED GROUP HOMES; LICENSURE 2/23 referred to House hel -hu ser . NURSING -SUPPORTED GROUP HOMES; LICENSURE 1/28 passed Senate 28-1; ready for House. NURSING -SUPPORTED GROUP HOMES; LICENSURE 1/26 from Senate rules okay. NURSING -SUPPORTED GROUP HOMES; LICENSURE 1/20 from Se nate hel -hu ser do pass. NURSING -SUPPORTED GROUP HOMES; LICENSURE 1/20 Senate hel -hu ser do pass; report awaited. NURSING -SUPPORTED GROUP HOMES; LICENSURE 1/13 referred to Senate hel -hu ser . S1086 : PHARMACY BOARD; PERMITTEE OPERATIONS; FEES For the purpose of disciplining a State Board of Pharmacy permittee, the definition of “unethical conduct” is expanded to include failing to routinely operate according to the permittee’s hours of operation as submitted to the Board by closing for five con secutive days or more, except for an unexpected closure where the permittee notifies the Board within 48 hours. For the purpose of disciplining a pharmacist, pharmacy intern, pharmacy technician or pharmacy technician trainee, the definition of “unprofessi onal conduct” is expanded to include failing to promptly produce within ten days any book, record or document when requested by an official conducting an investigation, inspection or audit. License and permit applicants are required to pay a convenience fe e as determined by the Board when using the online application process. Also blends multiple enactments. First sponsor: Sen. Pace (R – Dist 25) S1086 Daily History Date Action PHARMACY BOARD; PERMITTEE OPERATIONS; FEES 1/20 referred to Senate hel -hu ser . S1087 : PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION Various changes to statutes relating to the Arizona State Board of Pharmacy. The Board is authorized to charge an administrative fee as prescribed by rule for complaint -initiated nonroutine investigations, to temporarily suspend a license under specified c ircumstances, and to issue a subpoena to solicit information pertaining to a complaint or investigation or to require a personal appearance before the Board. The Board is authorized to issue nondisciplinary civil penalties as prescribed by the Board in rul e. Establishes a list of acts that are not an imminent threat to the public health and safety that are subject to a nondisciplinary civil penalty. If the Board determines by investigation that reasonable grounds exist to discipline a licensee, the Board is authorized to serve the licensee with a written notice containing specified information. Failure to acknowledge or reply to the Board before the deadline regarding a consent agreement for voluntary surrender or voluntary suspension issued by the Board or Board staff will result in the acceptance of the finding of fact, the conclusion of law and the Board order by the licensee only after the Board has communicated to the licensee using the contact information on file and, if applicable, the licensee’s attor ney of reference. The licensee is permitted to request a rehearing or review and appeal of the decision. If a Board order or an agreed consent agreement is in effect and the licensee fails to comply with the order, the Board is authorized to move that case without opening a new “compliant for noncompliance” to a Board hearing to consider action on the license, including revocation. More. First sponsor: Sen. Pace (R – Dist 25) S1087 Daily History Date Action PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION 3/2 referred to House hel -hu ser . PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION 2/24 Senate COW approved with amend #4403 . 2/25 passed Senate 28-0; ready for House. PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION 2/23 from Senate rules okay. PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION 2/22 from Senate hel -hu ser with amend #4403 . PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION 2/17 Senate hel -hu ser amended; report awaited. PHARMACY BOARD; REGULATION; NONDISCIPLINARY ACTION 1/20 referred to Senate hel -hu ser . S1088 : CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 17 The State Board of Pharmacy is required to adopt by rule the schedule I, II, III, IV and V controlled substances listed in the code of federal regulations and to amend the rules as necessary to reflect changes in the designations. The rules adopted by the Board are prohibited from including any material, compound, mixture or preparation that contains any quantity of a controlled substance that is listed as an exempt substance in specified federal code. The definition of “controlled substances” throughout st atute is modified to include those adopted by the Board by rule according to this requirement. The statutory lists of chemicals that are designated as controlled substances in each schedule level are deleted. AS PASSED SENATE First sponsor: Sen. Pace (R – Dist 25) S1088 Daily History Date Action CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 3/2 from House hel -hu ser do pass. CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 3/1 House hel -hu ser do pass; report awaited. CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 2/23 referred to House hel -hu ser . CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 2/16 passed Senate 30-0; ready for House. CONTROLLED SUBSTAN CES; SCHEDULE DESIGNATION 2/9 from Senate rules okay. CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 2/4 from Senate hel -hu ser with amend #4089 . CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 2/3 Senate hel -hu ser amended; report awaited. CONTROLLED SUBSTANCES; SCHEDULE DESIGNATION 1/20 referred to Senate hel -hu ser . S1089 : BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE A person who is not licensed and who practices or attempts to practice or who holds himself out as trained and authorized to practice behavioral health, including diagnosing or treating a ny mental ailment, disease, disorder or other mental condition of any person, without being authorized by law to perform the act, is engaging in the unauthorized practice of behavioral health, is guilty of a class 2 (mid -level) misdemeanor and is subject t o a civil penalty of up to $500 for each offense. A person who conspires with or aids and abets another to commit any act constituting the unauthorized practice of behavioral health is guilty of a class 6 (lowest) felony and is subject to a civil penalty o f up to $500 for each offense. The Board of Behavioral Health Examiners is required to notify the Department of Health Services if a licensed health care institution employs or contracts with a person who is investigated for the unauthorized practice of be havioral health. Also modifies the post -master’s degree experience or post -bachelor’s degree experience requirements for licensed clinical social workers, licensed professional counselors, licensed marriage and family therapists, and licensed substance abu se counselors. AS PASSED SENATE First sponsor: Sen. Pace (R – Dist 25) S1089 Daily History Date Action BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 3/2 from House hel -hu ser with amend #4653 . BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 3/2 House hel -hu ser do pass; report awaited. BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 2/23 referred to House hel -hu ser . BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 2/18 passed Senate 21-9; ready for House. BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTI CE 2/11 FAILED Senate 14-15. BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 2/10 Senate COW approved with amend #4088 and flr amend #4170 . BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 2/9 from Senate rules okay. BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 2/4 from Senate hel -hu ser with amend #4088 . BEHAVIORA L HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 2/3 Senate hel -hu ser amended; report awaited. BEHAVIORAL HEALTH PROFESSIONALS; UNAUTHORIZED PRACTICE 1/20 referred to Senate hel -hu ser . S1090 : OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH An employee of a licensed outpatient treatment center that provides behavioral health services is authorized to provide behavioral health services at a private office or clinic that is operated by an exempt health care provider under specified circumstance s, including that the services are provided to a patient of the exempt health care provider or the licensed outpatient treatment center, and the licensed outpatient treatment center and the exempt health care provider have a written agreement specifying th e terms of the provided services. The licensed outpatient treatment center is required to report to the Department of Health Services (DHS) any unexpected death, self -injury or other injury of a patient under the care of its employee that occurs on the pre mises of the exempt health care provider and whether the injury required medical attention, and DHS is authorized to report the incident to the licensing board of any health care professional involved in the incident. First sponsor: Sen. Pace (R – Dist 25) S1090 Daily History Date Action 18 OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 3/2 from House hel -hu ser do pass. OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 3/2 House hel -hu ser do pass; report awaited. OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 2/23 referred to House hel -hu ser . OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 2/4 passed Senate 29-0; ready for House. OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 2/2 from Senate rules okay. OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 1/28 from Senate hel -hu ser do pass. OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 1/27 Senate hel -hu ser do pass; report awaited. OUTPATIENT TREATMENT CENTERS; BEHAVIORAL HEALTH 1/20 referred to Senate hel -hu ser . S1091 : CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES The State Board of Pharmacy is authorized to release data collected by the Controlled Substances Prescription Monitoring Program to a health care insurer if the insurer states in writing that the information is necessary for an open investigation or compla int or for performing a drug utilization review that supports the prevention of opioid overuse or abuse or the safety and quality of care provided to the insured. Data provided by the Board from the Program is prohibited from being used for credentialing h ealth care professionals, determining payment, preemployment screening, or any other purpose other than preventing overuse or abuse of controlled substances and the safety and quality of care provided. Each employee of the Arizona Health Care Cost Containm ent System (AHCCCS) Administration, a contractor or a health care insurer who is a licensed health care professional and who is assigned delegate access to the Program is required to operate under the authority and responsibility of the AHCCCS Administrati on’s, contractor’s or health care insurer’s chief medical officer or other employee who is a licensed health care professional and who is authorized to prescribe or dispense controlled substances. The AHCCCS Administration, a contractor or an insurer is al lowed to authorize up to ten delegates. The Board is required to grant access to Program information to licensed pharmacists who are employed by the Arizona Health Care Cost Containment System, AHCCCS contractors or health care insurers with a national pro vider identifier number. AS PASSED SENATE First sponsor: Sen. Pace (R – Dist 25) S1091 Daily History Date Action CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 2/24 referred to House hel -hu ser . CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 2/11 passed Senate 29 -0; ready for House. CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 2/10 Senate COW approved with amend #4084 . CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 2/9 from Senate rules okay. CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 2/4 from Senate hel -hu ser with amend #4084 . CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 2/3 Senate hel -hu ser amended; report awaited. CONTROLLED SUBSTANCES MONITORING PROGRAM; DELEGATES 1/20 referred to Senate hel -hu ser . S1092 : DEAF; HARD OF HEARING; DEAFBLIND The duties of the Commission for the Deaf and the Hard of Hearing are expanded to include issues and services relating to the needs of the “deafblind” (defined), and to include making recommendations to the Legislature on assessment standards that optimize the language acquisition and literacy development of deaf and hard of hearing newborns, infants and children. First sponsor: Sen. Pace (R – Dist 25) S1092 Daily History Date Action DEAF; HARD OF HEARING; DEAFBLIND 2/24 referred to House hel -hu ser . DEAF; HARD OF HEARING; DEAFBLIND 2/4 passed Senate 29-0; ready for House. DEAF; HARD OF HEARING; DEAFBLIND 2/2 from Senate rules okay. DEAF; HARD OF HEARING; DEAFBLIND 1/28 from Senate hel -hu ser do pass. DEAF; HARD OF HEARING; DEAFBLIND 1/27 Senate hel -hu ser do pass; report awaited. DEAF; HARD OF HEARING; DEAFBLIND 1/20 referred to Senate hel -hu ser . S1093 : DEVELOPMENTAL DISABILITIES; SPINA BIFIDA The definition of “developmental disability” is expanded to include a severe, chronic disability that is attributable to “spina bifida” (defined). First sponsor: Sen. Pace (R – Dist 25) S1093 Daily History Date Action DEVELOPMENTAL DISABILITIES; SPINA BIFIDA 2/24 referred to House hel -hu ser , appro . DEVELOPMENTAL DISABILITIES; SPINA BIFIDA 2/4 passed Senate 29-0; ready for House. DEVELOPMENTAL DISABILITIES; SPINA BIFIDA 2/2 from Senate rules okay. DEVELOPMENTAL DISABILITIES; SPINA BIFIDA 1/28 from Senate hel -hu ser do pass. DEVELOPMENTAL DISABILITIES; SPINA B IFIDA 1/27 Senate hel -hu ser do pass; report awaited. 19 DEVELOPMENTAL DISABILITIES; SPINA BIFIDA 1/20 referred to Senate hel -hu ser . S1094 : AHCCCS; SUBSTANCE ABUSE TREATMENT The Arizona Health Care Cost Containment System replaces the Department of Health Services as a joint administrator with the Department of Child Safety of community programs for substance abuse treatment assistance. First sponsor: Sen. Pace (R – Dist 25) S1094 Daily History Date Action AHCCCS; SUBSTANCE ABUSE TREATMENT 2/23 referred to House hel -hu ser . AHCCCS; SUBSTANCE ABUSE TREATMENT 2/4 passed Senate 29-0; ready for House. AHCCCS; SUBSTANCE ABUSE TREATMENT 2/2 from Senate rules okay. AHCCCS; SUBSTANCE ABUSE TREATMENT 1/28 from Senate hel -hu ser do pass. AHCCCS; SUBSTANCE ABUSE TREATMENT 1/27 Senate hel -hu ser do pass; report awaited. AHCCCS; SUBSTANCE ABUSE TREATMENT 1/20 referred to Senate hel -hu ser . S1097 : PUPILS; EXCUSED ABSENCES; MENTAL HEALTH The Arizona Department of Education (ADE) is required to identify an absence due to the mental or behavioral health of a pupil as an excused absence. ADE is authorized to adopt guidelines and rules for determining what constitutes an absence due to the men tal or behavioral health of a pupil. First sponsor: Sen. Bowie (D – Dist 18) Others: Rep. Jermaine (D – Dist 18) , Sen. Marsh (D – Dist 28) , Rep. Pawlik (D – Dist 17) S1097 Daily History Date Action PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 3/3 from House educ do pass. PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 3/2 House educ do pass; report awaited. PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 2/23 referred to House educ . PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 1/28 passed Senate 29-0; ready for House. PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 1/26 from Senate rules okay. PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 1/20 from Senate educ do pass. PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 1/19 Senate educ do pass; report awaited. PUPILS; EXCUSED ABSENCES; MENTAL HEALTH 1/12 referred to Senate educ . S1140 : DENTAL HYGIENISTS; AFFILIATED PRACTICE An affiliated practice agreement between a dental hygienist and a dentist is required to include the conditions under wh ich the affiliated practice dental hygienist may administer local anesthesia and provide root planning, and to include the circumstances under which the affiliated practice dental hygienist must consult with the affiliated practice dentist before initiatin g further treatment on patients who have not been seen by a dentist within 12 months after the initial treatment by the dental hygienist. Dentists in an affiliated practice relationship are no longer prohibited from allowing the provision of dental hygiene services by more than three affiliated practice dental hygienists at any one time. AS PASSED SENATE. First sponsor: Sen. Barto (R – Dist 15) S1140 Daily History Date Action DENTAL HYGIENISTS; AFFILIATED PRACTICE 2/24 referred to House hel -hu ser . DENTAL HYGIENISTS; AFFILIATED PRACTICE 2/9 passed Senate 29-0; ready for House. DENTAL HYGIENISTS; AFFILIATED PRACTICE 1/28 Senate COW approved with floor amend #4044 . DENTAL HYGIENISTS; AFFILIATED PRACTICE 1/26 from Senate rules okay. DENTAL HYGIENISTS; AFFILIATED PRACTICE 1/20 from Senate hel -hu ser do pass. DENTAL HYGIENISTS; AFFILIATED PRACTICE 1/20 Senate hel -hu ser do pass; report awaited. DENTAL H YGIENISTS; AFFILIATED PRACTICE 1/13 referred to Senate hel -hu ser . S1145 : TELEMEDICINE; PHYSICIANS For Arizona Medical Board and Board of Osteopathic Examiners in Medicine and Surgery licensees, it is “unprofessional conduct” to prescribe, dispense or furnish a prescription medication or prescription -only dev ice through telemedicine without conducting a physical or mental health status examination that includes a clinical evaluation that is appropriate for the patient and the condition with which the patient presents. For Board of Pharmacy licensees, the defin ition of “unprofessional conduct” is modified to exclude knowingly dispensing a drug on a prescription order that was issued relating to diagnosis by the internet if the prescription was written because of a physical or mental health status examination con ducted through “telemedicine” (defined elsewhere in statute), instead 20 of only an examination conducted during a real -time telemedicine encounter with audio and video capability. AS PASSED SENATE First sponsor: Sen. Shope (R – Dist 8) S1145 Daily History Date Action TELEMEDICINE; PHYSICIANS 2/24 referred to House hel -hu ser . TELEMEDICINE; PHYSICIANS 2/1 passed Senate 30-0; ready for House. TELEMEDICINE; PHYSICIANS 1/28 Senate COW approved with amend #4008 . TELEMEDICINE; PHYSICIANS 1/26 from Senate rules okay. TELEMEDICINE; PHYSICIANS 1/20 from Senate hel -hu ser with amend #4008 . TELEMEDICINE; PHYSICIANS 1/20 Senate hel -hu ser do pass; report awaited. TELEMEDICINE; PHYSICIANS 1/13 referred to Senate hel -hu ser . S1160 : TECH CORRECTION; DENTISTRY; PERMIT Minor change in Title 32 (Professions and Occupations) related to dentist licensing. Apparent striker bus. First sponsor: Sen. Kerr (R – Dist 13) S1160 Daily History Date Action TECH CORRECTION; DENTISTRY; PERMIT 1/14 referred to Senate rules only. S1181 : DOULAS; VOLUNTARY CERTIFICATION Establishes a voluntary certification process for a person to “practice as a state -certified doula” (defined). The Department of Health Services (DHS) is required to prescribe certification requirements by rule, including the scope of practice, core compet encies, minimum qualifications, education and training requirements, and standards and requirements for education and training programs. DHS is required to waive the minimum training and education requirements for certification for applicants who provide d ocumentation of current certification with a nationally recognized doula organization. DHS is required to establish by rule nonrefundable fees for state – certified doula certification, and to deposit the fees in a segregated account in the Health Services Licensing Fund. A doula certificate is valid for three years. Establishes the Doula Community Advisory Committee in DHS to consult with the DHS Director on rules relating to doulas. First sponsor: Sen. Townsend (R – Dist 16) S1181 Daily History Date Action DOULAS; VOLUNTARY CERTIFICATION 2/23 referred to House hel -hu ser . DOULAS; VOLUNTARY CERTIFICATION 2/4 passed Senate 27-2; ready for House. DOULAS; VOLUNTARY CERTIFICATION 2/2 from Senate rules okay. DOULAS; VOLUNTARY CERTIFICATION 1/28 from Senate hel -hu ser do pass. DOULAS; VOLUNTARY CERTIFICATION 1/27 Senate hel -hu ser do pass; report awaited. DOULAS; VOLUNTARY CERTIFICATION 1/19 referred to Senate hel -hu ser . S1219 : DONATED MEDICINE; REQUIREMENTS A “donor” (defined as any person or entity legally authorized to possess medicine) is permitted to donate “medicine” (defined) to an “authorized recipient” (defined as any entity that has a license or permit in good standing in Arizona and that is legally authorized to possess medicine). The authorized recipient is required to verify and record a list of specified information, including that the donor is legally authorized to posses the medicine. An authorized recipient is permitted to transfer donated medi cine to another authorized recipient or to an entity participating in a drug donation program. Establishes requirements for an authorized recipient to accept donated medicine into inventory, and donated medicine that does not meet the requirements must be disposed of. Establishes requirements for donated medicine to be repackaged, labeled, and dispensed. Medicine donated is prohibited from being resold, but authorized recipients are allowed to charge a handling, dispensing or administrative fee, subject to limits prescribed by the Board of Pharmacy. Establishes immunity from civil liability, criminal liability or professional disciplinary action for specified persons acting in good faith under these provisions. Repeals the prescription medication donation pr ogram under the Board of Pharmacy, which allowed a person, manufacturer or health care institution to donate prescription medication to a physician’s office, pharmacy, hospital or health care institution that voluntarily participated in the program. First sponsor: Sen. Barto (R – Dist 15) 21 S1219 Daily History Date Action DONATED MEDICINE; REQUIREMENTS 2/25 referred to House hel -hu ser . DONATED MEDICINE; REQUIREMENTS 2/4 passed Senate 29-0; ready for House. DONATED MEDICINE; REQUIREMENTS 2/2 from Senate rules okay. DONATED MEDICINE; REQUIREMENTS 1/28 from Senate hel -hu ser do pass. DONATED MEDICINE; REQUIREMENTS 1/27 Senate hel -hu ser do pass; report awaited. DONATED MEDICINE; REQUIREMENTS 1/20 referred to Senate hel -hu ser . S1220 : MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING For the purpose of programs to provide peace officers and firefighters with traumatic event counseling, the definition of “licensed mental health professional” is expanded to include mental health professionals who are licensed by the Board of Behavioral H ealth Examiners and who hold either a master’s or doctoral degree related to the mental health profession, and licensed mental health nurse practitioners or psychiatric clinical nurse specialists. AS PASSED SENATE. First sponsor: Sen. Gray (R – Dist 21) S1220 Daily History Date Action MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 2/25 referred to House hel -hu ser . MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 2/4 passed Senate 29-0; ready for House. MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 2/3 Senate COW approved with amend #4034 . MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 2/2 from Senate rules okay. MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 1/28 from Senate hel -hu ser with amend #4034 . MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 1/27 Senate hel -hu ser amended; report awaited. MENTAL HEALTH PROFESSIONALS; TRAUMA COUNSELING 1/20 referred to Senate hel -hu ser . S1247 : OPIOID PRESCRIPTIONS; NALOXONE REQUIREMENT; EXCEPTION The requirement for a health professional prescribing a patient more than 90 morphine milligram equivalen ts per day to also prescribe naloxone hydrochloride or another opioid antagonist does not apply to a patient who is receiving hospice care or end -of-life care. First sponsor: Sen. Bowie (D – Dist 18) S1247 Daily History Date Action OPIOID PRESCRIPTIONS; NALOXONE REQUIREMENT; EXCEPTION 1/21 referred to Senate hel -hu ser . S1250 : OVERDOSE; DISEASE PREVENTION; PROGRAMS Counties, municipalities, and nongovernmental organizations, or any combination of these entities, are authorized to establish and operate an overdose and disease prevention program, and required objectives for the program are listed. A program is required to offer specified services, including disposal of used needles and hypodermic syringes, needles and hypodermic syringes at no cost, access to kits that contain naloxone hydrochloride or any other opioid antagonist that is approved by the U.S. Food and Dr ug Administration to treat a drug overdose or referrals to programs that provide access, and consultations concerning mental health or substance use disorder treatment. An employee, volunteer or participant in the program cannot be charged with or prosecut ed for possession of a needle, hypodermic syringe or other injection supply item obtained from or returned to a program or possession of a residual amount of a controlled substance contained in a used needle, hypodermic syringe or injection supply item obt ained from or returned to a program, if the person claiming immunity provides verification that the item was obtained from a program. First sponsor: Sen. Barto (R – Dist 15) Others: Rep. Cobb (R – Dist 5) , Rep. Shah (D – Dist 24) , Sen. Shope (R – Dist 8) , Rep. Toma (R – Dist 22) , Rep. Weninger (R – Dist 17) S1250 Daily History Date Action OVERDOSE; DISEASE PREVENTION; PROGRAMS 3/4 referred to House hel -hu ser . OVERDOSE; DISEASE PREVENTION; PROGRAMS 2/4 passed Senate 27-2; ready for House. OVERDOSE; DISEASE PREVENTION; PROGRAMS 2/2 from Senate rules okay. OVERDOSE; DISEASE PREVENTION; PROGRAMS 1/28 from Senate hel -hu ser do pass. OVERDOSE; DISEASE PREVENTION; PROGRAMS 1/27 Senate hel -hu ser do pass; report awaited. OVERDOSE; DISEASE PREVENTION; PROGRAMS 1/21 referred to Senate hel -hu ser . S1251 : APPROPRIATIONS; FAMILY HEALTH PILOT PROGRAM Appropriates $1.5 million from the general fund in each of FY2021 -22 and FY2022 -23 to the Department of Health Services (DHS) for a family health pilot program. DHS is required to distribute pilot program monies to a nonprofit organization to implement a s tatewide system to 22 provide direct services, support services, social services case management and referrals to the biological or adoptive parents of children under two years of age, including unborn children. The purpose of the statewide system is to encou rage healthy childbirth, support childbirth as an alternative to abortion, promote family formation, aid successful parenting and increase families’ economic self -sufficiency. The statewide system services must be available to all Arizona residents. Monies are prohibited from being used for abortion referral services or distributed to entities that promote, provide referrals for or perform abortions. Requirements for the nonprofit organization that receives the monies are specified. First sponsor: Sen. Barto (R – Dist 15) Others: Sen. Boyer (R – Dist 20) , Rep. Cobb (R – Dist 5) , Sen. Gowan (R – Dist 14) , Sen. Gray (R – Dist 21) , Sen. Kerr (R – Dist 13) , Sen. Leach (R – Dist 11) , Sen. Livingston (R – Dist 22) , Sen. Mesnard (R – Dist 17) , Sen. Pace (R – Dist 25) , Sen. Rogers (R – Dist 6) , Sen. Shope (R – Dist 8) , Sen. Ugenti -Rita (R – Dist 23) S1251 Daily History Date Action APPROPRIATIONS; FAMILY HEALTH PILOT PROGRAM 2/11 retained on Senate COW calendar. APPROPRIATIONS; FAMILY HEALTH PILOT PROGRAM 2/9 from Senate rules okay. APPROPRIATIONS; FAMILY HEALTH PILOT PROGRAM 2/3 from Senate appro with amend #4063 . APPROPRIATIONS ; FAMILY HEALTH PILOT PROGRAM 2/2 Senate appro do pass; report awaited. APPROPRIATIONS; FAMILY HEALTH PILOT PROGRAM 1/21 referred to Senate appro . S1270 : INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY Adds a new chapter to Title 20 (Insurance) governing “Step Therapy Protocols,” defined as a protocol or program that establishes the specific sequence in which prescription drugs that are for a specified medical condition and that are medically necessary f or a particular patient are covered by a health care insurer under a health care plan. Establishes requirements for clinical review criteria. If coverage of a prescription drug for the treatment of any medical condition is restricted for use by a health ca re insurer, pharmacy benefits manager or utilization review organization through the use of a step therapy protocol, the patient and prescribing provider must have access to a clear and convenient process to request a step therapy exception determination, and an exception must be granted if sufficient justification and supporting clinical documentation of any of a list of circumstances is submitted. A health care insurer, pharmacy benefits manager or utilization review organization is required to grant or d eny a step therapy exception request within 72 hours after receiving the request, or within 24 hours if an exigent circumstance exists. On granting a step therapy exception determination, the health care insurer, pharmacy benefits manager or utilization review organization is required to authorize coverage for the prescription drug prescribed by the patient’s treating health care provider if the prescription drug is covered by the patient’s health care plan. Applies to any policy, contract or evidence of co verage delivered, issued for delivery or renewed on or after December 31, 2022. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) Others: Rep. Cobb (R – Dist 5) , Sen. Leach (R – Dist 11) , Sen. Mesnard (R – Dis t 17) , Sen. Navarrete (D – Dist 30) , Sen. Pace (R – Dist 25) S1270 Daily History Date Action INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY 3/3 passed Senate 30-0; ready for House. INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY 3/2 Senate COW approved with amend #4091 , flr amend #4661 , and the rules tech amend. INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY 2/24 from Senate rules with the tech amend. INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY 2/4 from Senate hel -hu ser with amend #4091 . INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY 2/3 Senate hel -hu ser amended; report awaited. INSURANCE; PRESCRIPTION DRUGS; STEP THERAPY 1/21 referred to Senate hel -hu ser . S1271 : MEDICAL GRADUATE TRAINING PERMITS ( ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE ) The Arizona Medical Board and the Board of Osteopathic Examiners in Medicine and Surgery are required to grant a one -year transitional training permit to a graduate of a school of medicine who is not otherwise eligible to apply for a license or training pe rmit and who meets a list of specified requirements, including having submitted a valid application to an accredited internship or residency program but was not selected for a position, and successfully completing examinations. A transitional training perm it can be renewed for two additional one -year periods. A transitional training permit holder is authorized to function only under the supervision of a qualified physician within the setting of an eligible entity. Establishes requirements for a supervising qualified physician, and limits a physician to supervising one permittee at a time. Establishes requirements for an eligible entity and the supervising physician, including to provide ongoing clinical training to a permittee and ensure the permittee’s task s are within the scope of training, experience and 23 competence. Before employing or contracting with a permittee, an eligible entity is required to notify the Department of Health Services (DHS) of the types and extent of medical training the entity plans t o provide to the permittee and the names of the qualified physicians who will supervise the permittee. Establishes reporting requirements for entities that employ or contract with permittees. Requires permittees to participate in at least 60 hours of conti nuing medical education programs per year. By January 1, 2024, and January 1, 2025, DHS is required to report to the Legislature on the number of transitional training permits issued and other specified information relating to permittees. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) Others: Rep. Chavez (D – Dist 29) , Rep. Cobb (R – Dist 5) , Rep. A. Hernandez (D – Dist 3) , Sen. Leach (R – Dist 11) , Rep. Meza (D – Dist 30) S1271 Daily History Date Action MEDICAL GRADUATE TRAINING PERMITS 3/3 referred to House hel -hu ser . MEDICAL GRADUATE TRAINING PERMITS 3/1 passed Senate 17-12; ready for House. ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE 2/25 Senate COW approved with amend #4182 and flr amend #4593 . NOTE SHORT TITLE CHANGE. ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE 2/24 retained on Senate COW calendar. ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE 2/16 from Senate rules okay. ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE 2/11 from Senate hel -hu ser with amend #4182 . ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE 2/10 Senate hel -hu ser amended; report awaited. ASSOCIATE PHYSICIANS; LICENSURE; COLLABORATIVE PRACTICE 1/21 referred to Senate hel -hu ser . S1278 : HEALTH PROFESSIONALS; PRECEPTORSHIPS The Arizona Medical Board, Board of Osteopathic Examiners in Medicine and Surgery, Arizona Regulatory Board of Physician Assistants, and Board of Nursing are each required to develop a “preceptorship” (defined) awareness campaign that educates licensed med ical professionals on how to become and the benefits of being a medical preceptor for students. AS PASSED SENATE First sponsor: Sen. Pace (R – Dist 25) S1278 Daily History Date Action HEALTH PROFESSIONALS; PRECEPTORSHIPS 3/1 referred to House hel -hu ser . HEALTH PROFESSIONALS; PRECEPTORSHIPS 2/22 passed Senate 30-0; ready for House. HEALTH PROFESSIONALS; PRECEPTORSHIPS 2/18 Senate COW approved with amend #4181 and flr amend #4343 . HEALTH PROFESSIONALS; PRECEPTORSHIPS 2/16 from Senate rules okay. HEALTH PROFESSIONALS; PRECEPTORSHIPS 2/11 from Senate hel -hu ser with amend #4 181 . HEALTH PROFESSIONALS; PRECEPTORSHIPS 2/10 Senate hel -hu ser amended; report awaited. HEALTH PROFESSIONALS; PRECEPTORSHIPS 1/21 referred to Senate hel -hu ser . S1281 : DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION The statutory life of the Developmental Disabilities Advisory Council is extended eight years to July 1, 2029. Retroactive to July 1, 2021. First sponsor: Sen. Pace (R – Dist 25) S1281 Daily History Date Action DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION 3/1 referred to House hel -hu ser . DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION 2/24 Senate COW approved. 2/25 passed Senate 28-0; ready for House. DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION 2/23 from Senate rules okay. DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION 2/22 from Senate hel -hu ser do pass. DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION 2/17 Senate hel -hu ser do pass; report awaited. DEVELOPMENTAL DISABILITIES ADVISORY COUNCIL; CONTINUATION 1/25 referred to Senate hel -hu ser . S1282 : NURSING CARE ADMINISTRATORS; CONTINUATION The statutory life of the Board of Examiners of Nursing Care Institution Administrators and Assisted Living Facility Managers is extended eight years to July 1, 2029. Retroactive to July 1, 2021. First sponsor: Sen. Pace (R – Dist 25) S1282 Daily History Date Action NURSING CARE ADMINISTRATORS; CONTINUATION 3/1 referred to House hel -hu ser . NURSING CARE ADMINISTRATORS; CONTINUATION 2/18 passed Senate 30-0; ready for House. NURSING CARE ADMINISTRATORS; CONTINUATION 2/16 from Senate rules okay. NURSING CARE ADMINISTRATORS; CONTINUATION 2/11 from Senate hel -hu ser do pass. NURSING CARE ADMINISTRATORS; CONTINUATION 2/1 0 Senate hel -hu ser do pass; report awaited. 24 NURSING CARE ADMINISTRATORS; CONTINUATION 1/25 referred to Senate hel -hu ser . S1283 : PODIATRY BOARD; CONTINUATION The statutory life of the State Board of Podiatry Examiners is extended eight years to July 1, 2029. Retroactive to July 1, 2021. First sponsor: Sen. Pace (R – Dist 25) S1283 Daily History Date Action PODIATRY BOARD; CONTINUATION 3/1 referred to House hel -hu ser . PODIATRY BOARD; CONTINUATION 2/18 passed Senate 30-0; ready for House. PODIATRY BOARD; CONTINUATION 2/16 from Senate rules okay. PODIATRY BOARD; CONTINUATION 2/11 from Senate hel -hu ser do pass . PODIATRY BOARD; CONTINUATION 2/10 Senate hel -hu ser do pass; report awaited. PODIATRY BOARD; CONTINUATION 1/25 referred to Senate hel -hu ser . S1284 : OCCUPATIONAL LICENSING; LICENSURE; FINGERPRINTING Beginning September 1, 2022, an applicant for initial licensure, license renewal, license reinstatement or temporary licensure by the Board of Podiatry Examiners, the Board of Occupational Therapy Examiners, or the Board of Athletic Training is required to possess a valid fingerprint clearance card. The Board of Podiatry Examiners is authorized to establish and collect fees for providing a duplicate wallet card or wall certificate, copying records and documents, providing a licensee list, and providing audi o files. Increases the criminal classification for practicing podiatry without a license to a class 5 (second lowest) felony, from a class 2 (second highest) misdemeanor. First sponsor: Sen. Pace (R – Dist 25) S1284 Daily History Date Action OCCUPATIONAL LICENSING; LICENSURE; FINGERPRINTING 3/1 referred to House hel -hu ser . OCCUPATIONAL LICENSING; LICENSURE; FINGERPRINTING 2/18 passed Senate 30-0; ready for House. OCCUPATIONAL LICENSING; LICENSURE; FINGERPRINTING 2/16 from Senate rules okay. OCCUPATIONAL LICENSING; LICENSURE; FINGERPRINTING 2/11 from Senate hel -hu ser do pass. OCCUPATIONAL LICENSING; LICENS URE; FINGERPRINTING 2/10 Senate hel -hu ser do pass; report awaited. OCCUPATIONAL LICENSING; LICENSURE; FINGERPRINTING 1/25 referred to Senate hel -hu ser . S1300 : OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS Standards for health care institutions adopted in rule by the Department of Health Services must allow an outpatient surgical center to require that either a licensed anesthesia provider or a licensed physician remain present on the premises until all pati ents are discharged from the recovery room. First sponsor: Sen. Shope (R – Dist 8) S1300 Daily History Date Action OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS 3/2 referred to House hel -hu ser . OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS 2/24 Senate COW approved. 2/25 Passed Senate 25-3; ready for House. OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS 2/23 from Senate rules okay. OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS 2/22 from Senate hel -hu ser do pass. OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS 2/17 Senate hel -hu ser do pass; report awaited. OUTPATIENT FACILI TIES; STANDARDS; DISCHARGE REQUIREMENTS 2/10 Senate hel -hu ser held. OUTPATIENT FACILITIES; STANDARDS; DISCHARGE REQUIREMENTS 1/25 referred to Senate hel -hu ser . S1354 : RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS If a prisoner in a “fully locked unit setting” (defined) requires health care services that the Arizona Department of Corrections (ADC), the facility or a private prison provider cannot provide, ADC is authorized to pay approved claims from a faci lity or provider that provides the health care services at an alternative reimbursement rate that does not exceed 120 percent of the current Medicare rate. First sponsor: Sen. Barto (R – Dist 15) S1354 Daily History Date Action 25 RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS 3/3 referred to House mil -pub safety . RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS 2/23 passed Senate 30-0; ready for House. RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS 2/23 from Senate rules okay. Senate COW approved. RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS 2/17 from Senate appro do pass. RATE STRUCTURE; HOSPITAL SERVICES; PRISONERS 2/16 Senate appro do pass; report awaited. RATE STRUCTURE; HOSPITAL SERVICES; PRISONE RS 1/26 referred to Senate appro . S1355 : DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES Appropriates the following amounts in the following fiscal years to the Department of Economic Security (DES) to provide reimbursement rate increases for services to individuals with intellectual and developmental disabilities: $30 million from the general fund and an unspecified amount (blank in original) in Medicaid expenditure authority in FY2021 -22, and an unspecified amount (blank in original) from the general fund and an unspecified amount (blank in original) in Medicaid expenditure authority in FY202 2-23 and FY2023 -24. DES is required to use the FY2019 -20 rate rebase study to provide reimbursement rate increases for all services provided to individuals with intellectual and developmental disabilities in FY2021 -22, FY2022 -23, and FY2023 -24 so that each service receives an increase in each of the three fiscal years. DES is required to ensure that all reimbursement rates for services provided to individuals with intellectual and developmental disabilities are at 100 percent of the benchmark rates by the e nd of FY2023 -24. DES is required to report to the Joint Legislative Budget Committee by September 1 each fiscal year describing its plans to implement these provider rate increases. Contains a legislative intent section. First sponsor: Sen. Barto (R – Dist 15) S1355 Daily History Date Action DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES 3/1 referred to House hel -hu ser , appro . DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES 2/24 Senate COW approved. 2/25 Passed Senate 28-0; ready for House. DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES 2/23 from Senate rules okay. DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES 2/17 from Senate appro do pass. DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES 2/16 Senate appro do pass; report awai ted. DEVELOPMENTAL DISABILITIES; PROVIDER INCREASES 1/26 referred to Senate appro . S1356 : PHARMACY BENEFIT MANAGERS; PROHIBITED FEES A pharmacy benefit manager is prohibited from directly or indirectly, on behalf of itself, a plan sponsor or an insurer, charge or hold a pharmacist or pharmacy responsible for a fee for any step of or component or mechanism related to the claims adjudicat ion process. A pharmacy is authorized to submit a complaint of a violation of this prohibition to the Director of the Department of Insurance and Financial Institutions, and the Director is required to investigate the complaint. Establishes penalties for v iolations. Applies to contracts entered into, amended, extended or renewed after the effective date of this legislation. First sponsor: Sen. Barto (R – Dist 15) S1356 Daily History Date Action PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 3/2 further referred to House com . PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 3/1 referred to House hel -hu ser . PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 2/11 passed Senate 28 -1; ready for House. PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 2/9 from Senate rules okay. PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 2/4 from Sen ate hel -hu ser do pass. PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 2/3 Senate hel -hu ser do pass; report awaited. PHARMACY BENEFIT MANAGERS; PROHIBITED FEES 1/26 referred to Senate hel -hu ser . S1372 : DENTAL BOARD; SEDATION A licensee of the State Board of Dental Examiners who has not obtained a permit for applying general anesthesia or sedation is authorized to perform dental procedures on a patient who receives an anesthetic administered by a “qualified anesthesia provider” (defined) who is exclusively responsible for the preoperative, intraoperative, and postoperative anesthetic management of the patient. If an adverse anesthesia occurrence involves an anesthesia provider who is not licensed by the Board, the Board is requi red to report the outcome to the health profession regulatory board that regulates the anesthesia provider. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1372 Daily History Date Action DENTAL BOARD; SEDATION 3/3 referred to House hel -hu ser . DENTAL BOARD; SEDATION 3/1 passed Senate 21-8; ready for House. 26 DENTAL BOARD; SEDATION 2/25 Senate COW approved with amend #4401 . DENTAL BOARD; SEDATION 2/23 from Senate rules okay. DENTAL BOARD; SEDATION 2/22 from Senate hel -hu ser with amend #4401 . DENTAL BOARD; SEDATION 2/18 Senate hel -hu ser amended; report awaited. DENTAL BOARD; SEDATION 2/18 Senate hel -hu ser held. DENTAL BOARD; SEDATION 2/10 Senate hel -hu ser held. DENTAL BOARD; SEDATION 1/26 referred to Senate hel -hu ser . S1373 : HEALTH FACILITIES; DUTY OF CARE Licensed health care institutions that provide residential care and the institution’s employees and agents have an affirmative duty of care for their residents. These institutions are required to provide basic life support and first aid, in accordance with that resident’s advance directives and do -not -resuscitate order, including initiating immediate cardiopulmonary resuscitation (CPR) before the arrival of emergency medical services, to a resident who experiences symptoms of cardiac arrest or cessation of respiration. Staff who are certified in CPR and first aid must be available at the health care institution at all times. These institutions are prohibited from implementing policies that prevent employees from providing immediate CPR, first aid or emergenc y care to the institution’s residents. Health care institutions and staff members who render CPR or first aid according to these requirements are not liable for civil damages as a result of any act or omission by the person rendering care, if the care is r endered in good faith and consistent with CPR or first aid certification standards. This liability exclusion does not apply to a person who acts with gross negligence while rendering care. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1373 Daily History Date Action HEALTH FACILITIES; DUTY OF CARE 3/1 referred to House hel -hu ser . HEALTH FACILITIES; DUTY OF CARE 2/23 passed Senate 25-5; ready for House. HEALTH FACILITIES; DUTY OF CARE 2/22 Senate COW approved with amend #4183 and flr amend #4416 . HEALTH FACILITIES; DUTY O F CARE 2/16 from Senate rules okay. HEALTH FACILITIES; DUTY OF CARE 2/11 from Senate hel -hu ser with amend #4183 . HEALTH FACILITIES; DUTY OF CARE 2/10 Senate hel -hu ser amended; report awaited. HEALTH FACILITIES; DUTY OF CARE 1/26 referred to Senate hel -hu ser . S1377 : CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC If the Governor declares a state of emergency for a public health pandemic, a person or “provider” (defined) that acts in good faith to protect a person or the public from injury from the pandemic is not liable for damages in any civil action for any injur y, death or loss to person or property that is based on a claim that the person or provider failed to protect the person or the public from the effects of the pandemic, unless it is proven by clear and convincing evidence that the person or provider failed to act or acted with willful misconduct or gross negligence. A person or provider is presumed to have acted in good faith if the person or provider adopted and implemented reasonable policies related to the pandemic. If the Governor declares a state of em ergency for a public health pandemic, a health professional or health care institution that acts in good faith is not liable for damages in any civil action for an injury or death that is alleged to be caused by the health professional’s or health care ins titution’s action or omission while providing health care services in support of Arizona’s response to the state of emergency declared by the Governor, unless it is proven by clear and convincing evidence that the professional or institution failed to act or acted with willful misconduct or gross negligence. A health professional or health care institution is presumed to have acted in good faith if the professional or institution relied on and reasonably attempted to comply with applicable published guidanc e relating to the pandemic that was issued by a federal or state agency. Applies to all claims filed before or after the effective date of this legislation for an act or omission that occurred on or after March 11, 2020 relating to a pandemic that is the s ubject of the state of emergency declared by the Governor. Does not apply to workers’ compensation claims. Retroactive to March 11, 2020. Severability clause. AS PASSED SENATE First sponsor: Sen. Leach (R – Dist 11) Others: Sen. Barto (R – Dist 15) , Rep. Biasiucci (R – Dist 5) , Rep. Bolick (R – Dist 20) , Sen. Borrelli (R – Dist 5) , Rep. Bowers (R – Dist 25) , Sen. Boyer (R – Dist 20) , Sen. Fann (R – Dist 1) , Sen. Gowan (R – Dist 14) , Sen. Gray (R – Dist 21) , Rep. Hoffman (R – Dist 12) , Rep. Kavanagh (R – Dist 23) , Sen. Kerr (R – Dist 13) , Sen. Livingston (R – Dist 22) , Sen. Mesnard (R – Dist 17) , Rep. Osborne (R – Dist 13) , Sen. Pace (R – Dist 25) , Sen. Shope (R – Dist 8) , Rep. Toma (R – Dist 22) , Sen. Townsend (R – Dist 16) , Sen. Ugenti -Rita (R – Dist 23) , Rep. Weninger (R – Dist 17) S1377 Daily History Date Action CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC 3/2 referred to House jud . CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC 2/24 passed Senate 18-12; ready for House. 27 CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC 2/24 Senate COW approved with amend #4245 and flr amend #4522 . CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC 2/22 retained on Senate COW calendar. CIVIL LIABILITY; PUBLIC HE ALTH PANDEMIC 2/15 from Senate jud with amend #4245 . 2/16 from Senate rules okay. CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC 2/11 Senate jud amended; report awaited. CIVIL LIABILITY; PUBLIC HEALTH PANDEMIC 1/26 referred to Senate jud . S1388 : BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS A behavioral health residential facility or an outpatient clinic is authorized to provide respite care to a child for increments of fewer than 5 consecutive days, and no more than 12 days in a 90 day period, without a medical history and physical examinati on and is exempt from a list of specified licensure requirements in relation to the child’s respite stay. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1388 Daily History Date Action BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 3/2 referred to House hel -hu ser . BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 2/17 passed Senate 28-2; ready for House. BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 2/15 Senate COW approved with amend #4085 and flr amend #4252. BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 2/9 from Senate rules okay. BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 2/4 from Senate hel -hu ser with amend #4085 . BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 2/3 Senate hel -hu ser amended; report awaited. BEHAVIORAL HEALTH FACILITIES; RESPITE; EXEMPTIONS 1/26 referred to Senate hel -hu ser . S1389 : INCAPACITATED PERSON; SPECIAL INVESTIGATOR In a domestic relations proceeding, if the court finds that there is reasonable cause to believe that an adult party is or may be an “incapacitated person” or a “person in need of protection” (both defined elsewhere in statute) and that the party is or may be in need of guardianship and/or conservatorship, the court is authorized to appoint a guardian ad litem to conduct an investigation concerning the need for a guardian and/or conservator. If deemed appropriate, on the request of the guardian ad litem or on the court’s own motion the court is authorized to order an independent evaluation by a licensed physician. A guardian ad litem appointed by the court and any evaluator designated by the court may receive reasonable compensation for the work performed, w hich must be paid for by the person alleged to be incapacitated or in need of protection or paid from an appropriate available marital community property fund or asset. If the court determines that there are insufficient available monies or assets to pay t hese fees and costs, the court is authorized to order all or any part of the fees or costs to be a county expense. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1389 Daily History Date Action INCAPACITATED PERSON; SPECIAL INVESTIGATOR 2/24 Senate COW approved with amend #4365 . 2/25 Passed Senate 28-0; ready for House. INCAPACITATED PERSON; SPECIAL INVESTIGATOR 2/23 from Senate rules okay. INCAPACITATED PERSON; SPECIAL INVESTIGATOR 2/22 from Senate jud with amend #4365 . INCAPACITATED PE RSON; SPECIAL INVESTIGATOR 2/18 Senate jud do pass; report awaited. INCAPACITATED PERSON; SPECIAL INVESTIGATOR 1/26 referred to Senate jud . S1416 : HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS The state, state agencies, and political subdivisions, including health profession regulatory boards and their contractors, is prohibited from punishing a health professional for making a patient aware of or educating the public, through the use of any onl ine platform, about “lawful health care services” (defined), including the off -label use of medications during a public health emergency, for which there is a reasonable basis. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1416 Daily History Date Action HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 3/3 referred to House hel -hu ser . HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 3/1 passed Senate 29-0; ready for House. HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 2/25 Senate COW approved with amend #4378 . HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 2/23 from Senate rules okay. HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 2/22 from Senate hel -hu ser with amend #4378 . HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 2/17 Senate hel -hu ser do pass; report awaited. HEALTH PROFESSIONALS; OFF -LABEL USE; MEDICATIONS 1/27 referred to Senate hel -hu ser . S1417 : HEALTH CARE DIRECTIVES; CONTACT ORDERS 28 Unless inconsistent with the express directions of the principal in a health care directive, an agent who is appointed u nder a health care directive is required to encourage and allow contact between the principal and other persons who have a significant relationship with the principal, but is authorized to limit, restrict or prohibit contact between the principal and any p erson if the agent reasonably believes that the contact will be detrimental to the principal’s health, safety or welfare. A person who has a significant relationship with the principal may petition the court for an order compelling the agent to allow the p erson to have contact with the principal. Establishes a list of factors the court must consider in determining what, if any, contact between a person and the principal is in the principal’s best interest. Establishes requirements for modifying, suspending, or terminating a contact order. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1417 Daily History Date Action HEALTH CARE DIRECTIVES; CONTACT ORDERS 3/4 referred to House hel -hu ser . HEALTH CARE DIRECTIVES; CONTACT ORDERS 3/1 passed Senate 28-0; ready for House. HEALTH CARE DIRECTIVES; CONTACT ORDERS 2/25 Senate COW approved with amend #4379 . HEALTH CARE DIRECTIVES; CONTACT ORDERS 2/23 from Senate rules okay. HEALTH CARE DIRECTIVES; CONTACT ORDERS 2/22 from Senate hel -hu ser with amend #4379 . HEALTH CARE DIRECTIVES; CONTACT ORDERS 2/17 Senate hel -hu ser amended; report a waited. HEALTH CARE DIRECTIVES; CONTACT ORDERS 1/27 referred to Senate hel -hu ser . S1418 : PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS “Chronically ill patients” and “terminally ill patients” (both defined) have the right to determine, with the as sistance and guidance of their health care providers, individual courses of treatment through the use of medications and treatments obtained from a “compounding pharmacy” (defined). Compounding pharmacies that are licensed in Arizona must have access to ac tive pharmaceutical ingredients that meet U.S. pharmacopeia “monographs” (defined) and that may be restricted from use by the U.S. Food and Drug Administration in order to provide chronically ill patients and terminally ill patients with the prescribed ind ividual course of treatment. First sponsor: Sen. Barto (R – Dist 15) S1418 Daily History Date Action PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS 3/4 Senate COW approved with amend #4377 and flr amend #4752 . PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS 2/25 retained on Senate COW calendar. PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS 2/23 from Senate rules okay. PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS 2/22 from Senate hel -hu ser with amend #4377 . PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS 2/17 Senate hel -hu ser amended; report awaited. PHARMACY; COMPOUNDING; TERMINALLY ILL PATIENTS 1/27 referred to Senate hel -hu ser . S1505 : HEALTH INFORMATION; DISCLOSURES; PROHIBITION A state, county or local health department or officer is authorized to disclose communicable disease related information to a nonprofit health information organization that is designated by the Department of Health Services as Arizona’s official health inf ormation exchange organization. A person who receives confidential health information is prohibited from using releasing the information except as otherwise authorized by state or federal law. AS PASSED SENATE First sponsor: Sen. Shope (R – Dist 8) S1505 Daily History Date Action HEALTH INFORMATION; DISCLOSURES; PROHIBITION 3/4 referred to House hel -hu ser . HEALTH INFORMATION; DISCLOSURES; PROHIBITION 3/1 passed Senate 29-0; ready for House. HEALTH INFORMATION; DISCLOSURES; PROHIBITION 2/25 Senate COW approved with amend #4374 . HEALTH INFORMATION; DISCLOSURES; PROHIBITION 2/23 from Senate rules okay. HEALTH INFORMATION; DISCLOSURES; PROHIBITION 2/22 from Senate hel -hu ser with amend #4374 . HEALTH INFORMATION; DISCLOSURES; PROHIBITION 2/18 Senate hel -hu ser do pass; report awaited. HEALTH INFORM ATION; DISCLOSURES; PROHIBITION 2/1 referred to Senate hel -hu ser . S1604 : REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS With the written approval and recommendations of the Board of Pharmacy, hospitals with fewer than 50 beds that are located in a county with a population of less than 500,000 persons are auth orized to operate a remote dispensing site pharmacy under the remote supervision of a pharmacist. First sponsor: Sen. Gowan (R – Dist 14) Others: Sen. Borrelli (R – Dist 5) , Sen. Kerr (R – Dist 13) , Sen. Livingston (R – Dist 22) , Sen. Ugenti -Rita (R – Dist 23) 29 S1604 Daily History Date Action REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 3/2 referred to House hel -hu ser . REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 2/18 pas sed Senate 30-0; ready for House. REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 2/16 from Senate rules okay. REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 2/11 from Senate hel-hu ser do pass. REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 2/10 Senate hel -hu ser do pass; report awaited. REMOTE DISPENSING PHARMACIES; RURAL HOSPITALS 2/1 referred to Senate hel -hu ser . S1605 : WORKERS COMPENSATION; PHYSICIANS; PUBLIC SAFETY The Industrial Commission is required to develop and annually update a list of approved physicians to conduct initial examinations “public safety employees” (defined elsewhere in statute) or periodic medical examinations of public safety employees. If an a ccident occurs to a public safety employee, the Industrial Commission is required to randomly select from the list a physician who shall be allowed by the public safety employee, or any person in charge of the public safety employee, to make one examinatio n of the injured public safety employee in order to ascertain the character and extent of the injury occasioned by the accident. First sponsor: Sen. Gowan (R – Dist 14) Others: Sen. Borrelli (R – Dist 5) , Sen. Kerr (R – Dist 13) , Sen. Leach (R – Dist 11) , Sen. Ugenti -Rita (R – Dist 23) S1605 Daily History Date Action WORKERS COMPENSATION; PHYSICIANS; PUBLIC SAFETY 3/2 from Senate rules okay. WORKERS COMPENSATION; PHYSICIANS; PUBLIC SAFETY 2/18 from Senate com do pass. WORKERS COMPENSATION; PHYSICIANS; PUBLIC SAFETY 2/17 Senate com do pass; report awaited. WORKERS COMPENSATION; PHYSICIANS; PUBLIC SAFETY 2/1 referred to Senate com . S1646 : TESTING; MEDICAL MARIJUANA The Department of Health Services (DHS) is authorized to determine which tests may be applied to different types of marijuana and marijuana products. If an independent third -party laboratory does not provide the test results to the nonprofit medical mariju ana dispensary within seven business days, the independent third -party laboratory is required to remit the amount paid for the test by the nonprofit medical marijuana dispensary to DHS for deposit in the Medical Marijuana Fund. Various medical marijuana te sting requirements apply beginning on the “testing compliance date” (defined as the date on which 3/4 of all certified independent third -party laboratories process and return marijuana and marijuana test product test results within seven business days), in stead of beginning November 1, 2020. Retroactive to November 1, 2020. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage. First sponsor: Sen. Shope (R – Dist 8) S1646 Daily History Date Action TESTING; MEDICAL MARIJUANA 2/3 referred to Senate com . S1647 : MEDICAL MARIJUANA; FUNDING; MENTAL HEALTH Requirements for medical marijuana dispensaries to test marijuana and marijuana products before selling or dispensing them begin on a date determined by the Department of Health Services (DHS), instead of on November 1, 2020. DHS is authorized to visit and inspect a nonprofit medical marijuana dispensary at any time during regular hours of operation as necessary to determine compliance, and is no longer required to give reasonable notice of an inspection. After all costs incurred to implement, carry out and enforce medical marijuana statutes and rules are paid for FY2021 -22, DHS is required to transfer $14.5 million from the Medical Marijuana Fund to specified programs relating to mental health and suicide prevention. Due to voter protection, this legislatio n requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage. Emergency clause. First sponsor: Sen. Shope (R – Dist 8) S1647 Daily History Date Action MEDICAL MARIJUANA; FUNDING; MENTAL HEALTH 2/17 FAILED Senate com 3-6. MEDICAL MARIJUANA; FUNDING; MENTAL HEALTH 2/3 referred to Senate com . S1648 : COVID -19 VACCINE; CONDITION OF EMPLOYMENT A person cannot be required to take or receive or disclose whether the person has taken or received a COVID -19 vaccine as a condition of employment, entry into any business or “public 30 space” (defined) or receipt of any service or good. Discrimination for r efusing to take or receive a COVID -19 vaccine is prohibited. First sponsor: Sen. Barto (R – Dist 15) Others: Sen. Borrelli (R – Dist 5) , Sen. Boyer (R – Dist 20) , Sen. Gray (R – Dist 21) , Sen. Leach (R – Dist 11) , Sen. Livingston (R – Dist 22) , Sen. Petersen (R – Dist 12) S1648 Daily History Date Action COVID -19 VACCINE; CONDITION OF EMPLOYMENT 2/3 referred to Senate com . S1679 : HEALTH INSURERS; PROVIDER NETWORK; DENIAL If a “health care provider” requests to join a “health care insurer’s” “provider network” (all defined) and the insurer denies the request, the insurer is required to give the provider a written response that includes an explanation of the basis of the den ial, detailed instructions that explain the process to file an appeal, and other specified information. A health care insurer is prohibited from denying a request to join the insurer’s provider network based solely on the insurer’s perception that addition al network health care providers are not needed. First sponsor: Sen. Pace (R – Dist 25) S1679 Daily History Date Action HEALTH INSURERS; PROVIDER NETWORK; DENIAL 2/17 FAILED Senate fin 5-5. HEALTH INSURERS; PROVIDER NETWORK; DENIAL 2/3 referred to S enate fin. S1680 : NEWBORN SCREENING PROGRAM; TESTING The newborn screening program is required to include all congenital disorders that are included on the recommended uniform screening panel adopted by the Secretary of the U.S. Department of Health and Human Services for both core and secondary conditions. Beginning January 1, 2022, disorders that are added to the core and secondary conditions list of the recommended uniform screening panel must be added to Arizona’s newborn screening panel within two years after their addition. The Department of Health Serv ices (DHS) is required to present any change to the newborn screening program fee to the Joint Legislative Budget Committee for review. No later than 60 days after DHS adjusts the fee, health insurers and the Arizona Health Care Cost Containment System (AH CCCS) are required to update hospital rates that include newborn screening to reflect the increase. Session law requires DHS to add spinal muscular atrophy and x -linked adrenoleukodystrophy to Arizona’s newborn screening panel by December 31, 2021 and to a dd all remaining core and secondary conditions that are included on the recommended uniform screening panel as of December 31, 2021 to Arizona’s newborn screening panel by December 31, 2023. Contains a legislative intent section. AS PASSED SENATE First spo nsor: Sen. Pace (R – Dist 25) S1680 Daily History Date Action NEWBORN SCREENING PROGRAM; TESTING 3/4 referred to House hel -hu ser , appro . NEWBORN SCREENING PROGRAM; TESTING 3/1 passed Senate 28-1; ready for House. NEWBORN SCREENING PROGRAM; TESTING 2/25 Senate COW approved with amend #4373 . NEWBORN SCREENING PROGRAM; TESTING 2/23 from Senate rules okay. NEWBORN SCREENING PROGRAM; TESTING 2/22 from Senate hel -hu ser with amend #4373 . NEWBORN SCREENING PROGRAM; TESTING 2/18 Senate hel -hu se r amended; report awaited. NEWBORN SCREENING PROGRAM; TESTING 2/3 referred to Senate hel -hu ser . S1682 : HEALTH CARE PROVIDERS; TELEMEDICINE For the purpose of the Arizona Medical Board, Board of Osteopathic Examiners in Medicine and Surgery, and Board of Pharmacy , the definition of “unprofessional conduct” is modified to remove the requirement for a telemedicine encounter to have real -time audio and video capability, and replace it with a requirement for a telemedicine encounter to follow specified state and feder al law. First sponsor: Sen. Pace (R – Dist 25) S1682 Daily History Date Action HEALTH CARE PROVIDERS; TELEMEDICINE 3/2 referred to House hel -hu ser . HEALTH CARE PROVIDERS; TELEMEDICINE 2/23 passed Senate 30-0; ready for House. HEALTH CARE PROVIDERS; TELEMEDICINE 2/23 from Senate rules okay. Senate COW approved. HEALTH CARE PROVIDERS; TELEMEDICINE 2/22 from Senate hel -hu ser do pass. HEALTH CARE PROVIDERS; TELEMEDICINE 2/18 Senate hel -hu ser do pass; report awaited. HEALTH CARE PROVIDERS; TELEMEDICINE 2/3 referred to Senate hel -hu ser . S1716 : ARIZONA STATE HOSPITAL 31 Various changes to statutes relating to the State Hospital. Establishes a State Hospital Governing Body, consisting of seven to nine voting members who are appointed by the Governor and confirmed by the Senate. The Governing Body is responsible for operati ng the State Hospital consistent with statute and is required to adopt and maintain bylaws to ensure that the state hospital reports on its operations in a manner that provides institutional accountability to the public and state government. By October 1 o f each year, the Governing Body is required to submit a financial and programmatic report on the State Hospital to the Governor and the Legislature that addresses a list of issues related to the State Hospital. The Director of the Department of Health Serv ices (DHS), in consultation with the Governing Body, is required to maintain a staffing plan that includes provisions to achieve acuity -based staffing. The DHS Director is required to contract with an independent third -party to develop, implement and docum ent an assault reduction and response plan that also addresses sexual assaults. The State Hospital is required to admit patients based on clinical need for treatment and is prohibited from placing any limit on admission based on a patient’s county of resid ence. Within 30 days after a patient’s admission to the State Hospital, a psychiatrist is required to develop, implement and document an individualized treatment and discharge plan for the patient. Requirements for the individualized treatment and discharg e plans are specified. The State Hospital is required to maintain a surveillance system that meets specified requirements, subject to available appropriations. Appropriates $500,000 from the general fund in FY2021 -22 to DHS to install and maintain a survei llance system at the State Hospital. First sponsor: Sen. Barto (R – Dist 15) S1716 Daily History Date Action ARIZONA STATE HOSPITAL 3/4 retained on Senate COW calendar. ARIZONA STATE HOSPITAL 2/23 from Senate rules okay. ARIZONA STATE HOSPITAL 2/22 from Senate hel -hu ser with amend #4380 . ARIZONA STATE HOSPITAL 2/17 Senate hel -hu ser amended; report awaited. ARIZONA STATE HOSPITAL 2/3 referred to Senate hel -hu ser . S1733 : AHCCCS; PUBLIC BENEFITS; ELIGIBILITY The Arizona Health Care Cost Containment System (AHCCCS) Administration and the Department of Economic Security (DES) are required to enter into a data matching agreement with the Department of Gaming and the Arizona State Lottery Commission to identify me mbers who have substantial lottery or gambling winnings. If an individual fails to disclose a substantial winning and is identified through the database match, the AHCCCS Administration or DES must consider the failure to disclose the information a violati on of eligibility requirements for AHCCCS or Supplemental Nutrition Assistance Program (SNAP) benefits. On at least a monthly basis, the AHCCCS Administration and DES are required to receive and review death record information from the Department of Health Services (DHS) concerning members and adjust eligibility accordingly. DES must require individuals to cooperate with the Child Support Enforcement Program as a condition of eligibility for SNAP benefits. Effective January 1, 2022. First sponsor: Sen. Kerr (R – Dist 13) Others: Sen. Barto (R – Dist 15) , Sen. Gowan (R – Dist 14) , Sen. Leach (R – Dist 11) S1733 Daily History Date Action AHCCCS; PUBLIC BENEFITS; ELIGIBILITY 2/3 referred to Senate hel -hu ser . S1786 : PRISONERS; MENTAL HEALTH TRANSITION PROGRAM The Arizona Department of Corrections (ADC) is required to establish a mental health transition pilot program that provides eligible inmates with transition services in the community. ADC is required to contract with private or nonprofit entities to provide eligible inmates with mental health transition services, and is required to place up to 500 eligible inmates in t he pilot program each year. ADC is required to adopt rules to implement the program, and required provisions are listed. ADC is required to conduct an annual study on recidivism of program participants and submit a report to the Governor and the Legislatur e by December 31 of each year. The pilot program self – repeals July 1, 2026. Appropriates $1.3 million from the general fund in each of FY2021 -22, FY2022 -23, FY2023 -24, and FY2024 -25 to ADC for the pilot program. AS PASSED SENATE First sponsor: Sen. Barto (R – Dist 15) S1786 Daily History Date Action PRISONERS; MENTAL HEALTH TRANSITION PROGRAM 3/3 referred to House mil -pub safety , appro . PRISONERS; MENTAL HEALTH TRANSITION PROGRAM 3/1 passed Senate 29-0; ready for House. PRISONERS; MENTAL HEALTH TRANSITION PROGRAM 2/25 Senate COW approved with flr amend #4594 . PRISONERS; MENTAL HEALTH TRANSITION PROGRAM 2/23 from Senate rules okay. 32 PRISONERS; MENTAL HEALTH TRANSITION PROGRAM 2/17 from Senate appro do pass. PRISO NERS; MENTAL HEALTH TRANSITION PROGRAM 2/16 Senate appro do pass; report awaited. PRISONERS; MENTAL HEALTH TRANSITION PROGRAM 2/3 referred to Senate appro . S1790 : APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY Appropriates $10.2 million from the general fund in FY2021 -22 to the Arizona Health Care Cost Containment System (AHCCCS) Administration to construct a behavioral health residential facility that contains both secure and unsecure housing units on the Arizo na State Hospital campus. First sponsor: Sen. Gowan (R – Dist 14) S1790 Daily History Date Action APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY 3/2 referred to House hel -hu ser , appro . APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY 2/25 Senate COW approved. Passed Senate 25-2; ready for House. APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY 2/23 from Senate rules okay. APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY 2/17 from Senate appro do pass. APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY 2/16 Senate appro do pass; report awaited. APPROPRIATION; BEHAVIORAL HEALTH RESIDENTIAL FACILITY 2/3 referred to Senate appro . SR1004 : LUNG CANCER AWARENESS MONTH The members of the Senate designate November 2021 as Lung Cancer Awareness Month in Arizona, support the goals and ideals of National Lung Cancer Awareness Month, support efforts to increase awareness of, education about and research on smoking cessation, screening, diagnosis and treatment of lung cancer, lung cancer affecting women, lung cancer in never -smokers and lung cancer health disparities, and encourage the people of Arizona to observe National Lung Cancer Awareness Month with appropriate awareness and educational activities. First sponsor: Sen. Alston (D – Dist 24) Others: Sen. Bowie (D – Dist 18) , Sen. Gonzales (D – Dist 3) , Rep. Jermaine (D – Dist 18) , Sen. Otondo (D – Dist 4), Sen. Quezada (D – Dist 29) , Rep. Schwiebert (D – Dist 20) , Sen. Steele (D – Dist 9) SR1004 Daily History Date Action No actions posted for this bill within the requested time frame. H2045 : CIVIL RIGHTS; AMENDMENTS For the purpose of employment discrimination statutes, the terms “because of sex” and “on the basis of sex” includes because of or on the basis of pregnancy or childbirth or related medical conditions. Women who are affected by pregnancy or childbirth or r elated medical conditions must be treated the same for all employment -related purposes, including receipt of benefits under fringe benefit programs, as other persons not so affected but similar in their ability or inability to work. AS SIGNED BY GOVERNOR First sponsor: Rep. Weninger (R – Dist 17) H2045 Daily History Date Action CIVIL RIGHTS; AMENDMENTS 2/4 signed by governor; Chap. 1, Laws 2021. message CIVIL RIGHTS; AMENDMENTS 1/28 passed House 58-0; ready for Senate. Substituted for identical bill 1180, passed Senate 28-1; ready for governor. CIVIL RIGHTS; AMENDMENTS 1/25 from House rules okay. CIVIL RIGHTS; AMENDMENTS 1/20 from House com do pass. CIVIL RIGHTS; AMENDMENTS 1/19 House com do pass; report awaited. CIVIL RIGHTS; AMENDMENTS 1/12 referred to House com . S1013 : DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS Licenses issued by the State Board of Dental Examiners expire 30 days after the licensee’s birthday every third year, instead of on June 30 of every third year. Effective January 1, 2022. AS SIGNED BY GOVERNOR First sponsor: Sen. Barto (R – Dist 15) S1013 Daily History Date Action DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 2/12 signed by governor. Chap. 12, Laws 2021. message DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 2/4 Substitued in House for identical bill 2258. Passed House 59-0; ready for governor. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/28 passed Senate 29-0; ready for House. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/26 from Senate rules okay. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/14 from Senate hel -hu ser do pass. 33 DENTAL BOARD; LICENSES; CERTIFICATE S; RENEWALS 1/13 Senate hel -hu ser do pass; report awaited. DENTAL BOARD; LICENSES; CERTIFICATES; RENEWALS 1/11 referred to Senate hel -hu ser . S1015 : PHYSICIAN ASSISTANTS; LICENSURE; BOARD Members of the Arizona Regulatory Board of Physician Assistants are eligible to receive “up to $200” for each day of service, instead of $200 for each day of actual service. Statute allowing the Board to reinstate a revoked physician assistant license unde r specified conditions is expanded to include a surrendered license. AS SIGNED BY GOVERNOR First sponsor: Sen. Barto (R – Dist 15) S1015 Daily History Date Action PHYSICIAN ASSISTANTS; LICENSURE; BOARD 2/12 signed by governor. Chap. 13, Laws 2021. message PHYSICIAN ASSISTANTS; LICENSURE; BOARD 2/4 substituted in House for identical bill 2292. Passed House 59-0; ready for governor. PHYSICIAN ASSISTANTS; LICENSURE; BOARD 1/28 passed Senate 29-0; ready for House. PHYSICIAN ASSISTANTS; LICENSURE; BOARD 1/26 from Senate rules okay. PHYSICIAN ASSISTANTS; LICENSURE; BOARD 1/14 from Senate hel -hu ser do pass. PHYSICIAN ASSISTANTS; LICENSURE; BOARD 1/13 Senate hel -hu ser do pass; report awaited. PHYSICIAN ASSISTANTS; LICENSURE; BOARD 1/11 referred to Senate hel -hu ser . S1141 : HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS The Department of Health Services is authorized to accept an accreditation report in lieu of a compliance inspection for any health care institution, instead of only a behavioral health residential facility providing services to children, only if the insti tution is accredited by an independent, nonprofit accrediting organization approved by the Secretary of the U.S. Department of Health and Human Services, and the institution has not been subject to an enforcement action within the year preceding the annual licensing fee anniversary date. AS SIGNED BY GOVERNOR First sponsor: Sen. Barto (R – Dist 15) S1141 Daily History Date Action HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS 2/12 signed by governor. Chap. 15, Laws 2021. message HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS 2/4 substituted in House for identical bill 2290. Passed House 59-0; ready for governor. HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS 1/28 passed Senate 29-0; ready for House. HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS 1/26 from Senate rules okay. HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS 1/20 from Senate hel -hu ser do pass. HEALTH CARE INSTITUTIONS ; ACCREDITATION; INSPECTIONS 1/20 Senate hel -hu ser do pass; report awaited. HEALTH CARE INSTITUTIONS; ACCREDITATION; INSPECTIONS 1/13 referred to Senate hel -hu ser . S1149 : OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE A regulating entity under Title 32 (Professions and Occupations) is required to prominently print a specified notice regarding reciprocity on all license and certificate applications and regulating entity websites. AS SIGNED BY GOVERNOR First sponsor: Sen. Petersen (R – Dist 12) S1149 Daily History Date Action OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE 2/12 signed by governor. Chap. 16, Laws 2021. message OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE 2/4 substituted in House for identical bill 2243. Passed House 46-13; ready for governor. OCCUPATIONA L AND PROFESSIONAL LICENSURE; NOTICE 1/28 passed Senate 29-0; ready for House. OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE 1/26 from Senate rules okay. OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE 1/21 from Senate com do pass. OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE 1/20 Senate com do pass; report awaited. OCCUPATIONAL AND PROFESSIONAL LICENSURE; NOTICE 1/13 referr ed to Senate com . Inactive Bill Summaries H2101 : AHCCCS; POSTPARTUM CARE; APPROPRIATIONS A woman who is less than one year postpartum with a family income that does not exceed 150 percent of the federal poverty guidelines is added to the definition of “eligible person” for the Arizona Health Care Cost Containment System (AHCCCS). Appropriates $13 million from the 34 general fund and $900,000 from Medicaid expenditure authority in FY2021 -22 to the AHCCCS Administration for eligible postpartum women. First sponsor: Rep. Jermai ne (D – Dist 18) Others: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep. Bolding (D – Dist 27) , Sen. Bowie (D – Dist 18) , Rep. But ler (D – Dist 28) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Espinoza (D – Dist 19) , Rep. D. Hernandez (D – Dist 2) , Rep. Lieberman (D – Dist 28) , Rep. Longdon (D – Dist 24) , Sen. Mendez (D – Dist 2 6), Rep. Meza (D – Dist 30) , Rep. Pawlik (D – Dist 17) , Sen. Rios (D – Dist 27) , Rep. Schwiebert (D – Dist 20) , Rep. Sierra (D – Dist 19) , Sen. Steele (D – Dist 9) , Rep. Teller (D – Dist 7) , Rep. Teran (D – Dist 30) H2101 Daily History Date Action AHCCCS; POSTPARTUM CARE; APPROPRIATIONS 1/20 referred to House hel -hu ser , appro . H2102 : AHCCCS; PREGNANT WOMEN; DENTAL CARE The list of covered services under the Arizona Health Care Cost Containment System (AHCCCS) is expanded to include comprehensive dental care during a pregnancy for women who are at least 21 years of age and in any stage of pregnancy. Appropriates $468,000 from the general fund in FY2021 -22 to the AHCCCS Administration for dental services to pregnant women. Appropriates $3.63 million from the general fund in FY2021 -22 to the AHCCCS Administration to cover costs incurred due to eligibility changes directly re lated to the introduction of a dental benefit for pregnant women. By October 1, 2022, the AHCCCS Administration is required to report to the Governor and the Legislature the actual costs incurred to provide dental services to pregnant women and the actual costs incurred due to eligibility changes directly related to the introduction of a dental benefit for pregnant women during FY2021 -22. First sponsor: Rep. Jermaine (D – Dist 18) Oth ers: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep. Bolding (D – Dist 27) , Rep. Bowers (R – Dist 25) , Sen. Bowie (D – Dist 18) , Rep. Butler (D – Dist 28) , Rep. Chavez (D – Dist 29) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Espinoza (D – Dist 19) , Rep. Friese (D – Dist 9) , Sen. Gabaldon (D – Dist 2) , Rep. D. Hernandez (D – Dist 2) , Rep. Lieberman (D – Dist 28) , Rep. Longdon (D – Dist 24) , Sen. Marsh (D – Dist 28) , Sen. Mendez (D – Dist 26) , Rep. Meza (D – Dist 30) , Rep. Pawlik (D – Dist 17) , Sen. Rios (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Shah (D – Dist 24) , Rep. Sierra (D – Dist 19) , Rep. Stahl Hamilton (D – Dist 10) , Sen. Steele (D – Dist 9) , Rep. Teller (D – Dist 7) , Rep. Teran (D – Dist 30) H2102 Daily History Date Action AHCCCS; PREGNANT WOMEN; DENTAL CARE 1/14 referred to House hel -hu ser , appro . H2103 : NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN Establishes an 18 -member Nursing Workforce Preparation and Shortage Work Group in the Department of Health Services to review nursing education curriculum, establish a long -term plan to address Arizona’s nursing workforce preparation and shortage, and prep are recommendations for changes to curriculum and the feasibility of a nurse residency pilot program. The Work Group is required to report its recommendations to the Legislature, the Arizona Board of Regents, and the Joint Legislative Budget Committee by J une 30, 2022. Self -repeals January 1, 2024. First sponsor: Rep. Jermaine (D – Dist 18) Others: Sen. Alston ( D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep. Bolding (D – Dist 27) , Rep. Bowers (R – Dist 25) , Sen. Bowie (D – Dist 18) , Rep. Butler (D – Dist 28) , Rep. Chavez (D – Dist 29) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Espinoza (D – Dist 19) , Rep. D. Hernandez (D – Dist 2) , Rep. Lieberman (D – Dist 28) , Sen. Mendez (D – Dist 26) , Rep. Meza (D – Dist 30) , Rep. Pawlik (D – Dist 17) , Sen. Rios (D – Dist 27) , Rep. Schwiebert (D – Dist 20) , Rep. Sierra (D – Dist 19) , Sen. Steele (D – Dist 9) , Rep. Teran (D – Dist 30) H2103 Daily History Date Action NURSING SHORTAGE; WORKFORCE PREPARATION; PLAN 1/14 referred to House hel -hu ser . H2104 : DIFI; DIRECTOR; REPORT; SURPRISE BILLING The Director of the Department of Insurance and Financial Institutions is required to produce a report on “surprise billing” (defined) by January 1, 2022 and submit the report to the Governor and the Legislature. Information that must be included in the re port is specified. The Director is authorized to contract with one or more entities to produce the report. First sponsor: Rep. Jermaine (D – Dist 18) Others: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep . Bolding (D – Dist 27) , Sen. Bowie (D – Dist 18) , Rep. Butler (D – Dist 28) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Espi noza (D – Dist 19) , Rep. Friese (D – Dist 9) , Sen. Gabaldon (D – Dist 2) , Rep. Lieberman (D – Dist 28) , Rep. Longdon (D – Dist 24) , Sen. Mendez (D – Dist 26) , Rep. Meza (D – Dist 30) , Rep. Pawlik (D – Dist 17) , Sen. Rios (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwie bert (D – Dist 20) , Rep. Sierra (D – Dist 19) , Rep. Stahl Hamilton (D – Dist 10) , Sen. Steele (D – Dist 9) , Rep. Teller (D – Dist 7) , Rep. Ter an (D – Dist 30) H2104 Daily History Date Action 35 DIFI; DIRECTOR; REPORT; SURPRISE BILLING 1/20 referred to House hel -hu ser . H2105 : SCHOOL HEALTH PROGRAM; APPROPRIATION Establishes the School Health Program within the Arizona Department of Education (ADE) to promote and enhance healthy and effective learning environments for all students by supporting the costs of placing school nurses and school psychologists on school c ampuses. School districts and charter schools may apply to participate in the Program for up to three fiscal years by submitting a program proposal to ADE. Information that must be included in the program proposal is specified. ADE is required to distribut e monies to the school districts and charter schools that are in compliance with Program requirements and whose program proposals have been approved by the State Board of Education. ADE is required to evaluate the effectiveness of approved program proposal s and report on the Program to the Governor and the Legislature by November 1 of each year. The Program ends July 1, 2031. Appropriates an unspecified amount (blank in original) from the general fund in FY2021 -22 to ADE for the Program. First sponsor: Rep. Jermaine (D – Dist 18) Others: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep. Bolding (D – Dist 27) , Sen. Bowie (D – Dist 18) , Rep. Butler (D – Dist 28) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Espinoza (D – Dist 19) , Rep. Friese (D – Dist 9) , Sen. Gabaldon (D – Dist 2) , Rep. D. Hernandez (D – Dist 2) , Rep. Lieberman (D – Dist 28) , Rep. Longdon (D – Dist 24) , Sen. Marsh (D – Dist 28) , Sen. Mendez (D – Dist 26) , Rep. Meza (D – Dist 30) , Rep. Pawlik (D – Dist 17) , Sen. Rios (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Shah (D – Dist 24) , Rep. Sierra (D – Dist 19) , Rep. Stahl Hamilton (D – Dist 10) , Sen. Steele (D – Dist 9) , Rep. Teller (D – Dist 7) , Rep. Teran (D – Dist 30) H2105 Daily History Date Action SCHOOL HEALTH PROGRAM; APPROPRIATION 1/14 referred to House educ , appro . H2106 : INFORMED CONSENT; PELVIC EXAMINATIONS It is an act of unprofessional conduct for a licensed physician, nurse practitioner, or physician assistant to perform or supervise an individual who performs a pelvic examination on an anesthetized or unconscious patient without first obtaining the patien t’s informed consent to the pelvic examination. Some exceptions. First sponsor: Rep. Jermaine (D – Dist 18) Others: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep. Bolding (D – Dist 27) , Sen. Bowie (D – Dist 18) , Rep. Butler (D – Dist 28) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Espinoza (D – Dist 19) , Rep. D. Hernandez (D – Dist 2) , Rep. Lieberman (D – Dist 28) , Rep. Longdon (D – Dist 24) , Sen. Mendez (D – Dist 26) , Rep. Meza (D – Dist 30) , Rep. Pawlik (D – Dist 17) , Sen. Rios (D – Dist 27) , Rep. Schwiebert (D – Dist 20) , Rep. Shah (D – Dist 24) , Rep. Sierra (D – Dist 19) , Sen. Steele (D – Dist 9) , Rep. Teller (D – Dist 7) H2106 Daily History Date Action INFORMED CONSENT; PELVIC EXAMINATIONS 1/14 referred to House hel -hu ser . H2154 : MEDICAL CONDITIONS; MEDICAL MARIJUANA The list of debilitating medical conditions that qualifies a person to receive a medical marijuana registry identification card is expanded to include any debilitating condition of autism spectrum disorder. A physician who provides written certification fo r a qualifying patient who is under 18 years of age and whose debilitating medical condition is autism is required to recommend to the qualifying patient’s designated caregiver the marijuana’s potency and quantity and the frequency of use, assess the quali fying patient on a monthly basis until the physician is satisfied that the qualifying patient is taking a stable dose for the most beneficial results, and continue to monitor the qualifying patient every six months. The physician is also required to report the results annually to the Department of Health Services. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage. First sponsor: Rep. Espinoza (D – Dist 19) Others: Rep. Cobb (R – Dist 5) , Rep. Jermaine (D – Dist 18) , Rep. Payne (R – Dist 21) H2154 Daily History Date Action MEDICAL CONDITIONS; MEDICAL MARIJUANA 1/25 referred to House hel -hu ser . H2155 : EARLY CHILDHOOD MENTAL HEALTH; APPROPRIATIONS Establishes the Early Childhood Mental Health Consultation and Referral Pilot Program to support the social and emotional well -being of children who are not yet in kindergarten and to prevent, identify and reduce challenging behaviors. The Department of Ec onomic Security (DES) is required to award a contract on a competitive basis to a service provider that demonstrates the ability to 36 implement the Program. The service provider must quarterly report specified information on the Program to DES, and DES is re quired to submit an annual report to the Governor and the Legislature by October 1 of each year. Appropriates $2 million from the general fund in each of FY2021 -22 through FY2025 -26 to DES for the Program. The Program self -repeals July 1, 2026. First spons or: Rep. Espinoza (D – Dist 19) Others: Rep. Jermaine (D – Dist 18) , Sen. Marsh (D – Dist 28) H2155 Daily History Date Action EARLY CHILDHOOD MENTAL HEALTH; APPROPRIATIONS 2/8 from House hel -hu ser do pass. EARLY CHILDHOOD MENTAL HEALTH; APPROPRIATIONS 2/8 House hel -hu ser do pass; report awaited. EARLY CHILDHOOD MENTAL HEALTH; APPROPRIATIONS 1/20 referred to House hel -hu ser , appro . H2254 : END -OF -LIFE DECISIONS; TERMINALLY ILL PATIENTS A “qualified patient” (defined) is permitted to make a written request for medication to end the patient’s life. Establishes a process for the request, including a requirement for it to be signed and witnessed by at least two persons who meet specified req uirements. Also establishes required procedures for the attending physician and a consulting physician. Requires a 15 -day waiting period and provides for effect on construction of wills and contracts. Specifies immunities and civil penalties for violations . Severability clause. First sponsor: Rep. Powers Hannley (D – Dist 9) Others: Rep. Andrade (D – Dist 29) , Rep. Butler (D – Dist 28) , Sen. Engel (D – Dist 10) , Rep. Fernandez (D – Dist 4), Rep. Friese (D – Dist 9) , Rep. Salman (D – Dist 26) , Rep. Stahl Hamilton (D – Dist 10) , Rep. Teran (D – Dist 30) H2254 Daily History Date Action END -OF -LIFE DECISIONS; TERMINALLY ILL PATIENTS 1/21 referred to House hel -hu ser , jud . H2256 : MEDICAL MARIJUANA; PHYSICIANS; DEFINITION For the purpose of medical marijuana regulations, the definition of “physician” is expanded to include a licensed nur se practitioner or licensed physician assistant who is authorized to prescribe opioids. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage. First sponsor: Rep. Powers Hannley (D – Dist 9) Others: Rep. Andrade (D – Dist 29) , Sen. Engel (D – Dist 10) , Rep. Fernandez (D – Dist 4) , Rep. Friese (D – Dist 9) , Rep. M. Hernandez (D – Dist 26) , Rep. Salman (D – Dist 26) , Rep. Stahl Hamilton (D – Dist 10) , Rep. Teran (D – Dist 30) H2256 Daily History Date Action MEDICAL MARIJUANA; PHYSICIANS; DEFINITION 1/20 referred to House hel -hu ser , com . H2269 : INSURANCE; PREEXISTING CONDITIONS; ESSENTIAL BENEFITS Every health care insurer that offers an individual or “small employer group” (defined) health plan in Arizona is required to provide coverage for at least the following ten essential bene fits: ambulatory services, emergency services, hospitalization, maternity and newborn care, mental health and substance abuse disorder services, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and w ellness services, and pediatric services, including oral and vision care. Health care insurers cannot prohibit or deny a health plan for an individual under an individual or small employer group plan based solely on the individual’s health status, include “preexisting condition exclusions or limitations” (defined) in any health plan, cancel or refuse to renew a health plan based solely on an individual’s preexisting condition, impose annual or lifetime dollar limits on the essential benefits listed, or appl y any additional deductible, copayment or coinsurance based solely on an individual’s preexisting condition. First sponsor: Rep. Butler (D – Dist 28) Others: Rep. Andrade (D – Dist 29) , Rep. Jermaine (D – Dist 18) , Rep. Lieberman (D – Dist 28) , Rep. Pawlik (D – Dist 17) , Rep. Powers Hannley (D – Dis t 9) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Stahl Hamilton (D – Dist 10) H2269 Daily History Date Action INSURANCE; PREEXISTING CONDITIONS; ESSENTIAL BENEFITS 1/25 referred to House hel -hu ser . H2270 : MEDICAL SERVICES; PURCHASE; STUDY COMMITTEE Establishes a 15 -member Medical Services Purchase Program Study Committee to research and make recommendations for establishing and implementing a medical services purchase program. The Committee is required to submit a report of its findings and recommendations to the Governor and the Legislature by March 1, 2022, and self -repeals July 1, 2022. 37 First sponsor: Rep. Butler (D – Dist 28) Others: Sen. Alston (D – Dist 24) , Rep. DeGrazia (D – Dist 10) , Sen. Engel (D – Dist 10) , Rep. Jermaine (D – Dist 18) , Rep. Lieberman (D – Dist 28) , Rep. Pawlik (D – Dist 17) , Rep. Powers Hannley (D – Dist 9) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Stahl Hamilton (D – Dist 10) H2270 Daily History Date Action MEDICAL SERVICES; PURCHASE; STUDY COMMITTEE 1/25 referred to House hel -hu ser , appro . H2273 : ELIGIBILITY; CHILDREN’S HEALTH INSURANCE PROGRAM Beginning October 1, 2021, a person under 19 years of age whose gross household income is at or below 300 perc ent, increased from 200 percent, of the federal poverty level, is eligible for the Children’s Health Insurance Program. First sponsor: Rep. Butler (D – Dist 28) Others: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Sen. Engel (D – Dist 10) , Rep. Fernandez (D – Dist 4), Rep. Friese (D – Dist 9) , Rep. Jermaine (D – Dist 18) , Rep. Lieberman (D – Dist 28) , Sen. Marsh (D – Dist 28) , Rep. Pawlik (D – Dist 17) , Rep. Powers Hannley (D – Dist 9), Rep. Rodriguez (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Stahl Hamilton (D – Dist 10) , Rep. Teran (D – Dist 30) H2273 Daily History Date Action ELIGIBILITY; CHILDREN’S HEALTH INSURANCE PROGRAM 1/25 referred to House hel -hu ser , appro . H2274 : MEDICARE SUPPLEMENT; DISABILITY; RENAL DISEASE Any insurer that offers Medicare supplement insurance policies in Arizona to persons who are at least 65 years o f age is required to also offer Medicare supplement insurance policies to persons who are eligible for and enrolled in Medicare due to a disability or end -stage renal disease. All benefits and coverages that apply to a Medicare enrollee who is at least 65 years of age must also apply to a Medicare enrollee who is enrolled due to a disability or end -stage renal disease. An insurer may not charge an enrollee who qualifies for Medicare due to a disability or end -stage renal disease and who is under 65 years of age a premium rate for a medical supplemental insurance benefit plan that exceeds the insurer’s highest rate filed with the Department of Insurance and Financial Institutions for that plan charged to enrollees who are at least 65 years of age. A Medicare supplement insurance policy cannot prohibit a payment made by a third party on behalf of an enrollee if full payment is made in a timely manner as provided in the policy. First sponsor: Rep. Butler (D – Dist 28) Others: Sen. Alston (D – Dist 24) , Rep. Jermaine (D – Dist 18) , Rep. Powers Hannley (D – Dist 9) , Rep. Salman (D – Dist 26) H2274 Daily History Date Action MEDICARE SUPPLEMENT; DISABILITY; RENAL DISEASE 1/25 referred to House hel -hu ser . H2275 : AHCCCS; DENTAL CARE; PREGNANT WOMEN The list of covered services under the Arizona Health Care Cost Containment System (AHCCCS) is expanded to include comprehensive dental care for women who are at least 21 years of age and in any stage of pregnancy. Appropriates $178,900 from the general fu nd and $478,300 from federal Medicaid authority in FY2021 -22 to the AHCCCS Administration for dental services to pregnant women. Appropriates $3.63 million from the Prescription Drug Rebate Fund in FY2021 -22 to the AHCCCS Administration to cover costs incu rred due to eligibility changes directly related to the introduction of a dental benefit for pregnant women. By October 1, 2022, the AHCCCS Administration is required to report to the Governor and the Legislature the actual costs incurred to provide dental services to pregnant women and the actual costs incurred due to eligibility changes directly related to the introduction of a dental benefit for pregnant women during FY2021 -22. First sponsor: Rep. Butler (D – Dist 28) Others: Sen. Alston (D – Dist 24) , Rep. Andrade (D – Dist 29) , Rep. Jermaine (D – Dist 18) , Rep. Lieberman (D – Dist 28) , Rep. Pawlik (D – Dist 17) , Rep. Powers Hannley (D – Dist 9) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Teran (D – Dist 30) H2275 Daily History Date Action AHCCCS; DENTAL CARE; PREGNANT WOMEN 1/25 referred to House hel -hu ser , appro . H2276 : LICENSURE; TRANSVAGINAL ULTRASOUNDS 38 Any premises on which a transvaginal ultrasound is performed is required to be licensed as a health care institution. A transvaginal ultrasound that is performed on a woman is required to be performed by a licensed health care provider whose scope of pract ice includes performing transvaginal ultrasounds. First sponsor: Rep. Butler (D – Dist 28) Others: Sen. Alston (D – Dist 24) , Rep. Fernandez (D – Dist 4) , Rep. Friese (D – Dist 9) , Rep. Jermaine (D – Dist 18) , Rep. Lieberman (D – Dist 28) , Rep. Powers Hannley (D – Dist 9) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) , Rep. Teran (D – Dist 30) H2276 Daily History Date Action LICENSURE; TRANSVAGINAL ULTRASOUNDS 1/25 referred to House hel -hu ser . H2349 : TPT; DIAPERS; FEMININE HYGIENE; EXEMPTION Through December 31, 2029, the list of exemptions from the retail classification of transaction privilege and use taxes is expanded to include disposable diapers, other similar disposable items commonly used for incontinence, and a list of femi nine hygiene products. First sponsor: Rep. D. Hernandez (D – Dist 2) Others: Rep. Bolding (D – Dist 27) , Rep. A. Hernandez (D – Dist 3) , Sen. Mendez (D – Dist 26) , Rep. Stahl Hamilton (D – Dist 10) H2349 Daily History Date Action TPT; DIAPERS; FEMININE HYGIENE; EXEMPTION 2/2 referred to House ways -means . H2422 : PATIENTS’ BILL OF RIGHTS Establishes a patients’ bill of rights and requires health care providers to have each patient sign that the patient received a copy of the patients’ bill of rights. The patients’ bill of rights states that each patient is guaranteed the freedom to consult with the physician of their choice, be treated confidentially, refuse medical treatment, be informed about medical conditions and risks and benefits of treatment, communicate with family members, and receive full disclosure of their health care insurance plan in plain language. First sponsor: Rep. Carroll (R – Dist 22) Others: Rep. Cobb (R – Dist 5) , Rep. Dunn (R – Dist 13) , Rep. Nutt (R – Dist 14) , Rep. Wilmeth (R – Dist 15) H2422 Daily History Date Action PATIENTS’ BILL OF RIGHTS 1/26 referred to House hel -hu ser . H2532 : EMOTIONAL ABUSE; VULNERABLE ADULTS For the purpose of Adult Protective Services statutes, the definition of “abuse” is expanded to include “emotional abuse” (defined). First sponsor: Rep. Longdon (D – Dist 24) Others: Rep. Dunn (R – Dist 13) , Rep. Jermaine (D – Dist 18) , Rep. Nutt (R – Dist 14) , Rep. Roberts (R – Dist 11) , Rep. Salman (D – Dist 26) , Rep. Shah (D – Dist 24) H2532 Daily History Date Action EMOTIONAL ABUSE; VULNERABLE ADULTS 2/1 referred to House hel -hu ser . H2534 : HEALTH CARE INSTITUTIONS; EDUCATION; ABUSE The Department of Health Services and the Department of Economic Security are required to jointly develop a curriculum to educate and train all persons who are employed in a capacity of caring for vu lnerable adults on the signs of neglect and abuse, including sexual abuse. Beginning January 1, 2022, each health care institution, group home and intermediate care facility for individuals with intellectual disabilities is required to provide mandatory ed ucation and training using the curriculum to each person working in the health care institution, group home or intermediate care facility that provides care to vulnerable adults. The person is required to complete the education and training before beginnin g employment and to update the education and training annually. Emergency clause. First sponsor: Rep. Longdon (D – Dist 24) Others: Rep. Dunn (R – Dist 13) , Rep. Jermaine (D – Dist 18) , Rep. Nutt (R – Dist 14) , Rep. Rodriguez (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) H2534 Daily History Date Action HEALTH CARE INSTITUTIONS; EDUCATION; ABUSE 1/28 referred to House hel -hu ser . H2535 : MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 39 The list of persons with a duty to report a reasonable belief that a vulnerable adult has been the victim of abuse, neglect or exploitation is expanded to include any “health professional ” (defined elsewhere in statute) who has responsibility for the care of the vulnerable adult. If a failure to report involves a sexual offense, the criminal classification is a class 6 (lowest) felony, instead of a class 1 (highest) misdemeanor. Emergency clause. First sponsor: Rep. Longdon (D – Dist 24) Others: Rep. Dunn (R – Dist 13) , Rep. Jermaine (D – Dist 18) , Rep. Nutt (R – Dist 14) , Rep. Rodriguez (D – Dist 27) , Rep. Salman (D – Dist 26) , Rep. Schwiebert (D – Dist 20) H2535 Daily History Date Action MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 3/2 referred to Senate hel -hu ser . MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 2/23 passed House 59-0; ready for Senate. MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 2/23 House COW approved. MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 2/22 from House rules okay. MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 2/18 from House jud do pass. MANDATORY REPORTING; VULNERABLE ADULTS; PENALTIES 1/28 referred to House hel -hu ser , jud . H2537 : AHCCCS; OUTPATIENT SERVICES Outpatient speech therapy for eligible persons who are at least 21 years of age is no longer excluded from the list of medically necessary health and medical services that Arizona Health Care Cost Containment System (AHCCCS) contractors are required to pro vide. First sponsor: Rep. Longdon (D – Dist 24) Others: Rep. Dunn (R – Dist 13) , Rep. Nutt (R – Dist 14) , Rep. Rodriguez (D – Dist 27) H2537 Daily History Date Action AHCCCS; OUTPATIENT SERVICES 1/28 referred to House hel-hu ser , appro . H2627 : HEALTH FACILITIES; RESUSCITATION; EMERGENCY CARE All licensed health care institutions that provide congregant or residential care are required to provide cardiopulmonary resuscitation (CPR) and first aid training for all staff as prescribed in rule by the Department of Health Services. Facility s taff who are certified in CPR must be available at all times. These facilities are required to establish and implement policies that require facility staff to immediately evaluate the condition and circumstances of any resident who experiences cardiac arre st, cessation of respiration or any other medical emergency. On a determination that immediate resuscitation or first aid is feasible and appropriate in accordance with that resident’s advance directives or do -not -resuscitate order, facility staff are requ ired to provide basic appropriate CPR or first aid care. These facilities are prohibited from implementing policies that prevent employees from providing immediate resuscitation that complies with these requirements. A facility or facility staff member who in good faith renders emergency care or emergency assistance in reasonable accordance with training to a person who experiences a medical emergency is not liable for civil damages as the result of any act or omission by the person, unless the person acted with gross negligence. First sponsor: Rep. Shah (D – Dist 24) Others: Rep. Cobb (R – Dist 5) , Rep. M. Hernandez (D – Dist 26) H2627 Daily History Date Action HEALTH FACILITIES; RESUSCITATION; EMERGENCY CARE 2/1 referred to House hel -hu ser . H2629 : ARIZONA NURSES ACADEMY “Eligible postsecondary institutions” (defined) are required to implement an Arizona Nurses Academy to provide incentives for students to enter the nursing profession and commit to practice in Arizona in a hos pital, community health center, skilled nursing facility or public school that is located in a county with a population of less than 500,000 persons or on an Indian reservation or for a home health agency under contract with the Division of Developmental D isabilities in the Department of Economic Security. Each eligible postsecondary institution is required to develop formalized partnerships in Arizona to build commitments for nurse employment on a student’s completion of the Academy. Each eligible postseco ndary institution is required to provide to each full -time student who is enrolled in the Academy an annual scholarship of $5,000 per year for a maximum of four academic years or eight semesters for undergraduate university students, or $3,000 per year for a maximum of two academic years or four semesters for community college students, for tuition and fees associated with the student’s program of study. Requirements to qualify for the scholarships are established. By September 1, 2022 and each year thereaf ter, the 40 Arizona Board of Regents is required to report to the Governor and the Legislature specified information relating to the Academy. First sponsor: Rep. Shah (D – Dist 24) H2629 Daily History Date Action ARIZONA NURSES ACADEMY 2/1 referred to House hel -hu ser , appro . H2687 : MEDICAL PRODUCTS; CONDITION OF EMPLOYMENT A person cannot be required to take or otherwise receive or disclose whether the person has taken or received a “medical product” (defined as any drug or biologic) as a condition of employment, entry into any business or “public space” (defined) or rec eipt of any service or good unless the manufacturer of the medical product is liable for any death or serious injury caused by the medical product. Prohibits discrimination for refusing to take or otherwise receive a medical product if its manufacturer is not liable for all deaths and serious injuries caused by the medical product. First sponsor: Rep. Carroll (R – Dist 22) H2687 Daily History Date Action MEDICAL PRODUCTS; CONDITION OF EMPLOYMENT 2/4 referred to House hel -hu ser , com . H2695 : HIV MEDICATION; PRIOR AUTHORIZATION; PROHIBITION Health care services plans and utilization review agents, including Arizona Health Care Cost Containment System (AHCCCS) contractors, are prohibited from subjecting antiretroviral drugs prescribed to treat or prevent the human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) to any prior authorization requirement, step therapy or other protocol that could restrict or delay dispensing the drug. First sponsor: Rep. Wilmeth (R – Dist 15) Others: Rep. Carroll (R – Dist 22) , Rep. Chavez (D – Dist 29) , Rep. Cobb (R – Dist 5) , Rep. Grantham (R – Dist 12) , Rep. John (R – Dist 4) , Rep. Lieberman (D – Dist 28) , Rep. Meza (D – Dist 30) , Rep. Weninger (R – Dist 17) H2695 Daily History Date Action HIV MEDICATION; PRIOR AUTHORIZATION; PROHIBITION 2/2 referred to House hel -hu ser . HCR2008 : VAPING; FEMININE HYGIENE; TAX; EXEMPTION The 2022 general election ballot is to carry the question of whether to amend state statute to levy an additional tax of 43 percent of the wholesale cost on all “electronic smoking devices” and require monies collected from the tax to be deposited in the newly established Electronic Smoking Device Tax Fund, to be administered by the Arizona Board of Regents (ABOR) and used for providing regents scholarships and fulfilling the increased funding requireme nt contained in this measure. ABOR is required to annually award regents scholarships to any Arizona resident who is admitted to a university under ABOR jurisdiction and who obtained a letter grade of A or B in each core academic course that is required fo r graduation from high school. Beginning in FY2023 -24, the amount appropriated each fiscal year for improving, supporting and maintaining the institutions under ABOR jurisdiction is required to be increased by the minimum growth rate of either two percent or the change in the GDP price deflator, from the second preceding calendar year to the calendar year immediately preceding the budget year, whichever is less, except that the amount appropriated cannot be reduced below the amount appropriated for FY2023 -24. Additionally, the list of exemptions from the tax base for the retail classification of transaction privilege taxes is expanded to include gross proceeds of sales or gross income from tampons, sanitary napkins, menstrual sponges, menstrual cups and simi lar items used for feminine hygiene. First sponsor: Rep. Teller (D – Dist 7) Others: Rep. Longdon (D – Dist 24) , Rep. Tsosie (D – Dist 7) HCR2008 Daily History Date Action VAPING; FEMININE HYGIENE; TAX; EXEMPTION 2/3 referred to House ways -means , educ . S1199 : HEALTH CARE PROVIDERS; PREGNANCY; ULTRASOUNDS An ultrasound performed on a pregnant woman in a “limited service pregnancy center” (defined) must be performed by a licensed or certified health care provider whose scope of practice includes performing ultrasounds. First sponsor: Sen. Mendez (D – Dist 26) Others: Rep. M. Hernandez (D – Dist 26) , Sen. Quezada (D – Dist 29) , Rep. Salman (D – Dist 26) 41 S1199 Daily History Date Action HEALTH CARE PROVIDERS; PREGNANCY; ULTRASOUNDS 1/19 referred to Senate hel -hu ser . S1209 : MEDICAL CONDITIONS; MEDICAL MARIJUANA The list of debilitating medical conditions that qualifies a person to receive a medical marijuana registry identification card is expanded to include any debilitating condition of autism spectrum disorder. A physician who provides written certification fo r a qualifying patient who is under 18 years of age and whose debilitating medical condition is autism is required to recommend to the qualifying patient’s designated caregiver the marijuana’s potency and quantity and the frequency of use, assess the quali fying patient on a monthly basis until the physician is satisfied that the qualifying patient is taking a stable dose for the most beneficial results, and continue to monitor the qualifying patient every six months. The physician is also required to report the results annually to the Department of Health Services. Due to voter protection, this legislation requires the affirmative vote of at least 3/4 of the members of each house of the Legislature for passage. First sponsor: Sen. Marsh (D – Dist 28) Others: Rep. M. Hernandez (D – Dist 26) , Sen. Quezada (D – Dist 29) , Rep. Salman (D – Dist 26) S1209 Daily History Date Action MEDICAL CONDITIONS; MEDICAL MARIJUANA 1/19 referred to Senate hel -hu ser . S1782 : AHCCCS; PREGNANT WOMEN; DENTAL CARE The list of covered services under the Arizona Health Care Cost Containment System (AHCCCS) is expanded to include comprehe nsive dental care during a pregnancy for women who are at least 21 years of age and in any stage of pregnancy. Appropriates $468,000 from the general fund in FY2021 -22 to the AHCCCS Administration for dental services to pregnant women. Appropriates $3.63 m illion from the general fund in FY2021 -22 to the AHCCCS Administration to cover costs incurred due to eligibility changes directly related to the introduction of a dental benefit for pregnant women. By October 1, 2022, the AHCCCS Administration is required to report to the Governor and the Legislature the actual costs incurred to provide dental services to pregnant women and the actual costs incurred due to eligibility changes directly related to the introduction of a dental benefit for pregnant women durin g FY2021 -22. First sponsor: Sen. Gonzales (D – Dist 3) Others: Sen. Alston (D – Dist 24) , Rep. Cano (D – Dist 3) , Sen. Contreras (D – Dist 19) , Sen. Mendez (D – Dist 26) , Sen. Navarrete (D – Dist 30) , Sen. Peshlakai (D – Dist 7) , Sen. Quezada (D – Dist 29) , Sen. Steele (D – Dist 9) S1782 Daily History Date Action AHCCCS; PREGNANT WOMEN; DENTAL CARE 2/3 referred to Senate appro .
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
Sheena Lamon Manage Discussion Entry After completing this mindmap, it has become obvious to me that there is a definite need for these healthcare policies based on the utilization of the programs these policies have created.  Our healthcare system relies on these government programs as much as it opposes them. The Democratic Party and Republican Party are the two predominate parties in our government system and with so much money spent on healthcare in our country, health care has become part of their political platforms for decades.  While the Democratic Party supports government run and funded healthcare programs for anyone who needs them, the Republican Party is always trying to reduce spending to these programs thinking private insurance companies and the market will reduce healthcare costs through competition. (democrats.org, 2020)  I believe there is too much income inequality in our country to allow capitalism to fix the problems with our healthcare system, especially when there are so many factors that determine our individual health. Some of these factors are out of our control and the availability of healthcare resources can widen the income inequality even more. Medicare and Medicaid are still around after their implementation in 1965 because vulnerable people need health insurance. The creation of the Affordable Care Act (ACA) is one way to help decrease the amount of money we are spending as a country on healthcare and improve the quality of care by making insurance more affordable, comprehensive, and fair. If the ACA is able to accomplish its goals and decrease the amount of money that is being spent on Medicare and Medicaid programs, I do not see how the Republican Party can justify its party platform to get rid of this policy. Bipartisan support for the other two policies presented in this mindmap illustrate that we do want our citizens to be healthy, who pays for it and how the program runs is always the partisan issue. By making health insurance affordable and accessible to everyone, I believe we will be one-step closer to having an equal playing field for everyone. As stated by Stone (2011) “…nations that have more equal income distributions do as well or better than more unequal nations on measures of economic prosperity, including employment, gross domestic product (how much output a country produces), and economic growth rates” (p. 81) and I believe the same is true for health outcomes. By eliminating the inequity in who has health insurance coverage, I think health outcomes can be improved.  I believe we are all just a diagnosis away from being a high utilizer of healthcare and having bills we cannot afford and I want everyone to get the care they need, when they need it to improve the health and success of our country for the future.  References: Achieving universal, affordable, quality health care. (2020, August 29). Retrieved March 30, 2021, from https://democrats.org/where-we-stand/party-platform/achieving-universal-affordable-quality-health-care/ Stone, D. (2011). Policy paradox: The art of political decision-making (3rd ed.). New York: WW Norton & Co. Inc. Publishers. ISBN: 0393912728 Ansley Rushing Manage Discussion Entry This summary will look at the democratic party and the republican party. Each political party has their own viewpoints that skew to one side to the other. I am in the middle of these two political parties when it comes to my viewpoints. The republican side wants to keep the government out of healthcare whereas the democratic party wants healthcare for all. My personal opinion is that we can have it both ways. The government should stay out of healthcare in the sense that they should not make rules and regulations for hospital staff that are not formed for a safety reason. In the United States we should be at the point where healthcare is a right for all people. Current bills proposed by the republican party aim to reduce government presence in the healthcare sector (King, 2019).  More moderate republicans are open to the idea of the government getting involved to reduce the costs of current healthcare. For example there is speculation that the republicans loss their favor in the house due to the attempt to repeal the ACA (King, 2019). This is speculation, but the ACA has grown on the population and has helped many people afford care they previously were unable to receive. The reversal of this would be harmful for many Americans. Current bills proposed by the democratic party are attempting to pass bills that they are unable to agree on. This party has a wider range of viewpoints on how to expand into the healthcare sector to provide care for all (Pramuk, 2021). This ranges from modifying the current ACA to moving to a single payer system. I lie in the middle of this. The ACA was never meant to be a one size fits all solution. It was started in 2009 and signed into law in 2010 (eHealth, 2020). Similar to Medicare it started an important and necessary reform for the American healthcare system. Those in the U.S. should be able to receive care without the fear of bankruptcy. Healthcare costs should not be an area that price gouges people because they can. The government should be there to protect the people, but not assert control over medical care. My basis for this statement is the fact that if the government controls healthcare then it can refuse procedures for reasons that are not supported by science. It is important to remember that not long-ago same sex marriage was not allowed due to an old rule. This is something that could play into trans rights and cause issues with cosmetic procedures.    References: EHealth. (2020). History and Timeline of the Affordable Care Act (ACA). eHealth. https://www.ehealthinsurance.com/resources/affordable-care-act/history-timeline-affordable-care-act-aca (Links to an external site.). King, R. (2019, October 22). A group of Republicans has unveiled its healthcare plan. Here is what’s new and what isn’t. FierceHealthcare. https://www.fiercehealthcare.com/payer/a-group-republicans-have-a-new-healthcare-plan-here-what-new-and-what-isn-t (Links to an external site.). Pramuk, J. (2021, April 1). Biden ran on a health insurance public option, but it’s not clear if he will include it in his recovery plan. CNBC. https://www.cnbc.com/2021/04/01/biden-considers-health-care-public-option-in-economic-recovery-plan.html (Links to an external site.). Melanie Coffey Manage Discussion Entry I chose to keep the MindMap assignment simple, by comparing and contrasting the Democratic and Republican parties health care plans. Besides the ACA, Medicaid, and Medicare, I focused on the COVID response and VA healthcare. The ACA was established under President Obama and had a lot of Democratic support. While it still remains the law of the land, Republicans have tried to overturn it ever since it was implemented. The parts of the plan that I think had the greatest impact to healthcare were keeping children on their parents’ plan until the age of 26, no one could be turned down for pre-existing conditions, the expansion of Medicaid, the tax breaks given to lower income families, and free preventative care (Healthcare.gov). One way to help pay for the ACA was the individual mandate which meant that you needed to sign up for insurance or pay a tax penalty (Healthcare.gov). This is the area that many Republicans wanted to do away with, and after Trump did by executive order, many premiums went up. My views on the ACA are that it opened the door for many more people to have access to care that may otherwise have gone without. I am not a fan of the low premium plans with high deductibles, because I feel like people who have them would probably be better off with nothing. The make you come out of pocket for so much before they even begin to cover anything. It seems to me that we can do better. We need to take lobbyists out of the equation and think about the people of this country. If we continue to allow the drug and insurance companies to dictate health care, we’ll never do any better.  Medicaid and Medicare are my favorites. They both at one time had bipartisan support and have continued to help our most vulnerable populations. With Medicaid funded by both Federal and State governments, it has opened the door for many in the most underserved populations to have access to quality care at little or no cost to them. Medicare is funded through tax money collected from employees and employers. 7.65% of everyone’s pay goes to FICA and then 81% of that money goes to social security and the other 19% goes to Medicare (CMS.gov). While Democrats try to expand these programs, it seems that Republicans want to cut funding. My opinion is that we need more social programs like these in our country. I am not a socialist, but the reason these and Social Security were set up were to help vulnerable populations. If we want to be the greatest country there is, we need to be willing to give everyone an equitable chance. I did not say equal, because some need more than others, which is why programs like these are so important.  The VA, under President Obama, was expanded to give veterans better access to care. It expanded VA clinics, giving them the ability to hire more staff and open more clinics. It allowed immediate same day access for mental health services as well. The bill ensured veterans would receive timely care, and if they couldn’t within the VA system, they would have access to care elsewhere. passed with overwhelming bipartisan support (VA.gov). The bill is paid for by the federal government. Like Medicaid and Medicare, I think VA care is just as important. The biggest problem with VA care and, actually, care in general in this country is the time it takes to actually get an appointment. That is something that needs to be changed across the board. If we can find a way to expand health clinic and doctors offices, it could be better for everyone. We need to make medical school, nursing school, and any other health provider training free in order to give people the incentive to become providers. We need to give bonuses to mental health providers, because that is a huge problem in this country is the lack of mental health care and facilities. We can do better for our veterans, and honestly, for everyone else as well. COVID-19 continues to plague us today. This was handled terribly from the start. While money was sent out, some PPE and other equipment needed was provided, and companies were given funding to create a vaccine, the overall response was dismal (FEMA.gov). While the current response is much more encouraging, I think the disinformation that has been floating around from the beginning is making it impossible to get this virus under control. I blame both parties for this. While Republicans downplayed it, Democrats should have been more forceful in their response. Some governors did a great job at trying to mitigate the virus, but the fact that this became such a partisan issue is why we lost so many people. If there was ever a time to come together as a country, this would have been it, and I believe we failed miserably.    References: Healthcare.gov. “The Affordable Care Act.” healthcare.org. https://www.healthcare.gov/where-can-i-read-the-affordable-care-act/ (Links to an external site.) Center for Medicare and Medicaid Services. (2015). “Financial management” CMS.gov. https://www.medicaid.gov/medicaid/financial-management/index.html#:~:text=The%20Medicaid%20program%20is%20jointly,Medical%20Assistance%20Percentage%20(FMAP) (Links to an external site.). FEMA. (2020) “Recovery and economic support” FEMA.gov. https://www.fema.gov/disasters/coronavirus/economic Keith, K. (2020). “Taking stock of Republican health policy in the Trump era.” Health Affairs. https://www.healthaffairs.org/do/10.1377/hblog20200821.513686/full/  (Links to an external site.) US Department of Veteran Affairs. (2021). “Office of budget.” VA.gov. https://www.va.gov/budget/products.asp (Links to an external site.)   Amber Shaver Manage Discussion Entry            Looking at Medicare, the origin was a compromise; a blending of two ideas. According to Oliver, Lee and Lipton (2004), in their article on the history of Medicare stated, “Representative Wilbur Mills (D-Ark),…, made the surprise suggestion that the Democratic and Republican proposals essentially be combined into Title XVIII of the Social Security Act, a new Medicare program with two parts A (hospital insurance) and B (supplementary medical insurance)” (p. 291). Since its inception, Medicare has been under constant scrutiny regarding expanded benefits, cost and coverage issues.            These challenges can also be seen when looking at Medicaid and the ACA. Patel and Rushefsky (2014) said it best; The Medicaid program, in many ways, represents the best and the worst of American politics. It reflects the best of the American tradition of helping the poor and disadvantaged groups who cannot help themselves. It also reflects the worst of American politics and policy making—that of an incremental, patchwork approach to policy making—influenced by the vagaries of electoral and economic cycles and partisan and ideological battles that often produce irrational and incomprehensible public policy. (pp. 121-122) The same challenges exist, rising costs and extending coverage. With the ACA it was met with legal challenges from the moment it was signed. Questions regarding constitutionality with the individual mandate and the effects on state budgets (Patel & Rushefsky, 2014).             Additional policies I researched were CHIP and HIPAA. The Children’s Health Insurance Program provides health coverage to eligible children that is funded by both state and federal government. With CHIP, expansion and finances are a reoccurring theme with the Democrats favoring expansion to all children and favoring cuts to Medicare Advantage and increasing tobacco costs. And the Republicans favoring lowering funding to cover it, resulting in covering less children. Republicans also favor cuts to administrative expenses. Expansion of CHIP to cover all children, not just those with parents below a certain income threshold is the proposed policy I favor the most. Not only does the expansion provide health insurance benefits for children, but it is an investment in our children and future generations.            HIPAA, the last policy I researched, owes its creation to bipartisan support, that has evolved over time. Most people think of the privacy portion of the policy when HIPAA is mentioned, but equally important at the time it was enacted was the portability aspect, allowing workers to change jobs without fear of losing their health coverage and preexisting conditions being covered. While the ACA furthered the preexisting condition coverage to all people, this initial legislation set the tone for the ACA 14 years later.            This class has taught me that I am not as educated in laws or policymaking as I had originally thought. (Which was not high to begin with). In the most simplistic form, my perspective on Democratic healthcare policies are focused around expansion of coverage. While the Republicans are centered around budget costs. And I agree with both, there should be a way of extending coverage while maintaining costs. However, there will always be a tradeoff, and neither option is without fault.  References Ku, L., Lin, M., & Broaddus, M. (2007). Improving Children’s Health. Center on Budget and Policy Priorities, Washington, DC. Oliver, T. R., Lee, P. R., & Lipton, H. L. (2004). A political history of Medicare and prescription drug coverage. The Milbank Quarterly, 82(2), 283-354. Patel, K., & Rushefsky, M. (2014). Healthcare politics and policy in America (4th ed.). M.E. Sharpe. 
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
Sheena Lamon Manage Discussion Entry Healthcare policy has a direct impact on the health and health services provided to the public in the United States.  There is no healthcare service that does not rely on funding from government insurance programs; therefore, policies surrounding reimbursement for these services are the focus of any healthcare system. Policies that focus on quality of care and outcome measures (pay for performance model) and paying through bundles has resulted in initiatives for same day discharge, nursing care management programs to reduce readmissions, and a push for everyone who works in healthcare to think differently about how we care for our most complex patients.  As summarized by Cutler (2015), the two areas that the Affordable Care Act (ACA) that we need to focus on is “continuing to slow the increase in health costs and improving the practice environment for physicians” (p. 337). By switching to a value based payment model from a volume base model, the goal is to eliminate waste. As a result, individuals with backgrounds in Lean Six Sigma from the technology and business world are being recruited to the healthcare industry to try their hand at helping hospitals and physicians reach these new policy standards. (de Koning, 2006) Bundle payments and reducing the payment for some surgical procedures has caused several physician surgical organizations to oppose policies for a decrease in their bundle payments. They believe that decreasing the payment will result in private practice surgeons to not be able to provide certain services due to the loss in revenue by doing so, resulting in a decrease in surgeons performing those procedures. This could be an example of how some policies are developed with the wrong interpretation of the data or as Patel & Rushefski (2006) stated, “it is often not the magnitude of numbers but rather the interpretation of numbers that influence policy making” (p. 3). With the wrong information driving policy decision, there can be unforeseen consequences to the health and services that are available to the public. References Cutler, D. (2015, July). From the Affordable Care Act to affordable care.  Journal of the American Medical Association.  314(4): 337-338. de Koning, Henk MSc; Verver, John P. S.; van den Heuvel, Jaap MSc; Bisgaard, Soren PhD; Does, Ronald J. M. M. Lean Six Sigma in Healthcare, Journal For Healthcare Quality: March 2006 – Volume 28 – Issue 2 – p 4-11 doi: 10.1111/j.1945-1474.2006.tb00596.x Patel, K., & Rushefski, M. (2006). Health care politics and policy in America (4th ed.). Armonk, NY: M.E. Sharpe. ISBN: 0765614790. Ansley Rushing Manage Discussion Entry Healthcare policies directly affect the healthcare patients receive. Healthcare policies are not guaranteed to always work in the interest of the patients. However, any attempt to improve the system is valuable. The affordable care act is not a solution meant to last forever. The primary focus of this act was to expand the insurance coverage for the country (Cutler, 2015). This is something that was necessary to help people have options for health insurance.  This policy changed many aspects of healthcare coverage. Another aspect of the ACA is the high cost-sharing plans. In theory these should work. Patients will want to save money and will be less likely to go to the doctors.  In personal experience this is counterproductive. Without the reduction in costs of healthcare the high cost-sharing plans only reduces people who receive care. This goes for people receiving preventative care as well. Preventative care is one of the better ways to save money in healthcare (Cutler, 2010). This is important to note because the patients are not the only ones that benefit from preventative care. A third aspect that the ACA focuses on is cost reduction. It is built to support innovations that reduce healthcare costs (2020). This is a huge section that will benefit everyone. If healthcare costs are lower then patients costs are decreased and providers profit margin can increase. This is an area that is most interesting for myself due to the ability to benefit all.  References Affordable care Act (ACA) – HEALTHCARE.GOV GLOSSARY. (2020). https://www.healthcare.gov/glossary/affordable-care-act/. Cutler, D. (2010, June). How health care reform must bend the cost curve . Health Affairs, 29(6), 1131-1135 Cutler, D. (2015, July). From the Affordable Care Act to affordable care.  Journal of the American Medical Association.  314(4): 337-338. Melanie Coffey Manage Discussion Entry If this last year has taught us anything, it’s how much health policy both helps and hurts people and their access to care in this country. Over the last decade, more people than ever have finally had access to health insurance, making it easier to access the care they need through the Affordable Care Act. The ACA was put in place to help Americans and cut costs of wasteful expenses in order to give more people access to affordable care. Although the ACA has been challenged for its inclusion of an individual mandate, making it a requirement that most individuals have insurance or face a tax penalty (Henry J. Kaiser Family Foundation), that mandate was upheld and determined lawful by the Supreme Court, which helped cut costs for many Americans. The mandate was in place until Trump put an end to it through executive order, causing some costs to skyrocket. In order to keep costs down, there need to be other ways, besides the mandate to cut them. As Cutler points out, healthcare grows at a rate of 1-2% above the economies growth and that by eliminating the wasteful spending, which is estimated at 1/3 of medical costs, not only would rates lower, but health care would be more affordable for all (2015). Another way to cut costs is through cost sharing, having patients pay a higher cost for their services to cut down on wasteful treatments (Cutler, 2015). Both ideas have merit. We need to make healthcare more mainstream, saving insurance companies, hospitals, and other health facilities both time and money. This will allow them to lower costs while still making a profit. Having patients be more responsible for their care through cost sharing could cut down on needless tests and services, also helping save money. While costs play a huge role in both policy and access, so do some of the rules put in place. When the ACA was introduced, it allowed anyone to have access to care, regardless of pre-existing conditions. There was the market place, which was opened once a year to allow people to sign up, expanded employer coverage, and Medicaid expansion in some states. As I pointed out, healthcare policy has both helped and hurt people, especially over the last year. With the loss of 27 million plus jobs last year, many people also lost their employer based health coverage (Liu, 2020). This loss opened up some of the ongoing issues with access to care in this country. With people’s coverage is linked to employment, many found themselves with no other options during the worst public health crisis most of us have lived through. I live in Virginia, which luckily expanded Medicaid in 2018. My sister was one of those who lost her job due to the pandemic and was able to access Medicaid almost immediately. She was lucky, but many are not.  It always boggles my mind that we live in what’s supposed to be the greatest country in the world and we cannot find a way to make access to care a right of all members of our country. I think that as long as partisanship is as decisive as it has been for at least the last decade, our policies and the needs of our country will never align.  References: Cutler, D. (2015). “From the Affordable Care Act to affordable care.” Journal of the American Medical Association.  314(4): 337-338. Liu, J. (2020) “U.S. health care policy.” Rand Corporation. https://www.rand.org/health-care/key-topics/health-policy.html (Links to an external site.) The Henry J. Kaiser Family Foundation. (2012). “A guide to the Supreme Court’s Affordable Care Act decision.” Focus on health reform. 1-10. 
Hi, I am a qualified and excellent writer, but too much busy and have Five Modules incomplete assignments ( Healthcare policy course / Master’s degree), including a course project due on 10th Dec. R
Module 3: Healthcare Policies of US Political Parties https://www.mindmeister.com/643057822/healthcare-policies-of-u-s-political-parties-mindmap-jason-mcdaniel-hci-550-healthcare-policy-and-inno?fullscreen=1 During Presidential and Congressional elections, and in Congress, there has been significant coverage of the political parties’ policies and platforms on healthcare.  In this assignment you will compare and contrast the healthcare policies and platforms of two U.S. political parties: Democrat, Republican, Libertarian, or Green Party, in the context of the Affordable Care Act, Medicaid, and Medicare, PLUS one other healthcare initiative or program (total of 4). Requirements Choose two political parties of your choice: Democrat, Republican, Libertarian, or Green Party.  As an Introduction, include a brief historical narrative (a half-page) for each including key platforms on health. Provide one-page for each of the following health initiatives: Medicare, Medicaid, ACA and one other health initiative already enacted (total of 4).  Include for each initiative the following elements: A brief snapshot of the policy/initiative’s history and implementation. Compare and contrast the political position of each party on the policy/initiative. Identify impacted populations, include proponents and opponents (generic stakeholders) and then identify who they are (specific stakeholders).  Who supported or opposed the policy/initiative? Discuss financing/cost(s) for the current and future policies and programs for each. What are the financial implications – BE SPECIFIC. Highlight proposed policy changes for each, and any proposed time frames to implement them. Based on your research of the parties’ healthcare policies/platforms, provide a one-page summary that compares and contrasts each party’s viewpoints with your own. This Summary will be posted in the next module and will become your initial post for the Discussion Board assignment. Use correct grammar, punctuation, and spelling. Include a reference page, use  APA (7th ed.) format for references both in-text and on the reference page. Include all criteria outlined in Grading Rubric for this assignment   Note: Your submission should be six (6) pages not including your cover page and reference page.  “Unable to locate the data” is not a satisfactory response and will result in a reduction of points for the assignment.      30 points.    

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