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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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.

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.

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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 .

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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)

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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

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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.

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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.

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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

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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)

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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

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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

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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.

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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.

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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

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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

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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

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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

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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)

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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 .