Arizona 57th Legislature - First Regular Session Status: Enacted 1 R cosponsors

SB 1741 — 2025-2026; health care

Last action — Transmit to Governor

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced June 16, 2025. Enacted.

Signed by Governor Katie Hobbs (Democratic) on June 27, 2025.

Prognosis

Advancing 56% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Mixed recorded votes

    3 passed, 3 failed in recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

767 added · 674 removed

Plain-language change summary

In the updated version of SB 1741, cochlear implants have been explicitly included as a health service for eligible individuals aged 21 and older, which could improve accessibility for those who need this form of hearing assistance. The previous draft limited coverage for many related devices, such as hearing aids. Additionally, the new language clarifies definitions and limitations on certain medical services, ensuring that only specific, necessary treatments are covered. These changes are important because they aim to enhance support for individuals with hearing impairments while maintaining a clear framework for what services are included under the health system.

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Senate Engrossed 2025-2026;
House Engrossed Senate Bill 2025-2026;
health care State of Arizona Senate Fifty-seventh Legislature First Regular Session SENATE BILL 1741 AN ACT REPEALING SECTION 36-145, ARIZONA REVISED STATUTES;
health care State of Arizona Senate Fifty-seventh Legislature First Regular Session CHAPTER 239 SENATE BILL 1741 AN ACT REPEALING SECTION 36-145, ARIZONA REVISED STATUTES;
(b) Prosthetic devices do not include hearing aids, dentures, bone-anchored hearing aids or cochlear implants.
(b) (a) Prosthetic devices do not include hearing aids, dentures, OR bone-anchored hearing aids or cochlear implants.
(c) Percussive vests are not covered health and medical services.
(c) (b) Percussive vests are not covered health and medical services.
(d) Durable medical equipment is limited to items covered by medicare.
(d) (c) Durable medical equipment is limited to items covered by medicare.
(e) Nonexperimental transplants do not include pancreas-only transplants.
(e) (d) Nonexperimental transplants do not include pancreas-only transplants.
(f) Bariatric surgery procedures, including laparoscopic and open gastric bypass and restrictive procedures, are not covered health and medical services.
(f) (e) Bariatric surgery procedures, including laparoscopic and open gastric bypass and restrictive procedures, are not covered health and medical services.
3.
SPEECH THERAPY PROVIDED IN AN OUTPATIENT SETTING TO ELIGIBLE PERSONS WHO ARE AT LEAST TWENTY-ONE YEARS OF AGE.
4.
COCHLEAR IMPLANTS TO ELIGIBLE PERSONS WHO ARE AT LEAST TWENTY-ONE YEARS OF AGE.
(b) Subject to approval by the centers for medicare and medicaid services, for persons treated at an Indian health service or tribal facility, adult dental services that are eligible for a federal medical assistance percentage of one hundred percent and that are in excess of the limit prescribed in subdivision (a) of this paragraph.
(b) Subject to approval by the centers for medicare and medicaid services, for persons treated at an Indian health service or tribal facility, adult dental services that are eligible for a federal medical - 9 - S.B.
- 9 - S.B.
1741 assistance percentage of one hundred percent and that are in excess of the limit prescribed in subdivision (a) of this paragraph.
1741 7.
7.
(c) Home health aide, which means a service that provides intermittent health maintenance, continued treatment or monitoring of a health condition and supportive care for activities of daily living provided within a member's residence.
(c) Home health aide, which means a service that provides intermittent health maintenance, continued treatment or monitoring of a - 10 - S.B.
- 10 - S.B.
1741 health condition and supportive care for activities of daily living provided within a member's residence.
1741 (d) Homemaker, which means a service that provides assistance in the performance of activities related to household maintenance within a member's residence.
(d) Homemaker, which means a service that provides assistance in the performance of activities related to household maintenance within a member's residence.
E.
- 12 - S.B.
Notwithstanding subsections A, B, C, F and G of this section, a service may not be provided that does not qualify for federal monies - 12 - S.B.
1741 E.
1741 available under title XIX of the social security act or the section 1115 waiver.
Notwithstanding subsections A, B, C, F and G of this section, a service may not be provided that does not qualify for federal monies available under title XIX of the social security act or the section 1115 waiver.
Only families whose children are under eighteen years of age and who are members who are eligible pursuant to subsection B of this section may be required to have a deductible for services.
Only families whose children are under eighteen years of age and who are members who are eligible pursuant to subsection B of this section may be - 13 - S.B.
For the purposes of this subsection, "deductible" means an amount a family, whose children are - 13 - S.B.
1741 required to have a deductible for services.
1741 under eighteen years of age and who are members who are eligible pursuant to subsection B of this section, pays for services, other than departmental case management and acute care services, before the department will pay for services other than departmental case management and acute care services.
For the purposes of this subsection, "deductible" means an amount a family, whose children are under eighteen years of age and who are members who are eligible pursuant to subsection B of this section, pays for services, other than departmental case management and acute care services, before the department will pay for services other than departmental case management and acute care services.
9.
- 14 - S.B.
"Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month - 14 - S.B.
1741 9.
1741 without regard to the number of members who receive care or the amount of health care services provided to a member.
"Prepaid capitated" means a method of payment by which a contractor delivers health care services for the duration of a contract to a specified number of members based on a fixed rate per member, per month without regard to the number of members who receive care or the amount of health care services provided to a member.
6.
Treatment of medical conditions of the eye, including eye examinations for prescriptive lenses and the provision of prescriptive lenses for members.
1741 7.
1741 6.
Treatment of medical conditions of the eye, including eye examinations for prescriptive lenses and the provision of prescriptive lenses for members.
7.
In addition to an evaluation, the administration acting through regional behavioral health authorities as defined in section 36-3401 shall also identify children who may be eligible under section 36-2901, paragraph 6, subdivision (a) or section 36-2931, paragraph 5 and shall refer the children to the appropriate agency responsible for making the final eligibility determination.
In addition to an evaluation, the administration acting through regional behavioral health authorities as defined in section 36-3401 shall also identify children who may be eligible under section 36-2901, paragraph 6, subdivision (a) or section - 16 - S.B.
1741 36-2931, paragraph 5 and shall refer the children to the appropriate agency responsible for making the final eligibility determination.
Prior authorization is not required - 16 - S.B.
Prior authorization is not required for medically necessary ambulance transportation services rendered to members initiated by dialing telephone number 911 or other designated emergency response systems.
1741 for medically necessary ambulance transportation services rendered to members initiated by dialing telephone number 911 or other designated emergency response systems.
Sec.
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1741 Sec.
- 17 - S.B.
Sec.
1741 Sec.
Each collaborative care technical assistance center applicant must provide in the grant application information on how the collaborative care technical assistance center will meet the assistance requirements prescribed in subsection E of this section in order to be eligible for a grant.
Each collaborative care technical assistance center applicant must provide in the grant application information on how the collaborative - 18 - S.B.
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1741 care technical assistance center will meet the assistance requirements prescribed in subsection E of this section in order to be eligible for a grant.
- 18 - S.B.
1.
1741 1.
Sec.
- 19 - S.B.
1741 Sec.
To qualify for the grant, the health care facility at which the - 19 - S.B.
To qualify for the grant, the health care facility at which the outpatient treatment center for dialysis services will be constructed shall meet all of the following:
1741 outpatient treatment center for dialysis services will be constructed shall meet all of the following:
On or before June 30 of each fiscal year, the department of administration in coordination with the Arizona health care cost containment system shall provide to the governor, the president of the senate, the speaker of the house of representatives, the chairpersons of the health and human services committees of the senate and the house of representatives and the directors of the joint legislative budget committee and the governor's office of strategic planning and budgeting a report on the allocation of grant funding and a compiled analysis of the reports provided by the grant recipient.
On or before June 30 of each fiscal year, the department of administration in coordination with the Arizona health care cost containment system shall provide to the governor, the president of the senate, the speaker of the house of representatives, the chairpersons of the health and human - 20 - S.B.
- 20 - S.B.
1741 services committees of the senate and the house of representatives and the directors of the joint legislative budget committee and the governor's office of strategic planning and budgeting a report on the allocation of grant funding and a compiled analysis of the reports provided by the grant recipient.
1741 D.
D.
The state treasurer shall deposit the amounts withheld pursuant to this subsection and amounts paid pursuant to subsection A of this section in the long-term care system fund established by section 36-2913, Arizona Revised Statutes.
1741 Sec.
1741 The state treasurer shall deposit the amounts withheld pursuant to this subsection and amounts paid pursuant to subsection A of this section in the long-term care system fund established by section 36-2913, Arizona Revised Statutes.
Sec.
3.
Located in a county with a population of at least nine hundred thousand persons.
1741 Sec.
1741 3.
Located in a county with a population of at least nine hundred thousand persons.
Sec.
The state treasurer may not withhold distributions from the Arizona highway user revenue fund pursuant to title 28, chapter 18, article 2, Arizona Revised Statutes.
The state treasurer may not withhold distributions from the Arizona highway - 23 - S.B.
- 23 - S.B.
1741 user revenue fund pursuant to title 28, chapter 18, article 2, Arizona Revised Statutes.
1741 C.
C.
Arizona state board of nursing;
student registered nurse anesthetists;
clinical rotation program;
definitions A.
The student registered nurse anesthetist clinical rotation program is established for fiscal year 2025-2026 in the Arizona state board of nursing to expand the capacity of preceptor training programs at health care institutions for registered nurse anesthetist students.
B.
The Arizona state board of nursing shall develop a grant program for fiscal year 2025-2026 to distribute monies appropriated for fiscal year 2025-2026 in the general appropriations act for the student registered nurse anesthetist clinical rotation program to health care institutions that are licensed pursuant to title 36, chapter 4, Arizona Revised Statutes, to pay for the direct and indirect costs related to expanding or developing clinical training placements for registered nurse anesthetist students, with preference given to expanding or developing - 24 - S.B.
1741 clinical rotations in obstetrics, pediatrics, cardiovascular, thoracic and neurological care.
C.
Grant monies awarded pursuant to this section are intended to supplement and not supplant existing training program expenses covered by the health care institution grantee.
A grant may fund a clinical training placement through an anesthesia provider group contracted with a health care institution, through an authorized preceptor or through a health care institution directly.
Not more than twenty percent of a grant award may be spent on the indirect costs of expanding or developing clinical training placements.
Grant monies shall be distributed to grantees before the expenses for expanding or developing clinical rotations are incurred.
The grantees shall return all monies to the Arizona state board of nursing that are not spent on the direct and indirect costs related to expanding or developing clinical rotations.
D.
The Arizona state board of nursing shall establish an application process for the grant program.
The Arizona state board of nursing shall consider the following factors when determining grant awards:
1.
The geographic and population distribution.
2.
The number of registered nurse anesthetist students expected to be trained and retained.
3.
The cost of the proposal for the number of registered nurse anesthetist students expected to participate and be retained compared to other proposals.
E.
For the purposes of this section:
1.
"Authorized preceptor" means a certified registered nurse anesthetist or physician anesthesiologist that provides a preceptorship in an operating room that allows a student registered nurse anesthetist to meet the council on accreditation of nurse anesthesia educational program requirements.
2.
"Health care institution" has the same meaning prescribed in section 36-401, Arizona Revised Statutes.
Sec.
17.
AHCCCS;
mental health medication utilization;
report;
definition A.
Not later than January 31, 2026, the Arizona health care cost containment system administration shall prepare and issue a report to the governor, the chairpersons of the house of representatives and senate health and human services committees, or their successor committees, the director of the joint legislative budget committee and the director of the governor's office of strategic planning and budgeting that includes information about the costs and aggregate spending on and aggregate utilization of mental health medications during contract year 2023-2024.
The administration shall provide a copy of the report to the secretary of state.
- 25 - S.B.
1741 B.
The report required by subsection A of this section shall include the annual aggregate gross amount spent for each mental health medication class and the annual aggregate net amount spent by this state for each mental health medication class after rebates without disclosing any information about manufacturer-negotiated supplemental rebate agreements for any specific drug.
The report shall also include the average annual cost by class for generic and nongeneric mental health medications.
Without disclosing any information about manufacturer-negotiated supplemental rebate agreements that could compromise the competitive or proprietary nature of these agreements, for antipsychotic and antidepressant medications, the report shall include the total number of prior authorizations submitted for nonpreferred antipsychotic and nonpreferred antidepressant medications, the percentage of prior authorization approvals and denials, the generic antipsychotic and generic antidepressant medication utilization percentages and the total amount of antipsychotic and antidepressant medication claims.
C.
For purposes of this section, "mental health medication" means the following medications:
1.
Antipsychotics.
2.
Antidepressants.
3.
Anxiolytics.
4.
Stimulants.
5.
Sedative hypnotics.
Sec.
18.
17.
19.
18.
20.
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- 26 - S.B.
19.
21.
20.
22.
21.
23.
The legislature further finds that if the Arizona health care cost containment system wished to submit demonstration waiver amendments for this or similar coverage on or after April 24, 2025, similar changes to the changes made in section 36-2907, Arizona Revised Statutes, as amended by this act, relating to traditional healing services and prerelease services would comply with the requirements of section 36-3302, Arizona Revised Statutes, as added by Laws 2025, chapter 93, section 2,.
The legislature further finds that if the Arizona health care cost containment system wished to submit demonstration waiver amendments for this or similar coverage on or after April 24, 2025, similar changes to the changes made in section 36-2907, Arizona Revised Statutes, as amended by this act, relating to traditional healing services and prerelease services would comply with the requirements of section 36-3302, Arizona Revised Statutes, as added by Laws 2025, chapter 93, section 2.
22.
24.
- 25 - S.B.
- 27 - S.B.
23.
25.
24.
26.
- 26 -
APPROVED BY THE GOVERNOR JUNE 27, 2025.
FILED IN THE OFFICE OF THE SECRETARY OF STATE JUNE 27, 2025.
- 28 -
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Action History

  1. Transmit to Governor

  2. Transmit to Senate

  3. Signed by Governor

  4. PASSED

  5. PASSED

  6. House Second Reading

  7. PASSED

  8. FAILED

  9. FAILED

  10. DPA

  11. PASSED

  12. House First Reading.

  13. Transmit to House

  14. PASSED

  15. DPA

  16. Senate Second Reading

  17. DP

  18. Senate First Reading

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 92 not signed on · 65 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (92)

92 members have not signed on to this bill.

Show all 92 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed

Passed 21 Yea · 8 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 6700
Republican 15101
Total 21801
% of votes cast 70%27%0%3%
How each member voted (30)
Member Party Vote
Analise Ortiz Democrat Nay
Brian Fernandez Democrat Yea
Catherine Miranda Democrat Nay
Denise “Mitzi” Epstein Democrat Nay
Eva Diaz Democrat Nay
Flavio Bravo Democrat Yea
Kiana Sears Democrat Yea
Lauren Kuby Democrat Yea
Lela Alston Democrat Yea
Priya Sundareshan Democrat Nay
Rosanna Gabaldón Democrat Yea
Sally Ann Gonzales Democrat Nay
Theresa Hatathlie Democrat Nay
Carine Werner Republican Yea
David C. Farnsworth Republican Yea
David Gowan Republican Yea
Frank Carroll Republican Yea
Hildy Angius Republican Yea
J.D. Mesnard Republican Yea
Jake Hoffman Republican Nay
Janae Shamp Republican Yea
John Kavanagh Republican Yea
Kevin Payne Republican Yea
Mark Finchem Republican Yea
Shawnna Bolick Republican Yea
Thomas "T.J." Shope Republican Not Voting
Timothy "Tim" Dunn Republican Yea
Venden "Vince" Leach Republican Yea
Warren Petersen Republican Yea
Wendy Rogers Republican Yea

Official roll call →

Passed

Passed 43 Yea · 13 Nay · 4 Other
Party YeaNayPresentNot Voting
Democrat 23400
Republican 20904
Total 431304
% of votes cast 72%22%0%7%
How each member voted (60)
Member Party Vote
Aaron Márquez Democrat Yea
Alma Hernandez Democrat Nay
Anna Abeytia Democrat Yea
Betty J Villegas Democrat Yea
Brian Garcia Democrat Yea
Cesar Aguilar Democrat Yea
Christopher Mathis Democrat Yea
Consuelo Hernandez Democrat Nay
Elda Luna-Nájera Democrat Nay
Janeen Connolly Democrat Yea
Junelle Cavero Democrat Yea
Kevin Volk Democrat Yea
Lorena Austin Democrat Yea
Lupe Contreras Democrat Yea
Lydia Hernandez Democrat Nay
Mae Peshlakai Democrat Yea
Mariana Sandoval Democrat Yea
Myron Tsosie Democrat Yea
Nancy Gutierrez Democrat Yea
Oscar De Los Santos Democrat Yea
Patty Contreras Democrat Yea
Quantá Crews Democrat Yea
Sarah Liguori Democrat Yea
Seth Blattman Democrat Yea
Stacey Travers Democrat Yea
Stephanie Simacek Democrat Yea
Stephanie Stahl Hamilton Democrat Yea
Alexander Kolodin Republican Nay
Beverly Pingerelli Republican Nay
Chris Lopez Republican Yea
David Livingston Republican Yea
David Marshall, Sr. Republican Nay
Gail Griffin Republican Yea
James Taylor Republican Yea
Jeff Weninger Republican Yea
John Gillette Republican Yea
Joseph Chaplik Republican Nay
Julie Willoughby Republican Yea
Justin Olson Republican Nay
Justin Wilmeth Republican Yea
Khyl Powell Republican Yea
Laurin Hendrix Republican Not Voting
Leo Biasiucci Republican Not Voting
Lisa Fink Republican Nay
Lupe Diaz Republican Yea
Matt Gress Republican Not Voting
Michael Carbone Republican Yea
Michael Way Republican Nay
Michele Peña Republican Yea
Neal Carter Republican Yea
Nick Kupper Republican Not Voting
Pamela Carter Republican Yea
Quang H Nguyen Republican Yea
Rachel Keshel Republican Nay
Ralph Heap Republican Nay
Selina Bliss Republican Yea
Steve Montenegro Republican Yea
Teresa Martinez Republican Yea
Tony Rivero Republican Yea
Walt Blackman Republican Yea

Official roll call →

failed to pass

Failed 10 Yea · 40 Nay · 10 Other
Party YeaNayPresentNot Voting
Democrat 02304
Republican 101706
Total 1040010
% of votes cast 17%67%0%17%
How each member voted (60)
Member Party Vote
Aaron Márquez Democrat Nay
Alma Hernandez Democrat Not Voting
Anna Abeytia Democrat Nay
Betty J Villegas Democrat Nay
Brian Garcia Democrat Nay
Cesar Aguilar Democrat Nay
Christopher Mathis Democrat Nay
Consuelo Hernandez Democrat Not Voting
Elda Luna-Nájera Democrat Nay
Janeen Connolly Democrat Nay
Junelle Cavero Democrat Nay
Kevin Volk Democrat Nay
Lorena Austin Democrat Nay
Lupe Contreras Democrat Nay
Lydia Hernandez Democrat Not Voting
Mae Peshlakai Democrat Nay
Mariana Sandoval Democrat Nay
Myron Tsosie Democrat Not Voting
Nancy Gutierrez Democrat Nay
Oscar De Los Santos Democrat Nay
Patty Contreras Democrat Nay
Quantá Crews Democrat Nay
Sarah Liguori Democrat Nay
Seth Blattman Democrat Nay
Stacey Travers Democrat Nay
Stephanie Simacek Democrat Nay
Stephanie Stahl Hamilton Democrat Nay
Alexander Kolodin Republican Yea
Beverly Pingerelli Republican Yea
Chris Lopez Republican Nay
David Livingston Republican Nay
David Marshall, Sr. Republican Yea
Gail Griffin Republican Nay
James Taylor Republican Nay
Jeff Weninger Republican Nay
John Gillette Republican Nay
Joseph Chaplik Republican Yea
Julie Willoughby Republican Nay
Justin Olson Republican Yea
Justin Wilmeth Republican Nay
Khyl Powell Republican Yea
Laurin Hendrix Republican Not Voting
Leo Biasiucci Republican Not Voting
Lisa Fink Republican Yea
Lupe Diaz Republican Nay
Matt Gress Republican Not Voting
Michael Carbone Republican Nay
Michael Way Republican Yea
Michele Peña Republican Not Voting
Neal Carter Republican Nay
Nick Kupper Republican Not Voting
Pamela Carter Republican Not Voting
Quang H Nguyen Republican Nay
Rachel Keshel Republican Yea
Ralph Heap Republican Yea
Selina Bliss Republican Nay
Steve Montenegro Republican Nay
Teresa Martinez Republican Nay
Tony Rivero Republican Nay
Walt Blackman Republican Nay

Official roll call →

Passed

Passed 18 Yea · 12 Nay
Party YeaNayPresentNot Voting
Democrat 7600
Republican 11600
Total 181200
% of votes cast 60%40%0%0%
How each member voted (30)
Member Party Vote
Analise Ortiz Democrat Nay
Brian Fernandez Democrat Yea
Catherine Miranda Democrat Nay
Denise “Mitzi” Epstein Democrat Nay
Eva Diaz Democrat Nay
Flavio Bravo Democrat Yea
Kiana Sears Democrat Yea
Lauren Kuby Democrat Yea
Lela Alston Democrat Yea
Priya Sundareshan Democrat Nay
Rosanna Gabaldón Democrat Yea
Sally Ann Gonzales Democrat Nay
Theresa Hatathlie Democrat Yea
Carine Werner Republican Yea
David C. Farnsworth Republican Yea
David Gowan Republican Nay
Frank Carroll Republican Nay
Hildy Angius Republican Yea
J.D. Mesnard Republican Yea
Jake Hoffman Republican Nay
Janae Shamp Republican Nay
John Kavanagh Republican Yea
Kevin Payne Republican Nay
Mark Finchem Republican Yea
Shawnna Bolick Republican Yea
Thomas "T.J." Shope Republican Yea
Timothy "Tim" Dunn Republican Yea
Venden "Vince" Leach Republican Nay
Warren Petersen Republican Yea
Wendy Rogers Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 1741?
SB 1741 is sponsored by John Kavanagh (Republican).
What is the current status of SB 1741?
This bill has been enacted into law. Introduced June 16, 2025. Enacted.
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