SB 1236 — AHCCCS; enrollment verification; presumptive eligibility.

Fifty-seventhSenate LegislatureEngrossed HealthAHCCCS; and Human Services Second Regular Session S.B.

1236enrollment PROPOSEDverification; SENATE AMENDMENTS TO S.B.

1236presumptive (Referenceeligibility. to printed bill) Amendment instruction key:

[GREENState UNDERLININGof INArizona BRACKETS]Senate indicatesFifty-seventh textLegislature addedSecond toRegular statuteSession orSENATE previouslyBILL enacted1236 sessionAN law.ACT AMENDING TITLE 36, CHAPTER 29, ARTICLE 1, ARIZONA REVISED STATUTES, BY ADDING SECTIONS 36-2903.18 AND 36-2903.19;

[GreenRELATING underliningTO inTHE brackets]ARIZONA indicatesHEALTH textCARE addedCOST toCONTAINMENT newSYSTEM. session law or text restoring existing law.

[GREEN(TEXT STRIKEOUTOF INBILL BRACKETS]BEGINS indicatesON newNEXT textPAGE) removed- fromi statute- orS.B. previously enacted session law.

[Green1236 strikeoutBe init brackets]enacted indicatesby textthe removedLegislature fromof existingthe statute,State previouslyof enactedArizona: session law or new session law.

<<GreenSection carets>>1. indicate a section added to the bill.

<<Green strikeout in carets>> indicates a section removed from the bill.

The bill as proposed to be amended is reprinted as follows:

<<Section 1.

Section 20-1384, Arizona Revised Statutes, is amended to read:

20-1384.

Short-term limited duration insurance;

notice;

definitions A.

All policies or certificates [THAT ARE] issued, delivered or renewed in this state for short-term limited duration insurance shall display on the policy's fact page and in any application materials provided in connection with enrollment in such coverage the following federal disclosure in at least fourteen-point type:

Notice This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the affordable care act.

Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of preexisting conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs and mental health and substance use disorder services).

Your policy might also have lifetime or annual dollar limits on health benefits, or both.

If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage.

B.

A health care insurer shall provide notice to the insured before expiration that the policy needs to be renewed or is expiring.

C.

For the purposes of this section:

1.

"Health care insurer" has the same meaning prescribed in section 20-1379.

Senate Amendments to S.B.

1236 2.

"Short-term limited duration insurance" means health insurance coverage that is offered by a health care insurer, that is not subject to state health coverage mandates in this title, that has an expiration date specified in the contract that is less than twelve months [OR THE MAXIMUM DURATION AUTHORIZED UNDER 26 CODE OF FEDERAL REGULATIONS SECTION 54.9801-2, WHICHEVER IS GREATER,] after the original effective date of the contract and, taking into account renewals or extensions, that has a duration of not longer than thirty-six months [OR THE MAXIMUM DURATION AUTHORIZED UNDER 26 CODE OF FEDERAL REGULATIONS SECTION 54.9801-2, WHICHEVER IS GREATER].>> Sec.

2.

quarterly eligibility redetermination;

ON AT LEAST A MONTHLY BASIS, THE ADMINISTRATION SHALLSHALL: RECEIVE AND REVIEW DEATH RECORDS INFORMATION FROM THE DEPARTMENT OF HEALTH SERVICES CONCERNING MEMBERS AND SHALL ADJUST SYSTEM ELIGIBILITY ACCORDINGLY.

1.

RECEIVE AND REVIEW DEATH RECORDS INFORMATION FROM THE DEPARTMENT OF HEALTH SERVICES CONCERNING MEMBERS AND SHALL ADJUST SYSTEM ELIGIBILITY ACCORDINGLY.

2.

REVIEW INFORMATION CONCERNING MEMBERS THAT INDICATES A CHANGE IN CIRCUMSTANCES THAT MAY AFFECT ELIGIBILITY, INCLUDING POTENTIAL CHANGES IN RESIDENCY AS IDENTIFIED BY OUT-OF-STATE ELECTRONIC BENEFIT TRANSFER CARD TRANSACTIONS.

ON AT LEAST A QUARTERLY BASIS, THE ADMINISTRATION SHALL RECEIVEREDETERMINE AND REVIEW INFORMATION FROM THE DEPARTMENTELIGIBILITY OF ECONOMICABLE-BODIED SECURITYADULTS CONCERNINGWHO MEMBERSARE THATELIGIBLE INDICATESPURSUANT ATO CHANGESECTION IN36-2901, CIRCUMSTANCES36-2901.01 THATOR MAY36-2901.07 AFFECTAND ELIGIBILITY,WHO INCLUDINGARE CHANGESNOT TOAMERICAN UNEMPLOYMENTINDIANS BENEFITS, EMPLOYMENT STATUS OR WAGES.ALASKAN NATIVES.

FOR THE PURPOSES OF THE REDETERMINATION PROCESS, THE ADMINISTRATION SHALL RECEIVE AND REVIEW INFORMATION FROM BOTH:

1.