Arizona 57th Legislature - Second Regular Session Status: To Executive 5 R cosponsors
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HB 4145 — 2026-2027; health care.

Last action — Transmit to Governor

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

This bill died with 57th Legislature - Second Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

Vetoed by Governor Katie Hobbs (Democratic) on May 05, 2026.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

12 added · 14 removed

Plain-language change summary

The recent changes to House Bill 4145 mainly involve the removal of the reference title and some introductory details. This simplification makes the bill more focused and easier to read, which is important for ensuring that legislators and the public can quickly understand its purpose. Such adjustments can help streamline discussions and decisions related to healthcare for the 2026-2027 period.

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REFERENCE TITLE:
House Engrossed 2026-2027;
2026-2027;
State of Arizona House of Representatives Fifty-seventh Legislature Second Regular Session HB 4145 Introduced by Representatives Livingston:
State of Arizona House of Representatives Fifty-seventh Legislature Second Regular Session HOUSE BILL 4145 AN ACT AMENDING TITLE 36, CHAPTER 29, ARTICLE 1, ARIZONA REVISED STATUTES, BY ADDING SECTIONS 36-2903.18 AND 36-2903.19;
Carbone, Carter N, Montenegro, Willoughby (with permission of Committee on Rules) AN ACT AMENDING TITLE 36, CHAPTER 29, ARTICLE 1, ARIZONA REVISED STATUTES, BY ADDING SECTIONS 36-2903.18 AND 36-2903.19;
(TEXT OF BILL BEGINS ON NEXT PAGE) - i - HB 4145 Be it enacted by the Legislature of the State of Arizona:
(TEXT OF BILL BEGINS ON NEXT PAGE) - i - H.B.
4145 Be it enacted by the Legislature of the State of Arizona:
THE ADMINISTRATION MAY ACCEPT ASSESSMENTS FROM AN EXCHANGE ESTABLISHED PURSUANT TO 42 UNITED STATES CODE SECTION 18041(c) - 1 - HB 4145 BUT SHALL INDEPENDENTLY VERIFY ELIGIBILITY AND MAKE ELIGIBILITY DETERMINATIONS.
THE ADMINISTRATION MAY ACCEPT ASSESSMENTS FROM AN EXCHANGE ESTABLISHED PURSUANT TO 42 UNITED STATES CODE SECTION 18041(c) - 1 - H.B.
4145 BUT SHALL INDEPENDENTLY VERIFY ELIGIBILITY AND MAKE ELIGIBILITY DETERMINATIONS.
- 2 - HB 4145 D.
- 2 - H.B.
4145 D.
- 3 - HB 4145 (c) CONFIRMATION THAT, EFFECTIVE IMMEDIATELY, THE QUALIFIED HOSPITAL IS NO LONGER QUALIFIED TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS UNDER THE SYSTEM.
- 3 - H.B.
4145 (c) CONFIRMATION THAT, EFFECTIVE IMMEDIATELY, THE QUALIFIED HOSPITAL IS NO LONGER QUALIFIED TO MAKE PRESUMPTIVE ELIGIBILITY DETERMINATIONS UNDER THE SYSTEM.
- 4 - HB 4145 Sec.
- 4 - H.B.
4145 Sec.
- 5 - HB 4145 Sec.
- 5 - H.B.
4145 Sec.
- 6 - HB 4145 C.
- 6 - H.B.
4145 C.
- 7 - HB 4145 Sec.
- 7 - H.B.
4145 Sec.
- 8 - HB 4145 Sec.
- 8 - H.B.
4145 Sec.
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View plain text versions (2)

Action History

  1. Transmit to Governor

  2. Vetoed by Governor

  3. Transmit to House

  4. Senate First Reading

  5. PASSED

  6. PASSED

  7. Transmit to Senate

  8. PASSED

  9. DP

  10. House Second Reading

  11. DP

  12. House First Reading.

Sponsors

Sponsorship breakdown

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1 sponsors · 4 co-sponsors · 88 not signed on · 20 voted No

Sponsors (1)

Co-sponsors (4)

Not signed on (88)

88 members have not signed on to this bill.

Show all 88 →

"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 33 Yea · 20 Nay · 7 Other
Party YeaNayPresentNot Voting
Democrat 02007
Republican 33000
Total 332007
% of votes cast 55%33%0%12%
How each member voted (60)
Member Party Vote
Aaron Márquez Democrat Nay
Alma Hernandez Democrat Nay
Anna Abeytia Democrat Not Voting
Betty J Villegas Democrat Nay
Brian Garcia Democrat Nay
Cesar Aguilar Democrat Not Voting
Christopher Mathis Democrat Nay
Consuelo Hernandez Democrat Nay
Elda Luna-Nájera Democrat Nay
Janeen Connolly Democrat Not Voting
Junelle Cavero Democrat Nay
Kevin Volk Democrat Nay
Lorena Austin Democrat Nay
Lupe Contreras Democrat Nay
Lydia Hernandez Democrat Not Voting
Mae Peshlakai Democrat Not Voting
Mariana Sandoval Democrat Nay
Myron Tsosie Democrat Nay
Nancy Gutierrez Democrat Not Voting
Oscar De Los Santos Democrat Nay
Patty Contreras Democrat Nay
Quantá Crews Democrat Nay
Sarah Liguori Democrat Nay
Seth Blattman Democrat Not Voting
Stacey Travers Democrat Nay
Stephanie Simacek Democrat Nay
Stephanie Stahl Hamilton Democrat Nay
Alexander Kolodin Republican Yea
Beverly Pingerelli Republican Yea
Chris Lopez Republican Yea
Cody Reim Republican Yea
David Livingston Republican Yea
Gail Griffin Republican Yea
James Taylor Republican Yea
Jeff Weninger Republican Yea
John Gillette Republican Yea
Julie Willoughby Republican Yea
Justin Olson Republican Yea
Justin Wilmeth Republican Yea
Khyl Powell Republican Yea
Laurin Hendrix Republican Yea
Leo Biasiucci Republican Yea
Lisa Fink Republican Yea
Lupe Diaz Republican Yea
Matt Gress Republican Yea
Michael Carbone Republican Yea
Michael Way Republican Yea
Michele Peña Republican Yea
Neal Carter Republican Yea
Nick Kupper Republican Yea
Pamela Carter Republican Yea
Quang H Nguyen Republican Yea
Rachel Keshel Republican Yea
Ralph Heap Republican Yea
Selina Bliss Republican Yea
Steve Montenegro Republican Yea
Sylvia Allen Republican Yea
Teresa Martinez Republican Yea
Tony Rivero Republican Yea
Walt Blackman Republican Yea

Official roll call →

Subjects

healthcare health-insurance

Similar bills in other states

Bills in other jurisdictions that match this one by MEANING — title, summary and subject, compared across every state we track. A strong signal the same policy is moving elsewhere.

Pick a bill from “Similar bills” above and click Compare text to see how its language differs from HB 4145.

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 4145?
HB 4145 is sponsored by Julie Willoughby (Republican), Steve Montenegro (Republican), Neal Carter (Republican), Michael Carbone (Republican), and David Livingston (Republican).
What is the current status of HB 4145?
This bill died with 57th Legislature - Second Regular Session. It reached “To Executive” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 4145?
Track HB 4145 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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