Arizona 57th Legislature - Second Regular Session Status: In Committee 4 R cosponsors

SB 1611 — American Indian health program; administration

Last action — DPA

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

This bill died with 57th Legislature - Second Regular Session. It reached “In Committee” 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.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment.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

214 added · 153 removed

Plain-language change summary

The updated version of Senate Bill 1611 specifies that starting October 1, 2027, the administration will contract with a qualified organization to manage the American Indian health program, excluding services provided through tribal health programs. It clarifies that the administration maintains ultimate responsibility for the program and cannot remove it as a fee-for-service option for eligible members. These changes are important because they emphasize the necessary protections for American Indian health services and ensure that eligible individuals continue to have access to needed health care options.

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Fifty-seventh Legislature Health and Human Services Second Regular Session S.B.
Senate Engrossed American Indian health program;
1611 PROPOSED SENATE AMENDMENTS TO S.B.
administration State of Arizona Senate Fifty-seventh Legislature Second Regular Session SENATE BILL 1611 AN ACT AMENDING TITLE 36, CHAPTER 29, ARTICLE 1, ARIZONA REVISED STATUTES, BY ADDING SECTION 36-2903.18;
1611 (Reference to printed bill) Amendment instruction key:
RELATING TO THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM.
[GREEN UNDERLINING IN BRACKETS] indicates text added to statute or previously enacted session law.
(TEXT OF BILL BEGINS ON NEXT PAGE) - i - S.B.
[Green underlining in brackets] indicates text added to new session law or text restoring existing law.
1611 Be it enacted by the Legislature of the State of Arizona:
[GREEN STRIKEOUT IN BRACKETS] indicates new text removed from statute or previously enacted session law.
[Green strikeout in brackets] indicates text removed from existing statute, previously enacted session law or new session law.
<<Green carets>> 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:
administrative services organization;
duties;
office of tribal relations;
BEGINNING OCTOBER 1, 2027, THE ADMINISTRATION SHALL CONTRACT WITH A QUALIFIED CONTRACTOR OR OTHER QUALIFIED ENTITY TO SERVE AS THE ADMINISTRATIVE SERVICES ORGANIZATION AND TO PERFORM [PROGRAM INTEGRITY AND CARE MANAGEMENT] [THE] FUNCTIONS [PRESCRIBED IN SUBSECTION H OF THIS SECTION] FOR MEMBERS ENROLLED IN THE AMERICAN INDIAN HEALTH PROGRAM[, NOT INCLUDING SERVICES PROVIDED TO AMERICAN INDIAN OR ALASKA NATIVE MEMBERS THROUGH THE INDIAN HEALTH SERVICE OR A TRIBAL FACILITY].
BEGINNING OCTOBER 1, 2027, THE ADMINISTRATION SHALL CONTRACT WITH A QUALIFIED CONTRACTOR OR OTHER QUALIFIED ENTITY TO SERVE AS THE ADMINISTRATIVE SERVICES ORGANIZATION AND TO PERFORM THE FUNCTIONS PRESCRIBED IN SUBSECTION I OF THIS SECTION FOR MEMBERS ENROLLED IN THE AMERICAN INDIAN HEALTH PROGRAM, NOT INCLUDING SERVICES PROVIDED TO AMERICAN INDIAN OR ALASKA NATIVE MEMBERS THROUGH A TRIBAL HEALTH PROGRAM.
THE ADMINISTRATION SHALL RETAIN ULTIMATE RESPONSIBILITY FOR ADMINISTERING THE AMERICAN INDIAN HEALTH PROGRAM, INCLUDING FEE‑FOR‑SERVICE RATE SETTING[, CLAIMS PAYMENT AUTHORITY] AND OVERSIGHT OF ANY ADMINISTRATIVE SERVICES ORGANIZATION CONTRACTOR, AND MAY NOT ELIMINATE THE AMERICAN INDIAN HEALTH PROGRAM AS A FEE‑FOR‑SERVICE OPTION FOR ELIGIBLE AMERICAN INDIAN AND ALASKA NATIVE MEMBERS.
THE ADMINISTRATION SHALL RETAIN ULTIMATE RESPONSIBILITY FOR ADMINISTERING THE AMERICAN INDIAN HEALTH PROGRAM, INCLUDING FEE‑FOR‑SERVICE RATE SETTING AND OVERSIGHT OF ANY ADMINISTRATIVE SERVICES ORGANIZATION CONTRACTOR, AND MAY NOT ELIMINATE THE AMERICAN INDIAN HEALTH PROGRAM AS A FEE‑FOR‑SERVICE OPTION FOR ELIGIBLE AMERICAN INDIAN AND ALASKA NATIVE MEMBERS.
AS PART OF ANY REQUEST FOR PROPOSALS ISSUED BY THE ADMINISTRATION FOR AN ADMINISTRATIVE SERVICES ORGANIZATION PURSUANT TO THIS SECTION, THE ADMINISTRATION SHALL REQUIRE EACH OFFEROR TO DEMONSTRATE A PROVEN HISTORY OF COMPETENCY AND EXPERIENCE IN PROVIDING ROBUST CASE MANAGEMENT AND COMPASSIONATE, QUALITY AND COMPLIANT SERVICES TO AMERICAN INDIAN AND ALASKA NATIVE POPULATIONS AND IN COORDINATING WITH TRIBAL HEALTH PROGRAMS.
D.
NOT LATER THAN THIRTY DAYS AFTER THE EFFECTIVE DATE OF THIS SECTION, THE DIRECTOR SHALL REQUEST ANY NECESSARY APPROVALS FROM THE Senate Amendments to S.B.
THE ADMINISTRATION SHALL COMPLETE MEANINGFUL AND TIMELY TRIBAL CONSULTATION AND URBAN CONFER REGARDING THE IMPLEMENTATION OF THIS SECTION AND, WITHIN THIRTY DAYS AFTER COMPLETING THE TRIBAL CONSULTATION AND URBAN CONFER, SHALL SUBMIT ANY STATE PLAN AMENDMENT OR WAIVER TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
1611 CENTERS FOR MEDICARE AND MEDICAID SERVICES TO IMPLEMENT THIS SECTION AND TO QUALIFY FOR FEDERAL MONIES AVAILABLE UNDER TITLE XIX OF THE SOCIAL SECURITY ACT OR THE SECTION 1115 WAIVER.
(a) THE ADMINISTRATION SHALL PRESENT THE PROPOSED PROCUREMENT STRATEGY, MINIMUM QUALIFICATIONS AND EVALUATION FACTORS TO THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES.
(a) THE ADMINISTRATION SHALL TRANSMIT THE PROPOSED PROCUREMENT STRATEGY, MINIMUM QUALIFICATIONS AND EVALUATION FACTORS TO THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES.
(b) THE ADMINISTRATION SHALL RECEIVE AND [THOUGHTFULLY] CONSIDER [AND MAY RESPOND TO] WRITTEN AND ORAL COMMENTS FROM COMMITTEE MEMBERS AND THE PUBLIC, INCLUDING TRIBAL GOVERNMENTS, INDIAN HEALTH CARE PROVIDERS AND URBAN INDIAN ORGANIZATIONS.
(b) THE ADMINISTRATION SHALL RECEIVE, THOUGHTFULLY CONSIDER AND MEANINGFULLY AND TIMELY RESPOND TO WRITTEN AND ORAL COMMENTS FROM - 1 - S.B.
D.
1611 COMMITTEE MEMBERS AND THE PUBLIC, INCLUDING TRIBAL GOVERNMENTS, INDIAN HEALTH CARE PROVIDERS AND URBAN INDIAN ORGANIZATIONS.
NOTWITHSTANDING ANY LAW TO THE CONTRARY, FOR EACH PROCUREMENT DESCRIBED IN SUBSECTION C OF THIS SECTION:
E.
NOTWITHSTANDING ANY LAW TO THE CONTRARY, FOR EACH PROCUREMENT DESCRIBED IN SUBSECTION D OF THIS SECTION:
THE [CHAIRPERSONS] [PRESIDENT] OF THE SENATE AND [THE SPEAKER OF THE] HOUSE OF REPRESENTATIVES [HEALTH AND HUMAN SERVICES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES, MAY EACH DESIGNATE ONE MEMBER OF THEIR RESPECTIVE COMMITTEE TO SERVE AS A] [SHALL EACH APPOINT ELEVEN] NONVOTING [OBSERVER] [OBSERVERS WHO ARE MEMBERS OF DIFFERENT FEDERALLY RECOGNIZED INDIAN TRIBES] TO THE SOURCE‑SELECTION EVALUATION COMMITTEE CONVENED BY THE ADMINISTRATION.
EACH FEDERALLY RECOGNIZED INDIAN TRIBE IN THIS STATE MAY APPOINT ONE NONVOTING OBSERVER TO THE SOURCE‑SELECTION EVALUATION COMMITTEE CONVENED BY THE ADMINISTRATION.
EACH OBSERVER MUST BE A MEMBER OF A DIFFERENT FEDERALLY RECOGNIZED INDIAN TRIBE IN THIS STATE.
THE NONVOTING OBSERVERS DESIGNATED PURSUANT TO PARAGRAPH 1 OF THIS SUBSECTION MAY ATTEND EVALUATION MEETINGS AND REVIEW MATERIALS SUBMITTED BY OFFERORS BUT MAY NOT SCORE PROPOSALS, PARTICIPATE IN FINAL RANKING OR MAKE OR DIRECT AN AWARD DECISION.
THE TWENTY-TWO NONVOTING TRIBAL MEMBER OBSERVERS DESIGNATED PURSUANT TO PARAGRAPH 1 OF THIS SUBSECTION MAY ATTEND EVALUATION MEETINGS, REVIEW MATERIALS SUBMITTED BY OFFERORS, ASK QUESTIONS AND MAKE STATEMENTS DURING THE EVALUATION MEETINGS BUT MAY NOT SCORE PROPOSALS, PARTICIPATE IN FINAL RANKING OR MAKE OR DIRECT AN AWARD DECISION.
E.
NOTWITHSTANDING ANY LAW TO THE CONTRARY, AFTER THE COMPLETION OF PROPOSAL EVALUATIONS AND BEFORE THE EXECUTION OF ANY CONTRACT DESCRIBED IN SUBSECTION A OF THIS SECTION, THE ADMINISTRATION SHALL TRANSMIT AND PRESENT TO THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES, A SUMMARY OF EVALUATION RESULTS AND THE PROPOSED AWARD RECOMMENDATION.
NOTWITHSTANDING ANY LAW TO THE CONTRARY, AFTER THE COMPLETION OF PROPOSAL EVALUATIONS AND BEFORE THE EXECUTION OF ANY CONTRACT DESCRIBED IN SUBSECTION A OF THIS SECTION, THE ADMINISTRATION SHALL TRANSMIT TO THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN SERVICES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES, A SUMMARY OF EVALUATION RESULTS AND THE PROPOSED AWARD RECOMMENDATION.
G.
TRANSFER SOURCE-SELECTION OR CONTRACT-AWARD AUTHORITY FROM THE ADMINISTRATION TO THE LEGISLATURE[,] [OR] ANY LEGISLATIVE COMMITTEE [OR ANY TRIBAL GOVERNMENT].
TRANSFER SOURCE-SELECTION OR CONTRACT-AWARD AUTHORITY FROM THE ADMINISTRATION TO THE LEGISLATURE, ANY LEGISLATIVE COMMITTEE OR ANY TRIBAL GOVERNMENT.
G.
H.
-2- Senate Amendments to S.B.
3.
1611 3.
H.
I.
ANY ENTITY THAT IS PROCURED PURSUANT TO THIS SECTION TO PERFORM PROGRAM INTEGRITY[,] [OR] CARE MANAGEMENT[, PROVIDER SUPPORT, QUALITY IMPROVEMENT AND DATA ANALYTICS] FUNCTIONS [AND CLAIMS PAYMENT] FOR THE AMERICAN INDIAN HEALTH PROGRAM SHALL BE ORGANIZED AND OPERATED AS A QUALIFIED CONTRACTOR.
ANY ENTITY THAT IS PROCURED PURSUANT TO THIS SECTION TO PERFORM PROGRAM INTEGRITY, CARE MANAGEMENT, PROVIDER SUPPORT, QUALITY IMPROVEMENT AND DATA ANALYTICS FUNCTIONS AND CLAIMS PAYMENT FOR THE AMERICAN INDIAN HEALTH PROGRAM SHALL BE ORGANIZED AND OPERATED AS A QUALIFIED CONTRACTOR.
[THE ADMINISTRATIVE SERVICES ORGANIZATION'S PERFORMANCE OF PROGRAM INTEGRITY FUNCTIONS DOES NOT SUPERSEDE THE DUTIES AND RESPONSIBILITIES OF THE ADMINISTRATION'S OFFICE OF INSPECTOR GENERAL TO INVESTIGATE FRAUD.] I.
THE ADMINISTRATIVE SERVICES ORGANIZATION'S PERFORMANCE OF PROGRAM INTEGRITY FUNCTIONS DOES NOT SUPERSEDE THE DUTIES AND RESPONSIBILITIES OF THE ADMINISTRATION'S OFFICE OF INSPECTOR GENERAL TO INVESTIGATE FRAUD.
- 2 - S.B.
1611 J.
Show all 91 changed rows (51 more)
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THE ADMINISTRATIVE SERVICES ORGANIZATION AND THE ADMINISTRATION SHALL ESTABLISH A STREAMLINED PROVIDER SCREENING AND REGISTRATION PROCESS TO ENSURE THAT ONLY QUALIFIED PROVIDERS ARE ISSUED A VALID ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM PROVIDER IDENTIFICATION NUMBER.
THE ADMINISTRATIVE SERVICES ORGANIZATION MAY NOT REQUIRE ANY ADDITIONAL PROVIDER REGISTRATION.
THIS SUBSECTION DOES NOT PROHIBIT THE ADMINISTRATION OR THE ADMINISTRATIVE SERVICES ORGANIZATION FROM MONITORING PROVIDERS TO ENSURE COMPLIANCE WITH APPLICABLE LAWS, RULES AND POLICIES.
K.
THE ADMINISTRATIVE SERVICES ORGANIZATION IS PROHIBITED FROM REQUIRING PRIOR AUTHORIZATION FOR ANY SERVICES BEING PROVIDED TO AN AMERICAN INDIAN HEALTH PROGRAM MEMBER WHEN THE MEMBER IS BEING REFERRED FROM A TRIBAL HEALTH PROGRAM TO A NONTRIBAL HEALTH PROVIDER OR FACILITY.
THE ADMINISTRATION AND THE ADMINISTRATIVE SERVICES ORGANIZATION MAY NOT REQUIRE PRIOR AUTHORIZATION FOR ANY SERVICES BEING PROVIDED TO AN AMERICAN INDIAN HEALTH PROGRAM MEMBER BY A NONTRIBAL HEALTH PROVIDER OR FACILITY IN A MANNER THAT IS DIFFERENT FROM THE ADMINISTRATION'S POLICY IN EFFECT ON JANUARY 1, 2026.
ANY CHANGES TO PRIOR AUTHORIZATION REQUIREMENTS OR POLICY THAT AFFECT THE AMERICAN INDIAN HEALTH PROGRAM MAY NOT BE IMPLEMENTED UNTIL AFTER THE QUARTERLY TRIBAL CONSULTATION REQUIRED BY SUBSECTION N OF THIS SECTION.
L.
THE ADMINISTRATIVE SERVICES ORGANIZATION:
1.
SHALL CONDUCT ITS DUTIES IN A MANNER THAT IS CORRECTIVE IN NATURE, EFFICIENT, COMPETENT, STATE-OF-THE-ART AND CULTURALLY INFORMED.
2.
IF AN AMERICAN INDIAN HEALTH PROGRAM MEMBER RECEIVES SERVICES FROM A NONTRIBAL HEALTH PROGRAM PURSUANT TO A REFERRAL FROM A TRIBAL HEALTH PROGRAM, SHALL:
(a) WHEN APPROPRIATE, COORDINATE CARE MANAGEMENT AND UTILIZATION MANAGEMENT ACTIVITIES WITH THE TRIBAL HEALTH PROGRAMS.
(b) FACILITATE COMMUNICATION REGARDING REFERRALS, AUTHORIZATIONS AND CLAIMS PROCESSING AND PAYMENT ISSUES.
3.
MAY NOT INTERFERE WITH OR OVERRIDE THE CLINICAL DETERMINATIONS OR CARE MANAGEMENT DECISIONS OF THE REFERRING TRIBAL HEALTH PROGRAM.
M.
THE ADMINISTRATIVE SERVICES ORGANIZATION SHALL ESTABLISH AN OFFICE OF TRIBAL RELATIONS, WHICH SHALL:
1.
COORDINATE AND COMMUNICATE WITH THE FEDERALLY RECOGNIZED INDIAN TRIBES IN THIS STATE, TRIBAL MEMBERS AND TRIBAL HEALTH PROGRAMS.
2.
SERVE AS THE PRIMARY POINT OF CONTACT BETWEEN THE ADMINISTRATIVE SERVICES ORGANIZATION AND TRIBAL GOVERNMENTS AND TRIBAL HEALTH PROGRAMS.
3.
PARTICIPATE IN TRIBAL CONSULTATION AND STAKEHOLDER MEETINGS AS REQUESTED BY TRIBAL GOVERNMENTS OR THE ADMINISTRATION.
N.
THE ADMINISTRATION AND THE ADMINISTRATIVE SERVICES ORGANIZATION SHALL CONSULT QUARTERLY WITH THE GOVERNOR OR THE GOVERNOR'S DESIGNEE, TRIBAL HEALTH PROGRAMS, REPRESENTATIVES OF THE FEDERALLY RECOGNIZED INDIAN TRIBES IN THIS STATE, ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM PROVIDERS AND AMERICAN INDIAN HEALTH PROGRAM MEMBERS TO EVALUATE THE - 3 - S.B.
1611 PERFORMANCE OF THE ADMINISTRATIVE SERVICES ORGANIZATION AND DATA ANALYTICS GATHERED FROM THE PRECEDING QUARTER BY THE PARTIES TO ENSURE THAT TRIBAL MEMBERS ARE RECEIVING QUALITY, SAFE AND APPROPRIATE CARE.
O.
"ADMINISTRATIVE SERVICES ORGANIZATION" MEANS A MEDICAID MANAGED CARE ORGANIZATION THAT IS A QUALIFIED CONTRACTOR OR OTHER QUALIFIED ENTITY THAT CONTRACTS WITH THE ADMINISTRATION TO PERFORM ADMINISTRATIVE FUNCTIONS, INCLUDING PROGRAM INTEGRITY, CARE MANAGEMENT, PROVIDER [NETWORK] SUPPORT, QUALITY IMPROVEMENT[,] [AND] DATA ANALYTICS [AND CLAIMS PAYMENT].
"ADMINISTRATIVE SERVICES ORGANIZATION" MEANS A MEDICAID MANAGED CARE ORGANIZATION THAT IS A QUALIFIED CONTRACTOR OR OTHER QUALIFIED ENTITY THAT CONTRACTS WITH THE ADMINISTRATION TO PERFORM ADMINISTRATIVE FUNCTIONS, INCLUDING PROGRAM INTEGRITY, CARE MANAGEMENT, PROVIDER SUPPORT, QUALITY IMPROVEMENT, DATA ANALYTICS AND CLAIMS PAYMENT.
"AMERICAN INDIAN HEALTH PROGRAM"[:
"AMERICAN INDIAN HEALTH PROGRAM":
(a)] MEANS THE FEE‑FOR‑SERVICE PROGRAM OPERATED BY THE ADMINISTRATION FOR ELIGIBLE AMERICAN INDIAN AND ALASKA NATIVE MEMBERS AS REQUIRED UNDER FEDERAL LAW TO PRESERVE A FEE‑FOR‑SERVICE OPTION FOR AMERICAN INDIAN AND ALASKA NATIVE BENEFICIARIES.
(a) MEANS THE FEE‑FOR‑SERVICE PROGRAM OPERATED BY THE ADMINISTRATION FOR ELIGIBLE AMERICAN INDIAN AND ALASKA NATIVE MEMBERS AS REQUIRED UNDER FEDERAL LAW TO PRESERVE A FEE‑FOR‑SERVICE OPTION FOR AMERICAN INDIAN AND ALASKA NATIVE BENEFICIARIES.
[(b) DOES NOT INCLUDE SERVICES PROVIDED TO AMERICAN INDIAN OR ALASKA NATIVE MEMBERS THROUGH THE INDIAN HEALTH SERVICE OR A TRIBAL FACILITY.
(b) DOES NOT INCLUDE SERVICES PROVIDED TO AMERICAN INDIAN OR ALASKA NATIVE MEMBERS THROUGH A TRIBAL HEALTH PROGRAM.
(c) COMMUNICATION OF PROGRAM POLICIES, PROCEDURES AND UPDATES.] [3.] [7.] "QUALIFIED CONTRACTOR" OR "OTHER QUALIFIED ENTITY" MEANS AN ENTITY THAT MEETS ALL APPLICABLE FEDERAL AND STATE REQUIREMENTS TO CONTRACT WITH THE ADMINISTRATION AS A MEDICAID MANAGED CARE ORGANIZATION, ADMINISTRATIVE SERVICES ORGANIZATION OR SIMILAR ENTITY.
(c) COMMUNICATION OF PROGRAM POLICIES, PROCEDURES AND UPDATES.
[8.
7.
"QUALITY IMPROVEMENT" MEANS MEASURING, MONITORING AND IMPROVING THE QUALITY, SAFETY AND OUTCOMES OF HEALTH CARE SERVICES.] -3- Senate Amendments to S.B.
"QUALIFIED CONTRACTOR" OR "OTHER QUALIFIED ENTITY" MEANS AN ENTITY THAT MEETS ALL APPLICABLE FEDERAL AND STATE REQUIREMENTS TO CONTRACT WITH THE ADMINISTRATION AS A MEDICAID MANAGED CARE ORGANIZATION, ADMINISTRATIVE SERVICES ORGANIZATION OR SIMILAR ENTITY.
1611 Sec.
8.
"QUALITY IMPROVEMENT" MEANS MEASURING, MONITORING AND IMPROVING THE QUALITY, SAFETY AND OUTCOMES OF HEALTH CARE SERVICES.
9.
"TRIBAL HEALTH PROGRAM" MEANS ANY OF THE FOLLOWING:
(a) A TRIBAL FACILITY THAT IS OPERATED BY AN INDIAN TRIBE OR TRIBAL ORGANIZATION AND THAT IS AUTHORIZED TO PROVIDE SERVICES PURSUANT TO PUBLIC LAW 93-638, AS AMENDED.
(b) ANY HEALTH CARE PROVIDER OR FACILITY THAT IS OPERATED BY THE INDIAN HEALTH SERVICE.
(c) A TRIBAL HEALTH PROGRAM OR FACILITY THAT IS OPERATED BY A FEDERALLY RECOGNIZED INDIAN TRIBE IN THIS STATE.
(d) ANY HEALTH CARE PROVIDER OR FACILITY THAT IS OWNED, OPERATED OR GOVERNED BY A FEDERALLY RECOGNIZED INDIAN TRIBE IN THIS STATE.
(e) A TRIBAL REGIONAL BEHAVIORAL HEALTH AUTHORITY.
- 4 - S.B.
1611 (f) AN URBAN INDIAN ORGANIZATION THAT IS CONTRACTED OR THAT RECEIVES GRANTS TO PROVIDE SERVICES PURSUANT TO 25 UNITED STATES CODE CHAPTER 18.
(g) A TRIBAL HEALTH FACILITY THAT IS OPERATED UNDER AN INTERGOVERNMENTAL AGREEMENT BETWEEN TWO OR MORE INDIAN TRIBES IN THIS STATE.
Sec.
Enroll and engross to conform Amend title to conform CARINE WERNER 1611WERNER2.docx 02/10/2026 2:22 PM C:
- 5 -
MH 130PZIQEO -4-
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Action History

  1. DPA

  2. DPA

  3. Senate Second Reading

  4. Senate First Reading

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 89 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (89)

89 members have not signed on to this bill.

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"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.

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Frequently asked questions

Who sponsors SB 1611?
SB 1611 is sponsored by Thomas "T.J." Shope (Republican), Wendy Rogers (Republican), Hildy Angius (Republican), and Carine Werner (Republican).
What is the current status of SB 1611?
This bill died with 57th Legislature - Second Regular Session. It reached “In Committee” 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 SB 1611?
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