AZ SB1139

Applies only to special health care districts in counties with populations of 2 million or more persons.

Requires districts to adopt competitive procurement rules for all services under contract, except intergovernmental agreements and individual medical/nursing professional services, using requests for proposals and ranking systems.

Mandates districts post contract information on their website within 24 hours of award, including solicitation details, bidder names, contract amounts, actual amounts paid, and bidder scores or rankings.

Prohibits districts from leasing general hospitals to non-political subdivisions for two years after receiving special payments.

Establishes that districts must operate general hospitals for the duration of any authorized tax and maintain their primary mission of providing medical education programs, emergency services, and care to the medically underserved.