AZ HB2478

Limits reimbursement rates for counties with populations exceeding one million persons when paying for medical or surgical care to children under juvenile court jurisdiction to the reimbursement methodology established under section 36-2903.01, subsection H, or the capped fee-for-service schedule adopted by the Arizona health care cost containment system administration.

Establishes rate structure for inmate medical services in counties with populations exceeding one million persons, requiring reimbursement for health care services provided outside county jail facilities at rates not exceeding state-established reimbursement methodologies and fee schedules.

Applies the same reimbursement rate limitations to tuberculosis care and treatment provided by counties with populations exceeding one million persons, capping payments at state-established rates for both hospital and health services.

Permits counties to establish alternative reimbursement arrangements through intergovernmental agreements that differ from the statutory rate caps.

Modifies existing law governing child care expenses, inmate medical services, and tuberculosis treatment by implementing standardized reimbursement methodologies across all three areas.