HB 2574 Summary

• Establishes county contributions for Arizona Long-Term Care System (ALTCS) for fiscal year 2023-2024, ranging from $0 (Greenlee County) to $240,195,400 (Maricopa County), with state treasurer authorized to collect difference if costs exceed appropriated amounts.

• Sets disproportionate share hospital payments of $113,818,500 for Maricopa County Special Health Care District, $28,474,900 for Arizona State Hospital, and $884,800 for private qualifying hospitals, with federal financial participation distributed to state general fund.

• Requires county contributions for acute care hospitalization and medical services for fiscal year 2023-2024, ranging from $190,700 (Greenlee County) to $15,703,400 (Maricopa County), with state treasurer authorized to withhold from state funding sources if counties fail to pay.

• Excludes county contributions for Proposition 204 administration and competency restoration programs from county expenditure limitations.

• Authorizes continued use of risk contingency rate setting for managed care organizations and administrative funding levels from contract year 2010-2011 for the 2023-2024 contract year.