SB1527 Summary

• Sets county contributions for the Arizona Long-Term Care System (ALTCS) for fiscal year 2023-2024, ranging from $0 for Greenlee County to $240,195,400 for Maricopa County, with state treasurer authorized to withhold other state funds if counties fail to pay.

• Appropriates disproportionate share hospital payments totaling $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 directed to state general fund or distributed to counties based on certification amounts.

• Requires county contributions for acute care hospitalization and medical services for fiscal year 2023-2024, ranging from $190,700 for Greenlee County to $15,703,400 for Maricopa County, payable monthly with state treasurer authority to withhold other state payments for non-compliance.

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

• Authorizes continued use of risk contingency rate setting for managed care organizations from the 2010-2011 contract year and permits health services lottery monies to be used for purposes specified in the fiscal year 2023-2024 general appropriations act.