HB 2449 Summary

• Requires AHCCCS to enter into data matching agreements with the Department of Revenue to identify members with lottery or gambling winnings of $3,000 or more and review this information at least monthly.

• Mandates AHCCCS to regularly receive and review death records, unemployment/employment changes, tax records, and out-of-state benefit card transactions to verify ongoing eligibility.

• Prohibits AHCCCS from accepting self-attestation of income, residency, age, household composition, or health insurance coverage without independent verification unless required by federal law.

• Directs AHCCCS to request a Section 1115 waiver to eliminate mandatory hospital presumptive eligibility and restrict it only to children and pregnant women, with resubmission required if denied.

• Establishes standards for hospitals making presumptive eligibility determinations including notifying AHCCCS within five working days, assisting with full applications, and providing clear written notice of coverage deadlines; violations trigger warnings, mandatory staff training, and potential loss of presumptive eligibility authority.