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AZ SB1713
Bill
Status
2/27/2026
Primary Sponsor
Thomas Shope
Click for details
AI Summary
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Requires AHCCCS to implement an "Arizona hybrid model" for managed care contracting beginning October 1, 2027, replacing traditional competitive sealed proposals with a performance-based procurement framework
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Establishes a four-year performance and operations phase where contractors are evaluated using a standardized performance rubric with objective, quantitative measures covering claims processing, network adequacy, quality of care, and member experience
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Prohibits any contractor from exceeding 20% of total enrollment in any program through auto-assignment, while allowing the administration to temporarily direct auto-assigned enrollment to new contractors to help them achieve minimum operational viability
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Requires incumbent contractors (those serving programs as of 2026) to be presumed eligible for participation, while nonincumbent contractors must demonstrate financial solvency and at least five years of operational experience
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Limits appeals to the Office of Administrative Hearings to verifying whether AHCCCS correctly applied its published performance rubric, with no further administrative appeal available after that determination
Legislative Description
AHCCCS; procurement; contracting
Procurement
Last Action
House read second time
3/4/2026