Reference Title: allocation; DHS; immunization services

AN ACT
AMENDING LAWS 1997, CHAPTER 123, SECTION 5, AS AMENDED BY LAWS 1998, CHAPTER 176, SECTION 4; RELATING TO PUBLIC HEALTH EDUCATION.

Be it enacted by the Legislature of the State of Arizona:

Section 1. Laws 1997, chapter 123, section 5, as amended by Laws 1998, chapter 176, section 4, is amended to read:

Sec. 5. Health care fund; education and information programs

A. Subject to the availability of monies and the requirements of this section, the director of the Arizona health care cost containment system administration shall allocate on a one-time basis up to seven million five hundred thousand dollars from the medically needy account of the tobacco tax and health care fund established pursuant to section 42-1241 36-771 , Arizona Revised Statutes, and renumbered as section 36-771, Arizona Revised Statutes, on January 1, 1999, to the department of health services for programs designed to provide education or information on health issues. Programs funded pursuant to this subsection shall:

1. Complement existing medical services expenditures made in this state with monies from the state general fund or the tobacco tax and health care fund by providing health education, information or outreach designed to:

(a) Prevent and reduce the incidence of or ameliorate medical conditions.

(b) Promote awareness of medical services in this state, healthy life-styles or issues clearly related to the provision of publicly financed health care services in this state, such as organ donation or teen pregnancy prevention.

2. Not be designed or funded with the intent to supplant existing expenditures made in this state on a particular health issue.

3. Not be initiated until reviewed by the joint legislative oversight committee on the tobacco tax and health care fund established by section 41-1292.01, Arizona Revised Statutes.

4. Be subject to review or evaluation as determined by the joint legislative oversight committee on the tobacco tax and health care fund.

B. Beginning in fiscal year 1997-1998, the director of the Arizona health care cost containment system administration shall allocate the monies prescribed in this section to the department of health services on an as needed basis and after the department has had program proposals reviewed by the joint legislative oversight committee on the tobacco tax and health care fund and submits funding requirements to the director of the Arizona health care cost containment system administration. Funding provided pursuant to this section is not subject to the provisions of section 35-190, Arizona Revised Statutes, relating to lapsing of appropriations.

C. Notwithstanding subsection B of this section, for fiscal years 1999-2000, 2000-2001 and 2001-2002 the director of the Arizona health care cost containment system administration shall allocate eighty-three thousand dollars annually of the monies prescribed in this section to the department of health services to implement models of integrated services identified by the implementation oversight committee on perinatal substance abuse established pursuant to Laws 1996, chapter 52, section 1. Monies allocated pursuant to this subsection are not subject to the provisions of section 35-190, Arizona Revised Statutes, relating to lapsing of appropriations, except that monies remaining unexpended and unencumbered on July 1, 2002 revert to the tobacco tax and health care fund established pursuant to section 42-1241, Arizona Revised Statutes, and renumbered as section 36-771, Arizona Revised Statutes, on January 1, 1999.

D. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEAR 1999-2000, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE TWO HUNDRED EIGHTY THOUSAND DOLLARS OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES FOR A COMMUNITY IMMUNIZATION SERVICES AND OUTREACH PROGRAM.

E. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEARS 1999-2000 AND 2000-2001, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE THE FOLLOWING AMOUNTS OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES:

1. ONE HUNDRED FORTY-SEVEN THOUSAND SIX HUNDRED DOLLARS EACH FISCAL YEAR FOR IMPLEMENTATION OF THE ARIZONA STATE IMMUNIZATION INFORMATION SYSTEM.

2. FIVE HUNDRED FOURTEEN THOUSAND ONE HUNDRED SEVENTY-TWO DOLLARS IN FISCAL YEAR 1999-2000 AND FOUR HUNDRED SEVENTY-SIX THOUSAND NINE HUNDRED FORTY-THREE DOLLARS IN FISCAL YEAR 2000-2001 FOR OPERATIONAL COSTS OF THE ARIZONA STATE IMMUNIZATION INFORMATION SYSTEM.

F. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEARS 1999-2000 AND 2000-2001, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE THREE HUNDRED FIFTY THOUSAND DOLLARS IN EACH FISCAL YEAR OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES TO ESTABLISH A STATEWIDE SURVEILLANCE AND TARGETED EDUCATION PROGRAM FOR PERSONS WITH THE HEPATITIS C VIRUS.

G. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEAR 1999-2000, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE ONE HUNDRED NINETEEN THOUSAND DOLLARS OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES TO ESTABLISH AN ASTHMA COORDINATION PROGRAM IN THE DEPARTMENT OF HEALTH SERVICES. THE PROGRAM SHALL:

1. DEVELOP ASTHMA PUBLIC EDUCATION AND PREVENTION SERVICES.

2. ENSURE THAT ASTHMA MANAGEMENT BEST PRACTICES ARE DISSEMINATED STATEWIDE.

3. PROVIDE TECHNICAL ASSISTANCE AND TRAINING STATEWIDE.

H. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEARS 1999-2000, 2000-2001, 2001-2002 AND 2002-2003, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE SIX HUNDRED SEVENTY THOUSAND DOLLARS IN EACH FISCAL YEAR OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES FOR STATE MATCH FOR THE FEDERAL TITLE V ABSTINENCE ONLY EDUCATION PROGRAM.

I. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEARS 1999-2000 AND 2000-2001, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE FOUR HUNDRED FIFTY THOUSAND DOLLARS IN EACH FISCAL YEAR OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES FOR THE OSTEOPOROSIS PREVENTION AND TREATMENT EDUCATION PROGRAM.

J. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEARS 1999-2000 AND 2000-2001, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE ONE HUNDRED FIFTY THOUSAND DOLLARS ANNUALLY OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES FOR EFFORTS TO IMPROVE THE EFFECTIVENESS OF EPIDEMIOLOGICAL PROGRAMS AT THE DEPARTMENT, INCLUDING:

1. IMPROVING DISEASE REPORTING, SURVEILLANCE AND INFORMATION DISSEMINATION CAPABILITIES.

2. IMPROVING LINKAGES BETWEEN THE DEPARTMENT OF HEALTH SERVICES, LABORATORIES, PHYSICIANS AND HOSPITALS FOR THE EARLY DETECTION OF DISEASE OF PUBLIC HEALTH IMPORTANCE THAT APPEARS TO BE RESISTANT TO STANDARD DRUG TREATMENT.

3. BETTER COORDINATION AMONG THE DEPARTMENT OF HEALTH SERVICES, LOCAL PUBLIC HEALTH OFFICIALS, THE MEDICAL COMMUNITY, THE STATE LABORATORY AND THE FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION REGARDING OUTBREAK RESPONSES FOR SELECTED DISEASES OF PUBLIC HEALTH IMPORTANCE.

K. NOTWITHSTANDING SUBSECTION B OF THIS SECTION, FOR FISCAL YEARS 1999-2000 AND 2000-2001, THE DIRECTOR OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM ADMINISTRATION SHALL ALLOCATE FOURTEEN THOUSAND DOLLARS IN EACH FISCAL YEAR OF THE MONIES PRESCRIBED IN THIS SECTION TO THE DEPARTMENT OF HEALTH SERVICES FOR PUBLIC HEALTH INFORMATION ACTIVITIES TARGETED TO MEDICALLY UNDERSERVED OR MINORITY POPULATIONS IN ARIZONA. MONIES MADE AVAILABLE PURSUANT TO THIS SUBSECTION SHALL BE USED EXCLUSIVELY FOR PRINTING, ADVERTISING AND OTHER EXPENDITURES RELATED TO PUBLIC INFORMATION DISSEMINATION. THE MONIES SHALL NOT BE USED FOR PERSONAL SERVICES OR EMPLOYEE RELATED EXPENSES. EXPENDITURES MADE PURSUANT TO THIS SUBSECTION SHALL BE DESIGNED TO PROVIDE INFORMATION TO:

1. PREVENT AND REDUCE THE INCIDENCE OF OR AMELIORATE MEDICAL CONDITIONS.

2. PROMOTE AWARENESS OF MEDICAL SERVICES IN THIS STATE, HEALTHY LIFE-STYLES OR ISSUES CLEARLY RELATED TO THE PROVISION OF PUBLICLY FINANCED HEALTH CARE SERVICES IN THIS STATE.

D. L. The director of the department of health services in approving program expenditures pursuant to this section shall fully consider the one-time nature of the monies made available in subsection A of this section. Approval of program funding from the medically needy account's unspent balance pursuant to this section does not constitute a commitment of funding from annual health education account revenues or other state monies after the funding allocated in subsection A of this section has been exhausted.

M. EXCEPT AS OTHERWISE PROVIDED, MONIES ALLOCATED PURSUANT TO THIS SECTION ARE EXEMPT FROM THE PROVISIONS OF SECTION 35-190, ARIZONA REVISED STATUTES, RELATING TO LAPSING OF APPROPRIATIONS.

Sec. 2. Osteoporosis prevention and treatment education program

The department of health services shall establish an osteoporosis prevention and treatment education program. The program shall:

1. Promote osteoporosis prevention and treatment education throughout the state.

2. Emphasize the need for osteoporosis prevention throughout a person's life.

3. Reach various demographic groups.

4. Educate health professionals on the need for osteoporosis screening and prevention.

5. Collaborate with a statewide osteoporosis organization to develop the program's strategies and goals.

Sec. 3. Delayed repeal

Section 2 of this act, relating to the osteoporosis prevention and treatment education program, is repealed on July 1, 2001.

APPROVED BY THE GOVERNOR MAY 18, 1999.

FILED IN THE OFFICE OF THE SECRETARY OF STATE MAY 18, 1999.