PROPOSED AMENDMENT
SENATE AMENDMENTS TO H.B. 2459
(Reference to House engrossed bill)
Page 1, between lines 1 and 2, insert:
“Section 1. Section 36-2921, Arizona Revised Statutes, is amended to read:
36-2921. Tobacco tax allocation
A. Subject to the availability of monies in the medically needy account established pursuant to section 36-774 the administration shall use the monies in the account in the following order:
1. The administration shall withdraw the amount necessary to pay the state share of costs for providing health care services to any person who is eligible pursuant to section 36-2901, paragraph 4, subdivisions (a), (c) and (h) and who becomes eligible for a heart, lung, heart-lung, liver or autologous and allogeneic bone marrow transplant pursuant to section 36‑2907, subsection A, paragraph 11, subdivision (d) as determined by the administrator and to any person who is eligible pursuant to section 36‑2901, paragraph 4, subdivision (b) and who becomes eligible for a lung or heart‑lung transplant pursuant to section 36‑2907, subsection A, paragraph 11, subdivision (b), as determined by the administrator.
2. Beginning on August 1, 1995 and on the first day of each month until July 1, 1998, the sum of one million two hundred fifty thousand dollars shall be transferred from the medically needy account to the medical services stabilization fund for uses as prescribed in section 36‑2922.
3. The administration shall withdraw the sum of nine million two hundred fifty-one thousand one hundred dollars in fiscal year 1998‑1999 for deposit in the children's health insurance program fund established by section 36‑2995 to pay the state share of the children's health insurance program established pursuant to article 4 of this chapter.
4. From and after August 1, 1995 and each year thereafter, the administration shall transfer the following monies to the department of health services to be allocated as follows if the department awards a contract:
(a) Five million dollars, for the mental health grant program established pursuant to section 36-3414.
(b) Six million dollars, for primary care services established pursuant to section 36-2907.05.
(c) Five million dollars, for grants to the qualifying community health centers established pursuant to section 36-2907.06, subsection A.
5. The administration shall transfer up to five hundred thousand dollars for fiscal years 1997‑1998, 1998‑1999 and 1999‑2000 for pilot programs providing detoxification services in counties having a population of five hundred thousand persons or less according to the most recent United States decennial census.
6. The administration shall transfer up to two hundred fifty thousand dollars annually for fiscal years 1995‑1996, 1996‑1997, 1997‑1998, 1998‑1999 and 1999‑2000 for telemedicine pilot programs designed to facilitate the provision of medical services to persons living in medically underserved areas as provided in section 36‑2352.
7. The administration shall transfer up to two hundred fifty thousand dollars annually beginning in fiscal year 1996‑1997 for contracts by the department of health services with nonprofit organizations that primarily assist in the management of end stage renal disease and related problems. Contracts shall not include payments for transportation of patients for dialysis.
8. Contingent on the existence of a premium sharing demonstration project fund, beginning October 1, 1996 and until September 30, 1999, the administration shall withdraw the sum of twenty million dollars in each of fiscal years 1996-1997, 1997-1998 and 1998-1999 for deposit in the premium sharing demonstration project fund established by section 36-2923 to provide health care services to any person who is eligible for an Arizona health care cost containment system premium sharing demonstration program enacted by the legislature. The Arizona health care cost containment system premium sharing demonstration program enacted by the legislature shall not be an entitlement program. Beginning on October 1, 1997, the administration shall annually withdraw monies from the medically needy account not to exceed four per cent of the sum of any monies transferred pursuant to this paragraph for administrative costs associated with the premium sharing demonstration project. Administrative costs in excess of two per cent shall be funded from the interest payments from the twenty million dollars withdrawn from the medically needy account to fund the premium sharing program pursuant to this paragraph.
9. Subject to the availability of monies, the Arizona health care cost containment system administration shall transfer to the department of health services up to five million dollars in fiscal years 1996-1997 and 1997-1998 and two million five hundred thousand dollars in fiscal year 1998-1999 for providing nonentitlement funding for a basic children's medical services program established by section 36-2907.08. The administration may also withdraw and transfer to the department amounts for program evaluation and for administrative costs as prescribed in section 36-2907.08.
10. Subject to the availability of monies, the sum of one million dollars shall be transferred annually to the health crisis fund for use as prescribed in section 36-797.
11. Subject to the availability of monies, the Arizona health care cost containment system administration shall transfer to the aging and adult administration in the department of economic security the sum of five hundred thousand dollars annually beginning in fiscal year 1997-1998 for services provided pursuant to section 46-192, subsection A, paragraph 4. Services shall be used for persons who meet the low income eligibility criteria developed by the aging and adult administration.
12. Subject to the availability of monies, the Arizona health care cost containment system administration shall transfer to the department of health services the sum of two hundred thousand dollars annually beginning in fiscal year 1998-1999 for contracts entered into pursuant to section 36‑132, subsection D, with hospitals that are licensed by the department of health services and that perform nonrenal organ transplant operations. These contracts shall not include payments for transportation to and from treatment facilities.
13. Subject to the availability of monies, the Arizona health care cost containment system administration shall annually transfer to the department of health services the sum of one hundred eleven thousand two hundred dollars to implement the rural private primary care provider loan repayment program established pursuant to section 36-2174. The department shall not use these monies for administrative costs. The transfers made pursuant to this paragraph are exempt from the provisions of section 35-190 relating to lapsing of appropriations.
14. subject
to the availability of monies, the ARizona health care cost containment system
administration shall transfer annually to the department of health services the
sum of one hundred fifty thousand dollars to assist health service districts in
performing their services and to assist applicants who wish to establish new
districts pursuant to title 48, chapter 16.
B. The department of health services shall establish an accounting procedure to ensure that all funds transferred pursuant to this section are maintained separately from any other funds.
C. The administration shall annually withdraw monies from the medically needy account in the amount necessary to reimburse the department of health services for administrative costs to implement each program established pursuant to subsection A of this section not to exceed four per cent of the amount transferred for each program.
D. The administration shall annually withdraw monies from the medically needy account in the amount necessary to reimburse the department of health services for the evaluations as prescribed by section 36‑2907.07.
E. The administration shall annually report, no later than November 1, to the director of the joint legislative budget committee the annual revenues deposited in the medically needy account and the estimated expenditures needed in the subsequent year to provide funding for services provided in subsection A, paragraph 1 of this section. The administration shall immediately report to the director of the joint legislative budget committee if at any time the administration estimates that the amount available in the medically needy account will not be sufficient to fund the maximum allocations established in this section.
Sec. 2. Section 48-2203, Arizona Revised Statutes, is amended to read:
48-2203. Formation of district; district impact statement; petition; hearing; notice; definition
A. Any person proposing to create a district shall prepare a district impact statement and submit the statement, with the petition prescribed in subsection B of this section, to the board of supervisors of the county in which the district is to be located. If a proposed district is located in more than one county, the impact statement shall be submitted to the board of supervisors of the county in which the majority of the assessed valuation of the property within the area of the proposed district is located. The boards of supervisors of any other counties in which a portion of the district is located shall provide information and assistance to the responsible board of supervisors. If the person proposing to create a district pursuant to this section is unable to complete the district impact statement, the board of supervisors may assist in the completion of the impact statement if requested to do so, provided the bond required in section 48‑2204 is in an amount sufficient to cover any additional cost to the county. The district impact statement shall contain at least the following information:
1. A description of the boundaries of the proposed district and a detailed, accurate map of the area to be included in the district.
2. An estimate of the assessed valuation within the proposed district.
3. An estimate of the change in the property tax liability, as a result of the proposed district, of a typical resident of the proposed district.
4. A list and explanation of benefits that will result from the proposed district.
5. A list and explanation of the injuries that will result from the proposed district.
B. A petition requesting that a health service district be established by the board of supervisors in the county in which the district is to be located shall be filed with the clerk of the board if signed by ten per cent of the qualified electors within the proposed district and signed by persons owning collectively more than twenty-five ten per cent of the assessed valuation of the property in the area of the proposed district. The petition shall be verified by one of the petitioners and shall be accompanied by a plat or sketch indicating the approximate areas and boundaries of the district.
C. The petition shall set forth:
1. The name of the proposed district.
2. That the public health, comfort, convenience, necessity or welfare will be promoted by the establishment of the district.
3. The boundaries of the district.
4. A general outline of the facilities and services to be offered by the district.
5. Other matters as required by this article.
D. Additional petitions with additional signatures may be filed before the hearing on the original petition and shall be considered as having been filed with the original petition.
E. A petition with the required number of signatures shall not be declared void on account of alleged defect, but the board of supervisors shall permit a petition to be amended in form and substance to conform to the facts and requirements of this section.
F. The clerk of each county shall maintain a list of property owners in the county who want to be notified of any proposed health service district affecting their current tax structure.
G. The petition shall be presented to the board of supervisors, and the board shall enter an order setting the time, at least three but not more than five weeks from the date of the order, at which time a hearing on the petition shall be held by the board, and directing that notice of the hearing shall be published once a week for at least two consecutive weeks before the date of the hearing in a newspaper of general circulation in the proposed district.
H. The clerk shall notify all property owners on the list regarding the pending hearing at least two but not more than three weeks from the 0date the board of supervisors ordered the hearing.
I. For purposes of this section "assessed valuation" does not include the assessed valuation of property that is owned by a county.”
Renumber to conform
Page 1, line 8, after “Statutes” insert “including the purchase, lease, lease-purchase, construction, establishment or equipping a medical clinic or clinics”
Amend title to conform