By Matthew Holloway |
The Arizona House Republican Majority advanced five of six bills aimed at aligning state law with key provisions of the Trump administration’s signature legislation, H.R. 1, the One Big Beautiful Bill Act, during a meeting of the House Health and Human Services Committee on Monday.
According to a pre-meeting press release from the Arizona House GOP Conference, the six-bill package focuses on Medicaid eligibility verification, reporting requirements, rural health workforce issues, and related health policy changes. GOP leaders said the measures are intended to mirror select federal reforms included in H.R. 1, including restoring accountability to Medicaid, strengthening rural health care access and workforce participation, and protecting taxpayer resources.
The following bills were identified by House GOP leadership as part of the package:
Medicaid-related measures:
- HB 2796 (Rep. Michael Carbone, R-LD25) — AHCCCS; enrollment verification; presumptive eligibility: Strengthens eligibility verification for the Arizona Health Care Cost Containment System (AHCCCS) by requiring cross-agency data matching to verify income, residency, deaths, and out-of-state activity. The bill limits reliance on self-reporting where not federally required and tightens presumptive eligibility primarily to children and pregnant women. Advanced 7–5.
- HB 2689 (Rep. Ralph Heap, R-LD10) — Hospitals; patient immigration status; reporting: Establishes reporting requirements related to hospital patient immigration status. Advanced 7–5.
Public assistance, health access, and workforce-related measures
- HB 2396 (Rep. Leo Biasiucci, R-LD30) — SNAP; allowed purchases; waiver: Addresses Supplemental Nutrition Assistance Program (SNAP) policy options, including purchase eligibility and waiver authority. Advanced as amended 7–5.
- HB 2190 (Rep. Julie Willoughby, R-LD13) — Physician Assistant Licensure Compact: Seeks to join Arizona in an interstate compact to facilitate licensure portability for physician assistants. Advanced 11–1.
- HB 2437 (Rep. Selina Bliss, R-LD1) — EMS reciprocity; compact: Would establish an interstate compact for emergency medical services credential reciprocity. Held.
- HB 2233 (Rep. Walt Blackman, R-LD7) — Arizona Rural Health Transformation Fund; reporting: Requires additional reporting related to the Arizona Rural Health Transformation Fund. Advanced as amended/strike everything 7–5.
The One Big Beautiful Bill Act was passed by the U.S. Congress under budget reconciliation and signed into federal law on July 4, 2025. It includes broad federal policy changes affecting tax policy, Medicaid funding, SNAP, border security, and other areas.
The House Health and Human Services Committee meeting was open to the public and available for viewing online via the Arizona Legislature’s official video player.
Matthew Holloway is a senior reporter for AZ Free News. Follow him on X for his latest stories, or email tips to Matthew@azfreenews.com.
