Governor Katie Hobbs announced that she would be recognizing birth control as a right, starting with state employees.
The governor issued an executive order on Monday announcing free birth control for state employees, and ordered the state’s Medicaid agency, Arizona Health Care Cost Containment System (AHCCCS), to expand contraception access to its members.
The state already issues oral contraceptives to employees at no cost, but only through a prescription. Hobbs’ executive order got rid of the prescription requirement, ordering the Arizona Department of Administration (ADOA) to cover the cost of current and future over-the-counter contraceptives for state employees.
Hobbs referenced Senate Majority Leader Sonny Borrelli’s take on contraceptives as a criticism of Republicans hesitant to make birth control a right for Arizonans through legislation dubbed the “Right to Contraception Act.”
“While members of our legislature would rather tell Arizona women to put aspirin between their knees than pass the Arizona Right to Contraception Act, I will continue to do everything in my power to protect our reproductive freedom and ensure every Arizonan can access contraception,” said Hobbs.
Access to contraception is a right — and now, I am taking action to protect that right by issuing an Executive Order to expand access to free and affordable birth control for Arizonans.
My EO will make birth control available at no cost to State employees and require @AHCCCSgov…
— Governor Katie Hobbs (@GovernorHobbs) May 20, 2024
Earlier this month, the governor signed into law a repeal of the longstanding and, until the past year, dormant total abortion ban. Now, state law only restricts abortions after 15 weeks.
The governor’s most recent executive order declared that contraceptives qualify as “essential health benefits” (EHB) required of health plans by the Affordable Care Act (ACA), or “Obamacare.” And, recent changes to the Code of Federal Regulations (CFR) enabled states to have more flexibility to determine its EHB-benchmark plan set of benefits.
Only the prescription contraceptives qualified as EHB, not over-the-counter ones. Hobbs’ executive order changed that. For now, that only applies to Opill, the only FDA-approved over-the-counter birth control option.
Excluding the universities and Board of Regents, both of which operate their own personnel systems, nearly 56 percent of the state’s nearly 38,300-strong workforce is female: around 21,300 individuals.
Age ranges weren’t defined by ADOA’s annual report, though the average age across both genders was about 44 years old, under the average age of menopause.
The retail price of Opill, the over-the-counter targeted by Hobbs’ executive order, retails at up to $20 per month for a one-month supply.
ASU has more than 20,600 employees. According to their last 10-year report of campus demographics ending in 2022, the university had nearly 10,600 female employees, though the age ranges weren’t disclosed.
The University of Arizona reported nearly 16,700 employees last fall, with about 56 percent of them identifying as female. Age wasn’t disclosed.
Northern Arizona University’s annual report shared they had over 4,600 total faculty and staff last year, not distinguished by gender or age.
ADOA will also be required to provide several reports to Hobbs’ office, one of which will be on benefits and feasibility of access expansion for state employees. That report will be due by June 30.
Another report with ADOA and the Department of Insurance and Financial Institutions will study the benefits and feasibility of a new Arizona Essential Health Benefits Benchmark Plan mandating reproductive healthcare benefits for individual and small group private health insurance plans, including prescription and over-the-counter contraceptives, reversible contraceptives, infertility treatment, and in vitro fertilization.
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The people of Arizona do not want to turn our state into the next California. But just a few weeks into her reign as governor, Katie Hobbs has made it clear—that’s exactly what she intends to do. Last week, Hobbs released her first budget plan, and it’s nothing more than a liberal wish list of big spending, extreme proposals, and corporate welfare designed to reward her special interest friends.
Her first target is education, and she wasted no time going after Arizona’s expansion of Empowerment Scholarship Accounts (ESAs). Yes, the program that is so popular that it overwhelmed the Department of Education’s website immediately after launch—the one that even some Democrats have openly supported. Despite being a private schooler herself, Hobbs wants to dismantle school choice for all with a full repeal of universal ESAs. And that’s just the start…
Last Thursday, the Arizona Auditor issued a report finding that the state’s Medicaid agency, the Arizona Health Care Cost Containment System (AHCCCS), failed to fulfill four major aspects of its services, including a year delay on average to investigate over half of fraud or abuse incidents.
AHCCCS provides health care coverage to over 2.4 million Arizonans: about 33 percent of the population.
In all, the audit report determined that AHCCCS also failed to: review health plans every three years as required, make correct eligibility determinations, ensure that health plans oversaw providers in two key areas, and establish oversight processes for its Housing Program and Administrator.
In order to remedy these issues, Auditor General Lindsey Perry issued 22 distinct recommendations. AHCCCS agreed to implement all 22 of Perry’s recommendations without contest.
AHCCCS explained that no federal or state regulations mandated the completion of preliminary investigations within 3 months, like Perry recommended, but agreed it was best practice and would adopt that protocol. Likewise, AHCCCS explained it would adopt a self-auditing process to review eligibility determinations, despite there not being any federal or state regulations for such quality assurance reviews.
AHCCCS also noted that its lack of eligibility reviews was due to understaffing caused by the COVID-19 pandemic.
The audit may also result in a change to state law. AHCCCS noted that it wasn’t able to create a monthly report as required by statute. This report — which was to be sent to the governor, the house speaker, and the senate president — was meant to include Title XIX and non-Title XIX categories that outlined the persons served, the units of service, and the amount of funding provided for client services and the amount provided for regional behavioral health authority administration and case management expenses.
In addition to the negative findings of the audit report, AHCCCS is facing a lawsuit filed by several federally-qualified health centers. The community health centers claim that AHCCCS is wrong to deny reimbursements for dentists, podiatrists, optometrists, and chiropractors. Earlier this month, the Ninth Circuit Court of Appeals reversed a decision dismissing the lawsuit.
Arizona Alliance for Community Health Centers sued AHCCCS, joined by Canyonlands Healthcare, Chiricahua Community Health Centers, Desert Senita Community Health Center, Mariposa Community Health Center, Marana Health Center, Mountain Park Health Center, Native Health, North Country Healthcare, Sun Life Family Health Center, Sunset Community Health Center, and United Community Health Center-Maria Auxiliadora.
Corinne Murdock is a reporter for AZ Free News. Follow her latest on Twitter, or email tips to corinne@azfreenews.com.
Despite the fact that the Senate Appropriations committee approved Democratic legislation to help with Arizona’s housing and diabetes crises, the Arizona Senate’s Democratic Caucus offered a pejorative nickname for the Senate Appropriations Committee, calling it a “garbage can.”
The Senate's own garbage can Appropriations Committee starts today at 9am. See the agenda here: https://t.co/uhM2t2XbB7
— Arizona Senate Democrats (@AZSenateDems) March 29, 2022
The caucus’ discontent may concern the fact that the committee schedule included bills that were rewritten to include language from other bills killed previously in the House. This included HB2637, prohibiting financial institutions from discriminating against others based on their “social credit score” — it took on the language of HB2656, a controversial bill killed on the House floor by Democrats with the help of two Republicans.
Insults aside, the committee passed several bills from Democrats on that day unanimously. These included HB2528, appropriating $100 million from the American Rescue Plan Act of 2021 (ARPA) to the Housing Trust Fund (HTF); and HB2083, requiring the Arizona Health Care Cost Containment System (AHCCCS) to cover costs of up to 10 annual program hours of diabetes self-management training (DSMT) services.
The caucus then referred followers to the committee agenda for that day: 39 bills, and another two that were struck from the agenda.
Noteworthy bills included HB2633, requiring hospitals to develop visitation policies for daily, in-person visitation; HB2637, prohibiting banks from discriminating against individuals based on their political affiliation or “social credit scores” including their environmental, social, governance, or similar values-based or impact criteria; HCR2001, altering the state constitution to prohibit compelled or solicited beliefs constituting critical race theory (CRT) tenets from K-12 and collegiate institutions; HB2493, establishing a $12 million election integrity fund; HB2278, eliminating Algebra II as a required course for high school graduation and instead requiring an alternative course such as personal finance, computer science, statistics, or business math; and HCR2027, asking voters to approve the difference of $1 million plus death benefits to the surviving spouse or defendant of a first responder killed in the line of duty.
Corinne Murdock is a reporter for AZ Free News. Follow her latest on Twitter, or email tips to corinne@azfreenews.com.
During the first months of the coronavirus pandemic shutdown, the use of telehealth increased significantly. In fact, overall, almost half of the people who were undergoing treatment when the pandemic shutdown began reported using some form of telemedicine.
From a new RAND Corporation study, those findings make the news of Governor Doug Ducey’s decision to sign telemedicine legislation all the more welcome to individuals still hesitant to venture out.
House Bill 2454, sponsored by Rep. Regina Cobb, will make telemedicine services provided to Arizonans through the Governor’s Executive Order last March permanent. The governor’s order required health care insurance companies to expand telemedicine coverage for all services that would normally be covered for an in-person visit.
The bill expands access to telemedicine for patients and ensures that doctors receive equal compensation from insurance companies for telemedicine services and allows out-of-state health care professionals to provide telemedicine in Arizona.
“Telehealth was an extremely valuable tool during the pandemic,” said Cobb. “It’s helped Arizonans get in contact with health care providers, mental health specialists, speech therapists, and more from the safety of their home. HB 2454 will continue those efforts and ensure that those living in Arizona receive medical service in a safe and convenient manner.”
According to findings published in the Journal of General, between mid-March and early May 2020, telehealth was used by more than 40% of patients with a chronic physical health condition and by more than 50% of those with a behavioral health condition, according to findings published in the Journal of General Internal Medicine.
Under the bill, medical examinations in the worker’s compensation space can also be conducted via telehealth if all parties consent. It also prohibits healthcare boards from enforcing any rule that requires a patient to visit in-person before being prescribed most medications.
“HB 2454 is a win for physicians and patients alike,” said Arizona Medical Association President Dr. Miriam Anand. “Every patient deserves access to the appropriate care needed to treat their medical conditions. HB 2454 will break down unnecessary barriers to telehealth and help facilitate the delivery of high-quality care to patients across Arizona.”
HB 2454 also requires medical insurers to provide payment parity for telehealth services using audio and visual features and allows health care providers who are licensed in other states to provide telehealth services into Arizona under certain conditions.
According to the JLBC, “the bill establishes the Telehealth Advisory Committee on Telehealth Best Practices which would be tasked with recommending other health care service that may be appropriately provided through an audio-only telehealth format. These services would be covered services starting January 1, 2022 but would not require payment parity.”
The bill does not apply to the Arizona Health Care Cost Containment System (AHCCCS) but does require health insurers to cover audio-only health care services if those services are covered by AHCCCS or Medicare.
