House Committee Advances Medicaid, Health Bills Tied To Federal H.R. 1 Reforms

House Committee Advances Medicaid, Health Bills Tied To Federal H.R. 1 Reforms

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.

AZ Senator Renews Call For Accountability At AHCCCS

AZ Senator Renews Call For Accountability At AHCCCS

By Ethan Faverino |

Arizona Senator Carine Werner (R-LD4) renewed her demand for transparency and accountability within the Arizona Health Care Cost Containment System (AHCCCS) before the committee’s latest special oversight hearing on Thursday, January 29th.

Following months of intense investigation—including multiple hearings, extensive document requests, and sworn testimony—the committee has uncovered persistent systemic failures at AHCCCS that continue to undermine Arizona’s provider network and block vulnerable patients from accessing essential care.

Providers remain unable to fully participate in the system, with critical services constrained and families in crisis struggling to access timely and appropriate care. “This is no longer just a policy failure. It’s a public health and safety crisis,” stated Senator Werner. “Decisions made inside AHCCCS dismantled parts of our provider network and robbed Arizonans of the care they desperately need. Leadership appearing before the committee has repeatedly failed to provide clear, complete answers regarding enforcement decisions, provider terminations, and the internal actions taken after billions of dollars in Medicaid fraud were uncovered.”

During the current legislative session, Werner has introduced several bills to improve oversight, reinforce accountability, and require AHCCCS and the Arizona Department of Health Services to fulfill their obligations to patients, legitimate providers, and Arizona taxpayers.

While expressing cautious optimism regarding the leadership of the newly appointed AHCCCS director, Senator Werner emphasized that personnel changes alone are insufficient to resolve the deep-rooted issues uncovered by the committee’s ongoing investigation.

“The committee remains cautiously optimistic that newly appointed Director Ginny Rountree can begin stabilizing the agency, but the oversight record makes clear that leadership changes alone will not resolve the systemic breakdown exposed through the investigation,” explained Werner. “The Senate Health & Human Services Committee will continue its work until access to care is restored, trust is rebuilt, and meaningful accountability is achieved within Arizona’s Medicaid system.”

Ethan Faverino is a reporter for AZ Free News. You can send him news tips using this link.

Hobbs Proposes $17.7B Budget, Extending Trend Of Significant Spending Increases

Hobbs Proposes $17.7B Budget, Extending Trend Of Significant Spending Increases

By Ethan Faverino |

Arizona Governor Katie Hobbs recently released her executive budget proposal for the 2026-2027 fiscal year, totaling $17.7 billion in general funding expenditures. The plan represents a $100 million increase over the $17.6 billion budget approval by the Arizona Legislature for the prior year. According to Glenn Farley, Research and Policy Director at Common Sense Institute Arizona (CSI), the proposal extends a pattern of substantial growth in state spending observed in recent years.

In a recent article, Farley told The Center Square, “This budget continues the trend of massive increases, really historically unprecedented increases in the state’s Medicaid-funded disability program run out of the Department of Economic Security (DES).”

Farley highlighted that the most significant expansions in the proposal stem from Arizona’s Medicaid program, K-12 education, and other health care-related initiatives.

A standout element is the marked growth in the state’s Medicaid-funded disability services program operated by DES, which supports home-based care for Arizonans with disabilities. Farley described these increases as “historically unprecedented,” noting a shift where the largest caseload surge now occurs in the DES disability program rather than traditional drivers like the Arizona Department of Education.

The budget addresses the needs of approximately 62,000 qualified Arizonans by expanding access to home-based services through adjusted subsidy structures for home-based providers. For FY26, the proposal allocates an additional $128.1 million from the general fund to DES, supplemented by $271.9 million in the Department Long Term Care System Fund (DLTCSF).

In FY27, ongoing funding increases include $298.8 million from the general fund and $673 million in the DLTCSF.

Farley noted that Governor Hobbs’ budgets have frequently relied on one-time funding sources rather than sustainable ongoing commitments, a pattern that limits long-term fiscal stability.

At the same time, the proposal conforms to recent federal adjustments under HR 1, which aim to restrain cost growth in Medicaid and SNAP by shifting greater responsibilities onto states.

While this alignment addresses federal requirements, it adds operational complexity without resolving underlying sustainability concerns in Arizona’s expanding health and disability services.

In contrast to the administration’s spending approach, Arizona Republicans introduced a tax relief plan earlier this year, projected to save Arizonans $1.1 billion over the next three years, which Governor Hobbs vetoed.

Farley, who served eight years under the prior administration, observed that budget finalization timelines have shifted under Hobbs from the typical time of March or April to May or June.

He further noted an unusually high volume of significant tax code changes this year, driven by federal updates to adjusted gross income calculations, including the addition of new deductions and exceptions.

Ethan Faverino is a reporter for AZ Free News. You can send him news tips using this link.

Sen. Werner Signals Continued Oversight As AHCCCS Accountability Questions Remain

Sen. Werner Signals Continued Oversight As AHCCCS Accountability Questions Remain

By Matthew Holloway |

The Arizona Senate Health & Human Services Committee will hold another oversight hearing on the Arizona Health Care Cost Containment System (AHCCCS) on Thursday, Jan. 29. Committee Chair Sen. Carine Werner (R-LD4) is seeking answers over ongoing access and provider network issues.

Werner said ongoing oversight efforts, including hearings, document requests, and sworn testimony, have revealed continued failures within AHCCCS that are disrupting Arizona’s provider network and limiting patient access to care.

According to Werner, providers remain locked out of the system, services continue to be restricted, and families seeking care are facing delays.

“This is no longer just a policy failure. It’s a public health and safety crisis,” Werner said. “Decisions made inside AHCCCS dismantled parts of our provider network and robbed Arizonans of the care they desperately need.”

Werner explained in the release that AHCCCS leadership, appearing before the committee, has failed to provide clear and complete answers regarding enforcement decisions, provider terminations, and internal actions taken after the discovery of billions of dollars in Medicaid fraud.

The Senator has introduced multiple bills during the current legislative session aimed at strengthening oversight, enforcing accountability, and ensuring AHCCCS and the Arizona Department of Health Services fulfill their responsibility to protect patients, providers, and taxpayers.

Werner also referenced the recent appointment of Ginny Rountree as AHCCCS director, saying leadership changes alone may not resolve issues identified during the investigation.

“The committee remains cautiously optimistic that newly appointed Director Ginny Rountree can begin stabilizing the agency, but the oversight record makes clear that leadership changes alone will not resolve the systemic breakdown exposed through the investigation,” Werner said.

Werner said the committee will continue its oversight efforts until access to care is restored and accountability measures are implemented within Arizona’s Medicaid system.

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.