HB 2449 Arizona House · 57th Legislature - First Regular Session

AHCCCS; enrollment verification; presumptive eligibility

HB 2449 updates Arizona’s Medicaid program (AHCCCS) eligibility verification rules and restricts temporary coverage. It requires monthly checks of lottery/gambling winnings ($3,000+), death records, and residency changes via out-of-state card transactions, and quarterly reviews of employment, income, and tax data to verify eligibility. The bill bans self-attested eligibility without verification, prevents accepting federal exchange eligibility determinations without independent checks, and limits temporary coverage (presumptive eligibility) to children and pregnant women only. Hospitals making temporary eligibility decisions must notify AHCCCS within 5 days, help applicants complete full applications, and provide clear end-date notices to beneficiaries. These changes directly affect AHCCCS enrollees and hospitals participating in the program.
Bill status vetoed 4 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Vetoed
May 2025
Introduced Jan 22, 2025 Vetoed May 2, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

House Engrossed Version Senate Engrossed Version · 6 edits · Apr 9, 2025
MODERATE
This bill version moved from House to Senate with minor formatting corrections and one substantive addition. The Senate version adds a requirement for the administration to independently verify eligibility determinations from health exchanges rather than accepting them without verification. It also clarifies that the administration cannot request authority to waive periodic checks of income data sources.
ELIGIBILITY

Removed a sentence stating the administration shall review information on at least a monthly basis, which appears to have been a formatting error in the House version.

Removed a reference to the industrial commission of Arizona, which appears to be a state-specific error that should be corrected to Arizona.

Removed a sentence about the administration being prohibited from accepting self-attestation without independent verification, which was incorrectly marked for deletion.

Added a requirement that the administration independently verify eligibility and make determinations for members enrolled through health exchanges, rather than accepting exchange determinations without verification.

Clarified that the administration may not request authority to waive or decline periodic checks of available income-related data sources to verify eligibility.

TECHNICAL

Fixed formatting inconsistencies in the text, including removing unnecessary line breaks and correcting capitalization.

Floor votes · House Feb 26, 2025

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
16
Key actions
7
Committee
1
Amendments
3
May 2, 2025
Vetoed
Vetoed by Governor
executive
Apr 28, 2025
Lower · Passed
PASSED
lower
Apr 9, 2025
Upper · Passed
PASSED
upper
Apr 9, 2025
Upper · Passed
DPA
upper
Mar 19, 2025
Upper · Passed
DP
upper
Feb 26, 2025
Lower · Passed
PASSED
lower
Feb 25, 2025
Lower · Passed
DPA
lower
Feb 19, 2025
Lower · Passed
DPA
lower
1 primary · 8 co-sponsors

Sponsors