AHCCCS; waivers; American Indians; services
HB 2177 requires Arizona's health director to annually seek federal Medicaid waivers to restore coverage for specific health services provided to American Indian and Alaska Native members at tribal or Indian health facilities. The bill specifically aims to cover services eliminated, reduced, or limited in Arizona's Medicaid plan after September 2010, including medically necessary dental care. It directly affects tribal health facilities and enrolled members who receive care through these providers under federal law. The key mechanism is mandating annual waiver applications to authorize state payments for these previously excluded services, ensuring tribal facilities can bill Medicaid for covered care.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House Passage
Feb 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 9, 2026
Signed Apr 13, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Introduced Version
→
House Engrossed Version (02/24/2026)
·
4 edits
·
Apr 7, 2026
MODERATE
This bill updates Arizona's health coverage rules to better support American Indian and Alaskan Native members by expanding the types of tribal facilities eligible for special funding and clarifying the legal authority for these services. It also adds 'tribal organizations' to the list of eligible service providers alongside tribes and Indian health services facilities. Additionally, the bill includes minor technical corrections to section numbering and formatting throughout the statute.
Scope change
The scope of eligible service providers for American Indian and Alaskan Native members was expanded to explicitly include tribal organizations, broadening the range of facilities that can provide covered services under the waiver program.
ELIGIBILITY
Expanded eligibility for covered services to include facilities operated by 'tribal organizations' in addition to tribes and Indian health services facilities.
TECHNICAL
Corrected section numbering in the House Engrossed version by adding decimal points (e.g., changing 'Section 1' to 'Section 1.1' and 'Sec. 2' to 'Sec. 2.2').
Changed the spelling of 'Alaskan' to 'Alaska' in references to American Indian or Alaska native members.
Removed the 'PREFILED' date stamp and updated the bill header from 'Introduced Version' to 'House Engrossed Version'.
Floor votes · Senate Apr 7, 2026 · House Feb 24, 2026
How they voted
28–1
Passed · 1 other
Total votes 30
Apr 7, 2026
D
Democratic13
100% Yea
R
Republican17
88% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
16
Key actions
8
Committee
1
Amendments
3
Apr 13, 2026
Signed into law
Signed by Governor
executive
Apr 7, 2026
Upper · Passed
PASSED
upper
Mar 9, 2026
Upper · Passed
DP
upper
Feb 24, 2026
Lower · Passed
PASSED
lower
Feb 23, 2026
Lower · Passed
DPA
lower
Feb 23, 2026
Lower · Passed
PASSED
lower
Feb 18, 2026
Lower · Passed
DPA
lower
Jan 22, 2026
Lower · Passed
DPA
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Julie Willoughby
RRepublican
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