ALTCS; providers; change of ownership
SB 1164 modifies Arizona's long-term care system rules to streamline ownership transitions for facilities serving Medicaid beneficiaries. It allows new owners of skilled nursing or assisted living facilities (that continue providing ALTCS services) to have claims for member care processed and paid under the previous owner's contract until the new owner completes their enrollment and contracting process. This prevents payment delays during ownership changes, ensuring uninterrupted care for members. The provision applies only when the new owner requests continuation and the facility maintains service under the ALTCS program.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Jun 2026
House Passage
Apr 2026
Signed into Law
Jun 2026
Introduced Jan 20, 2026
Signed Jun 19, 2026
Maddy AI version diff · 3 comparisons
What changed between versions
Senate Engrossed Version (03/03/2026)
→
Chaptered Version
·
4 edits
MODERATE
The bill was finalized and approved by the Governor, adding official dates for approval and filing. Substantive policy changes include clarifying that change-of-ownership protections apply only to facilities not in suspension or payment hold, requiring owners to provide 60 days of notice before ownership changes, and mandating a response to enrollment requests within ten business days.
Scope change
The scope of the change-of-ownership protection was narrowed to exclude facilities currently in suspension, termination, or payment hold status.
ELIGIBILITY
Change-of-ownership protections now apply only if the facility is not in suspension, termination, or payment hold.
REQUIREMENT
Owners must provide written notice to the administration at least 60 days before an anticipated change of ownership.
TIMELINE
The administration must respond to all provider enrollment requests within ten business days.
TECHNICAL
Added official dates for Governor approval (June 19, 2026) and Secretary of State filing (June 22, 2026).
Floor votes · Senate Mar 3, 2026 · House Apr 16, 2026
How they voted
24–6
Passed
Total votes 30
Mar 3, 2026
D
Democratic13
53% Yea
R
Republican17
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
14
Key actions
7
Committee
1
Amendments
2
Jun 19, 2026
Signed into law
Signed by Governor
executive
Jun 9, 2026
Upper · Passed
PASSED
upper
Apr 16, 2026
Lower · Passed
PASSED
lower
Apr 1, 2026
Lower · Passed
DPA
lower
Mar 16, 2026
Lower · Passed
DPA
lower
Mar 3, 2026
Upper · Passed
PASSED
upper
Feb 4, 2026
Upper · Passed
DP
upper
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Hildy Angius
RRepublican
Co
Carine Werner
RRepublican
Co
Catherine Miranda
DDemocratic
Co
Frank Carroll
RRepublican
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