SB 1164 Arizona Senate · 57th Legislature - Second Regular Session

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

246
Passed
Total votes 30
Mar 3, 2026
D Democratic13
7 Yea 6 Nay
53% Yea
R Republican17
17 Yea
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