SB 1171 Arizona Senate · 57th Legislature - Second Regular Session

AHCCCS; dual enrollment; notice

SB 1171 requires Arizona's Medicaid program (AHCCCS) to conduct monthly reviews to ensure individuals are not enrolled in both AHCCCS and a health insurance plan purchased through the federal marketplace under the Affordable Care Act. If dual enrollment is identified, AHCCCS must notify affected individuals about the risks and potential liabilities of having duplicate coverage. The monthly review depends on data availability from the Public Assistance Reporting System and approval from federal health officials. This bill directly affects Arizonans enrolled in both AHCCCS and a federal marketplace plan, aiming to prevent duplicate coverage.

Bill status vetoed 4 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Jan 2026

Senate Passage

Jun 2026

House Passage

May 2026

Vetoed

Jun 2026

Introduced Jan 20, 2026 Vetoed Jun 19, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

House Engrossed Version (05/05/2026) → Senate Engrossed Version (02/24/2026) · 4 edits · Feb 24, 2026

MODERATE

The bill was completely rewritten to shift its focus from regulating fingerprint clearance for behavioral health facilities to addressing healthcare coverage for the Arizona Health Care Cost Containment System (AHCCCS). The new version removes all references to fingerprinting, citizenship, and behavioral health facility licensing, replacing them with a mandate for the state to conduct monthly reviews to prevent individuals from being simultaneously enrolled in AHCCCS and a health insurance plan sold on the federal exchange.

Scope change

The bill's scope changed from regulating the licensure and background checks of behavioral health facilities to regulating health insurance enrollment and preventing duplicate coverage between state and federal programs.

SCOPE

All provisions regarding fingerprint clearance cards, citizenship requirements, and behavioral health facility licensing were removed.

The bill was renumbered from a House version to a Senate version, indicating a complete revision of the legislative text.

REQUIREMENT

A new requirement was added for the state administration to conduct monthly reviews to identify individuals enrolled in both AHCCCS and a federally facilitated health insurance exchange.

ENFORCEMENT

New language mandates that individuals found to have dual enrollment must be notified of the risks, consequences, and liabilities associated with holding both types of coverage.

Floor votes · House May 5, 2026

How they voted

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

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jun 19, 2026

Vetoed

Vetoed by Governor

executive

Jun 11, 2026

Upper · Passed

PASSED

upper

May 5, 2026

Lower · Passed

PASSED

lower

Apr 27, 2026

Lower · Passed

DPA

lower

Mar 23, 2026

Lower · Passed

DPA/SE

lower

Feb 24, 2026

Upper · Passed

PASSED

upper

Feb 24, 2026

Upper · Passed

upper

Jan 28, 2026

Upper · Passed

upper

1 primary · 2 co-sponsors