SB 1534 requires rural hospitals (in counties under 500,000 people) that don’t provide at least two core services - like 24/7 obstetrics, trauma care, or neonatal intensive care - to pay a 4% assessment on patient revenue starting in 2027. The collected funds flow into a state rural safety net fund, which then distributes money exclusively to eligible hospitals in the same county that *do* offer two or more core services and serve at least 20% Medicaid or uninsured patients. Hospitals must annually report emergency department data to the state, which will be publicly posted. The bill directly affects rural hospitals based on service capacity and patient mix, aiming to stabilize critical care access through targeted funding.
Arizona's HB 2804 creates a new tax credit to support rural affordable housing development. It allows taxpayers (primarily developers or investors in qualifying projects) to claim a credit against their state insurance premium tax for projects in counties with under 800,000 residents that also qualify for federal low-income housing tax credits. The credit amount matches the state's allocation for each project, capped at $2 million annually through 2036, and requires an eligibility statement from the Arizona Department of Housing. Taxpayers can offset the credit against premium tax liability, carry forward unused portions for up to five years, and the program includes annual reporting requirements for the department.
