Bill Text: AZ HCR2042 | 2012 | Fiftieth Legislature 2nd Regular | Introduced
Bill Title: AHCCCS; recovery audit; recovery methodology
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2012-01-24 - Referred to House HHS Committee [HCR2042 Detail]
Download: Arizona-2012-HCR2042-Introduced.html
|
REFERENCE TITLE: AHCCCS; recovery audit; recovery methodology |
|
State of Arizona House of Representatives Fiftieth Legislature Second Regular Session 2012
|
|
HCR 2042 |
|
|
|
Introduced by Representative Seel
|
A CONCURRENT RESOLUTION
Enacting and ordering the submission to the people of a measure relating to the Arizona health care cost containment system.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it resolved by the House of Representatives of the State of Arizona, the Senate concurring:
1. Under the power of the referendum, as vested in the Legislature, the following measure, relating to the Arizona health care cost containment system, is enacted to become valid as a law if approved by the voters and on proclamation of the Governor:
an act
Amending title 36, chapter 29, article 1, Arizona Revised Statutes, by adding section 36‑2930.02 relating to the Arizona health care cost containment system:
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36‑2930.02, to read:
36-2930.02. Third‑party coverage; audit; cost avoidance and recovery methodology
A. On or before July 1 of each year, the administration shall conduct an audit of the primacy of its payments by matching the identities of its members electronically using the transactions mandated pursuant to 42 United States Code section 1320d against the enrollment of all other health plans. The administration must file the results of its audit with the department of insurance on or before September 1 of each year.
B. The administration shall submit a copy of each annual audit to the governor, the speaker of the house of representatives, the president of the senate, the joint legislative budget committee and the secretary of state on or before September 1 of each year.
C. The administration shall propose and issue a public request for proposals for a contract to provide for a cost avoidance and recovery methodology relating to determining third‑party liability and coordination of benefits. The request for proposals shall be reviewed by the joint legislative audit committee before it is issued. a contract awarded by the administration pursuant to a public request for proposals to assist the administration in determining third‑party liability and coordination of benefits shall require an offeror to demonstrate a cost avoidance methodology as part of the proposal submission. The contract shall provide for the payment of contractor services through the costs recovered by the recovery methodology provided and operated by the contractor and shall specify reasonable reimbursement limits.
2. The Secretary of State shall submit this proposition to the voters at the next general election as provided by article IV, part 1, section 1, Constitution of Arizona.
