Bill Text: AZ SB1246 | 2019 | Fifty-fourth Legislature 1st Regular | Chaptered

---

Bill Title: Behavioral health; foster children

Spectrum: Partisan Bill (Republican 2-0)

Status: (Passed) 2019-06-07 - Chapter 305 [SB1246 Detail]

Download: Arizona-2019-SB1246-Chaptered.html

---

 

 

Senate Engrossed

 

 

 

State of Arizona

Senate

Fifty-fourth Legislature

First Regular Session

2019

 

 

 

CHAPTER 305

 

SENATE BILL 1246

 

 

AN ACT

 

amending section 8‑512, Arizona Revised Statutes; amending section 8‑512, Arizona Revised Statutes, as amended by this act; amending section 41‑2501, Arizona Revised Statutes; relating to child welfare and placement.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 

Be it enacted by the Legislature of the State of Arizona:

Section 1.  Section 8-512, Arizona Revised Statutes, is amended to read:

START_STATUTE8-512.  Comprehensive medical and dental care; guidelines

A.  The department shall provide comprehensive medical and dental care, as prescribed by rules of the department, for each child who is:

1.  In a voluntary placement pursuant to section 8‑806.

2.  In the custody of the department in an out-of-home placement.

3.  In the custody of a probation department and placed in foster care.  The department shall not provide this care if the cost exceeds funds currently appropriated and available for that purpose.

B.  On or before October 1, 2015, the department of child safety, in collaboration with the department of health services and the Arizona health care cost containment system administration, shall:

1.  Determine the most efficient and effective way to provide comprehensive medical, dental and behavioral health services, including behavioral health diagnostic, evaluation and treatment services for children who are provided care pursuant to subsection A of this section.

2.  Determine the number of disruptions of placements in foster care by age of child due to behavioral health management issues and the extent each child is receiving behavioral health services.

3.  Determine the number of adopted children who have entered foster care due to the adoptive parents' inability to receive behavioral health services to adequately meet the needs of the child and parents.

4.  Submit a report of its recommendations for providing services pursuant to this subsection to the governor, the speaker of the house of representatives and the president of the senate and shall provide a copy of its report to the secretary of state.  The collaborative determination shall consider an administratively integrated system.

C.  B.  The comprehensive medical and dental care consists of those benefits provided by the Arizona health care cost containment system benefit as prescribed in title 36, chapter 29, article 1 and as set forth in the approved medicaid state plan.

D.  C.  Any provider that has a provider agreement registration may be employed through the comprehensive medical and dental program by the foster parent, relative, certified adoptive parent, agency or department having responsibility for the care of the child.

E.  The department shall reimburse a provider according to the rates established by the Arizona health care cost containment system administration pursuant to title 36, chapter 29, article 1.

F.  The department shall use the Arizona health care cost containment system administration rates as identified in subsection E of this section for any child eligible for services under this section.

G.  D.  The department shall require providers to submit claims for medical and dental services pursuant to section 36‑2903.01.

H.  E.  The department shall require that the provider pursue other third party payors before submitting a claim to the department.  Payment received by a provider from the department is considered payment by the department of the department's liability for the bill.  A provider may collect any unpaid portion of its bill from other third party payors or in situations covered by title 33, chapter 7, article 3.

I.  F.  The department shall not pay claims for services pursuant to this section that are submitted more than one hundred eighty days after the date of the service for which the payment is claimed.

J.  G.  The department may provide for payment through an insurance plan, hospital service plan, medical service plan, or any other health service plan authorized to do business in this state, fiscal intermediary or a combination of such plans or methods.  The state shall not be liable for and the department shall not pay to any plan or intermediary any portion of the cost of comprehensive medical and dental care in excess of funds appropriated and available for such purpose at the time the plan or intermediary incurs the expense for such care.

K.  H.  The total amount of state monies that may be spent in any fiscal year by the department for comprehensive medical and dental care shall not exceed the amount appropriated or authorized by section 35‑173 for that purpose.  This section shall not be construed to impose a duty on an officer, agent or employee of this state to discharge a responsibility or to create any right in a person or group if the discharge or right would require an expenditure of state monies in excess of the expenditure authorized by legislative appropriation for that specific purpose. END_STATUTE

Sec. 2.  Section 8-512, Arizona Revised Statutes, as amended by section 1 of this act, is amended to read:

START_STATUTE8-512.  Comprehensive medical and dental care; guidelines

A.  The department shall provide comprehensive medical and dental care, including behavioral health services, as prescribed by rules of the department, for each child who is:

1.  In a voluntary placement pursuant to section 8‑806.

2.  In the custody of the department in an out-of-home placement.

3.  In the custody of a probation department and placed in foster care.  The department shall not provide this care if the cost exceeds funds currently appropriated and available for that purpose.

B.  The comprehensive medical and dental care consists of those benefits provided by the Arizona health care cost containment system benefit as prescribed in title 36, chapter 29, article 1 and as set forth in the approved medicaid state plan.

C.  Any provider that has a provider agreement registration may be employed through the comprehensive medical and dental program by the foster parent, relative, certified adoptive parent, agency or department having responsibility for the care of the child.

D.  C.  The department shall require providers to submit claims for medical and dental services pursuant to section 36‑2903.01.

E.  D.  The department shall require that the provider pursue other third party payors before submitting a claim to the department.  Payment received by a provider from the department is considered payment by the department of the department's liability for the bill.  A provider may collect any unpaid portion of its bill from other third party payors or in situations covered by title 33, chapter 7, article 3.

F.  E.  The department shall not pay claims for services pursuant to this section that are submitted more than one hundred eighty days after the date of the service for which the payment is claimed.

G.  F.  The department may provide for payment through an insurance plan, hospital service plan, medical service plan, or any other health service plan authorized to do business in this state, fiscal intermediary or a combination of such plans or methods.  The state shall not be liable for and the department shall not pay to any plan or intermediary any portion of the cost of comprehensive medical and dental care in excess of funds appropriated and available for such purpose at the time the plan or intermediary incurs the expense for such care.

H.  G.  The total amount of state monies that may be spent in any fiscal year by the department for comprehensive medical and dental care shall not exceed the amount appropriated or authorized by section 35‑173 for that purpose.  This section shall not be construed to impose a duty on an officer, agent or employee of this state to discharge a responsibility or to create any right in a person or group if the discharge or right would require an expenditure of state monies in excess of the expenditure authorized by legislative appropriation for that specific purpose. END_STATUTE

Sec. 3.  Section 41-2501, Arizona Revised Statutes, is amended to read:

START_STATUTE41-2501.  Applicability

A.  This chapter applies only to procurements initiated after January 1, 1985 unless the parties agree to its application to procurements initiated before that date.

B.  This chapter applies to every expenditure of public monies, including federal assistance monies except as otherwise specified in section 41‑2637, by this state, acting through a state governmental unit as defined in this chapter, under any contract, except that this chapter does not apply to either grants as defined in this chapter, or contracts between this state and its political subdivisions or other governments, except as provided in chapter 24 of this title and in article 10 of this chapter.  This chapter also applies to the disposal of state materials. This chapter and rules adopted under this chapter do not prevent any state governmental unit or political subdivision from complying with the terms of any grant, gift, bequest or cooperative agreement.

C.  All political subdivisions and other local public agencies of this state may adopt all or any part of this chapter and the rules adopted pursuant to this chapter.

D.  Notwithstanding any other law, sections 41‑2517 and 41‑2546 apply to any agency as defined in section 41‑1001, including the office of the governor.

E.  The Arizona board of regents and the legislative and judicial branches of state government are not subject to this chapter except as prescribed in subsection F of this section.

F.  The Arizona board of regents and the judicial branch shall adopt rules prescribing procurement policies and procedures for themselves and institutions under their jurisdiction.  The rules must be substantially equivalent to the policies and procedures prescribed in this chapter.

G.  The Arizona state lottery commission is exempt from this chapter for procurement relating to the design and operation of the lottery or purchase of lottery equipment, tickets and related materials.  The executive director of the Arizona state lottery commission shall adopt rules substantially equivalent to the policies and procedures in this chapter for procurement relating to the design and operation of the lottery or purchase of lottery equipment, tickets or related materials.  All other procurement shall be as prescribed by this chapter.

H.  The Arizona health care cost containment system administration is exempt from this chapter for provider contracts pursuant to section 36‑2904, subsection A and contracts for goods and services, including program contractor contracts pursuant to title 36, chapter 29, articles 2 and 3 and contracts with regional behavioral health authorities pursuant to title 36, chapter 34.  All other procurement, including contracts for the statewide administrator of the program pursuant to section 36‑2903, subsection B, shall be as prescribed by this chapter.

I.  Arizona correctional industries is exempt from this chapter for purchases of raw materials, components and supplies that are used in the manufacture or production of goods or services for sale entered into pursuant to section 41‑1622.  All other procurement shall be as prescribed by this chapter.

J.  The state transportation board and the director of the department of transportation are exempt from this chapter other than sections 41‑2517 and 41‑2586 and are subject to title 28, chapter 20 and 2 Code of Federal Regulations section 200.317 for the procurement of the following:

1.  All items of construction, reconstruction, rehabilitation, preservation or improvement undertaken on highway infrastructure.

2.  Engineering services and any other work or activity to carry out engineering services related to highway infrastructure.

3.  Right‑of‑way services related to land titles, appraisals, real property acquisitions, relocation services, property management and facility design.

4.  Any other construction, reconstruction, rehabilitation, preservation or improvement work or activity that is required pursuant to title 28, chapter 20.

K.  The Arizona highways magazine is exempt from this chapter for contracts for the production, promotion, distribution and sale of the magazine and related products and for contracts for sole source creative works entered into pursuant to section 28‑7314, subsection A, paragraph 5.  All other procurement shall be as prescribed by this chapter.

L.  The secretary of state is exempt from this chapter for contracts entered into pursuant to section 41‑1012 to publish and sell the administrative code.  All other procurement shall be as prescribed by this chapter.

M.  This chapter is not applicable to contracts for professional witnesses if the purpose of such contracts is to provide for professional services or testimony relating to an existing or probable judicial proceeding in which this state is or may become a party or to contract for special investigative services for law enforcement purposes.

N.  The head of any state governmental unit, in relation to any contract exempted by this section from this chapter, has the same authority to adopt rules, procedures or policies as is delegated to the director pursuant to this chapter.

O.  Agreements negotiated by legal counsel representing this state in settlement of litigation or threatened litigation are exempt from this chapter.

P.  This chapter is not applicable to contracts entered into by the department of economic security:

1.  With a provider licensed or certified by an agency of this state to provide child day care services.

2.  With area agencies on aging created pursuant to the older Americans act of 1965 (P.L. 89‑73; 79 Stat. 218; 42 United States Code sections 3001 through 3058ff).

3.  For services pursuant to title 36, chapter 29, article 2.

4.  With an eligible entity as defined by Public Law 105‑285, section 673(1)(A)(i), as amended, for designated community services block grant program monies and any other monies given to the eligible entity that accomplishes the purpose of Public Law 105‑285, section 672.

Q.  The Arizona health care cost containment system may not require that persons with whom it contracts follow this chapter for the purposes of subcontracts entered into for the provision of the following:

1.  Mental health services pursuant to section 36‑189, subsection B.

2.  Services for the seriously mentally ill pursuant to title 36, chapter 5, article 10.

3.  Drug and alcohol services pursuant to section 36‑141.

R.  The department of health services may not require that persons with whom it contracts follow this chapter for the purpose of subcontracts entered into for the provision of domestic violence services pursuant to title 36, chapter 30, article 1.

S.  The department of health services is exempt from this chapter for contracts for services of physicians at the Arizona state hospital.

T.  Contracts for goods and services approved by the board of trustees of the public safety personnel retirement system are exempt from this chapter.

U.  The Arizona department of agriculture is exempt from this chapter with respect to contracts for private labor and equipment to effect cotton or cotton stubble plow‑up pursuant to rules adopted under title 3, chapter 2, article 1.

V.  The Arizona state parks board is exempt from this chapter for purchases of guest supplies and items for resale such as food, linens, gift items, sundries, furniture, china, glassware and utensils for the facilities located in the Tonto natural bridge state park.

W.  The Arizona state parks board is exempt from this chapter for the purchase, production, promotion, distribution and sale of publications, souvenirs and sundry items obtained and produced for resale.

X.  The Arizona state schools for the deaf and the blind are exempt from this chapter for the purchase of textbooks and when purchasing products through a cooperative that is organized and operates in accordance with state law if such products are not available on a statewide contract and are related to the operation of the schools or are products for which special discounts are offered for educational institutions.

Y.  Expenditures of monies in the morale, welfare and recreational fund established by section 26‑153 are exempt from this chapter.

Z.  Notwithstanding section 41‑2534, the director of the state department of corrections may contract with local medical providers in counties with a population of less than four hundred thousand persons for the following purposes:

1.  To acquire hospital and professional medical services for inmates who are incarcerated in state department of corrections facilities that are located in those counties.

2.  To ensure the availability of emergency medical services to inmates in all counties by contracting with the closest medical facility that offers emergency treatment and stabilization.

AA.  The department of environmental quality is exempt from this chapter for contracting for procurements relating to the water quality assurance revolving fund program established pursuant to title 49, chapter 2, article 5.  The department shall engage in a source selection process that is similar to the procedures prescribed by this chapter.  The department may contract for remedial actions with a single selection process.  The exclusive remedy for disputes or claims relating to contracting pursuant to this subsection is as prescribed by article 9 of this chapter and the rules adopted pursuant to that article.  All other procurement by the department shall be as prescribed by this chapter.

BB.  The motor vehicle division of the department of transportation is exempt from this chapter for third‑party authorizations pursuant to title 28, chapter 13, only if all of the following conditions exist:

1.  The division does not pay any public monies to an authorized third party.

2.  Exclusivity is not granted to an authorized third party.

3.  The director has complied with the requirements prescribed in title 28, chapter 13 in selecting an authorized third party.

CC.  This section does not exempt third‑party authorizations pursuant to title 28, chapter 13 from any other applicable law.

DD.  The state forester is exempt from this chapter for purchases and contracts relating to wildland fire suppression and pre‑positioning equipment resources and for other activities related to combating wildland fires and other unplanned risk activities, including fire, flood, earthquake, wind and hazardous material responses.  All other procurement by the state forester shall be as prescribed by this chapter.

EE.  The cotton research and protection council is exempt from this chapter for procurements.

FF.  The Arizona commerce authority is exempt from this chapter, except article 10 for the purpose of cooperative purchases.  The authority shall adopt policies, procedures and practices, in consultation with the department of administration, that are similar to and based on the policies and procedures prescribed by this chapter for the purpose of increased public confidence, fair and equitable treatment of all persons engaged in the process and fostering broad competition while accomplishing flexibility to achieve the authority's statutory requirements.  The authority shall make its policies, procedures and practices available to the public.  The authority may exempt specific expenditures from the policies, procedures and practices.

GG.  The Arizona exposition and state fair board is exempt from this chapter for contracts for professional entertainment.

HH.  This chapter does not apply to the purchase of water, gas or electric utilities.

II.  This chapter does not apply to professional certifications, professional memberships and conference registrations.

JJ.  The department of gaming is exempt from this chapter for problem gambling treatment services contracts with licensed behavioral health professionals.

KK.  This chapter does not apply to contracts for credit reporting services.

LL.  This chapter does not apply to contracts entered into by the department of child safety:

1.  With a provider of family foster care pursuant to section 8‑503.

2.  With an eligible entity as defined by Public Law 105‑285, section 673(1)(A)(i), as amended, for designated community services block grant program monies and any other monies given to the eligible entity that accomplishes the purpose of Public Law 105‑285, section 672.

3.  For services pursuant to title 36, chapter 29, article 1 and as set forth in the approved medicaid state plan.

MM.  This chapter does not apply to contracts entered into by the department of economic security with a financial institution to serve as a program manager and depository under section 46‑903. END_STATUTE

Sec. 4.  Conditional enactment; notice

A.  Section 8‑512, Arizona Revised Statutes, as amended by section 2 of this act, does not become effective unless on or before January 1, 2024 funding is made available by the federal government and this state for the department of child safety to provide behavioral health services to eligible members of the department's comprehensive medical and dental program.

B.  The department of child safety shall notify in writing the director of the Arizona legislative council on or before February 1, 2024.

1.  Of the date on which the condition was met.

2.  That the condition was not met.

Sec. 5.  Effective date

Section 8‑512, Arizona Revised Statutes, as amended by section 2 of this act, is effective on the later of the day on which the condition prescribed in section 4 of this act is met and from and after September 30, 2020.

 

 

 

APPROVED BY THE GOVERNOR JUNE 7, 2019.

 

FILED IN THE OFFICE OF THE SECRETARY OF STATE JUNE 7, 2019.