All Roll Calls
Yes: 92 • No: 25
ArizonaHB 2945Fifty-seventh Legislature - First Regular SessionHouseWALLET
developmental disabilities; appropriations; waivers
Sponsored By: Sponsor information unavailable
Signed by Governor
ahcccs (see also: arizona health care cost containment system)appropriationarizona health care cost containment system (ahcccs)auditor generaldepartment of economic security (des)des (see also: department of economic security)developmental disabilitiesemergencygovernor's office of strategic planning and budgeting (ospb)programs receiving federal moniespublic health and safety - title 36special auditstate government - title 41supplemental appropriationwaiver
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 2 costs, 1 mixed.
More funding for disability Medicaid services
For fiscal year 2024–2025, Arizona provides $109.2 million from the prescription drug rebate fund and $403 million in spending authority for developmental disabilities Medicaid. The state also provides $13.1 million for developmental disabilities cost-effectiveness study client services. These funds support state programs; the law does not set a payment or amount of care for any household.
Parents' paid care faces new limits
Arizona's program lets parents of minor children with disabilities get paid for approved care. After federal approval, care is capped at 40 hours per week per child starting July 1, 2025; parents must have lived in Arizona for six months. A parent may work through only one agency, and care services are limited to 6 a.m. to 10 p.m. Parents cannot bill attendant care when the child is at school or in an inpatient or clinical setting, or for ordinary household chores. The state must use an electronic visit system to identify providers and services, and adopt a stronger assessment tool by October 1, 2025, that excludes ordinary household tasks.
State audit of parents' paid care
Arizona appropriates $355,000 for an audit of its parents as paid caregivers program. The Auditor General must review how the state uses its strengthened assessment tool and compare it with practices in other states. The report is due by August 1, 2026, and the audit authority ends after December 31, 2026. The appropriation does not expire under the usual lapse rules, and the state also requires quarterly reports on program enrollment, service hours, and hospital use.
State approval limits on Medicaid changes
Arizona's Medicaid agency cannot submit certain waiver changes without a state law. This applies to changes that expand eligibility beyond groups authorized on January 1, 2025, add covered services, or raise annual use of affected services by more than 10%. Legislative health committees review covered proposals before they go to federal officials. The agency must monitor some other changes for three years; if use rises by more than 10% and lawmakers do not approve the change within one year of notice, the agency must ask the federal government to end it.
State agencies must track federal grants
The Governor's budget office must collect annual federal grant reports from state agencies, except universities. Reports must cover past and planned grant use, known end dates, related agreements, and the share of agency resources from federal funds. Agencies must also plan for cuts of 50% or more, and the state must identify grants it does not use and what laws could help it take part. The office can review agency records to do this work.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
David Livingston
Republican • House
Roll Call Votes
House vote • 4/24/2025
THIRD: Passed
Yes: 28 • No: 1
House vote • 4/23/2025
THIRD: Passed
Yes: 48 • No: 11
House vote • 4/16/2025
C&P
Yes: 5 • No: 3
House vote • 4/15/2025
DPA
Yes: 11 • No: 10
Actions Timeline
Third Reading: Passed
4/24/2025HouseMiscellaneous Motion: Passed
4/24/2025HouseThird Reading: Passed
4/23/2025HouseCommittee of the Whole: do pass amended
4/23/2025Houseundefined: C&P
4/16/2025Houseundefined: DPA
4/15/2025House
Bill Text
Chaptered Version
House Engrossed Version
Introduced Version