# Arizona HB 4145: 2026-2027; health care.

Arizona HB 4145, 2026-2027; health care., is a Fifty-seventh Legislature - Second Regular Session House bill sponsored by no sponsor on record; status vetoed, last action 2026-05-05 (Vetoed by Governor); PRIA reads it as touching household money (as of 2026-11-04).

- Canonical: https://policyrisk.com/state-bill/AZ-HB4145-57th-2nd-regular
- As of: 2026-11-04
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Arizona HB 4145
- State: Arizona
- Session: Fifty-seventh Legislature - Second Regular Session
- Title: 2026-2027; health care.
- Status: vetoed
- Chamber: House
- Introduced: 2026-04-27
- Last action: 2026-05-05, Vetoed by Governor
- Sponsors: no sponsor on record
- Cosponsors: 5
- Subjects: 2026-2027, adoa (see also: department of administration), ahcccs (see also: arizona health care cost containment system), altcs (see also: arizona long-term care system), apache county, arizona health care cost containment system (ahcccs), arizona long-term care system (altcs), cochise county, coconino county, competency restoration, county acute care contributions, county contributions, data matching agreements, department of administration (adoa), disproportionate share payments, effective date, fiscal year 2026-2027, gila county, graham county, greenlee county, health care, la paz county, legislative intent, maricopa county, mental health medication utilization, mohave county, navajo county, pima county, pinal county, presumptive eligibility, proposition 204 administration, public health and safety - title 36, santa cruz county, state employee health insurance, yavapai county, yuma county
- Touches household money: yes
- Roll calls: 4 (68 yes, 39 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Cosponsor: David Livingston (Republican), House
- Cosponsor: Julie Willoughby (Republican), House
- Cosponsor: Michael Carbone (Republican), House
- Cosponsor: Neal Carter (Republican), House
- Cosponsor: Steve Montenegro (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-05-04 | Senate | Third Reading: Passed | pass | 16 | 12 |   |
| 2026-04-29 | House | Third Reading: Passed | pass | 33 | 20 |   |
| 2026-04-28 | House | Rules: C&P | pass | 8 | 0 |   |
| 2026-04-28 | House | Appropriations: DP | pass | 11 | 7 |   |

## Actions (10)

- 2026-05-05: Vetoed by Governor (Governor)
- 2026-05-04: Senate First Reading (Senate)
- 2026-05-04: Third Reading: Passed (Senate)
- 2026-05-04: Miscellaneous Motion: Passed (Senate)
- 2026-04-29: Third Reading: Passed (House)
- 2026-04-29: Committee of the Whole: do pass (House)
- 2026-04-28: House Second Reading (House)
- 2026-04-28: Rules: C&P (House)
- 2026-04-28: Appropriations: DP (House)
- 2026-04-27: House First Reading (House)

## Bill text

- House Engrossed Version (04/29/2026): [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/HB4145H.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/542946)
- Introduced Version: [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/HB4145P.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/542839)

## Related bills

- HB 2786: TPT; exemption; textbook rental (signed)
- HB 2780: judicial foreclosure; excess proceeds sale (signed)
- HB 2477: Arizona's education savings plan; revisions (signed)
- HB 2406: department of veterans' services; study (signed)
- HB 2397: homeowners' associations; property covenants; disclosures (signed)
- HB 2104: agricultural property; classification; inspection (signed)

## Sources
- [House Engrossed Version (04/29/2026) (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/HB4145H.htm)
- [House Engrossed Version (04/29/2026) (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/542946)
- [Introduced Version (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/HB4145P.htm)
- [Introduced Version (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/542839)

## Related
- [HB 2786: TPT; exemption; textbook rental](https://policyrisk.com/state-bill/AZ-HB2786-57th-2nd-regular)
- [HB 2780: judicial foreclosure; excess proceeds sale](https://policyrisk.com/state-bill/AZ-HB2780-57th-2nd-regular)
- [HB 2477: Arizona's education savings plan; revisions](https://policyrisk.com/state-bill/AZ-HB2477-57th-2nd-regular)
- [HB 2406: department of veterans' services; study](https://policyrisk.com/state-bill/AZ-HB2406-57th-2nd-regular)
- [HB 2397: homeowners' associations; property covenants; disclosures](https://policyrisk.com/state-bill/AZ-HB2397-57th-2nd-regular)
- [HB 2104: agricultural property; classification; inspection](https://policyrisk.com/state-bill/AZ-HB2104-57th-2nd-regular)
- [Arizona bills](https://policyrisk.com/states/arizona/bills)
- [Arizona state hub](https://policyrisk.com/states/arizona)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/AZ-HB4145-57th-2nd-regular (as of 2026-11-04).