# Arizona HB 4160: health care; 2026-2027 Arizona HB 4160, health care; 2026-2027, is a Fifty-seventh Legislature - Second Regular Session House bill sponsored by no sponsor on record; status signed, last action 2026-06-13 (Signed by Governor); PRIA reads it as touching household money (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/AZ-HB4160-57th-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 4160 - State: Arizona - Session: Fifty-seventh Legislature - Second Regular Session - Title: health care; 2026-2027 - Status: signed - Chamber: House - Introduced: 2026-06-09 - Last action: 2026-06-13, Signed by Governor - Sponsors: no sponsor on record - Cosponsors: 5 - Subjects: 2026-2027, ahcccs (see also: arizona health care cost containment system), altcs (see also: arizona long-term care system), applicability, arizona health care cost containment system (ahcccs), arizona long-term care system (altcs), arizona rural health transformation fund, counties, county acute care contributions, dementia services program, health care, health insurance trust fund oversight board, legislative intent, mental health medication utilization, opioid settlement funds agreement, presumptive eligibility, public health and safety - title 36, public officers and employees - title 38, rulemaking exemption - Touches household money: yes - Roll calls: 3 (47 yes, 5 no in all) - Economic provisions PRIA read: 11 ## Summary No summary available. ## Bill overview: provisions PRIA read - New premium goals for state workers: benefit, medium. A new board approves state employee health plans, premiums, copays, and deductibles. It must aim for employers to pay 85% of medical premiums and employees to pay 15% by plan year 2035. The board also sets goals for claims reserves and retiree cost-sharing. Starting in plan year 2028, it must appro… - Traditional healing covered for some members: benefit, medium. AHCCCS and its contractors provide pilot coverage for traditional healing services during fiscal years 2026–2027 through 2028–2029. The member must qualify for Indian Health Service or tribal facility services. The care must be delivered by or through an urban Indian organization, and the pilot req… - Arizona coordinates dementia services: benefit, low. The Arizona Department of Health Services coordinates dementia-related work and seeks related funding. It must update the state plan and hold stakeholder sessions at least once each calendar year. The updated plan must be submitted and published by June 30, 2027. The law does not guarantee an indiv… - Counties get competency spending-limit relief: benefit, low. County contributions for competency restoration do not count toward county expenditure limits. This changes how counties count those costs, but does not create a household payment or benefit. - Opioid funds reduce local penalties: benefit, low. For fiscal year 2026–2027, a county, city, or town can have its spending-limit penalty reduced when One Arizona opioid settlement money caused it to exceed its limit. The reduction equals the amount spent from those funds, but cannot reduce the penalty below zero. - Federal money supports rural health work: benefit, low. Arizona creates a fund for money received through the federal Rural Health Transformation Program. The money is continuously available to AHCCCS for the program. Before the state spends it, officials must hold three public meetings in each of northern, central, and southern Arizona’s largest metrop… - Medicaid plans keep temporary funding rules: benefit, low. From October 1, 2026, through September 30, 2027, AHCCCS may continue risk-contingency rate setting for managed-care organizations. It may also continue their administrative funding levels from the 2010–2011 contract year. The law does not set a household payment or change who qualifies for care. - More funding for safety-net hospitals: benefit, low. For fiscal year 2026–2027, the Arizona State Hospital receives $28.47 million, and qualifying private hospitals receive $884,800. Private hospitals must meet federal rules or be in Yuma County with at least 300 beds. Later payments go first to qualifying hospitals in counties with fewer than 400,00… - Local opioid funds cannot buy smoking supplies: cost, low. Cities, towns, and counties cannot use money from the final One Arizona opioid settlement distribution to provide safer smoking equipment. They also cannot give that money to a nonprofit for this purpose. The restriction covers sterile, durable equipment intended to reduce health risks from inhalin… - Tighter Medicaid checks and hospital access: mixed, medium. For reviews scheduled on or after January 1, 2027, AHCCCS must check records for wages, work, unemployment, lottery and gambling winnings, deaths, and out-of-state enrollment. Where federal law allows, it must verify residency rather than accept self-attestation. AHCCCS must ask federal officials b… - Counties fund long-term and acute care: mixed, medium. For fiscal year 2026–2027, counties must help pay for long-term care and acute care. Long-term care contributions range from $138,200 for Greenlee County to $298.9 million for Maricopa County. Acute care contributions range from $190,700 for Greenlee County to $14.95 million for Pima County; counti… ## 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 | | --- | --- | --- | --- | --- | --- | --- | | 2026-06-11 | Senate | Third Reading: Passed | pass | 24 | 4 | | | 2026-06-10 | House | Appropriations: DP | pass | 15 | 1 | 2 | | 2026-06-10 | House | Rules: C&P | pass | 8 | 0 | | ## Actions (10) - 2026-06-13: Signed by Governor (Governor) - 2026-06-11: Senate First Reading (Senate) - 2026-06-11: Third Reading: Passed (Senate) - 2026-06-11: Miscellaneous Motion: Passed (Senate) - 2026-06-11: Third Reading: Passed (House) - 2026-06-11: Committee of the Whole: do pass (House) - 2026-06-10: House Second Reading (House) - 2026-06-10: Rules: C&P (House) - 2026-06-10: Appropriations: DP (House) - 2026-06-09: House First Reading (House) ## Bill text - Chaptered Version: [HTML](https://www.azleg.gov/legtext/57leg/2R/laws/0132.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/543913) - House Engrossed Version (06/11/2026): [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/HB4160H.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/543719) - Introduced Version: [HTML](https://www.azleg.gov/legtext/57leg/2R/bills/HB4160P.htm), [PDF](https://apps.azleg.gov/BillStatus/GetDocumentPdf/543530) ## 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 - [Chaptered Version (HTML)](https://www.azleg.gov/legtext/57leg/2R/laws/0132.htm) - [Chaptered Version (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/543913) - [House Engrossed Version (06/11/2026) (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/HB4160H.htm) - [House Engrossed Version (06/11/2026) (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/543719) - [Introduced Version (HTML)](https://www.azleg.gov/legtext/57leg/2R/bills/HB4160P.htm) - [Introduced Version (PDF)](https://apps.azleg.gov/BillStatus/GetDocumentPdf/543530) ## 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-HB4160-57th-2nd-regular (as of 2026-11-04).