All Roll Calls
Yes: 135 • No: 16
ArizonaSB 1630Fifty-seventh Legislature - Second Regular SessionSenateWALLET
home; community-based services; mental illness
Sponsored By: Hildy Angius (Republican)
Signed by Governor
adults who are seriously mentally ilahcccs (see also: arizona health care cost containment system)annual reportarizona health care cost containment system (ahcccs)authority to seek and maintain federal approvalcommunity-based servicescovered servicescriteriadefinitionsdelayed repeal (h)eligibilityemergency placementsenhanced reimbursement ratesenhanced residential treatment (h)financial eligibilityhomehome and community-based service programlong-term level of caremental illnessmodificationpriorityprogram capacityprovider requirementspublic health and safety - title 36quarterly updatesrequest for federal approvalrulesserious mental illnessserious mental illness level of careserious mental illness long-term level of careservice plan (h)smi (h)stakeholder workgroupstrike everything amendment (h)
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 1 benefits, 0 costs, 4 mixed.
New community care for serious mental illness
Arizona creates a Medicaid community care program for adults with serious mental illness who need help avoiding institutional care. The state must request federal approval by July 1, 2027, and start implementation within one year after approval. Operation requires federal approval; the state must pursue other federal approval options if its first requests are denied. Covered services include personal and attendant care, daily-living skills and behavior support, adult day health care, supervised living, respite, home-delivered meals, nursing, home health, medication administration, and nonemergency transportation. The state may adjust services with federal approval and pay providers higher rates for members with more intensive care needs.
Community care eligibility and income limits
Applicants must have a serious mental illness determination and need long-term community support to avoid psychiatric or behavioral residential placement. Income generally cannot exceed 300% of the federal Supplemental Security Income benefit rate; a qualified income trust offers a path above that limit. Asset rules and protections for spouses match Arizona's existing long-term care community services program. Qualifying care needs include psychiatric incapacity requiring court-ordered treatment or guardianship, recent institutional or jail discharge, repeated crises, hospital stays, or public safety involvement. Other examples include trouble with judgment or daily tasks, safety risks, homelessness or imminent homelessness, and complex psychiatric medicines needing extra monitoring. A need for structured community support to maintain medication treatment also qualifies. The care test cannot require physical disability, nursing-facility criteria, or a preadmission screening tool; the state may refine criteria within the law's intent.
Limited community care slots with priority access
The federally approved program initially serves up to 250 people statewide, including temporary emergency placements. Enrollment may grow when data show less use of costly services or savings in state-funded systems, subject to legislative budget committee review. Enrollment cannot exceed 1,000 without legislative authorization. When slots are scarce, priority runs in this order: court-ordered treatment; guardianship for psychiatric incapacity; recent discharge from jail, prison, a state hospital, or a behavioral health facility; homelessness or imminent homelessness; repeated crises, hospitalizations, or public safety involvement; significant safety risks; and complex psychiatric medicines needing extra monitoring. The state may reserve emergency or priority slots, but courts cannot force enrollment above the caps. The state must give legislative leaders updates every six months until implementation. Annual reports start one year after implementation and cover enrollment, waitlists, legal supervision, housing stability, hospital and crisis use, jail use, emergency care, screening services, provider denials and discharges, costs, and estimated savings.
Discharge safeguards with a safety exception
Before starting a discharge, providers must document behavior interventions, crisis supports, and staffing changes. Providers paid by the program must also use eviction-prevention procedures. They must get regional behavioral health authority approval before issuing a nonemergency notice to vacate. These safeguards do not guarantee continued services: providers need not continue care when immediate, documented health or safety risks cannot be reduced through reasonable clinical steps. The state retains authority to protect members' health and safety.
Residential care support excludes housing costs
Members under a valid court order, guardianship, or involuntary treatment authority can receive services in any state-authorized residential setting. Medicaid pays only for covered community services, not room and board, custody supervision, or enforcing court orders. Covered home-delivered meals remain a separate program benefit. The state must conduct periodic reviews and plan moves to less restrictive settings when clinically appropriate. The law does not change Arizona's standards for involuntary treatment.
Sponsors & Cosponsors
Sponsor
Hildy Angius
Republican • Senate
Cosponsors
Brian Fernandez
Democratic • Senate
Carine Werner
Republican • Senate
Catherine Miranda
Democratic • Senate
Mark Finchem
Republican • Senate
Rosanna Gabaldón
Democratic • Senate
Thomas "T.J." Shope
Republican • Senate
Roll Call Votes
Senate vote • 6/12/2026
Final Reading: Passed
Yes: 28 • No: 1
Senate vote • 6/12/2026
Concurrence: Passed
Yes: 0 • No: 0
House vote • 6/11/2026
Third Reading: Passed
Yes: 42 • No: 13
House vote • 6/10/2026
Rules: C&P
Yes: 8 • No: 0
House vote • 3/23/2026
Health & Human Services: DP
Yes: 12 • No: 0
Senate vote • 3/4/2026
Third Reading: Passed
Yes: 28 • No: 2
Senate vote • 2/24/2026
Appropriations, Transportation and Technology: DPA
Yes: 10 • No: 0
Senate vote • 2/11/2026
Health and Human Services: DPA
Yes: 7 • No: 0
Actions Timeline
Signed by Governor
6/22/2026GovernorFinal Reading: Passed
6/12/2026SenateConcurrence: Passed
6/12/2026SenateThird Reading: Passed
6/11/2026HouseCommittee of the Whole: do pass amended
6/11/2026HouseRules: C&P
6/10/2026HouseHealth & Human Services: DP
3/23/2026HouseHouse Second Reading
3/10/2026HouseHouse First Reading
3/9/2026HouseThird Reading: Passed
3/4/2026SenateCommittee of the Whole: do pass amended
3/4/2026SenateRules: PFC
3/2/2026SenateAppropriations, Transportation and Technology: DPA
2/24/2026SenateHealth and Human Services: DPA
2/11/2026SenateSenate Second Reading
2/4/2026SenateSenate First Reading
2/3/2026Senate
Bill Text
Chaptered Version
House Engrossed Version (06/11/2026)
Introduced Version
Senate Engrossed Version (03/04/2026)