Official Summary Text
HB2189 - 572R - Senate Fact Sheet
Assigned to
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PASSED BY COMMITTEE
ARIZONA STATE SENATE
Fifty-Seventh
Legislature, Second Regular Session
AMENDED
FACT SHEET FOR
H.B. 2189
licensed health
aides; rules
Purpose
Requires the
Arizona State Board of Nursing (AZBN) to adopt rules to implement the
prescribed scope of practice for licensed health aides.
Background
A
licensed
health aide
is a person who: 1) is licensed by the AZBN to provide or
assist in providing nursing-related services, as prescribed, under the Arizona
Long-term Care System (ALTCS); 2) is the parent, guardian or family member, by
affinity or consanguinity, of an ALTCS member and provides licensed health aide
services consistent with the member's plan of care, only to that member; 3) has
the same scope of practice as a licensed nursing assistant and may provide
medication administration, tracheostomy, enteral care and routine ventilator
care and therapy as well as any other tasks approved by the AZBN by rule; and
4) may provide outlined care under the supervision and direction of a licensed
nursing staff member. A licensed health aide may provide home health agency
services that include intermittent health maintenance, continued treatment or
monitoring of a health condition and supportive care for activities of daily
living that are provided within the ALTCS member's residence (A.R.S. ��
32-1601
and
36-2939
).
The AZBN's
duties include: 1) approving regulated training and educational programs;
2) establishing approval and reapproval processes by rule for nursing and
nursing assistant training programs; 3) publishing and distributing copies of
AZBN rules; 4) adopting rules to establish competency standards for obtaining
and maintaining a license; 5) determining and administering appropriate
disciplinary action against all regulated parties who are found guilty of
violating statute or rules adopted by the AZBN; and 6) performing functions
necessary to carry out the prescribed requirements of the nursing assistant and
nurse aide training and competency evaluation program (
A.R.S.
� 32-1606
).
There is no
anticipated fiscal impact to the state General Fund associated with this
legislation.
Provisions
1.
Requires the AZBN, by October 1, 2026, to adopt rules to implement the
scope of practice for licensed health aides as prescribed.
2.
Specifies
that the rules must address at least the following:
a)
updated standards for licensed health aide training programs, including
curriculum and training and eligibility requirements for licensed health aides,
including specific requirements for licensed health aides to perform routine
ventilator care;
b)
required documentation from a licensed medical provider attesting that a
singular patient is suitable for licensed health aide-level care in order for a
licensed health aide training program to allow a person to participate in the
program;
c)
an updated definition of
family member
;
d)
standards of conduct specific for licensed health aides that take into
consideration the circumstances of caring for a family member;
e)
a discipline process for a licensed health aide who acts outside of the
standards of conduct, including providing care outside of the licensed health
aide's trained competencies related to the health care needs of the individual
patient for whom the licensed health aide provides care;
f)
a process to collect aggregated annual data on the use of and outcomes
associated with licensed health aides in Arizona; and
g)
a
definition of routine ventilator care.
3.
Defines
licensed medical provider
as a licensed allopathic or
osteopathic physician, a nurse practitioner or a physician assistant.
4.
Becomes effective on the general effective date.
Amendments Adopted by
Committee:
1.
Modifies AZBN rulemaking requirements for licensed health aides to require
documentation from a medical provider attesting that a singular patient is
suitable for licensed health
aide-level care for purposes of participation in a licensed health aide
training program, rather than an attestation process based on patient acuity.
2.
Removes the specification that the data collection process must protect
patient private health information.
3.
Defines
licensed medical provider
.
House Action
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Senate
Action
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3
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Prepared by Senate Research
March 24, 2026
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Current Bill Text
Read the full stored bill text
Chapter 0084 - 572R - S Ver of HB2189
Senate Engrossed
House Bill
licensed health
aides; rules
State of Arizona
House of Representatives
Fifty-seventh Legislature
Second Regular Session
2026
CHAPTER 84
HOUSE BILL 2189
AN
ACT
Requiring the ARizona state board of nursing
to adopt rules relating to licensed health aides.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1.
Licensed
health aides; scope of practice; rules; definition
A. On or before October 1,
2026, the Arizona state board of nursing shall adopt rules to implement the
scope of practice for licensed health aides as defined in section 32-1601,
Arizona Revised Statutes. The rules shall address at least the following:
1. Updated
standards for licensed health aide training programs,
including curriculum and training and eligibility requirements for licensed
health aides, including specific requirements for licensed health aides to
perform routine ventilator care.
2.
Required documentation from a licensed medical provider
attesting that a
singular patient is suitable
for licensed health aide-level care
in
order for a licensed health aide training program to allow a person to
participate in the program's curriculum, competency examination and training.
3. An updated definition of
family member.
4. Standards of conduct
specific for licensed health aides that take into consideration the
circumstances of caring for a family member.
5. A discipline process for
a licensed health aide who acts outside of the standards of conduct, including
providing care outside of their trained competencies related to the health care
needs of the individual patient for whom the licensed health aide provides
care.
6. A process to collect
aggregated annual data on the use of
and outcomes associated with licensed health aides in this
state.
7. A definition of routine
ventilator care.
B.
For
the purposes of this section, "licensed medical provider" means a
physician who is licensed pursuant to title 32, chapter 13 or 17, Arizona
Revised Statutes, a nurse practitioner who is licensed pursuant to title 32,
chapter 15, Arizona Revised Statutes, or a physician assistant who is licensed
pursuant to title 32, chapter 25, Arizona Revised Statutes.
APPROVED BY THE GOVERNOR JUNE 4, 2026.
FILED IN THE OFFICE OF THE SECRETARY OF STATE JUNE 5, 2026.