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SB1169 • 2026

appropriations; graduate medical education program

SB1169 - appropriations; graduate medical education program

Budget Education Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Carine Werner, Hildy Angius
Last action
2026-03-17
Official status
House second read
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on how funds will be allocated among hospitals and residency programs.

Funding for Graduate Medical Education

This bill provides funding for graduate medical education programs in Arizona through AHCCCS.

What This Bill Does

  • Appropriates $10 million from the state's general fund and $18,768,700 in Medicaid Expenditure Authority to AHCCCS for GME programs.
  • Allows these funds to cover both direct and indirect costs related to graduate medical education.
  • Specifies that state funding can supplement but not replace voluntary payments from local governments or other entities.

Who It Names or Affects

  • AHCCCS, which will receive and distribute the funding.
  • Hospitals with GME programs in health professional shortage areas.
  • Medical students participating in residency and fellowship programs.

Terms To Know

Graduate Medical Education (GME)
A program that prepares physicians for independent practice by providing additional training after medical school, including internships, residencies, and fellowships.
AHCCCS
Arizona Health Care Cost Containment System, a state agency responsible for managing Medicaid programs in Arizona.

Limits and Unknowns

  • The bill does not specify how the funds will be allocated among different hospitals or residency programs.
  • It is unclear if and when additional funding beyond FY2027 will be provided for GME programs.

Bill History

  1. 2026-03-17 House

    House second read

  2. 2026-03-16 House

    House Rules: None

  3. 2026-03-16 House

    House Appropriations: None

  4. 2026-03-16 House

    House Health & Human Services: None

  5. 2026-03-16 House

    House first read

  6. 2026-03-11 House

    Transmitted to House

  7. 2026-03-11 Senate

    Senate third read passed

  8. 2026-02-23 Senate

    Senate minority caucus

  9. 2026-02-23 Senate

    Senate majority caucus

  10. 2026-02-23 Senate

    Senate consent calendar

  11. 2026-01-21 Senate

    Senate second read

  12. 2026-01-20 Senate

    Senate Rules: PFC

  13. 2026-01-20 Senate

    Senate Health and Human Services: DP

  14. 2026-01-20 Senate

    Senate Appropriations, Transportation and Technology: DP

  15. 2026-01-20 Senate

    Senate first read

Official Summary Text

SB1169 - 572R - Senate Fact Sheet

Assigned to
HHS
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COMMITTEE

ARIZONA STATE SENATE

Fifty-Seventh
Legislature, Second Regular Session

FACT SHEET FOR
S.B. 1169

appropriations;
graduate medical education program

Purpose

Appropriates $10,000,000 from the state General Fund (state GF) and
$18,768,700 in Medicaid Expenditure Authority in FY 2027 to the Arizona Health
Care Cost Containment System (AHCCCS) for the direct and indirect costs of
graduate medical education (GME) and to fund the development of a new residency
program.

Background

GME
means a program, including an approved fellowship, that
prepares a physician for the independent practice of medicine by providing
didactic and clinical education in a medical discipline to a medical student
who has completed a recognized undergraduate medical education program (
A.R.S.
� 36-2901
).

The AHCCCS GME Program reimburses hospitals with GME programs for the
additional costs of treating members with graduate medical students. In
addition to state GF monies, local, county and tribal governments, as well as
public universities, may provide state match to a recipient of the entity's
choice. Monies allocated by the state GF support GME payments to hospitals
located in health professional shortage areas. GME funds are distributed by
AHCCCS to hospitals that provide training and education for medical school
graduates. This training includes internships, residencies and fellowships. GME
funds are either designated to cover direct medical education expenses or
indirect medical education expenses (
AHCCCS
;

JLBC
).

S.B. 1169 appropriates $10,000,000 from the state GF in FY 2027 to
AHCCCS.

Provisions

1.

Appropriates
$10,000,000 from the state GF and $18,768,700 in Medicaid Expenditure Authority
in FY 2027 to AHCCCS for GME programs to address the Arizona physician
shortage.

2.

Allows
appropriated monies to be used for direct and indirect costs of GME and to fund
the development of a new residency program.

3.

Specifies
that the appropriation may supplement, but not supplant, voluntary payments by
political subdivisions to hospitals that operate a GME program.

4.

Exempts
the appropriations from lapsing.

5.

Becomes
effective on the general effective date.

Prepared by Senate Research

January 22, 2026

MM/SDR/hk

Current Bill Text

Read the full stored bill text
SB1169 - 572R - S Ver

Senate Engrossed

appropriations;
graduate medical education program

State of Arizona

Senate

Fifty-seventh Legislature

Second Regular Session

2026

SENATE BILL 1169

AN
ACT

appropriating monies to the Arizona
health care cost containment system administration.

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it
enacted by the Legislature of the State of Arizona:

Section 1.
Appropriations;
Arizona health care cost containment system administration; graduate medical
education; exemption

A. In addition to any other
appropriations made in fiscal year 2026-2027, the sum of $10,000,000 from
the state general fund and $18,768,700 in expenditure authority are
appropriated in fiscal year 2026-2027 to the Arizona health care cost
containment system administration for graduate medical education programs to
address this state's shortage of physicians.

B. The amounts appropriated
in subsection A of this section may be used for the direct and indirect costs
of graduate medical education. The state general fund appropriation
may supplement, but not supplant, voluntary payments made from political
subdivisions for payments to hospitals that operate a graduate medical
education program. The Arizona health care cost containment system
administration may use the amounts appropriated in subsection A of this section
for start-up costs related to the development of a new residency program.

C. The appropriations made
in subsection A of this section are exempt from the provisions of section 35-190,
Arizona Revised Statutes, relating to lapsing of appropriations.