AHCCCS; dual enrollment; notice

Plain English Breakdown

The official source does not provide specific details about the potential problems or risks associated with dual enrollment, only that AHCCCS must notify individuals of these issues.

AHCCCS; Dual Enrollment Notice

This bill requires AHCCCS to review monthly if people enrolled in health insurance plans sold on the Federally Facilitated Exchange are also enrolled in AHCCCS, and notify them of potential risks.

What This Bill Does

• Requires AHCCCS to check each month if someone is enrolled in both a health plan from the Federally Facilitated Exchange (FFE) and AHCCCS.
• Notifies people who are found to be enrolled in both programs about the possible problems with having dual enrollment.

Who It Names or Affects

• People enrolled in health insurance plans sold on the Federally Facilitated Exchange (FFE).
• Individuals who are also enrolled in AHCCCS.

Terms To Know

Federally Facilitated Exchange (FFE)

A marketplace where people can buy health insurance plans with federal help, as part of the Affordable Care Act.

AHCCCS

Arizona's Medicaid program that helps low-income residents get healthcare services.

Limits and Unknowns

• The bill only applies if AHCCCS has access to necessary data and gets approval from the federal government.
• There is no expected financial impact on Arizona’s state budget for this legislation.

Official Summary Text

SB1171 - 572R - Senate Fact Sheet

Assigned to
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COMMITTEE

ARIZONA STATE SENATE

Fifty-Seventh
Legislature, Second Regular Session

FACT SHEET FOR
s.b. 1171

AHCCCS;
dual enrollment; notice

Purpose

Requires the
Arizona Health Care Cost Containment System (AHCCCS), contingent on available
data and federal approval, to conduct a monthly review to ensure that individuals
enrolled in a health insurance plan sold on the Federally Facilitated Exchange
(FFE) under the federal Patient Protection and Affordable Care Act (ACA) are
not also enrolled in AHCCCS and notify individuals found to be enrolled in both
programs of the potential consequences of dual enrollment.

Background

The ACA, enacted
as part of the federal Health Care and Education Reconciliation Act of 2010, established
the FFE, through which eligible individuals may purchase subsidized private
health insurance. Eligible individuals must have a household income between 100
percent and 400 percent of the federal poverty level (FPL). In states where it
has been adopted, the ACA expanded the Medicaid program to cover all adults
with income below 138 percent of the FPL (
U.S. HHS
). AHCCCS
serves as Arizona's Medicaid agency, which offers qualifying Arizona residents
access to healthcare programs. AHCCCS contracts with health professionals to
provide medically necessary health and medical services to� members who meet
outlined income criteria and is authorized to take actions necessary to maintain
the integrity of the program, including establishing fraud prevention systems,
eligibility determination and enrollment oversight (A.R.S. ��
1-271
and
36-2903
).

The Public
Assistance Reporting Information System (PARIS) is a federal and state
partnership administered by the U.S. Department of Health and Human Service's (U.S.
HHS's) Administration for Children and Families, which is a data matching
service that matches recipients of public assistance to check if the recipients
receive duplicate benefits in two or more states to identify improper payments
and minimize fraud and abuse (
ACF
).

There is no
anticipated fiscal impact to the state General Fund associated with this
legislation.

Provisions

1.

Requires AHCCCS, contingent on the availability of PARIS data and
approval by the U.S. Centers for Medicare and Medicaid Services, to conduct a
monthly review to ensure that persons who are enrolled in a health insurance
plan sold on the FFE are not also enrolled in AHCCCS.

2.

Requires AHCCCS to notify persons found to be enrolled in both programs
of the potential risks, consequences and liabilities associated with
simultaneous enrollment.

3.

Defines
ACA
.

4.

Becomes effective on the general effective date.

Prepared by Senate Research

January 23, 2026

MM/SDR/hk

Current Bill Text

SB1171 - 572R - S Ver

Senate Engrossed

AHCCCS; dual
enrollment; notice

State of Arizona

Senate

Fifty-seventh Legislature

Second Regular Session

2026

SENATE BILL 1171

AN
ACT

Amending title 36, chapter 29, article 1,
Arizona Revised Statutes, by adding section 36-2903.18; relating to the
Arizona health care cost containment system.

(TEXT OF BILL BEGINS ON NEXT PAGE)

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

Section 1. Title 36, chapter 29, article 1,
Arizona Revised Statutes, is amended by adding section 36-2903.18, to
read:

START_STATUTE
36-2903.18.

Health insurance plans; exchange; monthly review for dual
enrollment; notice to dual enrollees; definition

A. The administration shall:

1. Contingent on the availability of
data provided by the public assistance reporting information system and
approval by the centers for medicare and medicaid services, conduct a monthly
review to ensure that persons who are enrolled in a health insurance plan that
is sold on the federally facilitated exchange pursuant to the affordable care
act are not also enrolled in the system.

2. Notify persons who are found to be
enrolled in a health insurance plan that is sold on the federally facilitated
exchange pursuant to the affordable care act and also enrolled in the system of
INFORMATION REGARDING THE POTENTIAL RISKS, CONSEQUENCES AND LIABILITIES
ASSOCIATED WITH SIMULTANEOUS ENROLLMENT IN THE SYSTEM AND A HEALTH INSURANCE
PLAN that is SOLD ON THE FEDERALLY FACILITATED EXCHANGE.

B. For the purposes of this section,
"affordable care act" has the same meaning prescribed in section 1-271.

END_STATUTE