reglab/housing_qa huggingface dataset:
AZ Rev Stat § 36-2901.03 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2901.03 - Federal poverty program; eligibility

36-2901.03.  Federal poverty program;  eligibility A. The administration shall adopt rules for a streamlined eligibility determination process for any person who applies to be an eligible person as defined in section 36-2901,  paragraph 6,  subdivision (a),  item (iv). The administration shall adopt these rules in accordance with state and federal requirements and the section 1115 waiver. B. The administration must base eligibility on an adjusted gross income that does not exceed one hundred per cent of the federal poverty guidelines. C. For persons who the administration determines are eligible pursuant to this section,  the date of eligibility is the first day of the month of application. D. Except as provided in subsection E of this section,  the administration shall determine an eligible person's continued eligibility at least annually. E. Every six months the administration shall determine the continued eligibility of any adult who is at least twenty-one years of age and who is subject to redetermination of eligibility for temporary assistance for needy families cash benefits by the department. Acute care redeterminations pursuant to this subsection shall occur simultaneously with redeterminations of eligibility for temporary assistance for needy families cash benefits.
AZ Rev Stat § 36-2901.04 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2901.04 - Medical expense deduction eligibility process

36-2901.04.  Medical expense deduction eligibility process A. The administration shall adopt rules for a streamlined medical expense deduction eligibility process to determine eligibility for any person who applies to be an eligible person as defined in section 36-2901,  paragraph 6,  subdivision (a),  item (v). The administration shall adopt these rules in accordance with state and federal requirements and the section 1115 waiver. B. To be eligible for the medical expense deduction program established pursuant to this section a person must meet the following requirements: 1. Have a family income that does not exceed forty per cent of the federal poverty guidelines after deducting allowable medical expenses. 2. Have family resources that do not exceed one hundred thousand dollars in net worth,  including five thousand dollars in liquid assets. The administration shall exclude one vehicle.  C. An applicant may use the allowable medical expenses of a member of the applicant's family unit to reduce income to the required income level prescribed in subsection A of this section. The administration shall calculate income by using medical expenses that are not reimbursable by first or third party liability and that are incurred in a three month period beginning with the month before the month of application,  the month of application and the following month. D. To determine when spend down is met,  the administration shall deduct from the applicant's family income incurred medical expenses sequentially beginning with the month before the month of application. E. Eligibility is the date that spend down is met as determined by the department or the first day of the month of application,  whichever is later. F. The administration shall grant eligibility for five continuous months plus any remaining days starting with the first day of eligibility but not to exceed a maximum period of six months.
AZ Rev Stat § 36-2901.05 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2901.05 - Breast and cervical cancer treatment; additional definition of eligibility

36-2901.05.  Breast and cervical cancer treatment;  additional definition of eligibility A. For the purposes of this article,  beginning January 1,  2002,  " eligible person"  includes a person who meets all of the following requirements: 1. Has been screened for breast and cervical cancer by a provider or entity that is recognized by the well woman healthcheck program administered by the department of health services as part of its program under title XV of the public health service act and that operates consistently with well woman healthcheck program guidelines. 2. Needs treatment for breast or cervical cancer. 3. Has an income level that is at or below two hundred fifty per cent of the federal poverty guidelines. 4. Is under sixty-five years of age. 5. Is not otherwise covered under creditable coverage as defined in section 2701(c) of the public health services act (42 United States Code section 300gg(c)). B. The administration shall limit the assistance it provides pursuant to this section to medically necessary services provided during the period that the person requires treatment for breast or cervical cancer as determined by the administration. C. The administration shall use a simplified eligibility form that the applicant may mail to the administration. Once the administration receives a completed application,  the administration shall expedite the eligibility determination and enrollment on a prospective basis.
AZ Rev Stat § 36-2901.06 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2901.06 - Capitation rate adjustments; limitation

36-2901.06.  Capitation rate adjustments;  limitation Capitation rate adjustments shall be limited to utilization of existing services and inflation unless policy changes,  including creation or expansion of programs,  have been approved by the legislature or are specifically required by federal law or court mandate.
AZ Rev Stat § 36-2901.07 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2901.07 - Definition of eligible person; conditional eligibility

36-2901.07.  Definition of eligible person;  conditional eligibility (Conditionally Rpld.) A. Beginning January 1,  2014,  for the purposes of section 36-2901,  " eligible person"  includes a person who is eligible pursuant to 42 United States Code section 1396a(a)(10)(A)(i)(VIII) and whose household's modified adjusted gross income is more than one hundred per cent but equal to or less than one hundred thirty-three per cent of the federal poverty guidelines. B. The administration shall discontinue eligibility for a person who is eligible pursuant to subsection A of this section if the federal medical assistance percentage established pursuant to 42 United States Code section 1396d(y) or 1396d(z) that is applicable to this state is less than eighty per cent. C. The administration shall discontinue eligibility for persons who are eligible pursuant to subsection A of this section if the maximum amount that can be assessed under section 36-2901.08 without causing a reduction in federal financial participation,  in combination with the monies specified in section 36-2901.09 and any other monies appropriated for the costs of this section and costs specified in section 36-2901.08,  subsection A,  is insufficient to cover those costs.
AZ Rev Stat § 36-2901.09 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2901.09 - Hospital assessment fund

36-2901.09.  Hospital assessment fund A. The hospital assessment fund is established consisting of monies collected pursuant to section 36-2901.08. The director shall administer the fund. B. The director shall use fund monies only as necessary to supplement monies in the proposition 204 protection account established by section 36-778 and the Arizona tobacco litigation settlement fund established by section 36-2901.02. C. Monies in the fund: 1. Do not revert to the state general fund. 2. Are exempt from the provisions of section 35-190 relating to lapsing of appropriations. 3. Are continuously appropriated.
AZ Rev Stat § 36-2902 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2902 - Arizona health care cost containment system administration; director; compensation

36-2902.  Arizona health care cost containment system administration;  director;  compensation A. There is established the Arizona health care cost containment system administration. B. The administration shall be administered by a director appointed by the governor and confirmed by the senate. C. The director of the administration is eligible to receive compensation pursuant to section 38-611.
AZ Rev Stat § 36-2903.02 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.02 - Quality of health care monitoring standard; development; adoption; use; additional monitoring; costs

36-2903.02.  Quality of health care monitoring standard;  development;  adoption;  use;  additional monitoring;  costs A. The administration shall develop by rule a standard for contractors to use to monitor the quality of health care received by members. Each contractor shall adopt and use the standard developed by the administration. B. The director shall periodically determine whether each contractor has properly adopted and implemented the quality of health care monitoring standard. If the director determines that a contractor has not done so,  the director shall undertake additional special efforts to monitor and assess the quality of health care provided by that contractor for as long as the director deems necessary. The director shall determine the cost incurred in undertaking such special efforts and shall deduct that amount each month from any payment owed to that contractor for as long as the special efforts continue.
AZ Rev Stat § 36-2903.04 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.04 - Prior wards of the state; eligibility determination

36-2903.04.  Prior wards of the state;  eligibility determination The administration shall determine the eligibility of any eligible person as defined in section 36-2901,  paragraph 6,  subdivision (a),  item (iii) and shall redetermine eligibility on an annual basis.
AZ Rev Stat § 36-2903.05 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.05 - Uniform application and eligibility process

36-2903.05.  Uniform application and eligibility process A. The director shall adopt rules to prescribe a uniform application and eligibility process for participants in the premium sharing program,  the children's health insurance program and healthcare group. B. The administration shall coordinate application screening for the programs prescribed in subsection A and facilitate the transfer of a member from one program to another program for which the member qualifies.
AZ Rev Stat § 36-2903.06 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.06 - Cooperation with Arizona-Mexico commission

36-2903.06.  Cooperation with Arizona-Mexico commission The administration shall cooperate with the Arizona-Mexico commission in the governor's office and with researchers at universities in this state to collect data and conduct projects in the United States and Mexico on issues that are within the scope of the administration's duties and that relate to quality of life,  trade and economic development in this state in a manner that will help the Arizona-Mexico commission to assess and enhance the economic competitiveness of this state and of the Arizona-Mexico region.
AZ Rev Stat § 36-2903.07 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.07 - Trauma and emergency services fund

36-2903.07.  Trauma and emergency services fund (Caution: 1998 Prop. 105 applies) A. The trauma and emergency services fund is established consisting of monies deposited pursuant to section 5-601.02(H)(3)(b)(ii) and interest earned on those monies. The Arizona health care cost containment system administration shall administer the fund. The fund is not subject to appropriation,  and expenditures from the fund are not subject to outside approval notwithstanding any statutory provision to the contrary. B. Monies received pursuant to section 5-601.02 shall be deposited directly with the trauma and emergency services fund. On notice from the administration,  the state treasurer shall invest and divest monies in the fund as provided by section 35-313,  and monies earned from investment shall be credited to the fund. No monies in the trauma and emergency services fund shall revert to or be deposited in any other fund,  including the state general fund. Monies in the trauma and emergency services fund are exempt from the provisions of section 35-190 relating to the lapsing of appropriations. Monies provided from the trauma and emergency services fund shall supplement,  not supplant,  existing monies. C. Monies in the fund shall only be used to reimburse hospitals in Arizona for unrecovered trauma center readiness costs and unrecovered emergency services costs as provided for in this section.  D. For purposes of this section: 1. " Trauma center readiness costs"  means clinical,  professional and operational costs that are incurred by a level I trauma center and that are necessary for the provision of level I trauma care on a twenty-four hour,  seven days per week basis. Trauma center readiness costs include only those administrative and overhead costs that are directly associated with providing level I trauma care. 2. " Emergency services costs"  means clinical,  professional and operational costs that are necessarily incurred by a hospital in providing emergency services. 3. " Unrecovered"  means the difference between the costs incurred by a hospital in providing the service and the amount that the hospital has been paid for providing the service.  E. Within six months of the effective date of this section,  the administration shall promulgate rules pursuant to Arizona Revised Statutes title 42,  chapter 6,  except that the rules shall not be subject to article 5 of that chapter. The rules shall set forth: 1. A methodology to determine Arizona hospitals' unrecovered trauma center readiness costs and unrecovered emergency services costs;  2. A procedure to distribute all monies from the trauma and emergency services fund to Arizona hospitals in proportion to those hospitals' unrecovered trauma center readiness costs and unrecovered emergency services costs.  F. The administration shall distribute all monies from the trauma and emergency services fund to Arizona hospitals in accordance with the rules promulgated pursuant to this section.
AZ Rev Stat § 36-2903.08 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.08 - AHCCCS uncompensated care; hospital assessments; reports

36-2903.08.  AHCCCS uncompensated care;  hospital assessments;  reports A. On or before October 1 each year,  the Arizona health care cost containment system administration shall report to the speaker of the house of representatives,  the president of the senate,  the chairpersons of the appropriations committees of the house of representatives and the senate and the directors of the joint legislative budget committee and the governor's office of strategic planning and budgeting on the change in uncompensated hospital costs experienced by hospitals in this state and hospital profitability during the previous fiscal year. B. On or before August 1 each year,  the Arizona health care cost containment system administration shall report to the speaker of the house of representatives,  the president of the senate,  the chairpersons of the appropriations committees of the house of representatives and the senate and the directors of the joint legislative budget committee and the governor's office of strategic planning and budgeting the following: 1. The aggregate amount each hospital contributed for the hospital assessments authorized pursuant to sections 36-2901.08 and 36-2999.72 in the previous fiscal year. 2. The aggregate amount of estimated payments each hospital received from the coverage and directed payments funded by the assessment.
AZ Rev Stat § 36-2903.10 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.10 - AHCCCS contractors; prescription monitoring; controlled substances; review

36-2903.10.  AHCCCS contractors;  prescription monitoring;  controlled substances;  review A. A contractor shall intervene if a member has ten or more prescriptions for controlled substances within a three-month period. B. A contractor shall monitor prescriptions that are filled by members and shall intervene with both the prescriber and the member when excessive amounts of controlled substances are used. The contractor shall direct cases involving excessive controlled substance use to the system medical director for review.
AZ Rev Stat § 36-2903.11 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.11 - AHCCCS contractors; emergency department use; annual reporting

36-2903.11.  AHCCCS contractors;  emergency department use;  annual reporting A. A contractor shall intervene if a member inappropriately seeks care at a hospital emergency department four times or more in a six-month period to educate the member regarding the proper use of emergency services. B. A contractor shall report to the administration in a manner prescribed by the administration the number of times the contractor intervenes with members pursuant to this section. C. On or before December 1,  2017 and on or before December 1 of each year thereafter,  the administration shall report to the directors of the joint legislative budget committee and the governor's office of strategic planning and budgeting on the use of emergency departments for nonemergency purposes by members.
AZ Rev Stat § 36-2903.12 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.12 - Hospital charge master transparency; joint annual report

36-2903.12.  Hospital charge master transparency;  joint annual report On or before January 2,  2020 and each year thereafter,  the director of the Arizona health care cost containment system administration and the director of the department of health services shall submit a joint report on hospital charge master transparency to the governor,  the speaker of the house of representatives and the president of the senate and shall provide a copy to the secretary of state. The report shall do all of the following: 1. Summarize the current charge master reporting process and hospital billed charges compared to costs. 2. Provide examples of how charge masters or hospital prices are reported and used in other states. 3. Include recommendations to improve this state's use of hospital charge master information,  including reporting and oversight changes.
AZ Rev Stat § 36-2903.13 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2903.13 - Inpatient psychiatric treatment; annual report

36-2903.13.  Inpatient psychiatric treatment;  annual report A. On or before January 2,  2020 and each year thereafter,  the director of the Arizona health care cost containment system administration shall submit a report to the director of the joint legislative budget committee on the availability of inpatient psychiatric treatment both for adults and for children and adolescents who receive services from the regional behavioral health authorities. The report shall include all of the following information:  1. The total number of inpatient psychiatric treatment beds available and the occupancy rate for those beds. 2. Expenditures on inpatient psychiatric treatment. 3. The total number of individuals in this state who are sent out of state for inpatient psychiatric treatment. 4. The prevalence of psychiatric boarding or holding psychiatric patients in emergency rooms for at least twenty-four hours before transferring the patients to a psychiatric facility. B. The report shall provide the information specified in subsection A of this section separately for adults who are at least twenty-one years of age and for children and adolescents who are twenty years of age or younger.
AZ Rev Stat § 36-2905.01 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.01 - Inpatient hospital reimbursement program; large counties

36-2905.01.  Inpatient hospital reimbursement program;  large counties A. Notwithstanding any other law,  beginning on October 1,  2003,  pursuant to this chapter the administration shall establish and operate a program for inpatient hospital reimbursement in each county with a population of more than five hundred thousand persons. B. Beginning on October 1,  2003,  the director shall require contractors to enter into contracts with one or more hospitals in these counties and to reimburse those hospitals for services provided pursuant to this chapter based on the reimbursement levels negotiated with each hospital and specified in the contract and under the terms on which the contractor and the hospital agree and under all of the following conditions: 1. The director may review and approve or disapprove the reimbursement levels and the terms agreed on by the contractor and the hospital. 2. If the contractor implements an electronic claims submission system it may adopt procedures requiring documentation of the system. 3. Payment received by a hospital from a contractor is considered payment in full by the contractor. A hospital may collect any unpaid portion of its bill from other third party payors or in situations covered by title 33,  chapter 7,  article 3. C. If a contractor and a hospital do not enter into a contract pursuant to subsection B of this section,  the reimbursement level for inpatient services provided on dates of admission on or after October 1,  2003 for that hospital is the reimbursement level prescribed in section 36-2903.01 multiplied by ninety-five per cent. D. For outpatient hospital services provided under the program prescribed in this section,  a contractor may reimburse a hospital either pursuant to rates and terms negotiated in a contract between the contractor and the hospital or pursuant to section 36-2903.01,  subsection G,  paragraph 3. E. Contracts established pursuant to this section shall specify that arbitration may be used in lieu of the grievance and appeal procedure prescribed in section 36-2903.01,  subsection B,  paragraph 4 to resolve any disputes arising under the contract.
AZ Rev Stat § 36-2905.02 (2021)
2021 Arizona Revised Statutes|Title 36 - Public Health and Safety|§ 36-2905.02 - Inpatient reimbursement; rural hospitals; definition

36-2905.02.  Inpatient reimbursement;  rural hospitals;  definition A. If monies are appropriated for rural hospitals,  the Arizona health care cost containment system administration shall request the centers for medicare and medicaid services to approve federal matching medicaid funding for the purposes specified in this section. B. The administration shall distribute the available monies to increase inpatient reimbursement for qualifying rural hospitals. At no time shall the reimbursement exceed the cost of providing care. The administration may make supplemental payments to qualifying rural hospitals based on utilization or adjust rates,  established pursuant to section 36-2903.01,  subsection G,  for qualifying rural hospitals. No adjustments to inpatient reimbursement under section 36-2903.01,  subsection G to hospitals other than rural hospitals may be made as a result of this section. C. For the purposes of this section,  " rural hospital"  means either: 1. A health care institution that is licensed as an acute care hospital,  that has one hundred or fewer beds and that is located in a county with a population of less than five hundred thousand persons. 2. A health care institution that is licensed as a critical access hospital.