WELCOME We will begin our webinar in a

WELCOME! We will begin our webinar in a few minutes. 1

2020 Arizona Legislative Recap Tuesday, June 23, 2020 2

Moderator Corey Hemstreet, Health Program Manager Arizona Advisory Council on Indian Health Care To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 3

Housekeeping Rules • All lines have been automatically muted. • Q&A will be at the end of the presentation. Please note your questions along the way to ask at the end of the presentation. • Feedback survey • This webinar is being recorded and will be later posted to our website. https: //aacihc. az. gov

Learning Objectives • Understand the legislative priorities of the AACIHC • Identify how bills and the budget may impact Indian health and health care • Identify possible next steps to advocate for legislation To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 5

Presenter Introductions 6

Presenter: Kim Russell is of the Bitter Water People, born for the Tangle People. Her maternal grandfathers are of the Coyote Pass Clan and her paternal grandfathers of the Bitter Water People. She is originally from Chinle, Arizona on the Navajo Reservation. Ms. Russell is the Executive Director of the Arizona Advisory Council on Indian Health Care, an independent state agency whose mission is to advocate for increasing access to high quality health care programs for all American Indians in Arizona. To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 7

Presenter: Jay Tomkus is Principal of Corvid Consulting, LLC, a public policy and lobbying firm based in Arizona. Jay has years of experience as a lobbyist and staffer at the Arizona State Legislature and in the United States Congress. Prior to establishing Corvid Consulting, LLC, he practiced federal Indian law and water law, representing Indian Tribes on many issues before state and federal agencies. To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 8

Presenter: Alida Montiel Alida Quiroz-Montiel, an enrolled member of the Pascua Yaqui Tribe, is the Director of Health & Human Services at the Inter Tribal Council of Arizona (ITCA). Her principal responsibilities at ITCA has been to provide information and analysis to Tribal Leaders in Arizona, Nevada and Utah on Federal and State health policies and budgetary issues that affect the American Indian health care system. As of 2019, Alida manages the ITCA Good Health and Wellness in Indian Country (CDC) project and supervises all ITCA health and human services related projects. She currently serves as the Chairperson of the Arizona Advisory Council on Indian Health Care and is a member of the Arizona Behavioral Health Planning Council. To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 9

Arizona Advisory Council on Indian Health Care • History • AZ last state to establish a Medicaid program, known as AHCCCS • Need for Tribal advisement after lawsuits were settled allowing AI/AN to participate in AHCCCS • A. R. S. 36 -2902. 01 • A. R. S. 36 -2902. 02 To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 10

Snapshot of 2020 Legislative Session • First Day of Session: January 13, 2020 • Last Day of Session: May 26, 2020 • Bills & Other Measures: 1, 735 (1, 607 Bills) • Bills signed into law: 90 (5. 6%) To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 11

Session, Interrupted To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 12

Review of Legislative Process • Identical Passage • House/Senate Introduction • Committee Hearing – Public Comment • Committee of the Whole & Amendments • Third Read / Final Passage To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 13

AACIHC Health Care Advocacy Mission Recommend advocate tribal, state and federal policy and legislation that support the design and implementation of medical and public health care delivery and financing systems for tribes and urban Indian health organizations in this state. A. R. S. § 36 -2902. 02 (A)(1)(c) To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 14

Advisory Council: 2020 Legislative Priorities HB 2244 – Lifting cap on emergency dental services at IHS, 638 and Urban Indian Health Facilities HB 2296 – Creating a sixth Area Health Education Center (AHEC) focused on Indian Health Care SB 1170 / Providing dental health care for pregnant women HB 2727 eligible for AHCCCS To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 15

Legislative Snapshot & Advocacy

AHCCCS / Medicaid • HB 2244 – AHCCCS; dental services; Native Americans – Sponsor: Representative T. J. Shope – Signed by Governor • SB 1170 / HB 2727 – AHCCCS; pregnant women; dental care – Sponsors: Senator Heather Carter / Rep. Joanne Osborne – Passed identically in both House and Senate; not sent to Gov. • Other measures: – HB 1472 – AHCCCS; postpartum visits; incentive payments – HB 2246 / SB 1151 – AHCCCS services; diabetes management – HB 2052 / SB 1025 – AHCCCS; chiropractic care; report. – HB 2668 / SB 1247 - hospitals; unreimbursed costs; assessment; fund To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 17

AHCCCS / Medicaid To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 18

Workforce Development • HB 2296 – Arizona health education centers; increase – Sponsor: Representative T. J. Shope – Passed the House, not heard in the Senate • HB 2670 – Doulas; voluntary certification – Sponsor: Representative Kelly Townsend – Passed the House, not heard in the Senate • Other Measures: – HB 2314 – naturopathic physicians; services (S/E amendment) – HB 2408 – health professionals; voluntary care; immunity – HB 2529 – nonretaliation policies; health care institutions To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 19

Workforce Development To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 20

Mental Health • SB 1523 / HB 2764 – mental health omnibus – Sponsors: Sen. Kate Brophy Mc. Gee / Rep. Jeff Weninger – Signed by Governor • SB 1290 – maternal mental health; advisory committee – Sponsor: Sen. Heather Carter – Passed Senate; no action in House • Other Measures: – HB 2072 – mental health professionals academy; appropriation (S/E) – HB 2316 – mental disorder; considerations; involuntary treatment To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 21

Public Health • SB 1049 – advisory council on aging – Sponsor: Senator Kate Brophy Mc. Gee – Signed by Governor • HB 2135 – veterans suicide; annual report – Sponsor: Representative Jay Lawrence – Passed the House, no action in the Senate • Other Measures: – HB 2258 – appropriation; alcohol; tobacco; drug education – HB 2486 – immunizations; requirements; exemption – HB 2536 – telemedicine; health care providers To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 22

Budget & Next Steps

Budget and COVID-19 Response • March 23 – Adjournment • “Skinny Budget” • HB 2910 / SB 1693 – public school closures; coronavirus disease • HB 2911 / SB 1694 – unemployment compensation; coronavirus disease To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 24

What’s Next? • Special session(s): – COVID-19 Response – Budget Amendments • Primary Election: – August 4, 2020 – Legislative District 15 Senate (Barto / Carter) • General Election: – November 3, 2020 – Potential change in leadership To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 25

2021 Legislative Session • How can you get involved – Opening Day: January 11, 2021 – Testify on Legislation – Register for Request to Speak System – Sign-in supporting or opposing legislation • Connect with AACIHC – Encourage Tribal Leaders to support 2021 legislative agenda To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 26

Q&A • Utilize the chat feature To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 27

Q&A • Raising your hand To advocate for increasing access to high quality health care programs for all American Indians in Arizona. 28

Closing Comments

Kim. Russell@azahcccs. gov 602 -542 -5725