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State Issues

One of AzHHA’s core functions is its continuous involvement with issues of state policy that have the potential to impact hospitals and health systems as well as the health and healthcare of the people, patients and communities of Arizona.

Our in-house staff intimately engaged in healthcare policies under consideration by the State Legislature, the Office of the Governor, and other state and local policymakers. AzHHA also performs research, analysis and development of new policies to positively impact healthcare in Arizona. The advocacy and policy team works closely with coalitions of healthcare providers to amplify support or opposition of issues. To view a list of bills AzHHA is currently watching including priority and key bills, click here.

View AzHHA's 2021 Legislative Agenda

Join Our Weekly Member Call

AzHHA invites members to participate in our weekly member legislative calls. During the call, you can expect AzHHA’s policy and advocacy experts to keep you informed of key bills and provide you with the latest updates by legislators, the Governor’s staff and the opportunity to express your feedback on specific legislation. These 15 to 30-minute calls are held each Friday through the duration of the state legislative session from 1:30 – 2 p.m. To add yourself, a designee or member(s) of your staff to the invitation list, email [email protected] with the name, title and email of your designee.

Make a contribution to the AzHHA PAC Download the 2020 Legislative Report


Below are a selection of AzHHA’s letters, court filings, and issue briefs related to issues of state policy. To view COVID-19 related waiver requests and letters visit our COVID-19 waivers page.

Comment Letters

AzHHA Comments on AHCCCS Administration’s CYE 2022 Differential Adjusted Payment Preliminary Public Notice - February 2021

AzHHA Comments on DHS Notice of Proposed Rulemaking, Re: Radiation Control Fees - July 2020

AzHHA Comments on AHCCCS Administration’s CYE 2021 Differential Adjusted Payment proposal - April 2020

AzHHA Responds to AHCCCS Differential Adjusted Payment Strategies Request for Information - December 2019

AzHHA Comments on AHCCCS Administration’s CYE 2020 Differential Adjusted Payment proposal - March 2019

AzHHA Comments on DHS Notice of Proposed Rule Making RE: Opioid Prescribing and Treatment - December 2017

AzHHA Comments on Draft ADHS Opioid Prescribing and Treatment Rules - October 2017

AzHHA Comments on ADHS Emergency Rules - August 2017

AzHHA Comments on AHCCCS Free-standing ED Rulemaking - September 2016

AzHHA Comments on AHCCCS CYE 2017 Value-Based Purchasing Proposal - December 2015

AzHHA Comments on AHCCCS Medicaid Waiver - September 2015

AzHHA Comments on AHCCCS Provider Rate Reductions - May 2015

AzHHA Comments on AHCCCS Waiver SB1092


Court Filings

Arizona School Board Association case: Prohibitions on schools and universities from imposing mask mandates - September 2021

Governor’s Use of Executive Power in Closing Bars Amicus Brief - February 2021

CVS Pharmacy v. Tucson Medical Center Amicus Brief - November 2020

Biggs v. Betlach- AZ Supreme Court Amicus Brief - October 2017

Biggs v. Betlach Amicus Brief - April 22, 2016

Biggs v. Betlach- Court of Appeals Ruling


Issue Briefs

Data Report - ED Behavioral Health Wait Times 2012-2014 - March 2016

Psychiatric Boarding Issue Paper - July 2015

2015 State Budget Issue Paper - February 2015

2014 AHCCCS Rate Restoration Issue Paper - November 2014

Medicare Cuts-Enough is Enough - January 2014

Provider Assessment Issue Paper- January 2014

Medicaid Restoration and Expansion - October 2013


Additional Documents

ADHS Emergency Rule on Opioid Reporting

Historical Impact of AHCCCS Rate Cuts on Hospitals

Hospital Compensation Act Overview 

Statement for Voter's Pamphlet regarding Hospital Compensation