radiation therapy; rural counties
HB 2049 allows rural Arizona hospitals (with under 400,000 residents or designated as critical access hospitals) to use particle accelerators for cancer treatment under "general supervision" instead of requiring a doctor's constant presence. It requires hospitals to establish written treatment protocols reviewed annually, have doctors observe technicians every six months, and ensure doctors are available on-site at least once weekly for patient care. The bill directly affects rural hospitals and radiation therapy technologists by expanding access to cancer treatment while maintaining safety through documented protocols and oversight. This policy change aims to improve cancer care access in underserved areas without altering existing federal regulations.
Bill status
signed
all 5 stages cleared
Introduction
Dec 2025
Committee Review
Mar 2026
House Passage
Feb 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Dec 11, 2025
Signed Jun 4, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
House Engrossed Version (02/23/2026)
→
Chaptered Version
·
2 edits
MINOR
The bill was formally approved and enacted into law, changing its status from a proposed House version to a Chaptered version with official signatures from the Governor and Secretary of State. The substantive policy content regarding radiation therapy regulations in rural counties remains identical, with no changes to eligibility, funding, or operational requirements.
Scope change
None; the scope and applicability of the bill remain unchanged.
TIMELINE
Added official enactment dates: Approved by the Governor on June 4, 2026, and filed with the Secretary of State on June 5, 2026.
TECHNICAL
Converted the text from a draft legislative format to the final official statutory format used in the Arizona Revised Statutes.
Floor votes · Senate May 18, 2026 · House Feb 23, 2026
How they voted
24–0
Passed · 6 other
Total votes 30
May 18, 2026
D
Democratic13
84% Yea
R
Republican17
76% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
15
Key actions
6
Committee
2
Jun 4, 2026
Signed into law
Signed by Governor
executive
May 18, 2026
Upper · Passed
PASSED
upper
Mar 4, 2026
Upper · Passed
DP
upper
Feb 23, 2026
Lower · Passed
PASSED
lower
Feb 19, 2026
Lower · Passed
DP
lower
Jan 22, 2026
Lower · Passed
DP
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Selina Bliss
RRepublican
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