Healthcare (Tribal Nations)

SB 1776 adds "traditional healing services" to the list of covered health services under Arizona's AHCCCS (Medicaid) program. It specifically covers these services only for AHCCCS members who qualify through the Indian Health Service or tribal facilities, as defined by federal regulations. The services must be delivered by or through an Indian Health Service, urban Indian organization, or tribal facility. This is a targeted addition to existing coverage, not a broad expansion, and does not change funding or eligibility outside these specific tribal partnerships.

HB 2177 requires Arizona's health director to annually seek federal Medicaid waivers to restore coverage for specific health services provided to American Indian and Alaska Native members at tribal or Indian health facilities. The bill specifically aims to cover services eliminated, reduced, or limited in Arizona's Medicaid plan after September 2010, including medically necessary dental care. It directly affects tribal health facilities and enrolled members who receive care through these providers under federal law. The key mechanism is mandating annual waiver applications to authorize state payments for these previously excluded services, ensuring tribal facilities can bill Medicaid for covered care.