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In November 2002, Arizona voters approved Proposition 202, the Indian Gaming and Self-Reliance
Act. Among other things, the initiative established the Arizona Benefits Fund, consisting of tribal
gaming revenues paid to the State on a quarterly basis. The Benefits Fund is administered by the
Department of Gaming. To help offset the readiness and costs of Level 1 Trauma Centers and the increasing
volume in Emergency Departments, a portion of these funds are transferred to AHCCCS for distribution.
Trauma Funds are typically scheduled to be paid in February and August of each year. Emergency Department
payments are typically scheduled to be made in August each year.
2008, 2009, 2010, 2011 [PDF]
2012 [PDF, Revised]
August 7, 2012
AHCCCS is making $35 million in payments to hospitals for Emergency Department and Trauma facilities. AHCCCS
was able to secure flexibility from CMS to draw in additional funding for hospitals statewide. Trauma centers
will receive $23.2 million, Emergency Departments will receive $6.2 million and rural hospitals will receive an
additional $5.5 million. Information about the distribution of this funding is provided in the link below:
Prop 202 Funding Distribution
August 9, 2012
As part of the recent CMS approval of the SNCP program in the AHCCCS 2012 Waiver Amendment, over $13 million
in new federal funds will be added to the Prop 202 fund. Specifically, funds will be directed primarily to
rural hospitals and other hospitals with Emergency Department and trauma centers across the State. More
information is provided below:
2012 Waiver Amendment Fact Sheet [PDF]
CMS Approved Authorities [PDF]
Information about the history of the proposal to obtain Title XIX federal funds to match state gaming monies
associated with Proposition 202 can be found at the following link:
Prop 202 Options [PDF]
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