Proposition 202 Trauma & Emergency Services Fund Payments


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.


Scheduled Payment Dates

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.

Payment History

2008, 2009, 2010, 2011 [PDF]
2012 [PDF, Revised]
2013 [PDF]
2014 [PDF]

Prop 202 Waiver Amendment

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 [PDF]

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]

Prop 202 Waiver Amendment History

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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