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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]
In State Fiscal Years 2012 and 2013, AHCCCS was able to secure flexibility from CMS to draw in additional funding for hospitals statewide. This resulted in an additional $8.0 million for trauma centers, $8.0 million for emergency departments, and $10.6 million for rural hospitals during this two year period. Additional payments are reflected above in the Payment History section.
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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