Proposed Access to Care Program

Due to the impact of the recession on the State’s budget and unemployment, hospitals across Arizona have endured a sharp spike of more than $540 million in uncompensated care costs from the increased number of uninsured individuals flooding hospital emergency departments. 

The Mesa Access to Care Ordinance (“ATC”) is designed to address this issue by creating a new funding source for Arizona Heath Care Cost Containment System (“AHCCCS”) payments to hospitals in Mesa that provide significant amounts of uncompensated care to uninsured and low-income patients.  In 2011, the Arizona State legislature created an opportunity to create economic funding pools from political subdivisions to draw down federal matching dollars through Senate Bill 1357, adopted during the Fiftieth Legislature – First Regular Session of 2011.  The ATC would authorize the City to impose a short-term assessment on area hospitals that would then be transferred to AHCCCS, minus a fee to cover administrative costs, to fund new AHCCCS payments to eligible Mesa hospitals to help cover uncompensated care costs for low income and uninsured patients. 

ATC will not be a cost paid directly by local taxpayers and is widely supported by hospital leaders. 

ATC will stabilize economic vitality in the health-care industry by creating a new funding source to help cover the costs of the uninsured. 

Arizona hospitals are a major economic engine in our community and during the recent economic downturn, health care was one of the only sectors in our economy to grow jobs. The jobs created by hospitals in Mesa and throughout Arizona are high-quality jobs that pay well and provide benefits to employees. 

Key benefits of the ATC include:
  • Funding for area hospitals to help cover uncompensated care costs for low income and uninsured patients
  • No additional costs or taxes for Mesa residents 
  • No increased spending by the City of Mesa to implement the program
  • Costs of ATC cannot be passed onto patients, businesses, or insurance carriers 
  • A 2:1 funding match by the federal government

The program gives local governments the ability to directly support hospitals in their communities.  If the City Council approves the ordinance it will also direct the City to enter into an intergovernmental agreement with AHCCCS to receive the federal match and distribute the funds.

For more information, please contact City of Mesa Tax Audit & Collections at


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55 N. Center St.
Mesa, AZ  85201
Phone: 480-644-2316
FAX: 480-644-3999

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20 E. Main St, Suite 450
Mesa, AZ 85201
Phone: 480-644-3816
FAX: 480-644-2687

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