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 and 2015 [PDF]

Prop 202 Waiver Amendment

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.

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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