The continued growth of the human-built environment in Pima County, Arizona will result in the “incidental take” of species that are listed under the Endangered Species Act. To avoid, minimize, and mitigate impacts to both listed and unlisted species and their habitats, Pima County is submitting this Multi-species Conservation Plan for 44 species that may be impacted as a result of the otherwise lawful activities of Pima County and its development community. The Incidental Take Permit, also called a Section 10 permit, will be for 30 years. This MSCP is part of the required documentation needed to receive an Incidental Take Permit under Section 10(a)(1)(B) of the ESA.

The Multiple Species Conservation Plan will complete the land use planning process in a conflict between competing interests on the question of growth. A path of balance was chosen by advancing the Sonoran Desert Conservation Plan. This second draft will be posted on the website and distributed to interested community and committee members. A public process will be conducted so that during 200t the document can be finalized and submitted to the U.S. Fish and Wildlife Service as part of the application for a federal endangered species permit.

An update to the Flagstaff Regional Plan 2030 (FRP30), to bring its Road Network Illustration (Map 25) into compliance with Arizona Revised Statute requirements and to resolve inconsistencies between Map 25 and parts of the Flagstaff City Code. This update does not alter the intent of FRP30; it is only concerned with correcting errors, removing legal vulnerability, and improving the readability of FRP30.

The Arizona Health Care Cost Containment System has provided home and community-based services to long-term care beneficiaries through a waiver from the Centers for Medicare and Medicaid Services since 1989. Through its Arizona Long Term Care System, AHCCCS provides comprehensive coverage for members residing in their own homes or approved alternative residential settings, such as assisted living facilities or group homes. Covered services include care such as home health nursing, attendant or personal care, and home-delivered meals. Members may designate a family member or friend to provide attendant care; after completion of training, these caregivers can be paid by AHCCCS.

The potential impact of diabetes on the Arizona Long Term Care System is of significant concern to AHCCCS. Based on this and previous studies conducted by AHCCCS, the prevalence of diabetes among ALTCS members is approximately 20 percent. With the number of Arizonans age 65 and older increasing 40 percent in the last decade, the proportion of ALTCS members with diabetes is likely to increase as well.

This report includes data on preventive health and chronic disease management services provided to members enrolled with nine publicly and privately operated managed care organizations, referred to as Contractors, that contract with AHCCCS to provide services under the AHCCCS ACUTE-care program. Performance measure results for services provided through the Department of Economic Security’s Division of Developmental Disabilities are reported in a separate section of the report. Results should be viewed as indicators of utilization of services, rather than absolute rates. These data allow AHCCCS and its Contractors to identify areas for improvement and implement interventions to increase the use of preventive and evidence based chronic disease management services.