SB 1021
Initials PRB Page 1 Commerce
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-fifth Legislature
Second Regular Session
Senate: FIN DP 6-2-2-0 | 3
rd
Read 19-9-2-0
SB 1021: health care liens; limitation
Sponsor: Senator Ugenti-Rita, LD 23
Committee on Commerce
Overview
Prescribes health care provider lien and assignment restrictions and compromise requirements.
History
Any health care provider, health care institution or ambulance entity that provides care and
treatment or transportation services to an injured person may assert a lien on the injured person’s
claims settlement to recover costs associated with the services provided. A county that maintains,
operates or provides health care services may impose an assignment on an injured person's
settlement for costs associated with the care and treatment or transportation of the injured person.
The lien or assignment extends to all claims of liability or indemnity, except health insurance and
underinsured motorist and uninsured motorist coverage benefits (A.R.S. § 33-931).
In order to perfect a lien, a health care provider or health care institution must record a verified
written statement with the county recorder in the county where the health care provider or health
care institution is located within 30 days after an injured person receives any medical services or
is discharged. The statement must include: 1) the dates of services received by the injured person;
2) the amount claimed due for services; 3) the name and address of the injured person; and 4)
the name and location of the health care provider or health care institution. Within five days after
recording the claim or lien, the health care provider or health care institution must mail a copy to
the injured person and either mail or provide notice to all persons, firms or corporations and
insurance carriers liable for damages, as applicable (A.R.S. § 33-932).
Provisions
1. Specifies health care provider liens and county assignments are subject to prescribed
restrictions. (Sec. 1)
2. Prescribes the following restrictions to liens and assignments:
a) exempts the first $20,000 of any third-party judgment, settlement or award from any
authorized lien or assignment;
b) stipulates the contract must expressly allow the claimant to assert an authorized lien or
assignment if the services provided are covered by the injured person's health insurance
or similar medical benefit plan with which the health care provider has a contract and
invalidates the lien or assignment in the absence of that contract provision;
c) specifies the lien amount exemption and contract provision requirement do not apply if: i)
the services provided are not covered by the injured person's health insurance or similar
medical benefit plan in which the health care provider has a contract; or ii) the insured
person is not covered by any health insurance or benefit plan;
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note SB 1021
Initials PRB Page 2 Commerce
d) permits a claimant to enforce an authorized lien or assignment for the amount of a patient's
responsibility for outstanding copayments and deductibles that are due under the injured
person's health insurance or benefit plan; and
e) requires any valid and enforceable lien or assignment to be compromised in accordance
with prescribed criteria. (Sec. 1)
3. Requires health care providers to compromise any lien or assignment to provide a settlement
of the claim that is fair and equitable. (Sec. 2)
4. Prescribes factors that a health care provider must consider in determining the extent of the
required compromise. (Sec. 2)
5. Permits the injured person to file an action for a judicial determination of an appropriate
compromise of the lien or assignment based on the prescribed factors if the parties cannot
agree on a compromise. (Sec. 2)
6. Prohibits a prevailing party in a lien or assignment judgment from recovering the statutorily
authorized attorney fees. (Sec. 2)
7. Asserts health care provider liens and county assignments are enforceable by a cause of
action as prescribed by statute. (Sec. 1)
8. Specifies a health care provider lien or county assignment does not extend to medical
payments coverage. (Sec. 1)
9. Applies the health care provider lien restrictions and compromise requirements to liens that
are filed for services that are provided beginning January 1, 2023. (Sec. 3)
10. Makes technical and clarifying changes. (Sec. 1)