SB 1402
Initials AG/MT Page 1 Health & Human Services
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-sixth Legislature
Second Regular Session
Senate: FICO DPA 7-0-0-0 |3
rd
Read 26-2-2-0
SB 1402: health care; costs; reimbursement
Sponsor: Senator Shamp, LD 29
Committee on Health & Human Services
Overview
Permits a health insurer to establish a savings incentive program (program) for medically
necessary covered health care services.
History
A health care provider is a person who is licensed in podiatry, chiropractic, medicine and
surgery, optometry, osteopathic physicians and surgeons, physical therapy or occupational
therapy.
A health insurer is a disability insurer, group disability insurer, blanket disability insurer,
health care services organization, hospital service corporation, medical service corporation or
hospital and medical service corporation as defined relating to insurance. A health insurer
does not include a governmental plan as defined in the Employee Retirement Income Security
Act of 1974 (A.R.S. § 32-3216).
Provisions
1. Allows a health insurer to establish a program that provides a savings incentive for
enrollees for medically necessary covered health care services that health care providers
and health care facilities provide at a price that is below the health insurer's usual
reimbursement. (Sec. 1)
2. Permits the program to enable an eligible enrollee who receives covered health care
services from a health care provider or health care facility at a price below the health
insurer's usual reimbursement to:
a) have the amount the enrollee pays applied toward the enrollee's deductible and out-
of-pocket maximum; and
b) be reimbursed for a portion of the amount of the different between the price the
enrollee paid and the health insurer's usual reimbursement. (Sec. 1)
3. Defines terms. (Sec. 1)
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note