HB 2130
Initials AG/AB Page 1 House Engrossed
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-seventh Legislature
First Regular Session
House: HHS DPA 12-0-0-0
HB 2130: claims; prior authorization; denials; contact
Sponsor: Representative Bliss, LD 1
House Engrossed
Overview
Effective July 1, 2026, requires a health care insurer that denies a claim or prior
authorization for any reason to provide contact information of an individual or department
that can provide a detailed explanation and a substantive response to questions about why
the claim or prior authorization was denied.
History
Health care insurer means a disability insurer, group disability insurer, blanket disability
insurer, health care services organization, prepaid dental plan organization, hospital service
corporation, medical service corporation, dental service corporation, optometric service
corporation or hospital, medical, dental and optometric service corporation. Clean claims are
written or electronic claims for health care services or benefits that may be processed without
obtaining additional information, including coordination of benefits information, from the
health care provider, the enrollee or a third party, except in fraud cases (A.R.S. § 20-3101).
Statute outlines the process for timely payment of health care provider's claims and to
address grievances. Specifically, health care insurers must adjudicate any clean claim from
a contracted or noncontracted health care provider relating to health care insurance coverage
within 30 days after the health care insurer receives the clean claim or within the time
specified by the contract. If the claim is not a clean claim and the health care insurer requires
additional information to adjudicate the claim, the health care insurer must send a written
request for additional information to the contracted or noncontracted health care provider,
enrollee or third party within 30 days after the health care insurer receives the claim.
A health care insurer must not delay the payment of clean claims to a contracted or
noncontracted provider or pay less than the amount agreed to by contract to a contracted
health care provider without reasonable justification (A.R.S. § 20-3102).
Provisions
1. Requires a health care insurer, if a claim or prior authorization is denied for any reason,
to provide both:
a) a telephone number or email address to reach an individual or a department that can
provide a detailed explanation and address questions as to why the claim or prior
authorization was denied; and
b) a substantive response to questions about why the claim or prior authorization was
denied within two business days after receipt of the questions. (Sec. 1)
2. Contains an effective date of July 1, 2026. (Sec. 2)