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| 1 | + | PREFILED JAN 13 2025 REFERENCE TITLE: claims; prior authorization; denials; contact State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session 2025 HB 2130 Introduced by Representative Bliss AN ACT amending title 20, chapter 20, article 1, arizona revised statutes, by adding section 20-3103; relating to timely payment of health care insurance claims. (TEXT OF BILL BEGINS ON NEXT PAGE) | |
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| 9 | + | PREFILED JAN 13 2025 | |
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| 11 | + | REFERENCE TITLE: claims; prior authorization; denials; contact | |
| 12 | + | State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session 2025 | |
| 13 | + | HB 2130 | |
| 14 | + | Introduced by Representative Bliss | |
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| 11 | - | House Engrossed | |
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| 15 | - | claims; prior authorization; denials; contact | |
| 16 | - | State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session 2025 | |
| 17 | - | HOUSE BILL 2130 | |
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| 19 | - | claims; prior authorization; denials; contact | |
| 16 | + | REFERENCE TITLE: claims; prior authorization; denials; contact | |
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| 29 | 26 | State of Arizona | |
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| 31 | 28 | House of Representatives | |
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| 33 | 30 | Fifty-seventh Legislature | |
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| 35 | 32 | First Regular Session | |
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| 37 | 34 | 2025 | |
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| 45 | - | HOUSE BILL 2130 | |
| 42 | + | HB 2130 | |
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| 46 | + | Introduced by | |
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| 48 | + | Representative Bliss | |
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| 55 | 66 | AN ACT | |
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| 59 | 70 | amending title 20, chapter 20, article 1, arizona revised statutes, by adding section 20-3103; relating to timely payment of health care insurance claims. | |
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| 65 | 76 | (TEXT OF BILL BEGINS ON NEXT PAGE) | |
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| 69 | - | Be it enacted by the Legislature of the State of Arizona: Section 1. Title 20, chapter 20, article 1, Arizona Revised Statutes, is amended by adding section 20-3103, to read: START_STATUTE20-3103. Health care insurer; claims and prior authorization denials; contact person If a health care insurer denies a claim or a prior authorization for any reason, the health care insurer shall provide both of the following: 1. A | |
| 80 | + | Be it enacted by the Legislature of the State of Arizona: Section 1. Title 20, chapter 20, article 1, Arizona Revised Statutes, is amended by adding section 20-3103, to read: START_STATUTE20-3103. Health care insurer; claims and prior authorization denials; contact person If a health care insurer denies a claim or a prior authorization for any reason, the health care insurer shall provide both of the following: 1. A detailed explanation as to why the claim or prior authorization was denied. 2. the name and contact information of an individual or specific department of the insurer that can address questions about the claim or prior authorization denial. END_STATUTE | |
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| 71 | 82 | Be it enacted by the Legislature of the State of Arizona: | |
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| 73 | 84 | Section 1. Title 20, chapter 20, article 1, Arizona Revised Statutes, is amended by adding section 20-3103, to read: | |
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| 75 | 86 | START_STATUTE20-3103. Health care insurer; claims and prior authorization denials; contact person | |
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| 77 | 88 | If a health care insurer denies a claim or a prior authorization for any reason, the health care insurer shall provide both of the following: | |
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| 79 | - | 1. | |
| 90 | + | 1. A detailed explanation as to why the claim or prior authorization was denied. | |
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| 81 | - | 2. A substantive response to questions about why the claim or prior authorization was denied within two business days after RECEIPT of the questions. END_STATUTE | |
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| 83 | - | Sec. 2. Effective date | |
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| 85 | - | Section 20-3103, Arizona Revised Statutes, as added by this act, is effective from and after June 30, 2026.[Section 20-3103, Arizona Revised Statutes, as added by this act is effective from and after June 30, 2026.][2. the name and contact information of an individual or specific department of the insurer that can address questions about the claim or prior authorization denial.] | |
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| 87 | - | [2. A substantive response to questions about why the claim or prior authorization was denied within two business days after RECEIPT of the questions.] END_STATUTE | |
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| 89 | - | <<Sec. Effective date | |
| 92 | + | 2. the name and contact information of an individual or specific department of the insurer that can address questions about the claim or prior authorization denial. END_STATUTE |