Arizona 2025 Regular Session

Arizona Senate Bill SB1626 Compare Versions

Version 1 (Old)

Version 2 (New)

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1		-	~~Senate Engrossed~~ health insurance; surprise billing; disputes State of Arizona Senate Fifty-seventh Legislature First Regular Session 2025 ~~SENATE BILL~~ 1626 An Act amending section 20-3117, Arizona Revised Statutes; relating to the timely payment of claims. (TEXT OF BILL BEGINS ON NEXT PAGE)
	1	+	REFERENCE TITLE: health insurance; surprise billing; disputes State of Arizona Senate Fifty-seventh Legislature First Regular Session 2025 SB 1626 Introduced by Senators Werner: Angius, Carroll, Gowan, Shamp, Shope An Act amending section 20-3117, Arizona Revised Statutes; relating to the timely payment of claims. (TEXT OF BILL BEGINS ON NEXT PAGE)
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11		-	~~Senate Engrossed~~ health insurance; surprise billing; disputes
	11	+	REFERENCE TITLE: health insurance; surprise billing; disputes
12	12		State of Arizona Senate Fifty-seventh Legislature First Regular Session 2025
13		-	SENATE BILL 1626
	13	+	SB 1626
	14	+	Introduced by Senators Werner: Angius, Carroll, Gowan, Shamp, Shope
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15		-	Senate Engrossed
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19		-	health insurance; surprise billing; disputes
	16	+	REFERENCE TITLE: health insurance; surprise billing; disputes
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45		-	SENATE BILL 1626
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	46	+	Introduced by
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	48	+	Senators Werner: Angius, Carroll, Gowan, Shamp, Shope
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55	66		An Act
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59	70		amending section 20-3117, Arizona Revised Statutes; relating to the timely payment of claims.
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65	76		(TEXT OF BILL BEGINS ON NEXT PAGE)
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69	80		Be it enacted by the Legislature of the State of Arizona: Section 1. Section 20-3117, Arizona Revised Statutes, is amended to read: START_STATUTE20-3117. Dispute resolution; notice of rights A. The department in conjunction with the appropriate health care boards shall prescribe the notice outlining an enrollee's rights to dispute surprise out-of-network bills under this article. B. Health insurers shall include the notice prescribed pursuant to subsection A of this section in each explanation of benefits or other similar claim adjudication notice that is issued to enrollees and that involves covered services provided by a noncontracted health care provider. This subsection applies only to claims that are not subject to an independent dispute resolution pursuant to the no surprises act (P.L. 116-120; 134 stat. 2758; 42 united states code section 201). C. If an enrollee contacts a health care provider, a provider's representative or a billing company regarding a dispute involving a surprise out-of-network bill that is not subject to an independent dispute resolution pursuant to the no surprises act (P.L. 116-120; 134 stat. 2758; 42 united states code section 201), the health care provider, the provider's representative or the billing company shall provide written notice as prescribed in subsection A of this section to the enrollee of the dispute resolution process. D. The department shall post on its website information for health care consumers regarding what constitutes a surprise out-of-network bill, how to try to avoid a surprise out-of-network bill and how the dispute resolution process may be used to resolve a surprise out-of-network bill. 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. Section 20-3117, Arizona Revised Statutes, is amended to read:
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75	86		START_STATUTE20-3117. Dispute resolution; notice of rights
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77	88		A. The department in conjunction with the appropriate health care boards shall prescribe the notice outlining an enrollee's rights to dispute surprise out-of-network bills under this article.
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79	90		B. Health insurers shall include the notice prescribed pursuant to subsection A of this section in each explanation of benefits or other similar claim adjudication notice that is issued to enrollees and that involves covered services provided by a noncontracted health care provider. This subsection applies only to claims that are not subject to an independent dispute resolution pursuant to the no surprises act (P.L. 116-120; 134 stat. 2758; 42 united states code section 201).
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81	92		C. If an enrollee contacts a health care provider, a provider's representative or a billing company regarding a dispute involving a surprise out-of-network bill that is not subject to an independent dispute resolution pursuant to the no surprises act (P.L. 116-120; 134 stat. 2758; 42 united states code section 201), the health care provider, the provider's representative or the billing company shall provide written notice as prescribed in subsection A of this section to the enrollee of the dispute resolution process.
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83	94		D. The department shall post on its website information for health care consumers regarding what constitutes a surprise out-of-network bill, how to try to avoid a surprise out-of-network bill and how the dispute resolution process may be used to resolve a surprise out-of-network bill. END_STATUTE