HB 2447 Arizona House · 57th Legislature - Second Regular Session

insurance; reimbursement rates; nurse anesthetist

HB 2447 requires health insurers and healthcare organizations in Arizona to pay certified registered nurse anesthetists (CRNAs) the same reimbursement rate as physicians for similar services. It applies to hospital service corporations, health care services organizations, and disability insurers. The bill mandates equal payment rates for CRNAs authorized under Arizona law (Section 32-1634.04) compared to licensed physicians, while allowing insurers to adjust rates based on quality or performance measures. This directly affects CRNAs, healthcare providers, and insurers by eliminating rate disparities for these services.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Feb 2026

House Passage

Feb 2026

Senate Passage

Governor

Introduced Jan 22, 2026 Last action Jun 12, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version → House Engrossed Version (02/25/2026) · 3 edits · Feb 25, 2026

MINOR

The bill was reformatted from a standard introduced version to a House Engrossed version, which includes updated sponsorship details and corrected the title to reflect a new section (20-1406.11) regarding group disability insurers. The substantive policy content regarding reimbursement rates for nurse anesthetists remains unchanged.

Scope change

The bill's scope was technically expanded by adding a new section (20-1406.11) that extends the reimbursement rate parity rules to group or blanket disability insurers, whereas the introduced version only mentioned this addition in the summary without the full text.

TECHNICAL

The document structure was updated to reflect the bill as an 'Engrossed Version' with corrected sponsorship information and page numbering.

Formatting inconsistencies in the original text, such as irregular spacing and line breaks, were cleaned up to match standard legislative formatting.

SCOPE

The full text for a new section (20-1406.11) was added, explicitly extending the reimbursement rate parity requirement to group or blanket disability insurers.

Floor votes · House Feb 25, 2026

How they voted

32–22

Passed · 6 other

Total votes 60

Feb 25, 2026

D Democratic27

17 Yea 6 Nay 4

62% Yea

R Republican33

15 Yea 16 Nay 2

48% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Feb 25, 2026

Lower · Passed

PASSED

lower

Feb 9, 2026

Lower · Passed

lower

1 primary · 1 co-sponsor