Healthcare (Insurance)

introduced · Arizona · House Jan 21, 2026

HB 2581: health insurance claims; consumer assistance

HB 2581 establishes a state-run health care claims consumer assistance program within Arizona's Department of Insurance to help individuals enrolled in or seeking health insurance plans. The program assists consumers with filing complaints, appeals, and resolving disputed claims against health insurers. Key provisions require insurers to pay double the amount of any wrongfully denied or underpaid claim (including attorney fees) and face civil penalties of at least $25,000 per violation for repeated denials. Insurers must report denial data to the department, and the department must publish annual public reports detailing claim denials, wrongful denials, and enforcement actions by insurer.

Topics ✓ HealthcareSupports HealthcareEstablishes consumer assistance program requiring insurers to pay double denied claims with $25k penalties, protecting patient rights in health insurance coverage.95% confidence

Sub-Topics Insurance

Track

introduced · Arizona · House Jan 21, 2026

HB 2559: behavioral health services; insurance coverage

HB 2559 requires Arizona health insurance plans (including hospital service corporations, health care organizations, and disability insurers) to cover behavioral health services - such as mental health and substance use disorder treatment - starting January 1, 2027. The bill mandates insurers to provide out-of-network coverage with cost protections if in-network providers aren’t available within specific timeframes: 30 days for routine care, 7 days for residential care, and 24 hours for emergencies. Patients cannot pay more than their in-network copay, coinsurance, or deductible for these services, and insurers must document out-of-network payments for state review. This directly affects millions of Arizonans with insurance coverage for behavioral health needs.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for mental health/substance use disorder services with out-of-network protections, expanding access and coverage per bill's explicit requirements.95% confidence

Sub-Topics Hospitals Insurance Mental Health

Track

passed · Arizona · Senate Mar 16, 2026

SB 1347: health insurance; fertility preservation; coverage

SB 1347 requires Arizona health insurance providers (including hospital service corporations, health care organizations, and disability insurers) to cover fertility preservation services for cancer patients of reproductive age whose medically necessary treatment may cause infertility, effective January 1, 2027. Insurers cannot require preauthorization for these services and must apply standard deductibles, copayments, and coverage limits. Religious employers may request exemptions if coverage conflicts with their beliefs, but must provide written notice to subscribers. The law does not prevent individuals from purchasing supplemental insurance for these services.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for fertility preservation in cancer treatment, expanding patient access without preauthorization or excessive cost-sharing.95% confidence

Sub-Topics Hospitals Insurance

Track

passed · Arizona · Senate Mar 9, 2026

SB 1122: AHCCCS; prior authorization; behavioral health

SB 1122 prohibits the Arizona Health Care Cost Containment System (AHCCCS) from requiring prior authorization for behavioral health services for members enrolled in the American Indian Health Plan (AIHP) starting January 1, 2027. The exception allows prior authorization only if AHCCCS implements a corrective action plan after meeting with a provider and the provider fails to comply within 90 days. This law directly affects AIHP members and behavioral health providers by reducing administrative barriers to accessing mental health and substance use disorder care. The bill aims to streamline service access without altering coverage or funding.

Topics ✓ HealthcareSupports HealthcareRemoves prior authorization barriers for AIHP behavioral health services, improving patient access to mental health care without administrative delays.95% confidence

Sub-Topics Insurance Mental Health Substance Abuse

Track

introduced · Arizona · Senate Jan 28, 2026

SB 1404: provider benefits; employees; injuries; provider

This Arizona bill (SB 1404) amends workers' compensation rules to give injured workers more control over their medical care. It allows injured workers to choose their medical provider, pharmacy, and ancillary services (like lab tests and medical equipment) without employer or insurer interference. The bill also requires translation services for language needs (using certified translators when possible), covers travel costs over 25 miles for medical appointments, and sets clear timelines for benefit payments (first payment within 21 days, then weekly or monthly). These changes directly affect injured workers seeking workers' compensation benefits in Arizona.

Topics ✓ HealthcareSupports HealthcareAllows injured workers to choose medical providers/services, removes insurer barriers, and covers translation/travel costs to improve healthcare access.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentAllows injured workers to choose medical providers without employer/insurer interference, requiring translation services and covering travel costs - expanding worker benefits under workers' comp.95% confidence

Sub-Topics Insurance Prescription Drugs Workers' Compensation

Track

introduced · Arizona · Senate Jan 27, 2026

SB 1296: health insurance; private employers; coverage

This bill allows private employers and individuals not employed by the state to join Arizona's state health care plans. It directly affects private businesses and self-employed individuals seeking state-sponsored health coverage. The key provision authorizes the Department of Administration to create rules for implementing the program, though the bill itself doesn't specify plan details or costs. The legislation focuses on expanding access to state health plans without mandating employer participation.

Topics ✓ HealthcareSupports HealthcareBill expands access to state health plans for private employers/self-employed individuals, directly advancing coverage options without restrictions.95% confidence

Sub-Topics Insurance

Track

introduced · Arizona · House Jan 26, 2026

HB 2899: health insurance; coverage; prosthetic device

HB 2899 requires most health and disability insurers in Arizona to cover prosthetic devices starting January 1, 2027. It mandates coverage for devices meeting a patient’s medical needs (as determined by their doctor) and additional devices needed for specific recreational activities like running, swimming, skiing, and team sports. The law applies to hospital service corporations, medical service corporations, health care services organizations, and disability insurers. It does not change existing coverage for basic medical needs but expands requirements to include recreational use. This affects all Arizona residents with qualifying insurance policies who need prosthetic devices.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover prosthetic devices for medical needs and recreation, expanding patient access to essential health services.95% confidence

Sub-Topics Hospitals Insurance

Track

introduced · Arizona · Senate Feb 4, 2026

SB 1604: insurance coverage; autologous breast reconstruction

SB 1604 requires health insurance plans in Arizona to cover autologous breast reconstruction (using the patient's own tissue) following mastectomy, along with related services like revisions and imaging. It mandates that this coverage must be as favorable as other reconstruction options, without additional out-of-pocket costs (like copays or deductibles) beyond what applies to in-network care. The bill also requires insurers to maintain sufficient provider networks for timely access and to reimburse out-of-network providers at rates comparable to in-network rates. This directly affects women undergoing mastectomies who need reconstruction, ensuring their insurance covers this specific procedure under defined standards.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for autologous breast reconstruction without additional costs, expanding patient access to essential post-mastectomy care and protecting patient rights.95% confidence

Sub-Topics Insurance

Track

introduced · Arizona · House Jan 21, 2026

HB 2336: health insurers; vaccine mandate; prohibition

HB 2336 prohibits health insurers in Arizona from requiring vaccines as a condition for coverage. Starting January 1, 2027, health insurers - including disability insurers, health care organizations, and hospital service corporations - cannot include vaccine mandates in policies issued, delivered, or renewed. This directly affects policyholders who would no longer face coverage restrictions tied to vaccination status. The law defines "health insurer" broadly to cover multiple types of health coverage providers.

Topics ✓ HealthcareSupports HealthcareProhibits vaccine mandates in insurance coverage, protecting patient choice and access to care without vaccination requirements, aligning with patient rights protection in healthcare.95% confidence

Sub-Topics Hospitals Insurance Public Health

Track

signed · Arizona · House Jun 4, 2026

HB 2693: insurance; bona fide associations; qualifications

HB 2693 amends Arizona law to clarify and expand how "bona fide associations" can offer health insurance, primarily affecting small businesses and sole proprietors. It creates two types of qualifying associations: Path 1 (requiring specific membership rules and non-discrimination in coverage) and Path 2 (for associations meeting federal standards, allowing sole proprietors and "working owners" to access group plans without standard small-group requirements). The bill ensures these associations cannot deny coverage based on health status and mandates clear disclosure of coverage terms in all materials. It also specifies that associations meeting federal criteria, like chambers of commerce, can operate self-funded health plans under certain conditions.

Topics ✓ HealthcareSupports HealthcareExpands health insurance access for small businesses/sole proprietors via new association pathways, aligning with 'expands health coverage' indicator.95% confidence

Sub-Topics Insurance