Bill > SB1626

This bill modifies Arizona's existing law regarding surprise medical billing by clarifying dispute resolution procedures for out-of-network medical bills. Specifically, the bill requires the state department to create a notice that outlines an enrollee's rights to dispute surprise out-of-network bills, which health insurers must include in claim adjudication notices. However, the bill now explicitly excludes claims that are already subject to the federal No Surprises Act (a national law protecting patients from unexpected medical bills), meaning those claims will follow federal dispute resolution processes instead. If an enrollee contacts a healthcare provider about a disputed out-of-network bill not covered by the federal act, the provider must provide written notice about the state's dispute resolution process. The bill also mandates that the department maintain a public website with information to help consumers understand surprise out-of-network bills, how to avoid them, and how to use the dispute resolution process. The changes are intended to provide clearer guidance and protection for patients facing unexpected medical billing situations.

Health and Social Services

https://apps.azleg.gov/BillStatus/BillOverview/83061