Bill > SB1628

This bill requires health care insurers and health care services plans to report detailed data on their claims denial and prior authorization practices, respectively, to the Department of Insurance and Financial Institutions starting in July 2027. This data will include the total number of requests, denials, appeals, and reversed adverse determinations, as well as the top services and reasons for denial. The department will then compile this information into a publicly accessible report and provide it to legislative leaders. Additionally, the bill makes a minor amendment to existing law regarding the timely payment of health care providers' claims, changing the reporting deadline for the director's annual report from August to October. Finally, the bill mandates a stakeholder meeting in 2032 to assess the usefulness of the reported data and requires a subsequent report with recommendations on whether to continue, amend, or repeal these new reporting requirements.

Budget and Finance, Health and Social Services

https://apps.azleg.gov/BillStatus/BillOverview/85261