The proposed bill amends Title 23 of the Arizona Revised Statutes to establish a comprehensive framework for family and medical leave insurance benefits, introducing key definitions and eligibility criteria for benefits related to caring for a new child, a family member with a serious health condition, or safe leave due to domestic violence. It outlines the funding mechanism through payroll contributions from both employers and employees, ensures job protection for employees returning from leave, and prohibits employer retaliation. The bill also includes provisions for appeals regarding benefit denials and penalties for non-compliance by employers.

Significant changes from current law include allowing self-employed individuals to opt for coverage for a minimum of three years, with a withdrawal option thereafter. The bill grants the commission authority to recover erroneously paid benefits and mandates notification to employers about claims while ensuring confidentiality of individual records. It also requires a public education campaign on the benefits, annual reporting on program metrics, and is designated as the "Arizona Thriving Families Act," taking effect immediately as an emergency measure.