The proposed bill, if enacted, would amend current statutes by adding a new section to Title 20, Chapter 2, Article 6 of the Arizona Revised Statutes. Specifically, it would require health insurers to notify the Department of Insurance and Financial Institutions (DIFI) and the relevant licensing board if they observe a trend where the number of health care insurance claims filed by a provider exceeds the number of patients that provider could reasonably treat in a day. Additionally, property or casualty insurers would be mandated to report any claims activities that suggest potential insurance or health care fraud to DIFI and the applicable licensing board.

Furthermore, the bill introduces definitions for "health care provider" and "health insurer." A "health care provider" is defined as an individual licensed, registered, or certified as a health care professional under Title 32, while a "health insurer" encompasses various types of disability insurers and health care service organizations. These updates aim to enhance oversight and accountability in the health insurance sector, particularly concerning potential fraudulent activities.

Statutes affected:
Introduced Version: 20-243
House Engrossed Version: 20-466.06