The proposed bill would amend sections 20-2535, 20-2536, and 20-2537 of the Arizona Revised Statutes, specifically updating the process for health care appeals. It introduces new provisions requiring the utilization review agent to send a written acknowledgment to both the member and the member's treating provider within five business days of receiving a request for an initial appeal, as well as for a voluntary internal appeal. This acknowledgment is a new requirement that aims to enhance communication and transparency in the appeals process.

Additionally, the bill modifies existing language regarding the timeline for the utilization review agent to provide determinations and the option for external independent reviews. It removes outdated references and clarifies the process by which the utilization review agent can initiate an external independent review, ensuring that the member and provider are informed of the decision-making criteria and options available to them. Overall, these updates aim to streamline the appeals process and improve the rights of members in health care disputes.