The proposed bill would update current statutes by introducing new reporting requirements for health care insurers regarding claims denial and prior authorization practices. Specifically, it would require insurers to report aggregated data to the Department of Insurance and Financial Institutions (DIFI) by July 1, 2027, and annually thereafter, including details on claims, denials, appeals, and reasons for denials. DIFI would also be mandated to aggregate this data and publish it on its website, enhancing transparency. Additionally, the bill would require DIFI to hold a stakeholder meeting by July 1, 2032, to assess the data's usefulness and recommend potential amendments to the data collection process. The deadline for DIFI to post information on grievances would be changed from August 1 to October 1 each year.

Moreover, the bill would amend section 36-2219 of the Arizona Revised Statutes, updating the responsibilities of emergency medical care technicians. The current requirement for compliance with established emergency medical standards would be supplemented with new language mandating technicians to provide a presumptive medical diagnosis and counsel patients on declining transportation, unless requested otherwise. It would also clarify that technicians must explain the risks and consequences of not being transported, thereby emphasizing informed consent and patient autonomy while maintaining compliance with existing standards and protocols.

Statutes affected:
Introduced Version: 36-2219