The proposed bill would amend section 20-111 of the Arizona Revised Statutes to require health insurers to establish a program that incentivizes enrollees to seek medically necessary covered health care services at prices below the insurer's usual reimbursement rates. Currently, the law allows health insurers to establish such a program, but the bill mandates it. Additionally, the bill specifies that eligible enrollees who utilize these services would have the amount they pay applied toward their deductible and out-of-pocket maximum, and they would be reimbursed fifty percent of the difference between the price paid and the insurer's usual reimbursement.

Furthermore, the bill introduces new provisions detailing how health insurers may reimburse eligible enrollees. Insurers can either deposit the reimbursement into a health savings account or a 530A account, as defined by federal law, or provide the reimbursement amount in cash. This adds clarity and options for reimbursement methods that were not explicitly outlined in the current statute.

Statutes affected:
Introduced Version: 20-111