This bill proposes to amend various sections of the Arizona Revised Statutes related to health insurance, specifically focusing on cost-sharing requirements for diagnostic and supplemental breast examinations. Under the new provisions, starting January 1, 2027, hospital service corporations, medical service corporations, health care services organizations, disability insurers, and group or blanket disability insurers will be prohibited from imposing any cost-sharing requirements for these examinations. This means that patients will not have to pay deductibles, copayments, or coinsurance for these services, which are deemed medically necessary according to established guidelines.

Additionally, the bill clarifies definitions related to breast examinations, including what constitutes a "diagnostic breast examination" and a "supplemental breast examination." These definitions specify the types of imaging and circumstances under which these examinations are performed, ensuring that they align with the National Comprehensive Cancer Network Guidelines. The bill also maintains existing language regarding high deductible health plans, stipulating that the new cost-sharing rules apply after the deductible is met, with specific provisions for preventive services. Overall, the bill aims to enhance access to essential breast health services without financial barriers.

Statutes affected:
Introduced Version: 20-841.14, 20-1057.21, 20-1376.11, 20-1406.11