This bill proposes several updates to the Arizona Revised Statutes concerning health care insurers and services plans. It introduces new reporting requirements for health care insurers and services plans, mandating them to report aggregated data on claims denial and prior authorization practices, respectively, by July 1 of each year starting in 2027. The data to be reported includes the total number of claims and prior authorization requests, the number of denials, appeals received, and the top reasons for denials, among other metrics. Additionally, the Department of Insurance and Financial Institutions is tasked with aggregating this data into a standard report, which must be posted on their website and sent to legislative leaders.

Furthermore, the bill establishes a timeline for stakeholder meetings and subsequent reporting to evaluate the quality and relevance of the data collected. It also retroactively applies certain provisions of section 20-3102 to June 30, 2026. Overall, the bill aims to enhance transparency in health care practices and improve oversight of insurers and services plans.

Statutes affected:
Introduced Version: 20-2512, 20-3102, 20-3408