Arizona 2025 Regular Session

Arizona Senate Bill SB1626

Introduced
2/10/25  
Report Pass
2/12/25  
Report Pass
2/17/25  
Engrossed
2/27/25  
Report Pass
3/10/25  
Report Pass
3/17/25  
Enrolled
4/29/25  
Passed
5/2/25  
Chaptered
5/2/25  

Caption

Health insurance; surprise billing; disputes

Summary

SB1626 amends Arizona’s surprise billing dispute-notice law, A.R.S. § 20-3117, to strengthen consumer notice requirements for enrollees who receive out-of-network bills that are not covered by the federal No Surprises Act’s independent dispute resolution process. The bill requires the Arizona Department of Insurance and Financial Institutions, working with the appropriate health care boards, to prescribe a notice explaining an enrollee’s rights to dispute surprise out-of-network charges. The bill also requires health insurers to include that notice in explanations of benefits or similar claim notices when a covered service is provided by a noncontracted provider, and it requires providers, provider representatives, or billing companies to give written notice of the dispute-resolution process when a consumer contacts them about such a bill. In addition, the department must post consumer-facing information on its website explaining what surprise out-of-network bills are, how consumers can try to avoid them, and how the dispute process works.

Impact

The bill does not create a new dispute-resolution system; instead, it expands and clarifies notice obligations tied to existing Arizona law on timely payment of claims and surprise billing. It affects health insurers, noncontracted providers, provider representatives, billing companies, and the state insurance department by imposing clearer disclosure duties and requiring public education materials. Its practical effect is to improve consumer awareness and access to the state dispute process for surprise out-of-network bills that fall outside federal independent dispute resolution.

Sentiment

The bill appears to have been broadly supported and noncontroversial. It passed the Senate Health and Human Services Committee 7-0, advanced through Senate and House procedural stages without recorded opposition in committee, and passed the House floor 50-5. The voting pattern suggests general agreement that consumers should receive clearer notice and guidance when facing surprise medical bills.

Contention

There is little evidence of major contention in the available record. Any potential concern would likely center on the administrative burden placed on insurers, providers, and billing companies to provide additional written notices and maintain consumer information, but the recorded votes do not show organized opposition around those issues. The bill’s limited scope—focused on notice and consumer information rather than changing payment standards—likely reduced controversy.

Companion Bills

No companion bills found.

Similar Bills

No similar bills found.