AZ LEG Third-Party Insurance Claims

On Mar. 25, AZ LEG passed bill, health care cost containment system.

  • AZ LEG passed bill SB 1250, Arizona Health Care Cost Containment System (AHCCS)
  • Amends AZ LEG 36-29-1-2923 on AHCCS insurer claims administration and reporting.
  • Bill Provisions
  • Prohibits third-party payer from denying a claim for payment submitted by AHCCCS on basis that the claim did not receive prior authorization if AHCCCS authorized it.
  • Requires third-party payer to respond within 60 days to any AHCCCS claim inquiry.
  • Legislative History
  • On Jan. 29, 2024, bill introduced in the Senate; on Feb. 27, 2024, bill passed Senate.
  • On Feb. 29, 2024, bill introduced in House; on Mar. 19, 2024, bill passed in the House.
  • On Mar. 25, 2024, bill sent to governor, awaits signature/approval or veto override.
  • Effectiveness
  • Bill effective on Sep. 14, 2024 (91 days after Jun. 15 adjournment).
  • Mar. 29, 2024 AZ LEG Approval
  • On Mar. 29, 2024, AZ LEG governor approved bill SB 1250 and assigned Chapter 54.

Regulators AZ LEG
Entity Types Ins
Reference Ch. 54, 3/29/2024; Bill, SB1250, 3/25/2024; Citation: AZ LEG 36-29-1-2923;
Functions Claims/Accelerated Benefits; Compliance; Legal; Reporting
Countries United States of America
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 3/25/2024
Effective Date 9/14/2024
Rule Id 206218
Linked to N/A
Reg. Last Update 3/29/2024
Report Section US Insurance

Last substantive update on 04/05/2024