REFERENCE TITLE: health care insurers; provider contracts

State of Arizona Senate Fiftieth Legislature Second Regular Session 2012

SB 1249

Introduced by Senators Barto, Allen, Burges, Klein, Murphy, Smith; Representatives Brophy McGee, Montenegro, Proud, Smith D, Stevens, Williams: Senators Antenori, Biggs, Crandall, Driggs, Gould, Gray, Griffin, Lewis, Melvin, Nelson, Pierce S, Reagan, Shooter, Yarbrough; Representatives Crandell, Dial, Fann, Gowan, Olson, Robson

 

AN ACT

 

Amending title 20, Arizona Revised Statutes, by adding chapter 23; relating to health care insurer and provider contracts.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 

Be it enacted by the Legislature of the State of Arizona:

Section 1.  Title 20, Arizona Revised Statutes, is amended by adding chapter 23, to read:

CHAPTER 23

HEALTH CARE INSURER AND PROVIDER CONTRACTS

ARTICLE 1.  GENERAL PROVISIONS

START_STATUTE20-3301.  Health care insurer; providers; conditions for contracting prohibited; definitions

A.  A health care insurer or other third party payor may not require a health care provider to participate in any program or health care plan under titles XVIII, XIX or XXI of the social security act or a health benefit exchange established pursuant to 42 United States Code chapter 157 as a condition of any network participation, discounted service contract or coverage contract.

B.  For the purposes of this section:

1.  "Health care facility" means a hospital, outpatient surgical center, treatment or diagnostic imaging center, urgent care center, nursing care facility or rehabilitation center.

2.  "Health care provider" means a health care facility or a health care professional licensed pursuant to title 32, chapter 13, 15, 17 or 25. END_STATUTE