REFERENCE TITLE: healthcare providers; family members; coverage

 

 

 

State of Arizona

House of Representatives

Fifty-second Legislature

Second Regular Session

2016

 

 

HB 2306

 

Introduced by

Representative Cobb

 

 

AN ACT

 

Amending title 20, chapter 4, article 3, Arizona Revised Statutes, by adding section 20‑841.11; amending title 20, chapter 4, article 9, Arizona Revised Statutes, by adding section 20‑1057.16; amending title 20, chapter 6, article 4, Arizona Revised Statutes, by adding section 20‑1376.08; amending title 20, chapter 6, article 5, Arizona Revised Statutes, by adding section 20‑1406.08; relating to health insurance coverage.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 


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

Section 1.  Title 20, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 20-841.11, to read:

START_STATUTE20-841.11.  Coverage of health care services

All contracts issued, delivered or renewed by a corporation in this state must provide coverage for health care services that are provided by a health care provider to a subscriber regardless of the familial relationship of the health care provider to the subscriber if the health care service would be covered were it provided to a subscriber who was not related to the health care provider.  The contract may limit the coverage to those health care providers who are members of the corporation's provider network.END_STATUTE

Sec. 2.  Title 20, chapter 4, article 9, Arizona Revised Statutes, is amended by adding section 20-1057.16, to read:

START_STATUTE20-1057.16.  Coverage of health care services

Any evidence of coverage issued, delivered or renewed by a health care services organization in this state must provide coverage for health care services that are provided by a health care provider to an enrollee regardless of the familial relationship of the health care provider to the enrollee if the health care service would be covered were it provided to an enrollee who was not related to the health care provider.  The evidence of coverage may limit the coverage to those health care providers who are members of the health care services organization's provider network.END_STATUTE

Sec. 3.  Title 20, chapter 6, article 4, Arizona Revised Statutes, is amended by adding section 20-1376.08, to read:

START_STATUTE20-1376.08.  Coverage of health care services

All policies issued, delivered or renewed by a disability insurer in this state must provide coverage for health care services that are provided by a health care provider to an insured regardless of the familial relationship of the health care provider to the insured if the health care service would be covered were it provided to an insured who was not related to the health care provider.  The policy may limit the coverage to those health care providers who are members of the disability insurer's provider network.END_STATUTE

Sec. 4.  Title 20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding section 20-1406.08, to read:

START_STATUTE20-1406.08.  Coverage of health care services

All policies issued, delivered or renewed by a group or blanket disability insurer in this state must provide coverage for health care services that are provided by a health care provider to an insured regardless of the familial relationship of the health care provider to the insured if the health care service would be covered were it provided to an insured who was not related to the health care provider.  The policy may limit the coverage to those health care providers who are members of the insurer's provider network.END_STATUTE