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REFERENCE TITLE: health providers; pain management; prohibitions |
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State of Arizona House of Representatives Fifty-third Legislature Second Regular Session 2018
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HB 2547 |
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Introduced by Representatives Carter: Cobb
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AN ACT
Amending Title 20, chapter 15, Arizona Revised Statutes, by adding article 3; amending section 36‑2947, Arizona Revised Statutes; relating to compensation practices.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 15, Arizona Revised Statutes, is amended by adding article 3, to read:
ARTICLE 3. PROHIBITED COMPENSATION PRACTICES
20-2551. Assessing patient satisfaction; pain management; prohibitions
A health care insurer or its utilization review agent may not:
1. assess a patient's satisfaction with pain management by a treating provider to determine the provider's compensation or quality incentive payments.
2. impose a financial penalty or take disciplinary action against a treating provider for a patient's dissatisfaction with pain management by that provider.
Sec. 2. Section 36-2947, Arizona Revised Statutes, is amended to read:
36-2947. Program contractors; additional responsibilities; prohibited compensation practices
A. Program contractors shall establish and submit to the director for the director's approval utilization control systems comprised of prior authorization, concurrent review and retrospective review of services.
B. If a member is no longer eligible for the system, the program contractor and the department shall notify the administration in accordance with rules adopted pursuant to section 36‑2932, subsection G. If that member may be eligible for services under article 1 of this chapter, the program contractor shall refer the person to the administration and arrange for the transfer of records to the appropriate provider as defined in section 36‑2901 on notice by the administration.
C. A program contractor may not:
1. Assess a member's satisfaction with pain management by a treating provider to determine the provider's compensation or quality incentive payments.
2. impose a financial penalty or take disciplinary action against a treating provider for a member's dissatisfaction with pain management by that provider.