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AZ SB1224

Bill

Status

Introduced

1/24/2012

Primary Sponsor

Albert Melvin

Click for details

Origin

Senate

Fiftieth Legislature - Second Regular Session (2012)

AI Summary

  • Amends Arizona Revised Statutes section 20-1406 regarding group and blanket disability insurance contracts to ensure benefits are not denied for services performed by licensed health care providers within their lawful scope of practice.

  • Requires that if a disability insurance contract provides eye care services, subscribers have freedom of choice to select either an optometrist or a physician skilled in eye diseases for examination, care, or treatment within the provider's scope of practice.

  • Clarifies that insurers are not required to include specific optometrists or physicians on provider panels if the panel provides reasonable access to both types of eye care providers in the service area.

  • Specifies that unless a contract otherwise provides, there is no mandatory reimbursement for ophthalmic materials, lenses, spectacles, or eyeglasses, and insurers cannot require optometrists or physicians to join specific plans as a condition of panel inclusion.

  • Maintains existing provisions regarding reimbursement for psychiatric, drug abuse, and alcoholism services in disability insurance contracts, allowing reimbursement to either the licensed provider or subscriber.

Legislative Description

Health insurance; eye care services

Last Action

Senate Consent Calendar February 13, 2012 @ 1:30 PM with Objections

2/13/2012

Full Bill Text

No bill text available