SB 1045 Summary

• Amends Arizona Revised Statutes sections 20-464 and 20-821 relating to health insurance cost-sharing requirements and provider payments.

• Prohibits health insurers from charging insured persons higher copayments, coinsurance, or deductible amounts for services from portal of entry health care providers (such as chiropractors and nurse practitioners) compared to amounts charged for the same medically necessary treatment from other portal of entry providers.

• Defines "health insurer" to include hospital service corporations, medical service corporations, disability insurers, and health care services organizations.

• Defines "portal of entry health care provider" as a provider from whom patients may receive services and insurance coverage without a physician referral.

• Applies cost-sharing requirements uniformly across the service corporations governed by Arizona insurance law.