Senate Bill 1105 Summary

• Establishes regulatory framework for direct primary care agreements between patients and primary care providers (physicians, physician assistants, nurse practitioners, and dentists) who agree to provide routine healthcare services for periodic fees.

• Requires direct primary care agreements to be in writing, include 30-day termination clauses, specify fees and services covered, and contain prominent disclaimers that the agreement is not health insurance.

• Prohibits primary care providers from declining patients or charging different fees solely based on health status or gender, but allows discontinuation for non-payment, fraud, non-adherence to treatment, abusive behavior, or business changes.

• Limits advance payment to 12 months maximum and requires any prepaid amounts for unused months to be refunded upon agreement termination; prohibits providers from billing health insurance for covered services.

• Exempts direct primary care agreements from insurance regulation under Arizona law, allowing them to operate outside the health insurance regulatory framework.