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AZ SB1397

Bill

Status

Introduced

2/3/2025

Primary Sponsor

Eva Burch

Click for details

Origin

Senate

Fifty-seventh Legislature - First Regular Session (2025)

AI Summary

  • Establishes a health care claims consumer assistance program within the Department of Insurance and Financial Institutions to help consumers file complaints, appeals, and resolve disputed or denied claims with health insurers.

  • Requires health insurers to place prominent notices about the consumer assistance program on all explanations of benefits, denials, and related communications.

  • Makes it unlawful for health insurers to wrongfully deny or insufficiently cover valid consumer claims, with penalties up to $25,000 per violation for repeated violations after notice and opportunity to remedy.

  • Requires health insurers to disclose data on denied and wrongfully denied claims to the department, and mandates annual department reports to the legislature and public website on claim denials and insurer violations.

  • Allows courts to award damages to injured consumers, including automatic liability for double the wrongfully denied amount plus attorney fees, with additional damages possible for severe harm.

Legislative Description

Health insurance claims; consumer assistance

Rules

Last Action

Senate read second time

2/4/2025

Committee Referrals

Rules2/3/2025
Appropriations2/3/2025
Finance2/3/2025

Full Bill Text

No bill text available