AZ HB2433

Requires insurers offering Medicare supplement insurance to persons 65+ to also offer policies to individuals under 65 who qualify for Medicare due to end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS)

Mandates that all benefits and coverages available to Medicare enrollees 65+ must also be available to under-65 enrollees with ESRD or ALS

Establishes enrollment periods for under-65 Medicare enrollees with ESRD or ALS, including within six months of enrolling in Medicare Part B or January 1, 2027, whichever is later

Creates a special enrollment window from December 2, 2025 through June 1, 2027 for current under-65 Medicare Part B enrollees with ESRD or ALS

Prohibits insurers from charging under-65 enrollees with ESRD or ALS premium rates exceeding those charged to enrollees who are 65 years of age