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AZ SB1227
Bill
Status
Introduced
1/20/2026
Primary Sponsor
Brian Fernandez
Click for details
AI Summary
- Establishes a "gold card exemption" from prior authorization requirements for healthcare providers who achieve at least 90% approval rate on a minimum of five prior authorization requests for a specific service over six months
- Exempted providers are not required to obtain prior authorizations for the specific healthcare service covered by their gold card exemption
- Gold card exemptions are valid for up to six months, after which insurers may review whether providers still meet the 90% approval threshold
- Insurers may rescind exemptions only after reviewing at least five random claims, providing 30 days' written notice with specific reasons, and informing providers of their right to appeal to an independent review organization
- Applies to all prior authorization requests submitted on or after January 1, 2027
Legislative Description
Prior authorization; gold card exemption
Insurance - Title 20
Last Action
Senate read second time
1/21/2026
Committee Referrals
Rules1/20/2026
Finance1/20/2026
Full Bill Text
No bill text available