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Key Votes

SB 1441 - Establishes Arbitration Process for Unexpected Medical Billing - Arizona Key Vote

Timeline

Issues Related to SB 1441

Stage Details

Legislation - Signed (Executive) -

Title: Establishes Arbitration Process for Unexpected Medical Billing

Legislation - Concurrence Vote Passed (Senate) (26-4) -

Title: Establishes Arbitration Process for Unexpected Medical Billing

Legislation - Bill Passed With Amendment (House) (40-19) -

Title: Establishes Arbitration Process for Unexpected Medical Billing

Legislation - Bill Passed (Senate) (25-5) - (Key vote)
See How Your Politicians Voted

Title: Establishes Arbitration Process for Unexpected Medical Billing

Vote Result
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Vote Smart's Synopsis:

Vote to pass a bill that establishes an arbitration process for patients to settle surprise medical billing, effective January 1, 2019.

Highlights:
  • Specifies out-of-network claim disputes do not apply to the following (Sec. 2):

    • Non-covered health care services;

    • Limited benefit coverage; or

    • Charges for health care services or durable medical equipment subject to a direct payment agreement.

  • Authorizes an enrollee who has received and disputes the amount of a surprise out-of-network bill to request arbitration of the bill, provided that the following criteria are met (Sec. 2):

    • The amount of the bill is at least $1,000;

    • The bill is a surprise out-of-network bill; and

    • The enrollee has not signed a disclosure waiving rights to arbitration.

  • Requires the enrollee, health care provider, and health insurer to participate in an informal teleconference conference that must be arranged within 30 days of the request for arbitration (Sec. 2).

  • Requires the enrollee, prior to arbitration, to agree in writing to pay the health care provider the following (Sec. 2):

    • The total amount of the enrollee's cost sharing that is due for the services that are subject of the surprise out-of-network bill, and

    • Any amount received from the enrollee's health insurer as payment for the out-of-network services provided

  • Requires arbitrations to be conducted within 120 days after the request for arbitration, and the arbitrator must issue a decision within 10 days after the arbitration takes place (Sec. 2).

  • Authorizes any party to the arbitration to appeal the arbitrator's decision by filing a demand for trial de novo with the appropriate superior court (Sec. 2).

  • Specifies that claims that are subject to arbitration are not subject to statutory requirements relating to timely payment of the health-care provider’s claims and requires a health insurer to remit payment within 30 days of the resolution of the claim (Sec. 2).

  • Prohibits the health-care provider from issuing any additional balance bill to the enrollee that was subject to the teleconference or arbitration (Sec. 2).

  • Specifies that the effective date of this bill is January 1, 2019 (Sec. 3).
Legislation - Introduced (Senate) -

Title: Establishes Arbitration Process for Unexpected Medical Billing

Co-sponsors

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