PREFILED    JAN 09 2026

REFERENCE TITLE: claims; prior authorization; denials; contact

State of Arizona

House of Representatives

Fifty-seventh Legislature

Second Regular Session

2026

HB 2194

Introduced by

Representative Bliss

AN ACT

amending title 20, chapter 20, article 1, arizona revised statutes, by adding sections 20-3104 and 20-3105; relating to timely payment of health care insurance claims.

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it enacted by the Legislature of the State of Arizona:

Section 1. Title 20, chapter 20, article 1, Arizona Revised Statutes, is amended by adding sections 20-3104 and 20-3105, to read:

START_STATUTE20-3104. Health care insurer; claim denials; contact person

If a health care insurer denies a claim for any reason, the health care insurer shall provide both of the following:

1. A telephone number or email address to reach a department that can provide a detailed explanation and address questions as to why the claim was denied.

2. A substantive response to questions about why the claim was denied within two business days after RECEIPT of the questions. END_STATUTE

START_STATUTE20-3105. Health care insurer; prior authorization denials; contact person

If a health care insurer denies a prior authorization for any reason, the health care insurer shall provide both of the following:

1. A telephone number or email address to reach a department that can provide a detailed explanation and address questions as to why the prior authorization was denied.

2. A substantive response to questions about why the prior authorization was denied within two business days after receipt of the questions. END_STATUTE

Sec. 2. Effective date

Sections 20-3104 and 20-3105, Arizona Revised Statutes, as added by this act, are effective from and after June 30, 2027.