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REFERENCE TITLE: AHCCCS; reimbursement; noncontracting providers |
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State of Arizona House of Representatives Fifty-seventh Legislature Second Regular Session 2026
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HB 2585 |
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Introduced by Representative Biasiucci
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AN ACT
Amending title 36, chapter 29, article 1, Arizona Revised Statutes, by adding section 36-2905.05; relating to the Arizona health care cost containment system.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36-2905.05, to read:
36-2905.05. Contractors; reimbursement; noncontracting providers; prohibitions
A. Notwithstanding any other law to the contrary:
1. A contractor shall reimburse a noncontracting provider for laboratory services rendered to a member who is enrolled with the contractor if the member was referred by a contracted provider of the contractor.
2. A contractor may not require prior authorization for diagnostic services.
B. A contractor may not take or threaten to take retaliatory action against a contracted provider for referring a member to a noncontracted provider.