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ARIZONA HOUSE OF REPRESENTATIVES57th Legislature, 2nd Regular Session |
House: HHS DP 9-3-0-0 |
HB 2447: insurance; reimbursement rates; nurse anesthetist
Sponsor: Representative Lopez, LD 16
Caucus & COW
Overview
Prohibits health care insurers that issue, amend or renew a contract or policy from imposing a reimbursement rate for Certified Registered Nurse Anesthetists (CRNA) services that differ from the reimbursement rates for licensed physicians.
History
Health care insurers include disability insurers, group disability insurers, blanket disability insurers, health care services organizations, hospital service corporations and medical service corporations (A.R.S. § 20-1379).
The Arizona Board of Nursing is responsible for the regulation and licensure of CRNAs in Arizona. A CRNA may administer anesthetics under the direction and presence of a physician or surgeon in connection with the preoperative, intraoperative or postoperative care of a patient or as part of a procedure performed by a physician or surgeon in the following settings: 1) a health care institution; 2) an office of a medical doctor, osteopathic physician, dentist or podiatrist; and 3) an ambulance. A CRNA may do the following as part of the care for a patient: 1) issue a medication order for drugs; 2) assess the health status of a patient as it relates to the relative risks associated with anesthetic management; 3) obtain informed consent; 4) order and evaluate laboratory and diagnostic test results and perform point-of-care testing that the CRNA is qualified to perform; 5) order and evaluate radiographic imaging studies that the CRNA is qualified to order and interpret; 6) identify, develop, implement and evaluate an anesthetic plan of care for a patient; 7) take necessary action in response to an emergency situation; and 8) perform any qualified therapeutic procedures (A.R.S. §§ 32-1634.03 and 32-1634.04).
The Arizona Medical Board is responsible for the regulation and licensure of medical doctors who meet specified licensure requirements. The Arizona Board of Osteopathic Examiners in Medicine and Surgery is responsible for the regulation and licensure of osteopathic physicians who meet specified licensure requirements (A.R.S. § 32-1422 and 32-1822).
Provisions
1. Prohibits a health care insurer that issues, amends or renews a contract or policy on or after the general effective date of this legislation, from imposing a reimbursement rate for authorized CRNA services that differs from the reimbursement rates for licensed medical doctors or osteopathic physicians. (Sec. 1-4)
2. Clarifies this legislation does not prevent a health care insurer from establishing variable reimbursement rates that are based on quality or performance-based measures. (Sec. 1-4)
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6. AG/LK HB 2447
7. 2/9/2026 Page 0 Caucus & COW
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