Bill Text: AZ SB1384 | 2012 | Fiftieth Legislature 2nd Regular | Engrossed


Bill Title: Health care charges; public availability

Status: (Failed) 2012-03-15 - House JUD Committee action: Discussed and Held [SB1384 Detail]

Download: Arizona-2012-SB1384-Engrossed.html

 

 

 

Senate Engrossed

 

 

 

 

State of Arizona

Senate

Fiftieth Legislature

Second Regular Session

2012

 

 

SENATE BILL 1384

 

 

 

AN ACT

 

Amending title 20, Arizona Revised Statutes, by adding chapter 23; amending title 32, chapter 32, article 1, Arizona Revised Statutes, by adding section 32‑3215; amending title 36, chapter 4, article 3, Arizona Revised Statutes, by adding section 36‑436.04; relating to health care charges.

 

 

(TEXT OF BILL BEGINS ON NEXT PAGE)

 



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

Section 1.  Title 20, Arizona Revised Statutes, is amended by adding chapter 23, to read:

CHAPTER 23

HEALTH CARE INSURER AND PROVIDER CONTRACTS

ARTICLE 1.  GENERAL PROVISIONS

START_STATUTE20-3301.  Health care insurer; providers; negotiated rates; definition

A.  A health care insurer may not use the direct pay price of a health care provider for a health care service as the basis to decrease any negotiated rate between that health care provider and the health care insurer.

B.  For the purposes of this section:

1.  "Direct pay price" means the price that will be charged for a lawful health care service if the service is paid without a public or private third party, not including an employer, paying for any portion of the service.

2.  Health care provider does not include a hospital licensed pursuant to title 36, chapter 4, article 2. END_STATUTE

Sec. 2.  Title 32, chapter 32, article 1, Arizona Revised Statutes, is amended by adding section 32-3215, to read:

START_STATUTE32-3215.  Public availability; health care professional charges; definitions

A.  A health care professional must make available to the public on request in a single document the direct pay price for at least the twenty‑five most common services for the health care professional.  The services may be identified by a common procedural terminology code or by a plain english description.  The document must be updated at least annually. The direct pay price is for the standard diagnosis for the service and does not include any complications or exceptional treatment. 

B.  For the purposes of this section:

1.  "direct pay price" means the price that will be charged for a lawful health care service if the service is paid without a public or private third party, not including an employer, paying for any portion of the service.

2.  "Health care professional" means a person licensed pursuant to title 32, chapter 7, 8, 13, 15, 16 or 17. END_STATUTE

Sec. 3.  Title 36, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 36-436.04, to read:

START_STATUTE36-436.04.  Public availability; health care facility charges; definitions

A.  A health care facility must make available to the public on request in a single document the direct pay price for at least the fifty most used diagnosis‑related group codes, if applicable, for the facility and at least the fifty most used outpatient service codes, if applicable, for the facility.  The document must be updated at least annually.  The direct pay price is for the standard diagnosis for the service and does not include any complications or exceptional treatment.

B.  A health care facility is not required to report the direct pay prices to the department for review or filing pursuant to section 36‑436.  This section does not authorize the department or the director to approve, disapprove or limit a health care facility's direct pay price for services.

C.  For the purposes of this section:

1.  "Direct pay price" means the price that will be charged for a lawful health care service if the service is paid without a public or private third party, not including an employer, paying for any portion of the service.

2.  "Health care facility" means a hospital, outpatient surgical center, treatment or diagnostic imaging center or urgent care center. END_STATUTE

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