Bill Text: AZ SB1384 | 2012 | Fiftieth Legislature 2nd Regular | Engrossed
Bill Title: Health care charges; public availability
Spectrum: Partisan Bill (Republican 23-0)
Status: (Failed) 2012-03-15 - House JUD Committee action: Discussed and Held [SB1384 Detail]
Download: Arizona-2012-SB1384-Engrossed.html
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Senate Engrossed |
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State of Arizona Senate Fiftieth Legislature Second Regular Session 2012
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SENATE BILL 1384 |
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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
20-3301. 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.
Sec. 2. Title 32, chapter 32, article 1, Arizona Revised Statutes, is amended by adding section 32-3215, to read:
32-3215. 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.
Sec. 3. Title 36, chapter 4, article 3, Arizona Revised Statutes, is amended by adding section 36-436.04, to read:
36-436.04. 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.
