Bill Text: AZ SB1384 | 2012 | Fiftieth Legislature 2nd Regular | Introduced
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-Introduced.html
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REFERENCE TITLE: health care charges; public availability |
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State of Arizona Senate Fiftieth Legislature Second Regular Session 2012
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SB 1384 |
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Introduced by Senators Barto, Allen, Klein, Reagan; Representatives Brophy McGee, Stevens, Williams: Senators Antenori, Burges, Driggs, Gould, Gray, Griffin, Melvin, Murphy, Shooter, Smith, Yarbrough; Representatives Crandell, Gowan, Kavanagh, Montenegro, Urie
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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 service as the basis for any negotiated rate between a health care provider and the health care insurer.
B. For the purposes of this section, "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.
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; definition
A. A health care professional must make available to the public on request the direct pay price for the health care professional's twenty‑five most used current procedural terminology codes. The health care professional shall explain to the person requesting the information that the direct pay price is for the standard diagnosis for the code and does not include any complications or exceptional treatment.
B. For the purposes of this section, "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.
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 the direct pay price for the facility's fifty most used diagnosis‑related group codes and the facility's fifty most used outpatient service codes. The health care facility shall explain to the person requesting the information that the direct pay price is for the standard diagnosis for the code 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 facility" means a hospital, outpatient surgical center, treatment or diagnostic imaging center, urgent care center, nursing care facility or rehabilitation center.
