Official Summary Text
HB2211 - 572R - House Bill Summary
ARIZONA HOUSE OF REPRESENTATIVES
57th
Legislature, 2nd Regular Session
Majority Research Staff
HB
2211
: technical correction; materials; resident preference
S/E:
independent dispute resolution; patients
Sponsor:
Representative Livingston, LD 28
Committee
on Appropriations
Summary
of the Strike-Everything Amendment to HB 2211
Overview
Deems
it unprofessional conduct for a podiatrist, licensed physician or nurse to submit
an offer to an independent dispute resolution entity that is above 300% of the
approved Medicare reimbursement or 300% of the qualified payment amount.
History
Laws 2017, Chapter 190
, establishes a process for an
enrollee who has received a surprise out-of-network bill to seek a dispute
resolution for the disputed amount. A
surprise out-of-network bill
is a
bill for a health care service, a laboratory service or durable medical
equipment that was provided in a network facility by a health care provider
that is not a contracted provider. A bill must meet certain criteria to qualify
as a surprise out-of-network bill. The dispute resolution process consists of
an informal settlement teleconference and arbitration. The Department of
Insurance and Financial Institutions (DIFI) is required to develop a simple,
fair, efficient and cost-effective arbitration procedure for surprise
out-of-network bill disputes, as well as specify time frames, standards and
other details for the arbitration proceeding (A.R.S. ��
20-3111
,
�20-3113
and
20-3114
).
An enrollee may
seek dispute resolution for a surprise out-of-network bill by filing a request
with DIFI within one year of the date of service noted in the surprise out-of-network
bill. DIFI, in conjunction with appropriate health care boards, must prescribe
a notice that outlines an enrollee's rights to dispute surprise out-of-network
bills. Health insurers are required to include the prescribed notice in each
explanation of benefits or other similar claim adjudication notices issued to
enrollees that involves covered services provided by a noncontracted health
care provider. This pertains to claims that are not subject to an independent
dispute resolution (IDR) under the No Suprises Act (NSA). If an enrollee
contacts a health care provider, a provider's representative or a billing
company regarding a dispute involving a surprise out-of-network bill that is
not subject to an IDR under the NSA, �the health care provider, the provider's
representative or the billing company must provide written notice to the
enrollee of the dispute resolution process (A.R.S. �
20-3117
).
The NSA is a
federal law aimed towards protecting consumers from receiving surprise medical
bills resulting from out-of-network care. The federal law also requires health
care insurers to give patients a notice about their surprise billing
protections (
26 U.S.C. � 9816
). The NSA applies to the
uninsured and individuals insured by: 1) individual and group health insurance
plans; 2) student health insurance plans; 3) employer self-funded plans; 4)
non-federal government plans, such as state, county and city plans; 5) church
plans; and 6) federal employees health benefit plans. The NSA does not apply to
individuals covered under short term limited duration plans, critical illness
policies, other limited benefit plans, Medicare, the Arizona Health Care Cost
Containment System, Indian Health Services, Veterans Affairs Health Care or
TRICARE (
DIFI
).
Provisions
1.
Requires a
health insurer to remit payment of all amounts due to a nonparticipating health
care provider or facility in connection with an IDR proceeding within 30-day
time period, as applicable. (Sec. 2)
2.
Clarifies
that if there is a clear written contract for a fixed fee between a podiatrist,
licensed physician or nurse and a patient or if the patient has given informed
consent to waive the No Suprises Act protections and the health care
professional submits the consent form with the claim then it is not considered
unprofessional conduct. (Sec. 3-6)
3.
Specifies
that when a podiatrist, licensed physician or nurse submits an offer to an IDR
entity, and that offer exceeds either of the following, then it constitutes as
a clearly excessive fee, therefore considered to be unprofessional conduct:
a.
300% of the
approved Medicare reimbursement; or
b.
300% of the
qualified payment amount. (Sec. 3-6)
4.
Makes
technical and conforming changes. (Sec. 1, 5)
5.
6.
7.
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Initials AG���������������������� HB
2211
9.
2/20/2026� Page 0 Appropriations
10.
11.
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Current Bill Text
Read the full stored bill text
HB2211 - 572R - I Ver
PREFILED��� JAN 09 2026
REFERENCE TITLE:
technical correction; materials; resident preference
State of Arizona
House of Representatives
Fifty-seventh Legislature
Second Regular Session
2026
HB 2211
Introduced by
Representative
Livingston
AN
ACT
amending section 34-243, Arizona
Revised Statutes; relating to eligibility and preference of contractors and
subcontractors.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Section 34-243, Arizona Revised
Statutes, is amended to read:
START_STATUTE
34-243.
Preference for materials supplied by resident dealers in awarding
contracts for furnishing materials
In awarding contracts for furnishing materials to construct a
building or structure, or additions to or alterations of existing buildings or
structures, either directly or through a contractor, to any political
subdivision of this state, to be paid for from public funds, the contract shall
be awarded to bidders who furnish materials supplied by a dealer who is a
resident of this state
and
who has for not less than two
successive years immediately
prior to
before
submitting the bid paid real or personal property taxes assessed under
title 42 in preference to a competing bidder who furnishes materials not
supplied by the resident dealer, whenever the bid of the competing bidder,
quality and suitability considered, is less than five per cent lower than that
of the resident dealer.
END_STATUTE