Plain English Breakdown
The official status indicates the bill passed both chambers and reached final enrollment, but no effective date is listed in the metadata; however, the statute text explicitly states 'Beginning January 1, 2027'.
HB2558: Requiring Health Insurance Coverage for Scalp Cooling Systems During Chemotherapy
Starting January 1, 2027, this law requires certain Arizona health insurance plans that cover cancer-related chemotherapy to also provide coverage for scalp cooling systems.
What This Bill Does
- Requires hospital service corporations and medical service corporations to cover scalp cooling systems if they already cover cancer-related chemotherapy treatment.
- Mandates health care services organizations (HMOs) to include scalp cooling system coverage when issuing or renewing plans that cover cancer-related chemotherapy treatment.
- Obligates disability insurers to offer coverage for these devices in policies that pay for cancer-related chemotherapy treatment.
- Applies the same requirement to group and blanket disability insurance policies covering cancer-related chemotherapy treatment.
- Defines a 'scalp cooling system' as a device used to cool the scalp to prevent or reduce hair loss during chemotherapy, if it is designed for repeated use and serves a medical purpose.
Who It Names or Affects
- Hospital service corporations and medical service corporations in Arizona
- Health care services organizations (HMOs)
- Disability insurers, including those offering group or blanket policies
- Patients receiving cancer-related chemotherapy who use qualifying scalp cooling systems
Terms To Know
- Scalp cooling system
- A device used to cool the human scalp to prevent or reduce hair loss during cancer-related chemotherapy treatment, if it is designed and intended for repeated use and primarily serves a medical purpose.
- Hospital service corporation
- An entity that issues subscription contracts providing coverage for hospital services under Arizona law.
- Health care services organization (HMO)
- A type of health plan in Arizona that provides evidence of coverage for medical treatments, including chemotherapy.
Limits and Unknowns
- The law only applies if the insurance policy already covers cancer-related chemotherapy treatment.
- Coverage is required only for devices designed and intended for repeated use; single-use items may not qualify.
- The text does not specify how much patients must pay out of pocket or what percentage insurers must cover.