In the 2018 legislative term, Arizona introduced legislation relating to health care price transparency. The state legislature unanimously passed the Prescription Drug Pricing Patient Protection Act (HB 2107), which prohibits mandatory “clawbacks,” where insured patients pay more in copays than pharmacies receive in reimbursements. It also prevents “gag clauses” that forbid pharmacists from telling consumers about cheaper options.
In the 2017 legislative term, the state passed SB 1441, which creates a process to help consumers who receive large, unexpected medical bills from providers.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.
LEGISLATIVE CALENDARArizona’s current legislative term runs from 1/14/2019 – 4/27/2019. Arizona’s next legislative term will convene in 2020.
FY 2020 BUDGETBudgets are set for a fiscal year. The fiscal year is the 12‐month period beginning on July 1 and ending June 30 of the following year. Arizona released its FY 2020 Budget on January 18, 2019. To view Arizona’s Department of Health and Welfare FY 2020 spending plan, go to pages 31-34.
REGULATION & ENFORCEMENT
- The Arizona Department of Insurance publishes the following in relation to health insurance: market conduct examination reports, regulatory bulletins, enforcement orders, and rulemaking activities.