Legislation


HB 2486 – Arizona

Status: Inactive / Dead
Year Introduced: 2022
Link: https://apps.azleg.gov/BillStatus/BillOverview/76964

Right To Shop Act of 2022: Establish a comparable health care service incentive program that includes an interactive mechanism on its publicly accessible website or a toll-free telephone number that enables an enrollee to request and obtain from the health insurer information on the payments made by the health insurer to network health care facilities or health care providers for comparable health care services as well as quality data for those health care facilities or health care providers to the extent available. The interactive mechanism or toll-free telephone number shall allow an enrollee seeking information about the cost of a particular health care service to compare allowed amounts among network health care facilities or health care providers, estimate out-of-pocket costs applicable to the enrollee’s health care plan and learn the average payment made to network health care facilities or health care providers for the procedure or health care service under the enrollee’s health care plan within a reasonable time frame not to exceed one year. The out-of-pocket cost estimate shall provide a good faith estimate of the amount the enrollee will be responsible to pay out of pocket for a proposed nonemergency procedure or health care service that is a medically necessary covered benefit from a health insurer’s network health care facility or health care provider, including any copayment, deductible, coinsurance or other out-of-pocket amount for any covered benefit, based on the information available to the health insurer at the time the enrollee makes the request. A health insurer may contract with a third-party vendor to satisfy the requirements of this paragraph. Requires the public report to include the concentration of health care providers in Arizona to determine whether the market is anticompetitive.


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