Overview

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.

Recent Legislation

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Ariz. Rev. Stat. § 10-11251. Definitions: Hospital and Community Health Center Mergers and Other Transactions — General Provisions – Arizona
Introduced: Status: Enacted
Hospital and Community Health Center Mergers and Other Transactions: Related to Ariz. Rev. Stat. Ann. § 10-11252
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Ariz. Rev. Stat. § 10-11252. Scope; included transactions; excluded transactions: Hospital and Community Health Center Mergers and Other Transactions — General Provisions – Arizona
Introduced: Status: Enacted
Except as provided in subsections B and C of this section, this chapter applies to any nonprofit health care entity that intends to sell, transfer, lease, exchange, option, convey, convert, give, merge or otherwise dispose …
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Ariz. Rev. Stat. § 10-11253. Public hearing; notice; requirements; summary report: Hospital and Community Health Center Mergers and Other Transactions — General Provisions – Arizona
Introduced: Status: Enacted
Hospital and Community Health Center Mergers and Other Transactions: Public hearing and notice requirements for potential mergers
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Ariz. Rev. Stat. § 10-11254. Applicability: Hospital and Community Health Center Mergers and Other Transactions — General Provisions – Arizona
Introduced: Status: Enacted
Hospital and Community Health Center Mergers and Other Transactions: Nothing in this chapter Affects the operation of state or federal antitrust laws or the attorney general’s enforcement of those laws or Is intended to create …
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Ariz. Rev. Stat. § 11-254.03. Board powers; hospitals: Counties — Board of Supervisors — Powers and Duties – Arizona
Introduced: Status: Enacted
If a board maintains a hospital or health care facility for the sick of the county or if a board has delegated this responsibility to a hospital board pursuant to § 36-183.01, the board or county …
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Enacted Laws

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Ariz. Const. Art. 14, § 15. Monopolies and trusts: Arizona Constitution – Arizona
Introduced: Status: Enacted
Monopolies and trusts shall never be allowed in this state and no incorporated company, co-partnership or association of persons in this state shall directly or indirectly combine or make any contract, with any incorporated company, …
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Ariz. Const. Art. 27, § 1. Regulation of ambulances; powers of legislature: Arizona Constitution – Arizona
Introduced: Status: Enacted
The legislature may provide for the regulation of ambulances and ambulance services in this state in all matters relating to services provided, routes served, response times and charges.
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Ariz. Const. Art. 27, § 2. Health care; definitions: Arizona Constitution – Arizona
Introduced: Status: Enacted
Permits a person to pay directly for healthcare services and prohibits providers from penalizing or fining a person for direct payment.
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Ariz. Rev. Stat. § 10-11201. Sale of assets in regular course of activities and mortgage of assets: Sale of Assets — Nonprofit Corporations — General Provisions – Arizona
Introduced: Status: Enacted
What a corporation may sell in the regular course of activities
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Ariz. Rev. Stat. § 10-11202. Sale of assets other than in regular course of activities: Sale of Assets — Nonprofit Corporations — General Provisions – Arizona
Introduced: Status: Enacted
On the terms and conditions and for the consideration determined by the corporation’s board of directors, a corporation may sell, lease, exchange or otherwise dispose of all or substantially all of its property, with or …
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Key Litigation

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In Re: Generic Pharmaceuticals Pricing Antitrust Litigation – Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin
District Court: Eastern District of Pennsylvania Status: Pending
Plaintiffs are attorney generals from 48 states, Puerto Rico, and the District of Columbia, as well as classes of private plaintiffs that filed an antitrust …

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Additional Resources

LEGISLATIVE CALENDAR

Arizona’s current legislative term runs from 1/14/2019 – 4/27/2019. Arizona’s next legislative term will convene in 2020.

FY 2020 BUDGET

Budgets 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.