Arizona SB 1604: licensed secure facility; incompetent defendants

Bill Text

SB1604 - 572R - I Ver 

 REFERENCE TITLE: insurance coverage; autologous breast reconstruction

 State of Arizona

 Senate

 Fifty-seventh Legislature

 Second Regular Session

 2026

 SB 1604

 Introduced by 

 Senators 
 Alston: Angius, Bravo, Diaz, Epstein, Gabald�n, Gonzales, Miranda, Ortiz, 
 Sears, Sundareshan;� Representative Connolly

AN 
ACT

amending sections 20-826, 20-1057, 
20-1342, 20-1383, 20-1402, 20-1404 and 20-2341, 
Arizona Revised Statutes; relating to health insurance. 

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it enacted by the Legislature of the State of Arizona:

Section 1. Section 20-826, Arizona Revised 
Statutes, is amended to read:

START_STATUTE20-826. Subscription contracts; definitions

A. A contract between a corporation and its 
subscribers shall not be issued unless the form of such contract is approved in 
writing by the director.

B. Each contract shall plainly state the services to 
which the subscriber is entitled and those to which the subscriber is not 
entitled under the plan, and shall constitute a direct obligation of the 
providers of services with which the corporation has contracted for hospital, 
medical, dental or optometric services.

C. Each contract, except for dental services or 
optometric services, shall be so written that the corporation shall pay 
benefits for each of the following:

1. Performance of any surgical service that is 
covered by the terms of such contract, regardless of the place of service.

2. Any home health services that are performed by a 
licensed home health agency and that a physician has prescribed in lieu of 
hospital services, as defined by the director, providing the hospital services 
would have been covered.

3. Any diagnostic service that a physician has 
performed outside a hospital in lieu of inpatient service, providing the 
inpatient service would have been covered.

4. Any service performed in a hospital's outpatient 
department or in a freestanding surgical facility, if such service would have 
been covered if performed as an inpatient service.

D. Each contract for dental or optometric services 
shall be so written that the corporation shall pay benefits for contracted 
dental or optometric services provided by dentists or optometrists.

E. Any contract, except accidental death and 
dismemberment, applied for that provides family coverage, as to such coverage 
of family members, shall also provide that the benefits applicable for children 
shall be payable with respect to a newly born child of the insured from the 
instant of such child's birth, to a child adopted by the insured, regardless of 
the age at which the child was adopted, and to a child who has been placed for 
adoption with the insured and for whom the application and approval procedures 
for adoption pursuant to section 8-105 or 8-108 have been completed 
to the same extent that such coverage applies to other members of the 
family. The coverage for newly born or adopted children or children 
placed for adoption shall include coverage of injury or sickness, including 
necessary care and treatment of medically diagnosed congenital defects and 
birth abnormalities. If payment of a specific premium is required to provide 
coverage for a child, the contract may require that notification of birth, 
adoption or adoption placement of the child and payment of the required premium 
must be furnished to the insurer within thirty-one days after the date of 
birth, adoption or adoption placement in order to have the coverage continue 
beyond the thirty-one day period.

F. Each contract that is delivered or issued for 
delivery in this state after December 25, 1977 and that provides that coverage 
of a dependent child shall terminate on attainment of the limiting age for 
dependent children specified in the contract shall also provide in substance 
that attainment of such limiting age shall not operate to terminate the 
coverage of such child while the child is and continues to be both incapable of 
self-sustaining employment by reason of intellectual disability or 
physical disability and chiefly dependent on the subscriber for support and 
maintenance. Proof of such incapacity and dependency shall be 
furnished to the corporation by the subscriber within thirty-one days of 
the child's attainment of the limiting age and subsequently as may be required 
by the corporation, but not more frequently than annually after the two-year 
period following the child's attainment of the limiting age.

G. A corporation may not cancel or refuse to renew 
any subscriber's contract without giving notice of such cancellation or 
nonrenewal to the subscriber under such contract. A notice by the 
corporation to the subscriber of cancellation or nonrenewal of a subscription 
contract shall be mailed to the named subscriber at least forty-five days 
before the effective date of such cancellation or nonrenewal. The 
notice shall include or be accompanied by a statement in writing of the r