Arizona HB 2433: county treasurers; continuing education

Bill Text

HB2433 - 572R - I Ver 

 REFERENCE TITLE:� medicare supplement insurance; ALS; ESRD

 State of Arizona

 House of Representatives

 Fifty-seventh Legislature

 Second Regular Session

 2026

 HB 2433

 Introduced by 

 Representative 
 Bliss

AN 
ACT

amending section 20-1133, arizona 
revised statutes; relating to medicare supplement insurance. 

(TEXT OF BILL BEGINS ON NEXT PAGE)

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

Section 1. Section 20-1133, Arizona Revised 
Statutes, is amended to read:

START_STATUTE20-1133. Medicare supplement insurance; early enrollment discounts; eligibility 
for additional conditions; applicability

A. The director shall adopt rules necessary to 
comply with the requirements of the social security disability amendments of 
1980 (P.L. 96-265; 42 United States Code section 1395ss) and any 
federal laws or regulations pertaining to that section, so that this state may 
retain its full authority to regulate minimum standards for medicare supplement 
insurance. 

B. For the purposes of this section, an insurer may 
file for medicare supplement insurance rates that include 
an early enrollment discount that will not be considered an attained age rating 
structure. An early enrollment discount shall diminish over a period 
of time and is only available to enrollees who purchase the plan within the 
early enrollment period designated by the insurer. Insurers shall 
disclose to all applicants how the early enrollment discount will diminish over 
time.

C. Subject to the other limitations provided in this 
subsection, a benefit mandated in this title for health insurance policies does 
not apply to medicare supplement insurance policies unless the mandated policy 
benefit is set forth in rules adopted pursuant to this section or unless the 
statute mandating the policy benefit expressly states that it is made 
specifically applicable to medicare supplement insurance policies. A 
medicare supplement insurance policy may not contain any exclusion for services 
provided by any type of properly licensed health care provider if the 
provider's services are eligible for medicare reimbursement and if the specific 
services in question would be covered by medicare. The scope of 
benefits of a medicare supplement policy may not be less than the minimum level 
of benefits established by federal law.

D. An insurer that offers medicare 
supplement insurance policies in this state to persons who are at least sixty-five 
years of age shall also offer medicare supplement insurance policies to persons 
who are eligible for and enrolled in medicare due to end-stage renal 
disease or amyotrophic lateral sclerosis. All benefits and coverages 
that are available to medicare enrollees who are at least sixty-five 
years of age must also be available to medicare enrollees who are under sixty-five 
years of age and who are enrolled due to end-stage renal disease or 
amyotrophic lateral sclerosis.

E. A medicare enrollee may enroll in 
a medicare supplement insurance policy at any time allowed or required by 
federal law or within six months after any of the following:

1. Enrolling in medicare part B or 
January 1, 2027 for an enrollee who is under sixty-five years of age and 
who is eligible for medicare due to end-stage renal disease or 
amyotrophic lateral sclerosis, whichever is later.

2. Receiving notice that the enrollee 
has been retroactively enrolled in medicare part B due to a retroactive 
eligibility decision made by the social security administration.

3. Termination of coverage under a 
group health insurance plan.

f. In addition to other enrollment 
periods provided by law, a person who is under sixty-five years of age 
and who is enrolled in medicare part b due to end-stage renal disease or 
amyotrophic lateral sclerosis on the effective date of this AMENDMENT to this 
section may apply for coverage under a medicare supplement insurance policy on 
or after December 2, 2025 and before June 1, 2027.� If the person is unable to 
submit an application for coverage on or after December 2, 2025 and before June 
1, 2027 because the application was not available and the person requested the 
application during that time period, the person may apply for coverage WITHIN 
six months after the date the application initially becomes available. 

g. An insurer may not charge an 
enrollee who qualifies for medicare due to end-stage renal disease or 
amyotrophic lateral sclerosis and who is under sixty-five years of age a 
premium rate for a medical supplemental insurance benefit plan offered by the 
insurer that exceeds the insurer's rate schedule that is filed with the 
department for that PLAN and that is charged to enrollees who are sixty-five 
years of age. 

D. H. Notwithstanding 
any other provision of this title, rules adopted pursuant to this section apply 
to insurance provided under disability insurance policies, under subscription 
contracts of hospital, medical, dental or opto