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ArizonaHB 2693Fifty-seventh Legislature - Second Regular SessionHouseWALLET

insurance; bona fide associations; qualifications

Sponsored By: Sponsor information unavailable

Signed by Governor

accountable health plansadoa (see also: department of administration)bona fide associationbona fide associations (s)definition (s)delayed repeal (s)department of administration (adoa)health insurance system studyinsurance (s)insurance - title 20qualificationsreport (s)statewide chamber of commerce

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

More health coverage options for working owners

Qualifying working owners can get small-group coverage through a statewide chamber of commerce or business league when insurers offer one-person plans. Owners must hold an ownership interest and earn wages or self-employment income from personal services to the business. They must average at least 20 hours weekly or 80 hours monthly, or earn enough to cover themselves and covered beneficiaries. A sole proprietor must also run the business without using a separate business entity. Insurers need not offer these plans or equivalent coverage outside an association, and the law sets no premium price.

Business groups can offer self-funded health plans

Arizona law allows qualifying associations to operate self-funded health arrangements covering multiple employers when they follow applicable federal employee-benefit rules. A statewide chamber of commerce or business league also qualifies with a constitution or bylaws and federal tax-exempt status under section 501(c)(6). It must have operated in good faith for at least five continuous years for purposes beyond providing or obtaining insurance. These arrangements offer another route to health coverage, but the law sets no premiums or benefit amounts.

Two paths for association health plans

Arizona recognizes two ways for associations to qualify to offer health plans. One requires a written constitution and bylaws, a good-faith purpose beyond insurance, and coverage for at least 25 members or employees. That coverage must benefit people other than the association or its officers or trustees. This route bars membership rules based on health status or buying insurance; plans must be open regardless of health status. Membership and application materials must explain these protections and that coverage is available only through a member. The second route requires meeting the federal employee-benefit law's definition of an employer. For association plans under the first route, small employers have 1–50 eligible employees; the law also counts retired employees as employees.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 129 • No: 34

House vote • 6/1/2026

Final Reading: Passed

Yes: 49 • No: 6

House vote • 6/1/2026

Concurrence: Passed

Yes: 0 • No: 0

Senate vote • 4/8/2026

Third Reading: Passed

Yes: 19 • No: 9

Senate vote • 3/9/2026

Finance: DPA

Yes: 5 • No: 1

House vote • 2/23/2026

Third Reading: Passed

Yes: 40 • No: 17

House vote • 2/2/2026

Rules: C&P

Yes: 8 • No: 0

House vote • 1/27/2026

Commerce: DPA

Yes: 8 • No: 1 • Other: 2

Actions Timeline

  1. Signed by Governor

    6/4/2026Governor

  2. Final Reading: Passed

    6/1/2026House

  3. Concurrence: Passed

    6/1/2026House

  4. Third Reading: Passed

    4/8/2026Senate

  5. Committee of the Whole: do pass amended

    4/2/2026Senate

  6. Rules: PFC

    3/16/2026Senate

  7. Finance: DPA

    3/9/2026Senate

  8. Senate Second Reading

    3/3/2026Senate

  9. Senate First Reading

    3/2/2026Senate

  10. Third Reading: Passed

    2/23/2026House

  11. Committee of the Whole: do pass amended

    2/19/2026House

  12. Rules: C&P

    2/2/2026House

  13. Commerce: DPA

    1/27/2026House

  14. House Second Reading

    1/21/2026House

  15. House First Reading

    1/20/2026House

Bill Text

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