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ArizonaHB 4010Fifty-seventh Legislature - Second Regular SessionHouseWALLET

genetic counselors; board; licensure

Sponsored By: Beverly Pingerelli (Republican)

Signed by Governor

boardboard of genetic counselorsgenetic counselorshealth profession regulatory boardsinitial termslicensureprofessions and occupations - title 32public health and safety - title 36purposestate government - title 41

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 0 benefits, 0 costs, 4 mixed.

Counselors can refuse services for conscience

A genetic counselor can decline a service because of conscience and cannot lose a license for that choice. The counselor must timely tell the patient and offer the board’s online directory, but does not have to name a specific provider. The law provides specified immunity, except for intentional criminal misconduct or knowing changes to records or diagnostic information.

Arizona creates a genetic counselor board

The law creates a nine-member board to oversee genetic counseling: five counselors, two public members, and two physicians. Board members submit fingerprints for criminal-record checks, and osteopathic board staff provide administrative support. Patient records held for board investigations or proceedings are not public, and patient and family names must stay private. The law sends 90% of money collected under the chapter to the board’s fund and 10% to the state general fund; board members can receive $200 per service day, and consultants and agents can receive up to $200 per day. The board ends July 1, 2034, and the genetic counseling chapter is repealed January 1, 2035.

Arizona genetic counselors need licenses

After board rules are complete, and no later than October 1, 2026, most people practicing genetic counseling in Arizona need a state license. Current practitioners must apply by January 1, 2028. Applicants generally need current certification, but some experienced Arizona counselors and qualified out-of-state counselors have other routes. Provisional licenses let certification candidates work under supervision for one year, with a possible one-year extension. Licenses last two years, and applicants and license holders pay board-set fees; people without a license cannot use protected licensed-counselor titles.

Penalties for unlicensed genetic counseling

Getting a license through fraud or deceit, or practicing without a license, is a class 6 felony. The board can deny, suspend, or revoke a license for violations, certain convictions, or conduct that harms patient health or safety. It must hold a hearing before suspending or revoking a license. After a hearing, it can assess up to $100 per violation, with each continuing day counted separately, or seek an injunction.

Sponsors & Cosponsors

Sponsor

  • Beverly Pingerelli

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 87 • No: 20

Senate vote • 6/9/2026

Third Reading: Passed

Yes: 26 • No: 3

Senate vote • 3/25/2026

Regulatory Affairs and Government Efficiency: DP

Yes: 7 • No: 0

House vote • 3/4/2026

Third Reading: Passed

Yes: 39 • No: 14

House vote • 2/23/2026

Rules: C&P

Yes: 4 • No: 2

House vote • 2/16/2026

Health & Human Services: DP

Yes: 11 • No: 1

Actions Timeline

  1. Signed by Governor

    6/19/2026Governor

  2. Third Reading: Passed

    6/9/2026Senate

  3. Rules: PFC

    3/30/2026Senate

  4. Regulatory Affairs and Government Efficiency: DP

    3/25/2026Senate

  5. Senate Second Reading

    3/16/2026Senate

  6. Senate First Reading

    3/11/2026Senate

  7. Third Reading: Passed

    3/4/2026House

  8. Committee of the Whole: do pass amended

    3/2/2026House

  9. Rules: C&P

    2/23/2026House

  10. Health & Human Services: DP

    2/16/2026House

  11. House Second Reading

    2/10/2026House

  12. House First Reading

    2/9/2026House

Bill Text

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