All Roll Calls
Yes: 137 • No: 0
ArizonaSB 1291Fifty-seventh Legislature - First Regular SessionSenateWALLET
health insurers; provider; payment; claims
Sponsored By: Hildy Angius (Republican)
Signed by Governor
acknowledgment of receiptapplicationcivil immunitycivil penaltyclaimscovered servicescredentialingdefinitionseffective dateenforcementexceptionhealth care credentialinghealth insurersinsurance - title 20liabilityloadingnoticenotification of incomplete applicationspaymentproviderprovider credentialingrepealrepealingstrike everything amendmenttimelines
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 1 costs, 2 mixed.
In-network payment during provider credentialing
Beginning April 1, 2026, insurers must process qualifying covered-care claims as in-network for services after the provider is told the application is complete and before the network contract is signed. The patient must be an eligible plan member on the service date, and the provider must later sign the contract and receive credential approval. The insurer cannot deny a claim as late when the provider submits it within one year after the service. In-network payment is not required if credentials are denied or the provider will not accept mutually acceptable contract terms.
Patients get advance provider cost notices
Beginning April 1, 2026, a provider who is not credentialed or contracted must give patients a dated written notice before care at a network facility. The notice must name the billing provider, estimate the total amount to be billed, and explain the provider’s network status. The notice gives patients cost information before care, but does not cap the bill.
Limits on claims against health insurers
Beginning April 1, 2026, an insurer that does not credential a provider is not civilly liable for that provider’s acts or omissions while treating the insurer’s member. This limits claims against the insurer, but does not remove the provider’s own possible liability.
Faster deadlines for provider credentialing
The law takes effect March 31, 2026; its credentialing rules apply beginning April 1, 2026. A complete application must include required information and documents, plus authorization to access electronic records. Insurers must acknowledge applications and say whether they are complete within 7 calendar days; they must finish credentialing within 60 days and billing-system loading within 130 days. For delegated facilities, insurers must load roster changes within 10 days; insurers can pause timelines up to 3 times, and after the third pause may withdraw an application if the provider does not respond within 30 days.
Sponsors & Cosponsors
Sponsor
Hildy Angius
Republican • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/29/2025
CONCUR: Passed
Yes: 0 • No: 0
Senate vote • 4/29/2025
FINAL: Passed
Yes: 29 • No: 0
Senate vote • 4/14/2025
THIRD: Passed
Yes: 54 • No: 0
Senate vote • 3/24/2025
C&P
Yes: 8 • No: 0
Senate vote • 3/17/2025
DP
Yes: 11 • No: 0
Senate vote • 3/5/2025
THIRD: Passed
Yes: 29 • No: 0
Senate vote • 2/19/2025
DPA/SE
Yes: 6 • No: 0
Actions Timeline
Final Reading: Passed
4/29/2025SenateConcurrence: Passed
4/29/2025SenateThird Reading: Passed
4/14/2025SenateCommittee of the Whole: do pass amended
4/10/2025SenateCommittee of the Whole: Retained on the Calendar
3/27/2025Senateundefined: C&P
3/24/2025Senateundefined: DP
3/17/2025SenateThird Reading: Passed
3/5/2025SenateCommittee of the Whole: do pass amended
3/3/2025Senateundefined: PFC
2/24/2025Senateundefined: DPA/SE
2/19/2025Senate
Bill Text
Chaptered Version
House Engrossed Version
Introduced Version
Senate Engrossed Version