SB 1629 — behavioral health; contracts; network adequacy

BillSenate Number:Engrossed behavioral health;

S.B.contracts;

network adequacy State of Arizona Senate Fifty-seventh Legislature Second Regular Session SENATE BILL 1629 AngiusAN FloorACT AmendmentAMENDING ReferenceTITLE to:36, CHAPTER 29, ARTICLE 1, ARIZONA REVISED STATUTES, BY ADDING SECTION 36-2930.07;

printedAMENDING billTITLE Amendment36, draftedCHAPTER by:29, ARTICLE 2, ARIZONA REVISED STATUTES, BY ADDING SECTION 36-2961;

Leg.AMENDING TITLE 36, CHAPTER 34, ARTICLE 1, ARIZONA REVISED STATUTES, BY ADDING SECTION 36-3414;

CouncilRELATING FLOORTO AMENDMENTBEHAVIORAL EXPLANATIONHEALTH •SERVICES. Specifies that the requirement that a managed care organization complete and submit a network adequacy study when declining to contract with a provider applies only to high-volume service providers.

Amendment(TEXT explanationOF preparedBILL byBEGINS SamuelON RosenbergNEXT 3/2/2026PAGE) Fifty-seventh- Legislaturei Angius- Second Regular Session S.B.

1629 ANGIUSBe FLOORit AMENDMENTenacted SENATEby AMENDMENTSthe TOLegislature S.B.of the State of Arizona:

1629 (Reference to printed bill) Amendment instruction key:

[GREEN UNDERLINING IN BRACKETS] indicates text added to statute or previously enacted session law.

[Green underlining in brackets] indicates text added to new session law or text restoring existing law.

[GREEN STRIKEOUT IN BRACKETS] indicates new text removed from statute or previously enacted session law.

[Green strikeout in brackets] indicates text removed from existing statute, previously enacted session law or new session law.

<<Green carets>> indicate a section added to the bill.

<<Green strikeout in carets>> indicates a section removed from the bill.

The bill as proposed to be amended is reprinted as follows:

Senate(e) AmendmentsTHE toCUMULATIVE S.B.EFFECT OF ALL PENDING OR RECENTLY COMPLETED WITHOUT-CAUSE TERMINATIONS OF HIGH-VOLUME SERVICE PROVIDERS BY THE MANAGED CARE ORGANIZATION.

1629 (e) THE CUMULATIVE EFFECT OF ALL PENDING OR RECENTLY COMPLETED WITHOUT-CAUSE TERMINATIONS OF HIGH-VOLUME SERVICE PROVIDERS BY THE MANAGED CARE ORGANIZATION.

D.- 1 - S.B.

1629 D.

IF A MANAGED CARE ORGANIZATION DECLINES TO CONTRACT WITH A SERVICE PROVIDER OR POTENTIAL SERVICE PROVIDER DUE TO A DETERMINATION OF NETWORK ADEQUACY, THE MANAGED CARE ORGANIZATION SHALL COMPLETE AND SEND TO THE ADMINISTRATION A NETWORK ADEQUACY STUDY, INCLUDING THE SPECIFIC DATA -2-SOURCES, SenateCALCULATION AmendmentsMETHODOLOGY toAND S.B.METRICS USED TO SUPPORT THE DENIAL DECISION.

1629 SOURCES, CALCULATION METHODOLOGY AND METRICS USED TO SUPPORT THE DENIAL DECISION.

[H.H.

SUBSECTION G OF THIS SECTION APPLIES ONLY TO HIGH-VOLUME SERVICE PROVIDERS.]PROVIDERS. [H.] [I.] THE ADMINISTRATION SHALL POST THE MANAGED CARE ORGANIZATION'S COMPLETE NETWORK ADEQUACY STUDY SUBMITTED PURSUANT TO SUBSECTION G OF THIS SECTION ON THE ADMINISTRATION'S PUBLIC WEBSITE AND SEND A COPY TO THE CHAIRPERSONS OF THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN RESOURCES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES, AND THE GOVERNOR'S OFFICE.

[I.]I. [J.] FOR THE PURPOSES OF THIS SECTION:

THE ADMINISTRATION SHALL POST THE MANAGED CARE ORGANIZATION'S COMPLETE NETWORK ADEQUACY STUDY SUBMITTED PURSUANT TO SUBSECTION G OF THIS SECTION ON THE ADMINISTRATION'S PUBLIC WEBSITE AND SEND A COPY TO THE CHAIRPERSONS OF THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN - 2 - S.B.

1629 RESOURCES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES, AND THE GOVERNOR'S OFFICE.

J.

FOR THE PURPOSES OF THIS SECTION:

-3-2. Senate Amendments to S.B.

1629 2.

(f)- ANY3 ADDITIONAL- FACTORSS.B. THE MANAGED CARE ORGANIZATION OR THE ADMINISTRATION IDENTIFIES AS RELEVANT TO NETWORK ADEQUACY.

1629 (f) ANY ADDITIONAL FACTORS THE MANAGED CARE ORGANIZATION OR THE ADMINISTRATION IDENTIFIES AS RELEVANT TO NETWORK ADEQUACY.

-4-2. Senate Amendments to S.B.

1629 2.

1.- 4 - S.B.

1629 1.

[H.H.

SUBSECTION G OF THIS SECTION APPLIES ONLY TO HIGH-VOLUME SERVICE PROVIDERS.]PROVIDERS. [H.] [I.] THE ADMINISTRATION SHALL POST THE MANAGED CARE ORGANIZATION'S COMPLETE NETWORK ADEQUACY STUDY SUBMITTED PURSUANT TO SUBSECTION G OF THIS SECTION ON THE ADMINISTRATION'S PUBLIC WEBSITE AND SEND A COPY TO THE CHAIRPERSONS OF THE SENATE AND HOUSE OF REPRESENTATIVES HEALTH AND HUMAN RESOURCES COMMITTEES, OR THEIR SUCCESSOR COMMITTEES, AND THE GOVERNOR'S OFFICE.

[I.]I. [J.] FOR THE PURPOSES OF THIS SECTION: