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Home » Bulletins » New Arizona Legislation Tightens Insurance, Banking, and Health Coverage Rules for 2025—Here’s What Changed

New Arizona Legislation Tightens Insurance, Banking, and Health Coverage Rules for 2025—Here’s What Changed

AZ| The Arizona Department of Insurance Regulatory Bulletin 2025-05 summarizes major legislative changes affecting Arizona’s insurance and financial institutions for laws effective in 2025. Below is a summary highlighting each main law change category. These highlights capture the principal regulatory changes introduced by Arizona’s legislative session impacting insurers, financial institutions, healthcare providers, and related stakeholders in 2025:

  • Insurance & Pharmacy Benefits
    • Pharmacy benefits managers (PBMs) are restricted from limiting or changing coverage for patients on ongoing prescriptions within a plan year and must provide advance notification for formulary changes. There are provisions for formulary exception requests and detailed denial requirements, effective for contracts renewed after December 31, 2025.
    • Surprise billing requirements are refined to clarify when dispute resolution rights notices are needed.
    • Health insurers adopting NAIC Life Insurance Illustrations Model Regulation will no longer be required to provide standard policy summaries for those policies.
    • Organ transplant coverage may be restricted if organs are sourced from China or Hong Kong.
    • Annual reporting for homeowners insurance policies in fire-risk areas; creation of a Fire Insurance Review Task Force.
    • Autism behavioral therapy annual maximums eliminated for children 16 and younger; redefinition of autism spectrum disorder.
  • Financial Institutions & Escrow
    • Escrow agents may only use funds according to explicit loan or settlement terms.
    • The Uniform Special Deposits Act (S.B. 1206) establishes requirements for special bank deposits, including termination, payment, and amendment guidelines.
    • Office of the Auditor General is granted access to financial institution records for official duties and these institutions are not liable for disclosures made to the OAG.
  • Workers’ Compensation
    • Dependent allowance for temporary total disability increased from $25 to $100 monthly for certain claims.
    • New rules for schedule of provider fees and definitions related to service and interested parties.
  • Provider & Insurance Administration
    • Health insurers must speed up provider credentialing (60 days for processing, 30 days for billing system integration) and outline new claim submission/payment rules, effective April 1, 2026.
    • Medical directors must personally review and exercise medical judgment on prior authorization denials, effective July 1, 2026.
    • Clarifies rules for administrative hearings, including peremptory changes of judge and conflict of interest motions.
  • Cryptocurrency and Fraud
    • Cryptocurrency kiosk operators must provide clear disclosures, physical receipts, use blockchain analytics for fraud prevention, set transaction caps, offer live customer support, and promptly refund fraud-induced transactions. Attorney General is assigned enforcement.
  • Consumer Protection and Reporting
    • Public records requests require affirmation of noncommercial use or disclosure if for commercial use.
    • Insurers must accept electronic communications and submissions for motor vehicle insurance claims and respond within 10 business days.
  • Licensing and Compliance
    • Adjusts licensing renewal dates and late fee rules for lenders, escrow agents, and sales finance companies.
    • Continues the Department of Insurance and Financial Institutions until July 1, 2033.
  • Captive Insurers
    • Dormant captive insurers can apply for dormancy certification, maintain requirements for minimum capital, and surrender under specific conditions. Cell captive minimum capital is reduced.
  • Other Categories
    • Prohibition on insurance, title, or escrow agents’ liability for certain real property transfers involving foreign adversary ownership.
    • Establishment of Arizona Rare Disease Advisory Council and a state committee for maternal mental health in rural communities, requiring distribution of educational materials.
    • New procedures for life care contract refunds, electronic vehicle title documentation, and several miscellaneous regulatory and administrative clarifications.

Click here to see AZ Regulatory Bulletin 2025-05

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