Assigned to BI                                                                                                                                      FOR COMMITTEE

 

 


 

ARIZONA STATE SENATE

Phoenix, Arizona

 

FACT SHEET FOR S.B. 1229

 

health insurance; physical therapists

 

Purpose

           

Prohibits the denial of reimbursement for services rendered by physical therapists if the insurance carrier provides benefits for such services.         

 

Background

           

Current state law prohibits denial of insurance contract benefits to chiropractors, psychologists, nurses, optometrists, psychiatrists, drug abuse services and alcoholism services if an insurance contract provides for or offers reimbursement for any service that is within the scope of the practitioner or service.

           

S.B. 1229 includes licensed physical therapists to the list of practitioners and services that are ensured reimbursement by insurance carriers. The bill is unclear whether the insured is required to select a physical therapist who is contracted with his or her insurance carrier or whether insurance companies are required to offer reimbursement to unaffiliated therapists.

 

A fiscal note has been requested and is forthcoming.  Preliminary analysis from the Department of Administration indicates no cost increase if the insured is able to select a physical therapist who is a contracted provider in his or her insurance plan.  However, if the insured is able to select any physical therapist, the State may notice increased costs in workers' compensation payouts with an estimated range of  $135,000 to $150,000 per year.

 

Provisions

 

1.      Enables an insured person to select a licensed physical therapist for services that are within the scope of a physical therapist, if the insurance carrier provides for or offers reimbursement for such services.

 

2.      Provides for a general effective date.

 

 

Prepared by Senate Staff

February 5, 2002