Arizona state legislators are still racing to the finish line, wrangling bills through the political process; physicians are getting closer to an improved credentialing timeline as Democrats and pro-choice advocates push back on a new abortion bill passed by the Senate and House.
The credentialing legislation, HB 2322, is designed to speed up insurers’ processes for physician credentialing and loading, and SB 1394, a bill that requires additional abortion reporting requirements from providers, were both sent to Governor Ducey for signature April 11, 2018.
From the most recent Senate fact sheet, effective January 1, 2019, the credentialing bill requires health insurers to establish an electronic process for the submission of credentialing applications and supporting documentation. Establishes that the process of credentialing and loading an application must conclude within 100 days after a health insurer receives a completed application. Modifies certain representational requirements for directors of hospital service corporations, medical service corporations, hospital and medical service corporations and optometric service corporations.
The new abortion reporting requirements adds that women seeking an abortion must complete additional questions prior to the procedure. From the most recent Senate fact sheet, the legislation adds that a report must indicate at least one reason for the woman seeking the abortion, including at least one the following: a) if the abortion is elective; b) maternal health considerations including one of the following: i) premature rupture of membranes; ii) an anatomical abnormality; iii) chorioamnionitis; iv) preeclampsia; or v) other maternal health considerations. c) fetal health considerations including one of the following: i) a lethal anomaly; ii) a central nervous system anomaly; iii) trisomy 18 or 21; iv) triploidy; or v) other fetal health considerations. d) the pregnancy is a result of a sexual assault; e) the pregnancy is a result of incest; f) the woman is being coerced into obtaining an abortion; g) the woman is a victim of sex trafficking; h) the woman is a victim of domestic abuse; i) other; or j) the woman declined to answer. The report must also indicate any known medical complication that resulted from the abortion including at least one of the following:a) shock; b) uterine perforation; c) cervical laceration requiring suture or repair; d) heavy bleeding or hemorrhage with estimated blood loss of at least 500 cubic centimeters; e) aspiration or allergic response; f) post procedure infection; g) sepsis; h) incomplete abortion retaining part of the fetus requiring re-evacuation; i) damage to the uterus; j) failed termination of pregnancy; and k) death of the patient.
AZ Psychiatric Society
AZ Pharmacy Association
Arizona Hemophilia Association
Health System Alliance of Arizona
The Core Institute
AZ Medical Association
Phoenix Children’s Hospital
Mental Health America of Arizona
AZ Chapter American College of Emergency Physicians
Opposed to the credentialing legislation included:
Cigna Healthcare of Arizona
America’s Health Insurance Plans
Blue Cross Blue Shield of Arizona
Center for Arizona Policy
AZ Catholic Conference
Opposed to the new abortion requirements included:
Women’s Foundation of Southern Arizona
Arizona Medical Association
Arizona Osteopathic Medical Associations
American Congress of Obstetricians & Gynecologists
Arizona Chapter of The American Academy of Pediatrics
American Civil Liberties Union of AZ
League of Women Voters of Arizona
Living United for Change in Arizona
Arizona Coalition to End Sexual and Domestic Violence
Bill positions above compiled from the House and Senate from the beginning of the session.