SB 1122 Arizona Senate · 57th Legislature - Second Regular Session

AHCCCS; prior authorization; behavioral health

SB 1122 prohibits the Arizona Health Care Cost Containment System (AHCCCS) from requiring prior authorization for behavioral health services for members enrolled in the American Indian Health Plan (AIHP) starting January 1, 2027. The exception allows prior authorization only if AHCCCS implements a corrective action plan after meeting with a provider and the provider fails to comply within 90 days. This law directly affects AIHP members and behavioral health providers by reducing administrative barriers to accessing mental health and substance use disorder care. The bill aims to streamline service access without altering coverage or funding.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Feb 2026
House Passage
Governor
Introduced Jan 9, 2026 Last action Mar 9, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version Senate Engrossed Version (02/26/2026) · 3 edits · Feb 26, 2026
MINOR
The bill was reformatted from an introduced draft to a Senate engrossed version, which includes significant substantive changes to the core policy. The most important change is the shift in the effective date from January 1, 2027, to an immediate start on January 1, 2026. Additionally, the requirement for prior authorization was narrowed; instead of a blanket ban on requiring prior authorization, the law now only prohibits it when the administration demands a 100% prepayment review for behavioral health services.
Scope change
The bill's scope was expanded to take effect one year earlier than originally planned, moving the implementation date from January 1, 2027, to January 1, 2026.
TIMELINE

The effective date for the new behavioral health prior authorization rules was moved forward by one year, changing from January 1, 2027, to January 1, 2026.

REQUIREMENT

The prohibition on prior authorization was refined to specifically apply only when the administration requires a 100% prepayment review, rather than a general ban on all prior authorization requests.

ENFORCEMENT

The conditions under which the administration can require prior authorization were updated to focus on situations where the provider is noncompliant or not engaged in a corrective action plan.

Floor votes · Senate Feb 26, 2026

How they voted

280
Passed · 2 other
Total votes 30
Feb 26, 2026
D Democratic13
12 Yea 1
92% Yea
R Republican17
16 Yea 1
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
11
Key actions
5
Committee
1
Amendments
3
Mar 9, 2026
Lower · Passed
DP
lower
Feb 26, 2026
Upper · Passed
PASSED
upper
Feb 26, 2026
Upper · Passed
DPA
upper
Feb 10, 2026
Upper · Passed
DPA
upper
Jan 28, 2026
Upper · Passed
DPA
upper
1 primary · 1 co-sponsor

Sponsors