medicare supplement insurance; ALS; ESRD.

This bill requires Arizona insurers to offer Medicare supplement insurance plans to people under 65 with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS) on the same terms as those 65 and older, including identical benefits and no higher premiums. It mandates that insurers cannot charge these younger enrollees more for supplemental coverage than they charge 65+ enrollees. The law also creates a special enrollment period (December 2, 2025 - June 1, 2027) for individuals with ESRD or ALS who are enrolled in Medicare Part B due to their condition. These provisions ensure equal access to supplemental insurance for this specific group without age-based premium discrimination.