health insurance; reimbursement rates; vaccines
SB 1212 prohibits Arizona health insurance companies from reimbursing health care providers at different rates based on a patient's vaccination status. Effective January 1, 2027, the law applies to all health insurance plans sold in Arizona and directly affects insurers, health care providers (like doctors and clinics), and patients covered by those plans. It requires that reimbursement rates remain uniform regardless of whether a patient has received vaccines, eliminating differential payments tied to vaccination status. The bill changes existing reimbursement practices by mandating equal payment for covered services, irrespective of a patient's immunization history.
Bill status
vetoed
4 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House Passage
Jun 2026
Vetoed
Jun 2026
Introduced Jan 20, 2026
Vetoed Jun 19, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced Version
→
Senate Engrossed Version (03/10/2026)
·
3 edits
·
Mar 10, 2026
MINOR
The bill was updated from an introduced version to a Senate engrossed version, changing the bill title and version identifier. The most significant substantive change is the redefinition of the policy's focus: instead of prohibiting reimbursement rate differences based on a person's vaccination status, the law now specifically prohibits such differences based on a person's decision to refuse one or more vaccines. This shift narrows the scope of the prohibition to target anti-vaccine sentiments rather than general vaccination records.
Scope change
The scope of the prohibition was narrowed from covering all vaccination statuses to specifically covering decisions to refuse vaccines.
REQUIREMENT
The requirement for insurers to treat all covered individuals equally regarding reimbursement rates was modified to specifically apply to individuals who refuse one or more vaccines, rather than applying to all vaccination statuses.
DEFINITION
The section title was updated to reflect the new focus on 'vaccine refusal' instead of 'vaccination status'.
TECHNICAL
The bill version was updated from 'Introduced Version' to 'Senate Engrossed Version', and the section number was incremented to 1.1.
Floor votes · House Jun 11, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
17
Key actions
7
Committee
2
Amendments
1
Jun 19, 2026
Vetoed
Vetoed by Governor
executive
Jun 11, 2026
Lower · Passed
PASSED
lower
Apr 16, 2026
Lower · Passed
DP
lower
Mar 25, 2026
Lower · Passed
DP
lower
Mar 10, 2026
Upper · Passed
PASSED
upper
Mar 3, 2026
Upper · Passed
DPA
upper
Mar 2, 2026
Upper · Passed
DP
upper
Feb 16, 2026
Upper · Passed
DP
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Janae Shamp
RRepublican
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