SB 1347 Arizona Senate · 57th Legislature - Second Regular Session

health insurance; fertility preservation; coverage

SB 1347 requires Arizona health insurance providers (including hospital service corporations, health care organizations, and disability insurers) to cover fertility preservation services for cancer patients of reproductive age whose medically necessary treatment may cause infertility, effective January 1, 2027. Insurers cannot require preauthorization for these services and must apply standard deductibles, copayments, and coverage limits. Religious employers may request exemptions if coverage conflicts with their beliefs, but must provide written notice to subscribers. The law does not prevent individuals from purchasing supplemental insurance for these services.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

Senate Passage

Mar 2026

House Passage

Governor

Introduced Jan 26, 2026 Last action Mar 16, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version → Senate Engrossed Version (03/02/2026) · 5 edits · Mar 2, 2026

MODERATE

The bill was significantly strengthened to mandate fertility preservation coverage for a wider range of conditions (now including sickle cell disease and lupus, not just cancer) and for more types of insurance providers (disability insurers included). It also added strict timelines for insurers to approve requests within 72 hours and expanded the definition of religious employers to include many for-profit entities, while clarifying that coverage must include at least three years of storage.

Scope change

The bill now applies to hospital service corporations, medical service corporations, health care services organizations, disability insurers, and group or blanket disability insurers, whereas the original version only covered hospital and medical service corporations.

ELIGIBILITY

Expanded eligibility for coverage to include individuals diagnosed with sickle cell disease or lupus in addition to cancer.

REQUIREMENT

Added a mandatory requirement for insurers to process prior authorization requests as urgent and respond within 72 hours.

Clarified that coverage must include at least three plan years of storage and that insurers are not responsible for storage if a subscriber changes plans during that period.

DEFINITION

Broadened the definition of 'religious employer' to include nonprofit organizations, closely held for-profit entities, and other for-profit entities, not just churches and tax-exempt organizations.

SCOPE

Extended the bill's requirements to include disability insurers and group or blanket disability insurers.

Floor votes · Senate Mar 2, 2026

How they voted

27–2

Passed · 1 other

Total votes 30

Mar 2, 2026

D Democratic13

12 Yea 1

92% Yea

R Republican17

15 Yea 2 Nay

88% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 16, 2026

Lower · Passed

lower

Mar 2, 2026

Upper · Passed

PASSED

upper

Mar 2, 2026

Upper · Passed

DPA

upper

Feb 16, 2026

Upper · Passed

DPA

upper

1 primary · 1 co-sponsor