SB 1554 Arizona Senate · 57th Legislature - Second Regular Session

unfair claims settlement practices; chiropractic

SB 1554 requires Arizona insurers to pay for reasonable and necessary chiropractic services equally to other physicians, prohibiting discriminatory payment practices. It directly affects chiropractors (who provide these services) and insurers (who must cover them without bias). The key provision amends Arizona law to mandate coverage for chiropractic care within the physician's scope, regardless of how the condition or service is described. This ensures chiropractors receive the same payment treatment as other healthcare providers for covered services.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2026

Committee Review

Senate Passage

Mar 2026

House Passage

Governor

Introduced Feb 3, 2026 Last action Mar 18, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version → Senate Engrossed Version (03/02/2026) · 4 edits · Mar 2, 2026

MODERATE

The bill was renumbered and its title was updated to include 'imaging' alongside chiropractic care. The substantive text was completely replaced, shifting the focus from regulating unfair insurance claims settlement practices to defining the specific scope of practice for doctors of chiropractic. The new version explicitly permits chiropractors to perform diagnostic imaging and limited laboratory procedures (such as urine collection and finger pricks) to determine care plans or refer patients, while maintaining prohibitions on prescribing medicine, performing surgery, or practicing obstetrics.

Scope change

The bill's scope changed from regulating insurance company conduct regarding claims to defining the legal boundaries of what chiropractors are allowed to do in a clinical setting.

SCOPE

The bill's subject matter was entirely replaced, moving from insurance claims settlement rules to chiropractic practice limitations.

DEFINITION

New language explicitly defines the scope of chiropractic practice to include diagnostic imaging and limited laboratory procedures like nasal swabs and finger pricks.

REQUIREMENT

All previous provisions regarding insurance unfair claims practices, including rules on claim investigations and settlement offers, were removed.

New restrictions were added clarifying that chiropractors cannot prescribe or administer medicine, perform surgery, or practice obstetrics.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 2, 2026

Upper · Passed

PASSED

upper

Feb 26, 2026

Upper · Passed

DPA

upper

Feb 16, 2026

Upper · Passed

DPA

upper

1 primary · 1 co-sponsor