Insurance Prior Authorization Exemptions

Where it is in the process

Plain-English Summary

This bill requires health insurers to create a process for health care professionals to be exempt from prior authorization for outpatient services. To qualify, at least 90% of a professional's prior authorization requests for a specific service must have been approved in the previous six months. The bill also outlines how exemptions can be rescinded and allows for an independent review of such decisions.

No official summary on file for this bill · generated by Gemini 2.5 Flash from its full text

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