A bill for an act relating to prior authorization exemptions for certain health care providers for specific health care services.

Summary

The bill directs health carriers to grant exemption from prior‑authorization requirements to any provider whose prior‑authorization requests are approved at least 95% of the time during a three‑month review period. It also sets out how exemptions are evaluated, notified, appealed, and potentially rescinded. This affects providers, insurers, and the patients they serve by streamlining care when providers demonstrate high approval rates.

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