Provisions governing prior authorization of health care services modified, and managed care contracts under medical assistance modified.
Introduction and first reading, referred to Health Finance and Policy
Summary
The bill prevents health plans from denying coverage for services that did not require prior authorization, and from refusing payment for services already provided even if prior authorization was missed. It also bans prior authorization for emergencies, many mental‑health, substance‑use, cancer, preventive, pediatric hospice, and neonatal abstinence services, and sets new rules for chronic‑condition treatment authorizations. The changes apply to any plan sold, offered, or renewed on or after Jan. 1, 2027.
AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.
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