AN ACT RELATING TO INSURANCE -- PRIMARY CARE ADMINISTRATIVE FAIRNESS ACT

Summary

It prohibits payers from requiring primary care providers to perform referral coordination without compensation and mandates that insurers either eliminate prior authorizations for primary‑care‑initiated referrals or reimburse doctors for those services. It also stops denial of laboratory claims based solely on the specific ICD‑10 code and bars insurers from forcing claim resubmissions for internal coding preferences. The health insurance commissioner will enforce the rules and issue annual reports.

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