HB 0495 – Utah
Introduced: 2025    Status: Enacted
This bill makes several amendments to health care practices and insurance regulations in Utah. The first section updates health care claims practices, requiring insurers to timely pay valid claims within specific timeframes, provide written explanations […]

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S 0126 – Vermont
Introduced: 2025    Status: In Process
This bill proposes a comprehensive reform of Vermont’s health care system with several key provisions. The bill aims to transform health care payment and delivery by establishing reference-based pricing (setting hospital reimbursement rates based on […]

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H5 120 – Rhode Island
Introduced: 2025    Status: In Process
This bill provides that an insurer would be prohibited from requiring prior authorization for any admission, item, service, treatment, or procedure ordered by an in-network primary care provider (PCP), with an exception that prior authorization […]

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S 0053 – Rhode Island
Introduced: 2025    Status: In Process
This bill provides that an insurer would not be allowed to impose prior authorization requirements for any admission, item, service, treatment, or procedure ordered by an in-network primary care provider (PCP), with one key exception: […]

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S 0168 – Rhode Island
Introduced: 2025    Status: In Process
This bill prohibits health insurers in Rhode Island from requiring prior authorization for medical services, items, treatments, or procedures ordered by primary care providers (PCPs), which are defined as general internists, family physicians, pediatricians, geriatricians, […]

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S 0681 – Rhode Island
Introduced: 2025    Status: In Process
This bill amends the powers and duties of the Office of the Health Insurance Commissioner (OHIC) to implement additional oversight and review of healthcare costs. Specifically, the bill requires prior approval from OHIC for two […]

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SB 87 – South Dakota
Introduced: 2025    Status: In Process
This bill addresses preauthorization requirements and utilization review processes for health benefit plans in South Dakota, introducing several key provisions to streamline and improve healthcare service approvals. Before issuing an adverse determination questioning the medical […]

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