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11 08, 2023

SB 845

provides that if an insured person who has a high deductible health plan self-pays a claim for a covered service, the paid claim shall count towards the insured’s deductible, regardless of whether or not the service was provided by an in-network or out-of-network provider. A high deductible health plan shall notify its insureds that cash-pay may be lower than insurancenegotiated prices.

SB 845
11 08, 2023

SB 756

provides that a contracted entity that uses a prior authorization process for health care services may not require a participating provider to obtain prior authorization for a particular health care service if, in the most recent 6-month evaluation period the contracted entity has approved or would have approved not less than 90% of the prior authorization requests submitted by the provider for the particular health care service. Contracted entities may evaluate participating providers to determine whether the provider qualifies for the exemption. The exemption shall remain in effect until the 13th day after the [...]

SB 756