An act relating to reducing prior authorization requirements in health insurance plans. This bill proposes to specify that the prior authorization requirements that health insurance plans must eliminate annually after review include those for which the request approval rate is 97 percent or higher. It would also modify the parameters of a prior authorization
pilot program to specify that the program must be available to at least 30 percent of the insurer’s participating providers, at least 40 percent of whom must be primary care providers, and exempt those providers from prior authorization requirements for medical procedures, medical tests, pharmacy, or a combination.