HB 1357 – Washington

Status: Enacted
Year Introduced: 2023
Link: https://app.leg.wa.gov/billsummary?BillNumber=1357&Year=2023&Initiative=false

This bill aims to modernize the prior authorization process for health care services and prescription drugs in Washington. Starting from January 1, 2024, carriers offering a health plan, including to public employees and retirees, must follow certain standards related to prior authorization. Determinations and notifications about authorization requests done electronically must occur within three calendar days if standard and one calendar day if expedited. For non-electronic requests, decisions should be made within five calendar days and two calendar days respectively. Prior authorization requirements must be clearly written and made available in electronic format upon request, with the criteria based on peer-reviewed, evidence-based research that reflects the needs of diverse populations. Health plans should build and maintain an application programming interface facilitating the process of determining prior authorization for services beginning from January 1, 2025.

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