Legislation


SB 972 (see companion bill AB 972) – Wisconsin

Status: In Process
Year Introduced: 2022
Link: https://docs.legis.wisconsin.gov/2021/proposals/sb972

An relating to: prior authorization for coverage of physical therapy and other services under health plans. Under the bill, every health plan, when requested to reauthorize coverage, must issue a decision on reauthorization of coverage of a service for which prior authorization was previously obtained within 48 hours or prior authorization is assumed to be granted. Health plans are prohibited under the bill from requiring
prior authorization for the first 12 physical therapy visits with no duration of care limitation or for any nonpharmacologic management of pain provided through care related to physical therapy provided to individuals with chronic pain for the first 90
days of treatment.


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