Becker's Healthcare June 3, 2024
Three states recently passed legislation reforming the prior authorization process:
1. The Illinois General Assembly passed a prior authorization reform bill, which Gov. JB Pritzker has indicated he will sign.
The bill will ban prior authorization for admission for inpatient psychiatric services, beginning in 2026. Payers will also be required to publish all services that require prior authorization on their website, and face stricter requirements to maintain an accurate provider network directory.
The Illinois Department of Insurance will also gain the authority to approve or deny premium rate changes for large group policies, and the legislation bans step therapy requirements under all utilization review programs, including prescription drug plans.
2. An Oklahoma bill reforming the prior authorization process...
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