Majority of states looking to regulate prior authorization this year

Becker's Healthcare January 27, 2023
Andrew Cass

As many as 42 states could introduce bills this year to limit or change prior authorization, Miranda Motter, AHIP’s vice president of state affairs, told Axios Jan. 27.

So far, 26 bills have been introduced in 16 states, according to the report.

Prior authorization reforms have been targeted by states in recent years. Texas passed a “gold card” law in 2021. Under the law, physicians who have a 90 percent prior authorization approval rate over a six-month period on certain services are exempt from prior authorization requirements for those services. Rules for the law went into effect in October.

In 2022, Louisiana and Michigan also passed gold card legislation, and others, like Mississippi, are looking to do...

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