January 27, 2023
  • At least 40 state legislatures are expected to consider measures that would streamline the prior authorization process. So far, 26 prior authorization bills have been introduced in 16 states. In 2021, Texas passed a law allowing clinicians who have 90 percent of their prior authorization requests for a service or drug approved over six months to earn a “gold card” exempting them from prior authorization for that service; Louisiana and Michigan passed similar legislation in 2022 and Mississippi is looking to follow suit. Others like New Jersey are weighing changes to speed up prior authorizations to one day from the current 15 days insurers can take to approve or deny a claim. (Article here)