House committee hears ‘gold card’ bill to exempt high-performing providers from prior authorization

Representative Kevin Miller, sponsor of House Bill 214, told the House Insurance Committee on a first hearing that the bill would create a mandatory exemption to prior-authorization requirements for high-performing health-care providers.

"This system would provide a gold card to these high performing providers that have been approved at a rate of at least 90% when prescribing a specific service, device, or drug during the prior 12 month period," Miller said, describing a program commonly called "gold carding." He said the bill requires a minimum claim volume in the lookback period and does not eliminate prior authorization entirely.

The bill would let providers who meet the criteria prescribe a specific service, device or…