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Committee approves prior-authorization exemption program for insurers; Medicaid excluded
Summary
The House Banking and Insurance Committee approved House Bill 423, as amended, to allow insurers to create prior-authorization exemption ("gold card") programs for high-performing providers, exclude Medicaid from the exemption, require a 93% performance threshold and annual reporting by regulators.
FRANKFORT, Ky. — The House Standing Committee on Banking and Insurance on Oct. 12 approved House Bill 423, as amended, a measure that would let private insurers establish exemption programs from prior authorization for selected providers while excluding Medicaid from those exemptions.
The bill creates a framework for insurer-run “gold carding” programs that would exempt participating providers from prior-authorization requirements for specified services, sets a 93% performance threshold for maintaining an exemption, and requires annual reporting by regulators on prior-authorization activity.
Representative Kim Mosier, the bill sponsor, told the committee the draft corrects a…
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