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Committee delays statewide prior‑authorization API deadline to align with federal rule
Summary
Senate Bill 5,324 would align Washington’s prior‑authorization application programming interface (API) implementation date with federal rules and extend the state implementation deadline to Jan. 1, 2027. Health plans, hospitals and provider groups supported alignment but asked for refinements to the bill’s language.
Senate Bill 5,324, a proposed substitute that would align Washington’s prior‑authorization API requirements with recently finalized federal rules, was the subject of a committee briefing and public testimony on Feb. 7 before the Senate Health & Long Term Care Committee.
Committee staff explained the substitute would remove many detailed state‑level prescription requirements for prior‑authorization APIs and instead require that APIs be “consistent with the final rules issued by CMS.” The substitute also pushes the state implementation date to Jan. 1, 2027, after federal rules and implementation guides are in…
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