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Panel approves tighter timelines and transparency rules for prior authorization requests
Summary
The subcommittee reported a substituted prior authorization reform bill to the full committee by a vote of 6‑0. The substitute sets 72‑hour timeframes for urgent prior‑authorization responses and 7‑day windows for standard requests, requires advance notice of changes and precludes retrospective denial absent fraud or other narrow exceptions.
Delegate Maldonado presented a substitute for a prior authorization reform bill, explaining the measure would set statutory response timelines and increase transparency around prior authorization requirements for many commercial plans.
Nut graf: Lawmakers and stakeholder groups said prior authorization delays are increasingly common and can delay care; the substitute sets timelines (72 hours for…
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