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Senate panel advances bill to standardize prior-authorization windows and online transparency
Summary
A Senate committee voted to report SB 1215, a bill to require clearer time limits and online disclosures for prior authorization requests, after sponsors and health plans reached a substitute both sides said they negotiated.
Senate lawmakers voted to report SB 1215 on a substitute that sets deadlines and online transparency rules for health-insurance prior-authorization requests.
Sponsor Senator Linda Pokarski, speaking to the committee, said the substitute clarifies an expedited request and prohibits carriers from revoking prior authorization after care has been scheduled or provided, except where the authorization was obtained by fraud or the service is removed from the market. The substitute sets time frames for responses — 72 hours for expedited requests and seven calendar days…
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