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Delegate proposes ban on provider prior‑auth fees and on AI‑only denials; insurers urge overlap with other bills
Summary
House Bill 13-14 would ban health care providers from charging patients fees for prior authorization requests and would bar insurers from using AI to automatically deny prior authorizations; insurers told the committee the AI issue overlaps with other bills but supported prohibiting provider fees.
House Bill 13-14 would (1) prohibit health care providers from charging patients fees to complete prior authorization paperwork and (2) bar payers from using artificial intelligence systems to issue automatic prior‑authorization denials without human review.
Sponsor Delegate April Miller told the committee she encountered instances where physician offices were charging patients a fee — she reported hearing $35, later $15 — to process prior authorizations and said charging patients for a process imposed by…
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