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Bill would bar liable third parties from denying Medicaid payment solely over prior‑authorization policies
Business, Labor, and Economic Affairs · March 3, 2025
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Summary
SB 361 aligns state law with a 2022 federal provision to prevent liable third‑party payers from denying payment to Medicaid solely because a prior authorization was not obtained. Office of Inspector General staff supported the bill as a concise statutory alignment; committee asked about premium and market impacts.
Senator Mike Yakawich presented Senate Bill 361 as a statutory alignment with the federal Consolidated Appropriations Act of 2022. Heather Smith, program compliance bureau chief with the Office of Inspector General, told the committee the…
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