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SB 447 would extend prior-authorization durations for chronic conditions; insurers caution against indefinite approvals
Summary
Senate Bill 447 defines 'chronic condition' and proposes longer prior-authorization durations (including provisions that could make approvals valid for the duration of a chronic disease); clinicians argued the change reduces redundant administrative work, while insurers warned it removes negotiated safety exceptions and could prevent necessary periodic review. Committee amended coordination language and concurred the bill to the floor after prioritizing previously negotiated House language in conflicting sections.
Sen. Vince Ricci opened the hearing on Senate Bill 447 by saying it was part of a package addressing prior authorizations; proponents told the committee the bill focuses on chronic conditions and continuity of care. Amy Grimoljez (Billings Clinic counsel) noted the bill adds a chronic-condition definition and extends certification validity “for the duration of the condition” in some sections, rather than short, repeat prior-authorizations.
Clinicia…
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