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Senate committee advances gold-card prior-authorization bill after divided testimony
Summary
The Senate Insurance & Commerce Committee passed House Bill 1271, a "gold card" prior-authorization bill that would exempt high-performing providers from routine prior authorizations; insurers and pharmacy benefit managers warned the mandate could increase utilization and costs.
Senator Missy Irvin (District 24) and Representative Lee Johnson (District 47) led the Insurance & Commerce Committee through debate on House Bill 1271, a proposal to create a "gold card" for health-care providers whose prior-authorization requests are approved at a high rate. Sponsors said the program, modeled on laws in other states, would streamline administrative burdens for clinicians and insurers.
"This bill ... creates a gold card program," Senator Missy Irvin said, explaining that providers meeting the approval threshold would not have to pursue routine prior-authorizations. Representative…
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