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Senate debates H.766 to limit prior authorization burdens; amendment to delay implementation fails 12–16
Summary
Senate Health & Welfare presented H.766 to reduce administrative burdens from prior authorization, step therapy and claims edits; a proposed amendment to delay major changes for an actuarial review was defeated 12–16 and the Senate ordered the bill to third reading as amended.
The Senate considered H.766, a bill aiming to reduce administrative barriers between clinicians and patients by tightening rules on prior authorization, step therapy and claims‑editing practices. The Health & Welfare committee presented a strike‑all amendment and an integrated committee report that the chair described on the floor.
The chair of the Senate Health and Welfare Committee told the Senate the bill would preserve step therapy where appropriate while requiring timely exceptions, align many private‑payer prior‑authorization rules with Medicaid standards, limit the frequency of prepayment coding validation reviews, and require both insurers…
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