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Physicians and Patients Urge Prior‑Authorization Fixes in HB 220
Summary
Doctors, specialists and patient advocates told the House Insurance Committee that prior‑authorization delays and retroactive denials harm access to needed treatments; HB 220 would prohibit retroactive denials in many cases, tighten peer‑to‑peer review, allow 12‑month maintenance prior auths with dose adjustments, and prohibit provider appeal fees.
Supporters of House Bill 220 presented proponent testimony saying the bill would reduce administrative burden and protect patient access by tightening rules around prior authorization.
Monica Hickel, vice president of advocacy for the Ohio State Medical Association, summarized four targeted changes: (1) prohibit retroactive denials of previously approved prior authorizations except for uncovered benefits or when the patient lacked coverage; (2) strengthen safeguards in the peer‑to‑peer review process so the clinician on the insurer side identifies…
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