An Act to improve the health insurance prior authorization process

This bill requires health insurance plans and student health programs in Massachusetts to make their prior authorization rules transparent and easier to follow. It mandates that these entities publish their review criteria online in a searchable format and notify members of any changes before they take effect. Additionally, the law prohibits insurers from denying coverage for services that have already been approved unless there was fraudulent information involved. The legislation also compels insurance carriers to submit annual reports detailing approval rates, denial rates, and processing times for various medical services. These measures aim to reduce administrative burdens and improve the predictability of the authorization process for patients and providers.