HD 3505 Massachusetts House · 194th Legislature (2025-2026)

An Act relative the use and impact of prior authorization for health care services

This bill requires the Health Policy Commission to study how health insurance prior authorization affects patients and providers. The analysis will examine denial rates, processing times, costs, and access issues for specific treatments - especially chronic disease care - and identify areas where the system could be simplified. It mandates a detailed report using data from insurers on approval/denial patterns, appeal timelines, and demographic impacts. The study does not change current rules but aims to inform future policy improvements. (4 sentences)
Bill status Introduction 0 of 4 stages cleared
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