Generally revise insurance laws related to prior authorization of chronic conditions
This bill updates Montana's insurance laws to improve how health plans handle prior authorization for chronic conditions and ensure fair review processes. It requires health insurance companies to honor prior authorization decisions for at least three months when a patient switches plans, preventing unnecessary delays in care. The legislation also mandates that only physicians with relevant medical expertise can make adverse coverage decisions or review patient grievances, ensuring decisions are made by qualified medical professionals. Additionally, the bill clarifies key definitions used in insurance law, including what constitutes a chronic condition and adverse determination, to provide clearer standards for utilization review organizations.
Bill status
introduced
1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
Governor
Introduced Nov 21, 2024
Last action Feb 5, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
8
Key actions
0
Committee
0
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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