Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstance
This bill requires health insurers to automatically approve preauthorization requests for specific medical services when healthcare professionals (like doctors or nurses) have received approval for at least 90% of similar requests in the past six months. It directly affects healthcare providers who work with participating insurers and ensures insurers must pay for covered services without delay or reduction once automatic approval is granted. Key provisions include annual reviews (by November 15th) to maintain approval status, a 30-day notice period before rescinding approvals, and a guarantee that insurers cannot deny payment for services covered under the automatic approval. The law aims to reduce administrative delays for providers while maintaining insurer oversight through retrospective reviews.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 16, 2025
Last action Jan 7, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
2
Jan 7, 2026
Committee
REFERRED TO INSURANCE
lower
Jan 16, 2025
Committee
REFERRED TO INSURANCE
lower
1 primary · 18 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
John McDonald
DDemocratic
Co
Al Stirpe
DDemocratic
Co
Al Taylor
DDemocratic
Co
Angelo Santabarbara
DDemocratic
Co
Anna Kelles
DDemocratic/Working Families
Co
Brian Cunningham
DDemocratic
Co
Carrie Woerner
DDemocratic
Co
Catalina Cruz
DDemocratic
Co
Demond Meeks
DDemocratic/Working Families
Co
Donna Lupardo
DDemocratic
Co
George Alvarez
DDemocratic
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