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 doctors and other providers who have a high success rate with specific services. Under the new rules, a provider becomes eligible for automatic approval if their preauthorization requests for a particular service were approved at least 90% of the time in the last six months. Once a provider qualifies, the insurer must grant immediate approval for future requests without requiring additional paperwork, and the service is treated as medically necessary for payment purposes. Insurers can rescind this automatic status only once a year if the provider's approval rate drops below 90% or if they fail to meet other criteria, and they must provide a 30-day notice before making such changes. The legislation aims to streamline administrative processes for providers with strong track records while maintaining oversight through annual evaluations.
Bill status
in committee
1 of 4 stages cleared
Introduction
May 2026
Committee Review
Floor Vote
Governor
Introduced May 11, 2026
Last action May 11, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
1
May 11, 2026
Committee
REFERRED TO INSURANCE
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
James Skoufis
DDemocratic
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