Requires written notice of an adverse determination made by a utilization review agent in relation to a step therapy protocol override determination which includes the clinical review criteria relied upon to make such determination and any applicable alternative prescription drugs subject to the step therapy protocol of the utilization review agent.
Sponsored bills
Enacts the "fair pay for home care act" relating to minimum wages applicable to home care aides; provides for a minimum wage of 150% of the applicable statewide or regional minimum wage.
Relates to provisions for wellness programs under life and accident and health insurance policies; provides that a "wellness program" shall not include limited benefits health insurance; authorizes an insurer to contract with a third party for purposes of administering or operating a wellness program on such insurer's behalf.
Relates to regulation of the billing by general hospitals and the distribution of funds from the general hospital indigent care pool; requires use of a uniform application form and policy.
Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstances.