RELATING TO INSURER PRIOR AUTHORIZATION.

SB 1138 requires health plan insurers to use the same prior authorization approval rules for medical treatments as Medicare does. This directly affects health insurance companies that offer plans covering prescription drugs, hospital care, or specialist visits. The key mechanism is mandating that insurers align their internal processes with Medicare’s established standards for approving treatments. The bill aims to simplify and standardize approval requirements for patients seeking covered care, though it does not change Medicare’s own policies.