H 1118 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to prior authorization requests

This bill requires health insurance plans to maintain adequate staffing during evenings, weekends, and holidays to review and respond to healthcare provider requests for prior authorization within 24 hours. It directly affects health insurance companies and healthcare providers who submit these requests for necessary patient treatments. The key provision mandates a 24-hour response window for all prior authorization requests, regardless of when they are received. This aims to reduce delays in accessing medically necessary care by standardizing response times outside typical business hours. The law applies to all health insurance plans as defined under Chapter 6D.
Sub-Topics: Insurance
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
Governor
Introduced Feb 27, 2025 Last action Feb 9, 2026
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
5
Key actions
1
Committee
1
Feb 27, 2025
Upper · Passed
Senate concurred
upper
Feb 27, 2025
Committee
Referred to the committee on Financial Services
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mark Cusack
Mark Cusack
DDemocratic
MA
5th Norfolk