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.
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
Mark Cusack
DDemocratic
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