HD 3149 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.
Bill status Introduction 0 of 4 stages cleared
Introduction
Committee Review
Floor Vote
Governor