Prohibits pre-approval or precertification of medical tests, procedures and prescription drugs covered under health benefits or prescription drug benefits plans.
This bill prohibits health insurers, pharmacy benefits managers, and state health programs from requiring pre-approval or precertification for medical tests, procedures, or prescription drugs that are already covered under a health plan and prescribed by a licensed healthcare provider. It directly affects patients, doctors, and healthcare providers by eliminating insurer-imposed delays for covered services. Key provisions ban these entities from conditioning payment on prior authorization for any covered service, ensuring patients receive prescribed care without bureaucratic delays. The law applies immediately to all health and prescription drug plans issued or purchased after enactment.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024
Last action Jan 9, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Jan 9, 2024
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Jon Bramnick
RRepublican
P
Nick Scutari
DDemocratic
Co
Tony Bucco
RRepublican
Co
Vin Gopal
DDemocratic
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