Amendment #36 to H4643

Expediting Prior Authorization Requests

Mr. Cusack of Braintree moves to amend the amendment by adding the following section:-

Section XX

Notwithstanding any general or special law to the contrary, all health insurance plans as defined by Section 1 of Chapter 6D shall be required to ensure adequate staff during evening, weekend, and holiday hours to review and respond to any prior authorization request within 24 hours of receipt. For the purposes of this section, “prior authorization request” shall mean a submission by a health care provider as defined by Section 1 of Chapter 6D to a patient’s health insurance plan for approval of a service or benefit deemed necessary by the patient’s treating health care provider.

Additional co-sponsor(s) added to Amendment #36 to H4643

Expediting Prior Authorization Requests