Amendment #4 to H4530

Reducing Unnecessary Delays in Patient Care

Mr. Markey of Dartmouth moves to amend the bill by adding the following section:

"SECTION XXXX. Subsection (b) of section 25 of chapter 176O of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by striking out the words “2 business days” and inserting in place thereof the following:- 24 hours.

SECTION 2.  Said subsection (b) of said section 25 of said chapter 176O, is hereby further amended by inserting at the end thereof the following:- Payers and entities acting for payers under contract shall not use appeals processes or other administrative means to delay responding a to completed prior authorization request from a provider in accordance with this subsection. The division shall conduct audits to ensure compliance with this subsection”.

Additional co-sponsor(s) added to Amendment #4 to H4530

Reducing Unnecessary Delays in Patient Care