{"AmendmentNumber":"54","ParentBillNumber":"S3116","Bill":null,"Sponsor":{"Id":"V_H0","Name":"Vanna Howard","Type":1,"Details":"https://malegislature.gov/api/GeneralCourts/194/LegislativeMembers/V_H0","ResponseDate":"2026-06-15T12:16:32.63"},"Category":null,"Action":"Rejected","RollCall":[],"Title":"Prior Authorization Clarification ","Branch":"Senate","RedraftNumber":null,"IsFurther":false,"GeneralCourtNumber":194,"Text":"Ms. Howard and Mr. Eldridge move that the proposed new draft be amended by striking paragraph (e)(8) of section 5 and inserting in place there of the following new paragraph:-\r\n\"(8) No carrier or the group insurance commission shall require prior authorization for services included within and reimbursed through the per-member per-month payment established under the advanced primary care payment model. Services reimbursed outside of the per-member per-month payment shall remain subject to applicable coverage and utilization management requirements.\"\r\n"}