30 states propose bills to curb prior authorization

Nearly 90 prior authorization reform bills in 30 states are being considered in the most recent legislative sessions, the American Medical Association said in a May 10 blog post.  

Many of the bills aim to establish quick response times, allow for adverse determinations only by a physician licensed in the state, prohibit retroactive denials, make authorization valid for at least one year and require a new health plan to honor prior authorization for at least 90 days, among other requirements. 

The proposed bills come after CMS released a final rule in April that updates Medicare Advantage prior-authorization program requirements. 

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