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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