HB1091

Prior authorization.

Latest bill text (Comm Sub) [PDF]

Summary

Prior authorization. Requires, on or after January 1, 2026, health plans (plan) to allow health professionals who have at least an 85% approval rate of prior authorization requests through a plan to receive a one year exemption from the plan's prior authorization requirements. Provides that health professionals have a right to an appeal of a prior authorization denial or rescission. Provides that the appeal is to be conducted by a health professional of the same or similar specialty as the health professional who has or is being considered for an exemption.

Authors

Authored by Representative Pressel

Fiscal Outlook

Title Description Date View
Fiscal NoteFiscal Note #1: Introduced2024-01-04 Click To View

History

Date Chamber Action
2024-01-08HouseFirst reading: referred to Committee on Insurance
2024-01-08HouseAuthored by Representative Pressel