Bill > H1255

This bill aims to reduce administrative delays in patient care by modifying existing healthcare regulations. Specifically, the bill changes the timeframe for responding to prior authorization requests from 2 business days to 24 hours. Additionally, it prohibits insurance payers and their contracted entities from using appeals processes or other administrative methods to unnecessarily delay responding to completed prior authorization requests from healthcare providers. The bill also mandates that the relevant regulatory division (likely the state's healthcare oversight agency) will conduct audits to ensure compliance with these new requirements. Prior authorization is a process where healthcare providers must obtain approval from an insurance company before performing certain medical procedures or treatments, and this bill seeks to streamline and expedite that process to improve patient care and reduce bureaucratic obstacles.

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https://malegislature.gov/Bills/194/H1255