HB423
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Create new sections of KRS 304.17A-600 to 304.17A-633 to define terms; prohibit insurers of health benefit plans from requiring prior authorization for a health care service for which the provider has an exemption; require insurers of health benefit plans to establish a program under which participating providers may qualify for exemptions from prior authorization; establish mandatory and permitted provisions of an insurer's prior authorization exemption program; establish requirements for sending forms and notices; require the…
Introduced: February 11, 2025
Last action: March 28, 2025
Plain-language summary
This bill changes the rules around prior authorization, which is the process where doctors must get approval from an insurance company before providing certain treatments or services. It would allow health insurers to create programs that exempt qualifying providers from having to seek that approval for services they routinely provide, and it prohibits insurers from requiring prior authorization when a provider already has such an exemption. The bill also requires state oversight through annual reporting…
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Legislative History
Primary Sponsor
Co-sponsors (7)
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