An Act Concerning Prior Authorization For Health Care Provider Services.
Should SB00083 be enacted, it would reinforce the current waiver, providing a more favorable path for patients seeking skilled nursing care. Additionally, the bill mandates that insurers must accept prior authorizations electronically, potentially streamlining the process and reducing delays in care. The implications of these changes are expected to aid in improving patient care continuity and ensure that financial barriers do not inhibit access to necessary services.
SB00083, referred to as 'An Act Concerning Prior Authorization for Health Care Provider Services', aims to amend existing statutes related to prior authorizations for healthcare services. The bill stipulates that a waiver established in December 2022, which allows patients to transition to skilled nursing facilities prior to securing insurance payments, will remain in effect until the Office of Health Strategy completes a study on the issues surrounding prior authorizations. This modification intends to facilitate better access and support for patients during their transition into healthcare facilities.
While the intent of the bill primarily revolves around enhancing patient access and support within the healthcare system, concerns may arise regarding the implementation of electronic prior authorizations. Defining a clear framework for such digital processes is crucial as it raises questions about data security, privacy, and potential impacts on administrative burdens for healthcare providers. Stakeholders in the healthcare and insurance sectors may debate the adequacy of the measures proposed to protect patient information while ensuring efficiency.