Kansas 2023-2024 Regular Session

Kansas House Bill HB2283

Introduced
2/2/23  
Refer
2/2/23  

Caption

Enacting the ensuring transparency in prior authorization act to impose requirements and limitations on the use of prior authorization in healthcare.

Impact

If enacted, HB 2283 will significantly impact the operational procedures of health insurance companies and healthcare providers alike by creating a transparent framework for prior authorization processes. Healthcare providers will be empowered with the ability to appeal adverse determinations in a timely manner, directly influencing patient care that relies on approval for necessary medical services. Furthermore, the legislation addresses emergency situations, ensuring that prior authorization is not a barrier to immediate care, thus reshaping how insurers handle urgent healthcare service requests.

Summary

House Bill 2283, also known as the Ensuring Transparency in Prior Authorization Act, aims to impose stringent requirements and limitations regarding the use of prior authorization within healthcare services in Kansas. The bill establishes clear guidelines that utilization review entities must follow when assessing prior authorization requests, enhancing transparency and efficiency in the process. This includes mandates for timely responses, clear communication about requirements, and an emphasis on the rights of healthcare providers and patients alike.

Contention

Despite its positive aspects, the bill has stirred some contention, particularly concerning the potential administrative burden it may impose on insurance companies. Critics argue that the detailed reporting requirements could lead to increased operational costs, which may subsequently be passed on to consumers in the form of higher insurance premiums. Supporters, however, contend that the overall benefits to transparency and access to care will outweigh these concerns, fostering a more patient-centered approach to healthcare in the state of Kansas.

Companion Bills

No companion bills found.

Similar Bills

AR SB143

To Amend The Prior Authorization Transparency Act; And To Exempt Certain Healthcare Providers That Provide Certain Healthcare Services From Prior Authorization Requirements.

AR HB1271

To Amend The Prior Authorization Transparency Act; And To Exempt Certain Healthcare Providers That Provide Certain Healthcare Services From Prior Authorization Requirements.

AR HB1299

To Prohibit Healthcare Insurers From Exercising Recoupment For Payment Of Healthcare Services More Than One Year After The Payment For Healthcare Services Was Made.

AR HB1301

To Amend The Prior Authorization Transparency Act.

SC H4562

Healthcare Services

CA AB781

Medi-Cal: family respite care.

LA SB112

Requires health insurers that utilize prior authorization to reduce burdensome delays in approving and in making payments for covered healthcare services. (gov sig)

SC S0531

Healthcare Services