Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1143

Introduced
2/16/23  
Refer
2/16/23  

Caption

To improve the health insurance prior authorization process

Impact

If passed, H1143 would notably change the landscape of state health insurance practices by decreasing unnecessary delays in patient care attributed to prior authorization processes. It explicitly prohibits carriers from retroactively denying medical services that were previously authorized, except in cases of fraudulent information. Additionally, the legislation requires carriers to provide clear communication to affected insured individuals regarding any changes to preauthorization requirements, ensuring that patients are well-informed.

Summary

House Bill H1143, titled 'An Act to improve the health insurance prior authorization process,' aims to streamline and enhance the process of obtaining prior authorizations for medical services under health insurance plans in Massachusetts. The bill mandates that health insurance carriers adopt utilization review criteria that are scientifically derived and developed with input from participating physicians. The criteria must be consistently applied, easily accessible, and publicly available in a searchable electronic format. This approach is intended to reduce the administrative burden on both healthcare providers and patients while ensuring a more transparent and efficient authorization process.

Contention

One of the principal points of contention around the bill involves balancing the need for prior authorization with maintaining patient access to necessary medical services. Proponents of H1143 argue that it will protect patients from excessive administrative hurdles while facilitating timely access to care. However, critics express concerns that the expedited process may compromise the thoroughness of medical reviews and result in unnecessary costs for insurance providers. The dynamic between improving patient access and maintaining rigorous checks on services authorized remains a point for ongoing debate among stakeholders.

Companion Bills

MA H4231

Similar To Relative to the provision of health insurance for eligible employees and retirees in the town of Worthington

MA S2870

Similar To Relative to amending the provision of health insurance and other benefits in the town of Carver

MA S1249

Replaced by Relative to reducing administrative burden

Previously Filed As

MA H1136

Improving the health insurance prior authorization process

MA HB2525

Health insurance; electronic prior authorization, report.

MA HB144

Insurance; Prior Authorizations

MA SB133

Insurance; Prior Authorizations

MA SB294

Health insurance; to regulate and modernize the prior authorization process

MA SB561

Relative to prior authorizations for health care.

MA SB2389

AN ACT to provide for a legislative management study of the prior authorization process for health insurance.

MA SB306

Health care coverage: prior authorizations.

MA SB516

Health care coverage: prior authorization.

MA S1249

Relative to reducing administrative burden

Similar Bills

MA S1249

Relative to reducing administrative burden

MI HB4707

Insurance: health insurers; coverage for intermediate and outpatient care for substance use disorder; modify. Amends secs. 2212e & 3425 of 1956 PA 218 (MCL 500.2212e & 500.3425).

HI SB1519

Relating To Prior Authorization.

HI HB954

Relating To Prior Authorization.

NJ S1794

Updates requirements and standards for authorization and prior authorization of health care services.

NH SB561

Relative to prior authorizations for health care.

NJ A1255

Updates requirements and standards for authorization and prior authorization of health care services.

MS SB2622

Mississippi Prior Authorization Reform Act; enact.