Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H941

Introduced
2/16/23  

Caption

Relative to utilization review

Impact

The impact of HB 941 on state laws is significant, as it redefines the parameters under which insurers can require pre-approval for certain medications. By limiting the authority of insurance companies related to prior authorization, particularly for essential medications, the bill aims to improve access to necessary treatments, mitigate delays in care, and ultimately enhance patient outcomes. Additionally, this legislation promotes more robust oversight of insurance practices, ensuring that decisions regarding prior authorizations are made by qualified professionals within relevant specialties, reducing arbitrary denials that could adversely affect patient care.

Summary

House Bill 941, also known as the Act relative to utilization review, aims to amend existing laws regarding the prior authorization process for healthcare services and benefits in Massachusetts. This bill focuses particularly on prescription drugs, regulating when and how health insurance carriers and utilization review organizations can impose prior authorizations. Notably, it prohibits prior authorization for generic drugs that are not controlled substances, any prescription drug that has been previously prescribed for over six months without interruption, drugs deemed therapeutically duplicative if they have already been authorized, and long-acting injectable antipsychotics. The bill also seeks to streamline the approval process for medications treating opioid use disorders.

Contention

Despite its supportive objectives, HB 941 has raised points of contention among stakeholders. Proponents argue it is a necessary step towards protecting patients' rights and ensuring they receive timely access to essential medications without unnecessary hurdles. Critics, including some insurance industry representatives, caution that the bill could lead to increased costs for insurers, which may ultimately be passed on to consumers. Additionally, concerns have been voiced regarding the balance of power between healthcare providers and insurers, and how the legislation might influence the utilization review process's overall effectiveness.

Companion Bills

MA S1249

Similar To Relative to reducing administrative burden

MA S677

Similar To Relative to prescription-drug utilization review

MA S594

Similar To Addressing duplicative notifications of UR approvals (administrative simplification)

MA H993

Similar To To strengthen the control of contagious and infectious diseases in the Commonwealth

MA H4691

Replaced by Auto and health insurance

Similar Bills

MA S677

Relative to prescription-drug utilization review

MT SB446

Revise laws related to healthcare utilization review

MD HB932

Health Insurance - Utilization Review - Revisions

MD SB791

Health Insurance - Utilization Review - Revisions

MT SB380

Generally revise healthcare insurance laws

MD SB308

Health Insurance – Utilization Review – Revisions

CA AB1880

Prior authorization and step therapy.

MD HB305

Health Insurance - Utilization Review - Revisions