1 of 1
SENATE DOCKET, NO. 880 FILED ON: 1/15/2025
SENATE . . . . . . . . . . . . . . No. 706
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
John J. Cronin
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act streamlining the prior authorization process.
_______________
PETITION OF:
NAME:DISTRICT/ADDRESS :John J. CroninWorcester and Middlesex 1 of 1
SENATE DOCKET, NO. 880 FILED ON: 1/15/2025
SENATE . . . . . . . . . . . . . . No. 706
By Mr. Cronin, a petition (accompanied by bill, Senate, No. 706) of John J. Cronin for
legislation to streamline the prior authorization process for covered health care services.
Financial Services.
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
_______________
An Act streamlining the prior authorization process.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 Notwithstanding any special or general law to the contrary, the commissioner of
2insurance shall develop a list of services that are appropriate for real-time automated approvals
3of prior authorization requests of covered services when the clinical information submitted
4electronically by a provider clearly establishes that the patient meets the medical necessity
5criteria for the requested service. In developing the list, the commissioner shall seek input from
6the Massachusetts Collaborative and other interested stakeholders, and focus on services with
7high prior authorization approval rates and clearly established clinical treatment protocols. The
8division of insurance shall publish the list on its website not later than January 1, 2027. Carriers
9that require prior authorization for services on the published list shall implement an automated
10process for the real-time approval of covered services that clearly meet medical necessity criteria
11not later than January 1, 2028.