An Act relative to prior authorization requests

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

An Act relative to prior authorization requests

An Act relative to prior authorization requests By Representative Cusack of Braintree, a petition (accompanied by bill, House, No.

What This Bill Does

• An Act relative to prior authorization requests By Representative Cusack of Braintree, a petition (accompanied by bill, House, No.
• 1118) of Mark J.
• Cusack that health insurance plans be authorized to ensure adequate staffing during evenings, weekends, and holidays.
• Financial Services.

Limits and Unknowns

• This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Official Summary Text

An Act relative to prior authorization requests
By Representative Cusack of Braintree, a petition (accompanied by bill, House, No. 1118) of Mark J. Cusack that health insurance plans be authorized to ensure adequate staffing during evenings, weekends, and holidays. Financial Services.

Current Bill Text

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Bill H.1118

SECTION 1. Notwithstanding any general or special law to the contrary, all health insurance plans, as defined by Section 1 of Chapter 6D, shall be required to ensure adequate staff during evening, weekend, and holiday hours to review and respond to any prior authorization request within 24 hours of receipt. For the purposes of this section, “prior authorization request” shall mean a submission by a health care provider, as defined by Section 1 of Chapter 6D, to a patient’s health insurance plan for approval of a service or benefit deemed necessary by the patient’s treating health care provider.

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