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HB 1091 IN

Prior authorization.

IN · session 2024 · Assembly / House · bill

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Introduced Jan 8, 2024

Latest action (Jan 8, 2024) First reading: referred to Committee on Insurance

Summary

Requires, on or after January 1, 2026, health plans (plan) to allow health professionals who have at least an 85% approval rate of prior authorization requests through a plan to receive a one year exemption from the plan's prior authorization requirements. Provides that health professionals have a right to an appeal of a prior authorization denial or rescission. Provides that the appeal is to be conducted by a health professional of the same or similar specialty as the health professional who has or is being considered for an exemption.

Sponsor (1)

Action history (2)

  1. Jan 8, 2024 Authored by Representative Pressel · lower
  2. Jan 8, 2024 First reading: referred to Committee on Insurance · lower
Subjects
HEALTH CARE PROFESSIONALS; GenerallyHEALTH; Prescription Drugs and MedicationsINSURANCE; Health Insurance

Text versions (1)

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

  • Introduced House Bill (H) · PDF

Full text

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