Mentions of “HEALTH INSURANCE” — 6 found on pages 1, 2
… provisions of this Act relating to pre-authorization standards and procedures are effective for individual and group health insurance policies, contracts or certificates issued, renewed, modified, altered, amended or reissued on or after December 31, …
Open p.1 ↗… modified, altered, amended or reissued on or after December 31, 2026. 2. Prior authorization is a process by which a health insurance carrier reviews a request for certain health care services or drugs before consenting to cover the proposed treatment …
Open p.1 ↗… necessity. 3. This Act amends existing and establishes new standards for pre-authorization for individual and group health insurance policies, contracts, or certificates to include: a. Requiring an insurer, health benefit plan, health-service corporat …
Open p.1 ↗… f 2 Date: April 15, 2025 4. This Act requires the State Employee Benefits Committee ensure that carriers administering health insurance contracts under their purview comply with pre-authorization standards established by this Act. The extent to which c …
Open p.2 ↗… , the Statewide Benefits Office of the Department of Human Resources estimates the impact to the State Employee Group Health Insurance Program (“GHIP”) to be indeterminable. Any operational requirements of this Act would be incorporated in future contr …
Open p.2 ↗… res the Department of Health and Social Services (“DHSS”) ensure, to the extent feasible, that carriers administering health insurance contracts relating to Medicaid assistance comply with pre-authorization standards established by this Act. Due to lac …
Open p.2 ↗