Bill Summary

by Skidmore

Prior Authorization for Prescription Drugs and Medical Services: Removes provisions requiring prior authorization forms to be approved by FSC; requires health insurers & pharmacy benefit managers to establish online prior authorization process beginning on specified date; requires prior authorization requests to be made online beginning on specified date; requires health insurers & pharmacy benefit managers to make certain information accessible on their websites; prohibits health insurers & pharmacy benefit managers from implementing requirements or restrictions on prior authorization requests unless certain requirements are met; provides timeframes for decisions by health insurers & pharmacy benefits managers on prior authorization requests. Effective Date: July 1, 2021

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