Loading chat...

MA H1320

Bill

Official Source

Status

Introduced

2/27/2025

Primary Sponsor

Margaret Scarsdale

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Physicians and providers with a 90% or higher preauthorization approval rate for a particular health care service would be exempt from preauthorization requirements for that service
  • Insurance carriers must evaluate provider eligibility for the exemption every six months, though carriers may continue exemptions without re-evaluation
  • Carriers must notify providers of their exemption status within 48 hours of determination; providers do not need to request the exemption to qualify
  • Exemptions remain in effect for six months or until 30 days after a rescission notice (if not appealed) or 5 days after a confirmed appeal upholding rescission
  • Effective date: July 1, 2026

Legislative Description

Relative to reducing the administrative burden for preauthorization

Last Action

Accompanied a study order, see H5066

2/9/2026

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available