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2018 SESSION

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SB 581 Health insurance plans; preauthorization for drug benefits.

Introduced by: Bill R. DeSteph, Jr. | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Health insurance plans; preauthorization for drug benefits. Requires contracts between an insurance carrier and a participating health care provider that require the carrier's prior authorization of a drug benefit to include a provision that if a prior authorization request is denied, the provider has the right to a peer-to-peer review with a physician advisor or peer of the treating health care provider who represents the carrier. This provision applies to provider contracts entered into, amended, extended, or renewed on or after January 1, 2019.


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