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Glossary of Legislative Terms

SB 528: Health Insurance Prior Authorization

GENERAL BILL by Harrell

Health Insurance Prior Authorization; Prohibiting health maintenance organizations from excluding coverage for certain cancer treatment drugs; specifying requirements for, and restrictions on, health insurers and pharmacy benefits managers relating to prior authorization information, requirements, restrictions, and changes; requiring health insurers to provide and disclose procedures for insureds to request exceptions to step-therapy protocols; prohibiting health maintenance organizations from imposing an additional prior authorization requirement with respect to certain surgical or invasive procedures or certain items, etc.

Effective Date: 1/1/2022
 Last Action: 4/30/2021 Senate - Died in Banking and Insurance
Bill Text: Web Page | PDF
Senate Committee References:
  1. Banking and Insurance (BI)
  2. Health Policy (HP)
  3. Appropriations (AP)

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  • Bill History

    Date Chamber Action
    1/11/2021 Senate • Filed
    1/21/2021 Senate • Referred to Banking and Insurance; Health Policy; Appropriations -SJ 72
    3/2/2021 Senate • Introduced -SJ 72
    4/30/2021 Senate • Died in Banking and Insurance

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  • SB 528, Original Filed Version (Current Bill Version) Posted 1/11/2021 at 1:29 PM

    Bill Text:   Web Page | PDF
    Analyses:   None

    Related Bills (8)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 851 Retroactive Denial of Health Care Claims Valdés Compare Last Action: 4/30/2021 H Died in Finance & Facilities Subcommittee Track This Bill
    H 1001 (c1) Step-therapy Protocols Finance and Facilities Subcommittee Compare Last Action: 4/30/2021 H Died on Second Reading Calendar Track This Bill
    H 1021 Drug Coverage for the Treatment of Cancer Tant Compare Last Action: 4/30/2021 H Died in Finance & Facilities Subcommittee Track This Bill
    H 1439 Prior Authorization for Prescription Drugs and Medical Services Skidmore Compare Last Action: 4/30/2021 H Died in Finance & Facilities Subcommittee Track This Bill
    S 1290 Step-therapy Protocols Hooper Compare Last Action: 4/30/2021 S Died in Banking and Insurance Track This Bill
    S 1388 Payment of Health Insurance Claims Harrell Compare Last Action: 4/30/2021 S Died in Banking and Insurance Track This Bill
    S 1392 Health Insurance Coverage for Cancer Treatment Harrell Compare Last Action: 4/30/2021 S Died in Banking and Insurance Track This Bill
    S 1846 Health Insurance Prior Authorization Polsky Compare Last Action: 4/30/2021 S Died in Banking and Insurance Track This Bill

    Citations - Statutes (7)

    Citation Catchline Location in Bill Location In Bill Help
    627.4239 Coverage for use of drugs in treatment of cancer. Page 3 (pdf)
    627.42392 Prior authorization. Page 6 (pdf)
    627.42393 Step-therapy protocol. Page 9 (pdf)
    627.6131 Payment of claims. Page 14 (pdf)
    641.31 Health maintenance contracts. Page 14 (pdf)
    641.3155 Prompt payment of claims. Page 19 (pdf)
    641.3156 Treatment authorization; payment of claims. Page 19 (pdf)

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