Tag Archives: prior authorization

Pennsylvania Capitol Day

35 Attend Capitol Day in Pennsylvania Advocating for Prior Authorization and Copay Cap Bills

Families, physicians and patients gathered in Harrisburg, PA on March 28 to learn more about potential legislation that could affect access to care and meet with their legislators to enlist their help. They shared their stories with legislators and asked them to cosponsor the prior authorization bill and the copay cap bill. It was an impactful day of relationship building using personal stories to communicate the urgent need for support and passage of these bills.
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Ohio Arthritis Biosimilars

Advocate Success in Ohio: Governor Kasich Signs Prior Authorization Bill Into Law

On Monday, June 13, Ohio Governor John Kasich signed Senate Bill 129, an important piece of prior authorization legislation, into law. The bill, sponsored by Senators Capri Cafaro and Randy Gardner:

  • ensures that prior authorization requirements or restrictions are listed on the health insurer’s website and allows providers and patients to obtain prior authorization through a web-based system;
  • ensures that any new or future prior authorization requirements are disclosed prior to the new requirement being implemented;
  • requires that once a prior authorization has been approved, the insurer will not retroactively deny the service based upon previously approved medical necessity or coverage criteria; and
  • requires a faster turnaround on prior authorization requests and a streamlined appeals process in the event a prior authorization is denied.

Continue reading Advocate Success in Ohio: Governor Kasich Signs Prior Authorization Bill Into Law