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.