Prior Authorization

State (Arizona)
Arizona Fifty-seventh Legislature - First Regular Session (2025)

Utilization review; prior authorization; requirements [SB-1512]
Utilization review; prior authorization; requirements

  

Sponsored by: Sen. Kevin Payne Senate Read Second Time on 02/11/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Urging The Administrator Of The State Health Planning And Development Agency To Establish A Working Group On Health Insurance Reform To Provide Recommendations For Reducing The Impact Of Prior Authorization Requirements On The Timely Delivery Of Health Care In The State. [SCR-10]
Urging The Administrator Of The State Health Planning And Development Agency To Establish A Working Group On Health Insurance Reform To Provide Recommendations For Reducing The Impact Of Prior Authorization Requirements On The Timely Delivery Of Health Care In The State.

  

Sponsored by: Sen. Joy San Buenaventura The Committee(s) On Hlt Recommend(s) That The Measure Be Deferred. on 04/11/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Urging The Administrator Of The State Health Planning And Development Agency To Establish A Working Group On Health Insurance Reform To Provide Recommendations For Reducing The Impact Of Prior Authorization Requirements On The Timely Delivery Of Health Care In The State. [SR-6]
Urging The Administrator Of The State Health Planning And Development Agency To Establish A Working Group On Health Insurance Reform To Provide Recommendations For Reducing The Impact Of Prior Authorization Requirements On The Timely Delivery Of Health Care In The State.

  

Sponsored by: Sen. Joy San Buenaventura Report And Resolution Adopted, As Amended (sd 2). on 04/03/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Prior Authorization. [SB-1519]
Establishes a comprehensive regulatory framework for prior authorization process in the State, including disclosure and notice requirements for utilization review entities regarding their prior authorization requirements and restrictions; qualifications and criteria for prior authorization review and appeals personnel; prior authorization process for non-urgent and urgent health care services, including the time frame by which utilization review entities must render a decision; adverse determination and appeal processes; prohibition of prior authorization (continued...)

  

Sponsored by: Sen. Carol Fukunaga Referred To Cpn/hhs, Wam/jdc. on 01/27/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Prior Authorization Of Health Care Services. [HB-1130]
Requires utilization review entities in the State to submit to the State Health Planning and Development Agency data relating to prior authorization of health care services.

  

Sponsored by: Rep. Nadine Nakamura Introduced And Pass First Reading. on 01/23/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Prior Authorization Of Health Care Services. [SB-1449]
Requires utilization review entities to submit data relating to the prior authorization of health care services to the State Health Planning and Development Agency. Establishes the Health Care Appropriateness and Necessity Working Group within the State Health Planning and Development Agency. Effective 7/1/3000. (HD2)

  

Sponsored by: Sen. Ronald Kouchi Conference Committee Meeting Scheduled For 04-23-25 3:30pm; Conference Room 329. on 04/22/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Prior Authorization. [HB-954]
Establishes a comprehensive regulatory framework for prior authorization process in the State, including disclosure and notice requirements for utilization review entities regarding their prior authorization requirements and restrictions; qualifications and criteria for prior authorization review and appeals personnel; prior authorization process for non-urgent and urgent health care services, including the time frame by which utilization review entities must render a decision; adverse determination and appeal processes; prohibition of prior authorization (continued...)

  

Sponsored by: Rep. Gregg Takayama Introduced And Pass First Reading. on 01/23/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Health Insurance. [HB-857]
Requires all accident and health or sickness insurers, mutual benefit societies, and health maintenance organizations operating in the State to adopt policies, procedures, and criteria for approving or denying requests for prior authorization that are the equivalent to the guidelines for prior authorization established by Medicare.

  

Sponsored by: Rep. Gregg Takayama Introduced And Pass First Reading. on 01/23/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Insurer Prior Authorization. [SB-1138]
Requires health plan insurers to align their prior authorization processes with Medicare policies.

  

Sponsored by: Sen. Angus McKelvey Referred To Hhs, Cpn. on 01/23/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Insurer Prior Authorization. [SB-832]
Requires health plan insurers to align their prior authorization processes with Medicare policies.

  

Sponsored by: Sen. Troy Hashimoto Referred To Cpn. on 01/23/2025

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State (Hawaii)
Hawaii 2025 Regular Session

Relating To Health. [HB-250]
Requires utilization review entities to submit data relating to the prior authorization of health care services to the State Health Planning and Development Agency. Establishes the Health Care Appropriateness and Necessity Working Group within the State Health Planning and Development Agency and requires the working group to submit annual reports to the Legislature. Effective 7/1/3000. (SD2)

  

Sponsored by: Rep. Gregg Takayama Received Notice Of Appointment Of House Conferees (hse. Com. No. 732). on 04/15/2025

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State (Arizona)
Arizona Fifty-seventh Legislature - First Regular Session (2025)

Prior authorization; claims [HB-2175]
Prior authorization; claims

  

Sponsored by: Rep. Julie Willoughby Senate Committee Of The Whole Action: Do Pass Amended on 04/17/2025

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State (Hawaii)
Hawaii 2024 Regular Session

Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers. [HCR-182]
Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.

  

Sponsored by: Rep. Della au Belatti Reported From Hlt (stand. Com. Rep. No. 1532-24) As Amended In Hd 1, Recommending Referral To Fin. on 03/28/2024

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State (Hawaii)
Hawaii 2024 Regular Session

Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers. [HR-162]
Requesting The Legislative Reference Bureau To Conduct A Study Of Statutes And Regulations Related To Prior Authorization Requirements And The Timely Delivery Of Health Care Services In The State And Include An Analysis Of Prior Authorization Reform, With Input Of Data And Feedback From Stakeholders, Including Patient Advocates, Providers, Facilities, And Payers.

  

Sponsored by: Rep. Della au Belatti Reported From Hlt (stand. Com. Rep. No. 1531-24) As Amended In Hd 1, Recommending Referral To Fin. on 03/28/2024

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State (Arizona)
Arizona Fifty-sixth Legislature - Second Regular Session (2024)

Mental illness; medication; authorization [SB-1083]
Mental illness; medication; authorization

  

Sponsored by: Sen. Thomas Shope Senate Fico Committee Action: Withdrawn, Voting: (0-0-0-0) on 02/07/2024

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State (Arizona)
Arizona Fifty-sixth Legislature - First Regular Session (2023)

Technical correction; prior authorization; timelines [HB-2426]
Technical correction; prior authorization; timelines

  

Sponsored by: Rep. Matt Gress House Read Second Time on 02/08/2023

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State (Arizona)
Arizona Fifty-fifth Legislature - First Regular Session (2021)

Prior authorization; uniform request forms [HB-2621]
Prior authorization; uniform request forms

  

Sponsored by: Rep. Ben Toma Transmitted To Governor on 03/24/2021

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