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Bill

A 9103

Enacts the "health insurance preauthorization disclosure act"

2025 Regular Session Introduced by Chris Eachus and 5 co-sponsors

Bill A 9103 mandates health insurers to disclose preauthorization requirements clearly and timely, improving patient access to care and easing provider burdens.

REFERRED TO INSURANCE
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WeVote Research Nonpartisan
Bill Summary · A 9103

Summary of Bill A 9103: Health Insurance Preauthorization Disclosure Act

Overview

Bill A 9103, titled the "Health Insurance Preauthorization Disclosure Act," was introduced on September 12, 2025, and is currently referred to the Insurance Committee. The primary intent of this legislation is to enhance transparency in the health insurance preauthorization process, aiming to improve patient access to necessary medical services and reduce administrative burdens on healthcare providers.

Purpose and Intent

The main purpose of Bill A 9103 is to ensure that health insurance companies provide clear and timely information regarding preauthorization requirements for medical services. By mandating disclosure of these requirements, the bill seeks to:

  • Empower Patients: Enable patients to understand what is needed for their medical procedures to be covered by insurance.
  • Streamline Processes: Reduce delays in receiving care by clarifying preauthorization criteria and timelines.
  • Enhance Provider Communication: Improve the flow of information between healthcare providers and insurers.

Key Provisions

The bill includes several significant provisions aimed at achieving its objectives:

  1. Mandatory Disclosure: Health insurers must disclose preauthorization requirements for various medical services in a clear and accessible format.
  2. Timelines for Decisions: Insurers are required to make preauthorization decisions within a specified timeframe, ensuring timely access to care.
  3. Patient Notification: Patients must be informed of the preauthorization status of their requested services, including any reasons for denial.
  4. Standardized Forms: The bill calls for the creation of standardized forms for preauthorization requests to simplify the process for providers and patients alike.

Affected Parties

The following groups would be directly impacted by the implementation of Bill A 9103:

  • Patients: Individuals seeking medical services will benefit from clearer information and quicker access to necessary treatments.
  • Healthcare Providers: Medical professionals will have a more straightforward process for obtaining preauthorization, reducing administrative burdens.
  • Health Insurance Companies: Insurers will need to adapt their practices to comply with the new disclosure requirements and timelines.

Procedural Aspects

  • Current Status: As of now, the bill has been referred to the Insurance Committee for further consideration.
  • Related Legislation: Bill A 9103 is part of a broader legislative context, with several related bills from prior sessions, indicating ongoing discussions about health insurance practices.

Conclusion

Bill A 9103 represents a significant step towards improving transparency and efficiency in the health insurance preauthorization process. By mandating clear disclosures and timely decisions, the legislation aims to enhance patient care and streamline interactions between insurers and healthcare providers. As the bill progresses through the legislative process, its potential impact on the healthcare landscape will be closely monitored.

Compiled from official sources — confirm details with the bill’s official record.

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