Monday, October 31, 2011

Governor Brown signed Senate Bill 866 (#NHBPM Day 1)

On October 9th, Governor Jerry Brown signed Senate Bill 866 (Hernandez) into law.  I asked all of you to write in to Governor Brown to ask him to support this bill.  It will make getting a prior authorization so much easier.  No more waiting weeks to get that prior auth!  Thank you for your support!  

As it states on the Arthritis Foundation email:

This law will make it easier for patients to get their medication quickly by streamlining the prior authorization process for medications and granting automatic approval if the insurer fails to respond to the provider’s prior authorization request within the time frame allowed.  
  
SB 866 becomes law on January 1, 2012 and will do the following:  

  • Directs the Departments of Insurance and Managed Health Care to jointly develop a standardized prior authorization form for medications, with input from stakeholders, by July 2012. 
  • Specifies the form cannot exceed two pages and must be electronically available and transmittable. 
  • Requires health plans and insurers to use the standardized form for all prior authorization requests by January 2013. 
  • Specifies if a plan or insurer does not use the form, or fails to respond within two business days, the prior authorization is deemed approved.
Thank you again for your help in getting this bill passed.  Have a great Halloween!!

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