Massachusetts S1403 aims to reduce administrative burden in health insurance by simplifying prior authorization processes.
Massachusetts S1403 seeks to reduce administrative burden in health insurance by streamlining prior authorization processes. The bill mandates that carriers and utilization review organizations disclose the use of artificial intelligence in their processes and ensure these tools do not cause harm or discriminate against enrollees. It also requires carriers to cover approved treatments and medications for the remainder of the benefit year if they are removed from a plan's formulary post-enrollment.
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- Core Provisions
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- Legal Framework
- Critical Issues
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