South Carolina S0531 aims to enhance transparency and timely access to healthcare services by regulating prior authorizations and step therapy.

South Carolina S0531, also known as the "Patients' Right to Transparency and Timely Access to Healthcare Services Act," mandates that health carriers and insurance companies in South Carolina adhere to specific guidelines regarding prior authorizations and step therapy protocols. The bill requires health carriers to provide clear and transparent criteria for prior authorizations, ensuring that decisions are based on medical necessity and evidence-based protocols. It also establishes timelines for health carriers to respond to prior authorization requests and step therapy exception appeals.

South Carolina S0531 aims to enhance transparency and timely access to healthcare services by regulating prior authorizations and step therapy.

South Carolina S0531, also known as the "Patients' Right to Transparency and Timely Access to Healthcare Services Act," mandates that health carriers and insurance companies in South Carolina adhere to specific guidelines regarding prior authorizations and step therapy protocols. The bill requires health carriers to provide clear and transparent criteria for prior authorizations, ensuring that decisions are based on medical necessity and evidence-based protocols. It also establishes timelines for health carriers to respond to prior authorization requests and step therapy exception appeals.