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Bernstine-introduced bill aims to improve medical insurance

Legislation originally introduced by Rep. Aaron Bernstine, R-10th, to streamline the process for prior authorization of medical services in Pennsylvania was signed into law by Gov. Tom Wolf, according to a Monday news release from Bernstine’s office.

According to the news release, Senate Bill 225, now Act 146 of 2022, requires insurers to make available an electronic communications network that permits prior authorization requests to be submitted electronically, and authorizations and adverse determinations to likewise by returned electronically. Bernstine said this will improve transparency, accessibility and consistent application of prior authorization by including a standard definition.

“Currently, the prior authorization procedure is often an inefficient process that increases costs for providers, their patients and all policy holders,” Bernstine said. “Improved patient care will result from requiring consistent response times and processes with prior authorizations, adverse determinations and appeal procedures, including external review by insurers.”

The major provisions of the law will take effect beginning in January 2024.

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