Des Moines, Iowa (RI) — The Iowa House and Senate have unanimously approved a bill that sets some state rules for prior authorization, the process insurance companies and government-run insurance programs use before approving a patient’s medical treatment.
It sets new timelines for prior authorization decisions. It also says a patient’s doctor appealing denial of treatment or medication for a patient must talk to an insurance company representative who’s an expert in the same area of medicine.
Representative Austin Harris, a Republican from Moulton, notes the bill also makes changes intended to speed up the state’s approval process for health care facility construction.
Senator Kara Warme, a Republican from Ames, says the new prior authorization guidelines are likely to decrease the amount of time doctors spend talking to insurance companies.
The bill also makes it illegal for insurance companies to use Artificial Intelligence to authorize or deny medical treatment.
KIWA Staff Photo
