Table 1.

Status and Requirements of Bills Relating to PA Reform by State

Year	State	Bill	Status	Requirements
				Disclose PA Services and Requirements	Specify Notification Time of PA Changes	Specify Duration of PA Validity	Prohibit Retrospective Denial of Previously Approved PA	Prohibit PA for Emergency Services	Deadline for PA Decision	Honor Previously Approved PA	Review by Same Specialty Physician	Electronic PA Process	Report Statistics Regarding PA Requests	Other
2016	Ohio	SB 129	Signed	X	X		X		X			X		Standardize appeals process
2016	Delaware	HB 381	Signed	X	X	X	X		X			X	X
2018	New Jersey	A3845	Introduced	X			X	X	X				X
2019	Colorado	HB 19-1221	Signed	X	X				X				X	Limit use of PAs only to providers whose practice patterns differ significantly from that of peers
2019	Kentucky	SB 54	Signed	X	X	X
2019	Montana	HB 555	Signed	X	X	X			X
2019	Virginia	SB 1607	Signed						X	X				Prohibit PA for certain services associated with substance abuse treatment
2019	West Virginia	HB 2351	Signed	X		X			X		X		X	Practitioners meeting specified requirements may be exempted from PA process for 6 months
2019	New York	A04521	Introduced		X	X								Duration of PA validity only applies to medications
2019	Pennsylvania	SB 920 HB 1194	Introduced	X					X			X	X	Provides framework for exempting patients from step therapy
2019	National	HR 3107	Introduced	X								X	X	Automatic PA decisions may be applied for routinely approved services
2020	Washington	SB 6404	Signed										X
2020	Illinois	HB 510	Introduced	X			X	X	X	X	X		X	PA is automatically authorized if carrier fails to comply with any provisions Prohibit denial of services associated with approved procedure or for certain services associated with substance abuse treatment
2020	Minnesota	SF 3204	Introduced	X	X		X	X	X	X	X		X	Standardize appeals process
2020	Oregon	HB 4102 A	Introduced										X
2020	Florida	SB 820	Died	X	X				X					Provides framework for exempting patients from step therapy and prohibits denial of services associated with approved procedure

HB = house bill; PA = prior authorization; SB = senate bill.