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Tag · insurance regulation / prior authorization
Items in the last 60 days tagged "insurance regulation / prior authorization" with substantive content available.
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Utah DHHS (Medicaid) · Oct 24, 2026
Score 81September2026-MIB.pdf
Texas Attorney General · Oct 5, 2026
Score 81Attorney General Ken Paxton Investigates UnitedHealth Group for Denying Patients the Coverage They Need and Engaging in Deceptive Practices
Washington HCA Apple Health (Medicaid) rulemaking · Oct 3, 2026
Score 81WSR 26-19-090: Prior Authorization Turnaround Times
PrimaryAuthoritative depthState MedicaidWAState MedicaidInsurance regulation and prior authorizationArizona Attorney General · Oct 2, 2026
Score 80Attorney General Mayes Sues Pharmacy Benefit Managers Express Scripts and Optum for Contributing to Arizona’s Opioid Crisis
West Virginia Offices of the Insurance Commissioner · Sep 24, 2026
Score 79IB 24-03a - Prior Authorizations
Alabama Medicaid Agency · Oct 15, 2026
Score 77Removal of Prior Authorization Requirements for Radiology and Cardiology Procedures
PrimaryAuthoritative depthState MedicaidHIPAAALInsurance regulation and prior authorizationState MedicaidTexas Attorney General · Sep 28, 2026
Score 76Attorney General Paxton Investigates Blue Cross Blue Shield Insurance Company Over Denials and Delays of Urgent and Medically Necessary Care
PrimaryAuthoritative depthState AGTXState AG enforcementInsurance regulation and prior authorizationWest Virginia Offices of the Insurance Commissioner · Sep 24, 2026
Score 76IB 24-05 Pharmacy Audit Integrity Act and Drug Discount Plans and Pharmacy Coupon Cards
MaineCare Services · Sep 9, 2026
Score 75Temporary Changes to Referral and Authorization Processes Ending November 30, 2026
PrimaryAuthoritative depthState MedicaidMEState MedicaidInsurance regulation and prior authorizationDOL EBSA News (ERISA / MHPAEA) · Oct 22, 2026
Score 70US departments of Labor, Health and Human Services expand efforts to help employees access health benefits
Kentucky Department of Insurance · Oct 1, 2026
Score 70Bulletin 2026-07 | PBM Dispensing Fee
West Virginia Offices of the Insurance Commissioner · Sep 24, 2026
Score 70IB 24-01 - Prior Authorization Prohibited for Prescription Drugs at Inpatient Discharge
OIG Work Plan (Active Projects) · Sep 16, 2026
Score 70OIG Work Plan: MAOs’ Use of Prior Authorization for Part B Drugs
DOL News · Oct 21, 2026
Score 68US departments of Labor, Health and Human Services expand efforts to help employees access health benefits
New York Legislature (healthcare bills) · Sep 3, 2026
Score 66NY A 11673: Prohibits the termination of coverage for rehabilitation services solely because of a failure to demonstrate measurable improvement in the applicable condition
New York Legislature (healthcare bills) · Sep 29, 2026
Score 65NY S 9191: Provides limitations on overlapping control between insurance companies and pharmacy benefits managers and pharmacies
Oregon Medicaid · Oct 10, 2026
Score 611915(i) Community Based Integrated Supports (CBIS) Authorization Process
PrimaryAuthoritative depthState MedicaidORInsurance regulation and prior authorizationState MedicaidWashington HCA Apple Health provider alerts (billing guides, hospital payment, prior authorization) · Oct 3, 2026
Score 61Prior authorization requirements for breast removal and reconstruction, eff. 1/1/2027
PrimaryAuthoritative depthState MedicaidWAState MedicaidInsurance regulation and prior authorizationNew York Legislature (healthcare bills) · Sep 3, 2026
Score 60NY A 11688: Reduces inequities in access to medical procedures
New York Department of Financial Services · Sep 5, 2026
Score 56Department of Financial Services Announces 2027 Health Insurance Premium Rates, Saving New Yorkers $1.6 Billion
Kansas Medical Assistance Program · Sep 13, 2026
Score 5526142, General
New Mexico Office of Superintendent of Insurance · Sep 2, 2026
Score 53NEW MEXICO ANNOUNCES RATES FOR 2027 ACA PLANS, STATE PREMIUM SUPPORT WILL CONTINUE TO HELP ENROLLEES WITH COSTS
Florida Office of Insurance Regulation · Oct 7, 2026
Score 50Full story
Connecticut Insurance Department · Sep 12, 2026
Score 50Press Release, September 11, 2026
New Jersey Legislature (healthcare bills) · Oct 6, 2026
Score 46NJ A 434: Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
GAO Health Care Reports · Sep 24, 2026
Score 46Private Health Insurance: Federal and State Oversight of Contraceptive Coverage Requirements
Colorado Division of Insurance · Sep 23, 2026
Score 46Division of Insurance Announces Final ACA Health Insurance Premium Increases for Plan Year 2027
Colorado Division of Insurance · Sep 11, 2026
Score 46Notice of Adoption - Amended Regulations 4-2-83
Oklahoma Insurance Department · Oct 9, 2026
Score 45Oklahoma Releases Draft 1332 State Innovation Waiver for Public Comment
PrimaryAuthoritative depthState insurance deptOKInsurance regulation and prior authorizationState Medicaid