For Consumers

Prior authorization processes and transparency (R 2016-19)

These rules are intended to streamline the prior authorization process and to ensure it is more transparent for consumers and providers. The rulemaking will not prevent issuers from using prior authorization as it is a legal and acceptable cost-control method.

Adopted rule

Proposed rule

Stakeholder draft released September 23, 2016

Comparison tool for stakeholders

Stakeholder draft released July 15, 2016

Notice to start rulemaking