In Review: The Senate HHS omnibus bill includes an amendment that would add back in chronic conditions under prior authorization. The House HHS omnibus bill includes several prior authorization provisions. Both bills lack any fiscal analysis, which has been pointed out to legislators.
Up Next: PCMA and the team on the ground will coordinate with health plans during meetings with committee chairs and conferees on the prior authorization provisions, focusing on the cost impact.
If you have any questions, please contact Bill Head at bhead@pcmanet.org.
