TMA Member Alert - Legislation Effective Jan. 1, 2024 or Later
The following bills enacted by the 2023 General Assembly are effective January 1, 2024 or later and may be of special interest to physicians. Contact the TMA Legal Department at 800-659-1862, ext. 1645 or firstname.lastname@example.org with any questions.
Information Only – No Reporting or Action Required by Physicians
Insurance Network Adequacy – PC 352
Insurance plans must maintain an adequate provider network and report to the Commissioner of Insurance any material change to a network at least 15 days before the change. The Commissioner may institute a corrective action plan if a network does not meet the standards of the law. A provider may request a review of the adequacy of a network. For all the details on this law effective 1/1/2024, review our Law Guide topic Insurance: Network Adequacy.
Prior Authorization Process – PC 395
The Prior Authorization Fairness Act was filed by Sen. Shane Reeves and Rep. David Hawk in 2023 as a last resort to help patients and physicians after TMA was unable to reach a workable solution with insurance plans. This new law is effective 1/1/2025 and it is explained in our Law Guide topic, Insurance – Prior Authorization.