The California Medical Association-backed bill would require health plans to exempt physicians from prior authorization rules if they have practiced within the plan’s criteria 80 percent of the time, according to a June 29 news release from the physician group.
All other physicians would have the right for a prior authorization appeal to be conducted by a physician in the same or similar specialty, the news release said.
The bill cleared the Assembly Health Committee and is now headed to the Assembly Appropriations Committee, according to the news release.
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