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  • WEAMA Legislative Alert! Posted 2/1/2018

WEAMA Legislative Alert! Posted 2/1/2018

February 01, 2018 8:31 AM | Anonymous

WEAMA Supports SB 6157 Prior Authorization. Please call your local Senator ASAP! The bill prohibits a health carrier from requiring prior authorization for an initial evaluation and management visit and up to twelve consecutive treatment visits with a contracting provider in a new episode of care of certain therapies (East Asian Medicine, Chiropractic, PT and OT) that meet standards of medical necessity and are subject to quantitative treatment limits of the health plan. The bill has bi-partisan support. Here are the bill sponsors: Sponsors: Short, Kuderer, Rivers, Cleveland, Palumbo, Nelson, Becker, Walsh, Warnick, Van De Wege

The bill had a public hearing in the Senate Health Care Committee earlier this week. WEAMA provided the attached testimony at the public hearing on the bill. We hear that the Chair of the Senate Health Care Committee plans to schedule an Executive Session vote on the bill in this week. The bill will then go to the Senate Rules Committee and wait to be pulled to the floor of the Senate for a vote. There is no House companion bill, so only call your Senator at this time.

Please call your local Senator and let them know that you support SB 6157!

To find out who your Senator is in your legislative district go to: Find Your District

Enter your home address, not your workplace, and your state legislative district will pop up. The website will also provide their contact information. Please send them an email or call and speak with their legislative assistant.

Please ONLY CONTACT YOUR STATE SENATOR as there is no bill in the House yet. When it passes the Senate, we will do another legislative alert to contact your state House of Representative members.

Talking Points

Dear Senator _________,

My name is ____________ and I live in your legislative district. I am a licensed East Asian Medicine Practitioner (EAMP). I am requesting that you please support SB 6157 Prior Authorization.

Prior authorizations block access to medically necessary health care services. Some insurers, using third party administrators, authorize a very small number of initial visits and require repeated reauthorizations for medically necessary additional visits. Both factors compromise the integrity and value of the very services that insurers are paying for by creating a “start/stop” treadmill that hinders patient progress and adds a substantial and unnecessary administrative burden on providers.

You can add a short personal story here if you have one related to problems with prior authorizations.

This bill would protect patients’ ability to get an initial evaluation and up to twelve consecutive treatment visits, if those treatments were medically necessary and within the quantitative limits of the health plan.

Thank you for your support! Feel free to contact me if you have any questions.

Sincerely,