Thanks to all the EAMPs who contacted their state Senators, SB 6157 Prior Authorization passed the Senate with a 44/4 vote!
Now we need your help to pass ESSB 6157 Prior Authorization in the House of Representatives!!
The bill has passed the House Health Care Committee and in on its way to the House Rules Committee. The bill has been amended to address the push back from insurers, but still prohibits a health carrier from requiring prior authorization for an initial evaluation and management visit and up to six consecutive treatment visits with a contracting provider in a new episode of care for East Asian Medicine, Chiropractic, PT and OT that meet standards of medical necessity and treatment limits of the health plan.
The bill must pass out of the House of Representatives by March 2, 2018 or it dies. We are almost over the finish line! If it passes, it will then go to the Governor for signature.
Please call your state House of Representatives member and let them know that you support ESSB 6157 ASAP!
To identify your two state Representatives in your district, go to: Find Your District Enter your home address, not your workplace, and your state legislative district will pop up with their contact information. Please send them an email or call and speak with their legislative assistant. Please only contact your state Representatives as the bill has already passed the Senate.
WEAMA Suggested Talking Points
Dear Representative _________,
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 ESSB 6157 Regarding 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.