This bill aims to eliminate the requirement for pre-approval or precertification for prenatal ultrasound screenings that are covered under health benefits plans. It specifies that health insurers, third-party administrators, and both the State Health Benefits Program and the School Employees Health Benefits Program cannot condition the payment of benefits for these screenings on any pre-approval or precertification, provided that the screenings are prescribed by a licensed health care provider.
The legislation is designed to streamline access to necessary prenatal care by ensuring that patients can receive ultrasound screenings without the added barrier of pre-approval processes. The bill will take effect immediately and will apply to health benefits plans issued or purchased after that date.