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 facing additional administrative hurdles. The bill will take effect immediately and will apply to health benefits plans issued or purchased on or after that date.