This bill aims to eliminate the requirement for pre-approval or precertification of medical tests, procedures, and prescription drugs covered under health benefits or prescription drug benefits plans. It specifically prohibits health insurers, third-party administrators, pharmacy benefits managers, and both the State Health Benefits Program and the School Employees Health Benefits Program from conditioning payment for these services on any pre-approval or precertification if they are prescribed by a licensed healthcare provider. The intent is to streamline access to necessary medical care and reduce bureaucratic delays that can hinder timely treatment for patients.

The sponsor of the bill expresses concern over the increasing complaints from patients regarding the burdensome pre-approval processes imposed by insurance companies, which can lead to significant delays in receiving essential medical care. By removing these requirements, the bill seeks to empower healthcare providers to make decisions based on patient needs rather than insurance company protocols, ultimately aiming to alleviate the frustrations faced by patients and ensure they receive timely treatment as prescribed by their doctors. The bill is set to take effect immediately for health benefits plans or prescription drug benefits plans issued or purchased after its enactment.