Governor Healey Statement on New Prior Authorization Reforms Going into Effect

Governor Healey Statement on New Prior Authorization Reforms Going into Effect 

BOSTON — Governor Maura Healey released the following statement regarding new prior authorization regulations that take effect today and are designed to reduce unnecessary barriers to care, improve transparency and streamline the health insurance approval process for patients and providers: 

“These reforms cut red tape, eliminate prior authorization requirements for many common services and help ensure people can get the care they need without unnecessary delays. If you have diabetes, it will be easier to stay on the medications you rely on. If you're undergoing cancer treatment, it will be easier to access the scans your doctors need to guide treatment decisions. These changes will make the health care system work better for patients and providers while helping people get the right care at the right time. This is all part of our efforts to make health care more affordable, accessible and patient-centered.” 

The regulations, adopted by the Massachusetts Division of Insurance, eliminate prior authorization requirements for a number of routine and essential health care services, including primary care services, preventive care, maternity care, urgent care services, outpatient substance use disorder treatment, physical therapy, occupational therapy and speech therapy. They also establish new patient protections for individuals with chronic conditions and strengthen continuity of care requirements when patients change insurance plans. 

These changes build on the Healey-Driscoll Administration's efforts to make health care more affordable, accessible and patient-centered for Massachusetts residents.