Lawmakers Seek To Eliminate Insurance Pre-Authorization

Feb 4, 2019

Vermont legislators are seeking to ban insurance companies or Medicaid from requiring pre-authorization before approving medication-assisted treatment.

The bills in the state House and Senate come after the American Medical Association found patients had their opioid abuse treatment delayed because their medication-assisted treatment coverage requests were denied by the insurer.

Democratic Representative Ann Pugh tells The Times Argus she wants to remove any barriers between someone with a substance use disorder and treatment.

State Department of Health Access Commissioner Cory Gustafson says Vermont may lose rebates they receive on drugs if the state ends pre-authorization.

He says the state could spend $3.5 million more if pre-authorization is removed.

Both bills have been referred to committee.

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