Belmar, NJ – At the 2025 National Council of Insurance Legislators (NCOIL) Annual National Meeting in Atlanta, GA, the organization adopted the NCOIL Prior Authorization Reform Model Act, sponsored by Sen. Walter Michel (MS). The Model was passed by both the Health Insurance & Long Term Care Issues Committee and the NCOIL Executive Committee.
The Model, largely based on a prior authorization reform law recently enacted in Mississippi, provides states with a framework to regulate and reform prior authorization programs allowing for a modernized and streamlined process that offers important consumer protections. If enacted by States, the Model will protect the provider-patient relationship from unnecessary third-party interference, prevent programs from hindering the independent medical judgment of physicians and other health care providers, and ensure transparency as well as a fair and consistent process for providers and their patients.