Insurance denials and prior authorization

“Hold insurance companies accountable for driving up prices. Hold insurance companies accountable by lowering premiums and eliminating surprise bills, hidden fees, and denials that put profits over patients.”

“Prevent healthcare industry middlemen from denying care and medications prescribed by doctors.”

“Healthcare decisions should be made by patients and their doctors, not politicians and insurance companies”

“Pass legislation requiring insurers to fairly and promptly reimburse rural hospitals, cutting the enormous administrative costs of fighting endless denials”

“Ban health insurance companies from denying authorization for necessary procedures that your doctor says you need, and cap co-pays so that you can actually afford your care.”

“No more insurance company greed, no more denying care for profit, no more tying your healthcare to your job, and no more bankrupting families over medical bills.”

“In Congress, Dr. Pan will stop Trump from gutting the Affordable Care Act, protect Medicare, stop insurance companies from denying critical care prescribed by doctors, and fight to lower prescription drug costs.”

“Taking on insurance companies that unfairly deny people coverage for needed health care.”

“I’ve seen the flaws up close and ensuring that doctors determine the care people receive – not the insurance companies – is what motivated me to get into this race.”

“Prevent AI and insurance companies from making decisions that should be made by doctors.”

“Insurance companies should never dictate the care people receive.”

“In Congress, Claire will sponsor Medicare for All on Day One and fight the insurance companies that profit from denying care and driving up costs.”

“In Congress, Claire will fight to pass Medicare for All to ensure that all New Yorkers are able to receive high quality, free healthcare, regardless of their employment status. This means an end to copays, high deductibles, and private insurance denials for essential care.”

“Cut the complexity of care for patients and providers by standardizing insurance paperwork and billing requirements, and modernizing the Prior Authorization process.”

“Fix prior authorization. Stop insurers from overruling your doctor with red tape.”

“We need Medicare for All. And until we get there, Scott will tackle healthcare affordability in Congress just like he has in the Legislature: by capping insulin at $35/month, forcing insurance companies to cover mental healthcare, reducing prior authorizations, lowering prescription drug prices, and working to reverse Trump's cuts to Medicaid and the Affordable Care Act.”

“SB 858 (Author: Wiener): Updates and increases penalties for health plans that violate state law in denying or delaying insurance coverage.”

“Force insurance companies to cover mental health and addiction treatment the same way they cover physical health — extending California's landmark parity law to every American — and removing prior authorizations.”

“SB 159 (Author: Wiener): Expanding PrEP and PEP access. SB 159 is first-in-the-nation legislation that allows pharmacists to provide PrEP and PEP — two powerful anti-HIV preventatives — to people without a physician’s prescription. Far too few people who need PrEP are on it, due to various financial and logistical barriers, as well as continuing stigma. Communities of color and rural communities are particularly likely to lack access. One barrier is lack of access (or lack of timely access) to physicians, another is that some physicians are hostile to these HIV preventatives and resistant to prescribing it. By allowing people to go to their neighborhood pharmacy to access PrEP and PEP, without first having to find a physician and perhaps wait months for an appointment, SB 159 will dramatically expand where people can access PrEP and PEP and will make it much to gain that access. SB 159 also bans insurance prior authorizations for PrEP and PEP, which can delay obtaining them.”

“SB 159 (2019): Authorizes pharmacists to furnish pre- and post- exposure prophylaxis (PrEP and PEP) without a physician prescription and also prohibits insurance companies from requiring prior authorizations in order to obtain PrEP coverage.”

“And prevent AI from coming between people and their doctors in response to the Trump Administration’s plan to launch a program where AI would decide on coverage and care for Medicare patients.”

“Stop AI from coming between people and their doctor. The Trump Administration is getting ready to launch a program to see how AI could deny coverage and care to people on Medicare – which would impact more than 350,000 Granite Staters. Doctors and nurses should be making decisions about health care, not computer algorithms.”

“And finally, I would ensure, again, in the very near term, that we prevent AI from ever making a decision about who gets coverage and who doesn’t.”

“Ahead of a candidate forum at the RiverWoods Retirement Community, Stefany Shaheen is calling for closing coverage gaps in Medicare and halting a Trump Administration plan to use AI to deny coverage and care to people on Medicare.”

“Prevent AI and insurance companies from making decisions that should be made by doctors.”

“Prevent AI from making decisions that should be made by doctors. The Trump Administration is getting ready to launch a program that would allow AI to deny coverage and care to people on Medicare – that would affect more than 350,000 Granite Staters. Doctors and nurses should be making decisions about health care, not computer algorithms.”

“SB 238 (Author: Wiener; bill pending): Youth Mental Health Access Act. SB 238 removes barriers to youth accessing mental health treatments by requiring that any private insurance treatment denials be automatically referred to the state’s existing Independent Medical Review process.”

“The system prioritizes profit over patient care and prevention, leading to inefficiencies and dramatically higher costs. In today’s system, insurance companies deny first, forcing American healthcare providers to spend time fighting insurance for basic needs, like insulin or chemotherapy. People can’t access the care they need, or simply can’t afford it. This makes us sicker and shifts the burden of healthcare costs away from the insurance companies and onto the taxpayers.”