Iowa governor signs law to reform prior authorization, out-of-network penalties

https://www.beckershospitalreview.com/legal-regulatory-issues/iowa-governor-signs-law-to-reform-prior-authorization-out-of-network-penalties/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-9oamlqlAECz0fQCi6Q7yna_QGn-X8qrf9rfs6f4s0V383LvCmJMMaSDWAkRLB9yFzMkk4Pes0EZjmXFrwZwV9LCjZyYQ&_hsmi=418752874&utm_content=418752874&utm_source=hs_email Becker's Hospital Review: Iowa Governor Signs Law To Reform Prior Authorization, Out-Of-Network Penalties Iowa Republican Gov. Kim Reynolds signed a law May 13 that enacts prior authorization reforms and prohibits insurers from penalizing providers for out-of-network referrals, according to the Iowa Hospital Association. Under the law, while initial prior authorization reviews can be done by AI, these algorithms and systems cannot be the sole basis for determining denials, downgrades or delays. Health insurance carriers cannot impose fines or other financial penalties due to a provider’s referral to an out-of-network provider, either. (Casolo, 5/13)