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Prior Authorization Reform Leads ISMS Legislative Agenda for 2020 Session
Posted on: 2/6/2020
woman in hospital bed

The Spring Session of the Illinois General Assembly is underway in Springfield and ISMS is gearing up to tackle one of the biggest pain points physicians experience: prior authorization.

Last year, we surveyed Illinois physicians to learn more about how prior authorization affects you and your patients. In recent months we have been working with lawmakers and other organizations to develop legislation designed to respond to your concerns.

Our objective is to bring transparency regarding which drugs and procedures are subject to prior authorization, establish maximum wait times for prior authorization requests, define the qualifications of individuals who make determinations, ensure that requirements are based on evidence-based criteria, and provide continuity of care for patients, and more. Stay tuned for more information on this campaign coming soon!

ISMS is also supporting the introduction of bills to accomplish several other priorities:  

      
  • Medical facilities should be allowed to provide unused portions of topical antibiotic, anti-inflammatory, dilation, and glaucoma drops or ointments that were applied in the operating room or emergency department to the patient on discharge.
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  • Accountable Care Organizations (ACOs) should be prohibited from mandating the use of a specific electronic medical records system.

  • Children entering the sixth grade should be required to complete the immunization for the human papillomavirus (HPV).
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As always, your legislative team is working hard on your behalf so you can focus on providing the best care to your patients.

Watch for updates in Physician Advocate and on the Legislative Action Hub

If you have any questions, please contact ISMS Vice President of Legislative Affairs Erin O'Brien at 312-580-6488.



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