House Bill 434’s prior authorization reforms would have an overall negative impact for patient cost and safety.
The legislation exempts providers from prior authorization if 80 percent of their claims are approved. North Carolinians should not be comfortable with only a four-out-of-five success rate from their providers. It fails to address the underlying problem that healthcare costs are too high and excludes lawmakers themselves who get health insurance through the state from the reforms in the bill. And it adds administrative requirements and restrictions that will put patients at risk for increased costs and safety gaps.