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Colorado Extends Prior Authorization Reporting Deadline to May 1, 2026

CO| The Colorado Division of Insurance Bulletin B-4.156 explains that, in connection with HB 24-1149 and Colorado Insurance Regulation 4-2-101 (effective January 1, 2026), carriers offering health benefit plans issued or renewed on or after January 1, 2026 must publicly report prior authorization approvals, denials, and exemptions using new standardized templates, but for the first […]

Colorado Warns Insurers: No Restricting Access or Reducing Commissions on Medicare Plans

CO| Colorado Insurance Division Bulletin B-4.157 clarifies that it is an unfair trade practice under Colorado law for Medicare Advantage and Medicare Supplement carriers to manipulate market access or producer behavior—such as by hiding applications, discouraging sales, or changing producer commissions midyear—in ways that limit Medicare-eligible consumers’ access to approved products; carriers must keep enrollment […]

Alaska DOI Orders Statewide Use of Reduced NCCI Workers’ Comp Rates Effective November 26, 2025

AK| The Alaska Division of Insurance Regulatory Order R 25-03 approves NCCI’s 2026 Alaska workers’ compensation filing, adopting an overall 3.7% decrease in voluntary loss costs and a 4.8% decrease in assigned risk rates, based on continuation of the previously approved ratemaking methodology with limited refinements, and after a public hearing, interrogatories, and additional supporting […]

New Illinois DOI Bulletin Guides PBMs on PDAA Applicability, Deadlines, and Corrections

IL| The Illinois Department of Insurance Bulletin 2025-20 explains how Illinois PBMs must revise 2025 covered individual reports and fees under the Prescription Drug Affordability Act (PDAA) in light of HB 767, clarifies which plans and covered individuals are in scope, and announces enforcement flexibility on revised-report and payment deadlines once HB 767 is signed […]

Louisiana Issues New Directive Ensuring Equal Reimbursement for Medical Psychology Services in Health Plans

LA| Louisiana Department of Insurance Directive 229 requires all health insurance issuers, HMOs, and self-insured plans in Louisiana to provide nondiscriminatory, parity-compliant reimbursement to licensed medical psychologists for all covered mental health services within their scope of practice, including psychotherapy, medication management, ordering and interpreting labs, and prescribing permitted psychotropic medications, with reimbursement methodologies aligned […]

South Carolina Cracks Down on Unfair Medicare Marketing Tactics by Insurers

SC| South Carolina Department of Insurance Bulletin (2025-10) addresses reported unfair trade practices by insurers and producers related to the marketing of Medicare, Medicare Advantage, and Medicare Supplement plans in South Carolina. The Department emphasizes the prohibition of market conduct that restricts consumer access or manipulates producer behavior to the disadvantage of state residents. Main […]