# Washington requires health insurers to run prior authorization through an automated electronic interface, with new prior authorizations on it after 2030

Page: https://flyvolo.ai/en/changes/ev-20230723-medical-assistant-4
Date: 2026-06-11 · Stage: Policy mandate
Can this record move a task judgement? only together with another independent record
Occupation: https://flyvolo.ai/en/careers/medical-assistant

## Scope

Washington, United States. The statute says each carrier shall establish and maintain a prior authorization application programming interface consistent with the federal rules, and an interoperable electronic process that automates for in-network providers whether prior authorization is required for a prescription drug, with the API duty enforced from 1 January 2027 even if the federal rules are delayed; after 30 December 2030 any new application of prior authorization must be available on that system. Read in the current text, last amended by chapter 157, Laws of 2026, effective 11 June 2026. It binds insurers, not clinics; it does not measure how much clinic staff time the authorisation chase takes.

## Source

- Washington State Legislature — Engrossed Substitute Senate Bill 5395, Chapter 157, Laws of 2026 (session law; effective June 11, 2026), section 2 amending RCW 48.43.830 — https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Session%20Laws/Senate/5395-S2.SL.pdf (primary source)

## What this means

A second, state-level rule now requires the payer side of prior authorization to be automated.

## What it does not show yet

It binds insurers, not clinics, and says nothing about clinic staff time.

## How to verify it yourself

Open RCW 48.43.830 on the Washington Legislature's site and find "automates the process for in-network providers".


More: https://flyvolo.ai/llms.txt