Regulatory changes are here. Meaning health plans, TPAs, and PBMs can’t afford not to act. New state-level requirements are already going into effect before the end of 2025, with even more requirements coming January 1, 2026.
Watch an on-demand recording of MRIoA’s Fall 2025 Regulatory Roundtable to hear how these changes may impact your organization and what you can do now to prepare. This isn’t just another list of policy updates, it’s an actionable roadmap to compliance, clarity, and operational efficiency.
What You’ll Gain:
- A brief refresher of state-specific regulations taking effect in 2025 for Arkansas, Nebraska, Maryland, Oklahoma, Texas, Rhode Island, Maine, and Montana.
- A forward-looking preview of January 2026 requirements covering prior authorization transparency, medical necessity definitions, specialty match, and peer-to-peer protocols.
- Actionable strategies to align compliance with operational workflows and avoid costly fines, audits, and provider friction.
- Insight into MRIoA’s proven solutions designed to help payers stay compliant, reduce disruption, and adapt with confidence.
Featured State Highlights:
- Georgia (H.B. 197): Pre-denial peer-to-peer process including callback telecommunications, and PA reduction programs.
- Illinois (H.B. 4055): Elimination of prior authorizations for FDA-approved therapies for hereditary bleeding disorders.
- Preview of January 2026 requirements coming to Arizona, Colorado, Georgia, Illinois, Montana, Nevada, New Jersey, North Dakota, Virginia, and Wyoming
Why It Matters:
Healthcare faces one of the most complex regulatory landscapes in history. Organizations that act now can avoid costly fines, reputational damage, and strengthen compliance programs before new laws take effect.
Led by Aja Leichtler, Chief Compliance Officer at MRIoA, this session was designed for decision-makers who need clarity, not clutter.