MINOT — Our attitudes about health insurance shift, depending on the context we're in. When we're healthy and paying premiums, we want costs to be low. When we're sick or hurt or sitting alongside a family member suffering some malady, we want expansive coverage and not a lot of bureaucracy.

Unfortunately, these things are in tension with one another; part of it is the process of prior authorization. What is that, specifically? "When a provider requests a procedure, a prescription, or anything like that, what they do is they request this through the insurance provider to make sure that it's covered," Sen. Scott Meyer said.

That can sometimes be a lengthy process, taking days or weeks, which aren't happy days or weeks when a person is hurting. Sen. Meyer has sponsored Senate Bill 2280, which targets a specific type of insurance (self-funded policies) for regulation on prior authorization.

"If we're going to be reviewing a prior authorization with the insurance company, it needs to be done by a physician rather than a business analyst, an algorithm or AI," Sen. Meyer said of his bill.

"The people that ultimately get hurt in this, though, are the patients," added Andy Askew, who is the Vice President of Public Policy for Essentia Health and appeared alongside Sen. Meyer. "This is meant, again, to help these folks that need help, need care, and to get it in a timely manner."

Also on this episode, co-host Chad Oban and I discussed a Minnesota lawmaker backing legislation to define criticism of President Donald Trump as a mental illness (and his recent arrest for soliciting sex from a child), the progress on a book ban bill, the status of Gov. Kelly Armstrong's proposed property tax reform, and how my reporting ended up on a Court TV live stream.

This episode is presented by North Dakotans for Public Schools. North Dakotans for Public Schools is dedicated to protecting and strengthening public education in North Dakota. United by the belief that public schools are the cornerstone of our communities; North Dakotans for Public Schools fights against harmful policies like voucher schemes that divert resources away from public schools. By bringing together educators, parents, school boards, and citizens; North Dakotans for Public Schools amplifies the voices of those who understand the critical role public schools play in shaping the future of North Dakota's children and communities. Learn more and get involved at www.NDforPublicSchools.com.

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