Insurance; prior authorization and utilization review requirements for healthcare plans; reform

Summary

The bill changes how insurers handle prior authorizations by requiring them to post requirements online, give providers detailed reasons and reviewer credentials when a request is denied, and report aggregate approval data. It also creates automatic approvals for certain services, limits documentation, sets clear response deadlines, and allows retroactive and emergency exemptions. The changes would affect insurers, healthcare providers and patients who use private health plans.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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