An Act improving the health insurance prior authorization process

Summary

The bill forces health‑insurance carriers and any third‑party administrators to post a searchable online list of every service, item or drug that needs prior authorization, and to provide annual, standardized data on approvals and denials. It also mandates that utilization review criteria be scientifically based, posted publicly, and that insurers cannot retroactively deny approved care except for fraud. The changes aim to make the prior‑authorization process more transparent and accountable for patients, providers, and the state.

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

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