Creates provisions relating to prior authorization of health care services

Summary

The proposal says insurers can only demand prior authorization for a service if they approved less than 90% of that provider’s recent requests. It also forces insurers to notify providers of the decision, let them appeal, and keep an online portal showing request status. The rule applies to providers who have been in the insurer’s plan for at least one six‑month period.

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

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