This bill proposes several updates to the Arizona Revised Statutes regarding prior authorization processes for health care services. It introduces new provisions that require health care insurers, pharmacy benefit managers, and utilization review agents to honor prior authorizations for a period of ninety days when a member changes health insurance, unless the service is excluded under the new plan. Additionally, it mandates that any changes in coverage or approval criteria do not affect members who have already received prior authorization during their plan year. The bill also stipulates that prior authorizations must remain valid for at least one year for chronic or long-term care conditions and for at least six months for other services, regardless of dosage changes.

Furthermore, the bill requires health care insurers and related entities to maintain transparency by posting all prior authorization requirements and changes on their publicly accessible websites, along with providing sixty days' notice to enrollees before implementing any new or amended requirements. Definitions for "chronic or long-term care condition" and "member" are also included to clarify the scope of the bill. Overall, these updates aim to enhance patient access to necessary medical services and improve the clarity of prior authorization processes.

Statutes affected:
Introduced Version: 20-2512