The "Ensuring Transparency in Prior Authorization Act" aims to enhance the transparency and efficiency of prior authorization processes for healthcare services in Kansas. The bill mandates that by January 1, 2027, utilization review entities must accept and respond to prior authorization requests through secure electronic transmissions that are integrated with physicians' electronic health records. It also stipulates that these entities cannot require prior authorization for emergency healthcare services or for certain types of deliveries, such as cesarean sections. Additionally, the bill establishes timelines for rendering decisions on prior authorization requests, including a 24-hour response time for urgent requests and a 14-day response time for regular requests.

Furthermore, the bill requires utilization review entities to disclose their prior authorization requirements publicly and to report annually to the commissioner of insurance on their practices, including statistics on approvals and denials. It also allows healthcare providers to appeal adverse determinations and mandates expedited appeals for urgent cases. The act emphasizes that prior authorizations should remain valid for the duration of treatment for chronic conditions and cannot be retroactively denied unless based on fraudulent information. Overall, the legislation seeks to streamline the prior authorization process, reduce administrative burdens on healthcare providers, and improve patient access to necessary medical services.