The bill amends existing laws related to prior authorization in Oklahoma, specifically updating definitions and requirements for health care services. It modifies the definition of "enrollee" by changing the reference from Section 6592.1 to Section 6592 of Title 36 of the Oklahoma Statutes. Additionally, it introduces new language that mandates all requirements for contracted entities to align with the provisions of the Ensuring Transparency in Prior Authorization Act, ensuring timely determinations for prior authorizations, including expedited reviews in urgent cases.

Furthermore, the bill removes several specific timeframes for determinations on authorization requests, allowing for more flexibility in the review process. It emphasizes that contracted entities must not impose limitations on providers during post-emergent stabilization health care coordination. The act is set to take effect on November 1, 2025, aiming to enhance the efficiency and transparency of prior authorization processes in Oklahoma's health care system.

Statutes affected:
Introduced: 56-4002.6