Senate Bill 1063, also known as House Bill 1074, amends Tennessee Code Annotated regarding prior authorization for healthcare services. The bill modifies Section 63-1-171 by requiring healthcare providers to notify patients about communications with their health insurance entities when seeking additional information for prior authorization requests. This notification must occur within seven calendar days and include a copy of the communication. Additionally, the bill amends Section 56-6-705(a) to stipulate that if a utilization review organization requests further information from a healthcare provider and the provider fails to submit it within the specified timeframe, the organization must inform the enrollee of the request and provide a copy of the communication.

The bill aims to enhance transparency and communication between healthcare providers, patients, and insurance entities regarding prior authorization processes. By ensuring that patients are kept informed about the status of their prior authorization requests and any additional information needed, the legislation seeks to improve patient care and streamline the authorization process. The act is set to take effect upon becoming law, emphasizing the importance of public welfare in its implementation.

Statutes affected:
Introduced: 63-1-171, 56-6-705(a), 56-6-705