The bill, S.B. No. 2012, amends the Insurance Code by adding Section 4201.3025, which mandates that utilization review agents provide specific information regarding physicians and nurses who make determinations on preauthorization requests for health care services or supplies. This new section requires that any written documentation of a utilization review determination includes the signature, full printed name, unique provider identifier number, credentials, and attestations of the physician or nurse involved. Additionally, it stipulates that the documentation must detail the time spent evaluating relevant medical records before making a determination.

The provisions outlined in this bill will apply to preauthorization requests made on or after January 1, 2026, under health benefit plans that are delivered, issued for delivery, or renewed from that date forward. The bill is set to take effect on September 1, 2025.

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