This bill amends requirements for health insurance preauthorization.
This bill:
- requires an insurer to post certain information regarding preauthorizations and preauthorization requirements on the insurer's website;
- requires an insurer to disclose whether the insurer uses artificial intelligence in the process of reviewing a request for authorization;
- defines a maximum time in which an insurer is required to make an authorization or adverse preauthorization determination;
- provides minimum periods that an authorization must be valid for health care services to treat chronic or long-term care conditions;
- amends requirements for reporting to the Insurance Department related to preauthorization statistics, including information related to prescription drugs;
- requires an individual reviewing an adverse preauthorization determination to use independent medical judgment and not rely solely on recommendations from any other source;
- requires an insurer to provide certain information in a notice regarding an adverse preauthorization determination;
- defines terms; and
- makes technical and conforming changes.

Statutes affected:
Introduced: 31A-22-650, 63I-1-231