Relating to prior authorization and utilization review organizations

Where it is now

1. ✓
   Done: IntroducedJanuary 15, 2025
2. ✓
   Done: SubcommitteeJanuary 15, 2025
3. ✓
   Done: House committeeFebruary 6, 2025
4. ✓
   Done: Passes the HouseFebruary 20, 202592–0
5. ✓
   Done: Senate committeeApril 3, 2025
6. ✓
   Done: Passes the SenateApril 16, 202547–0
7. ✓
   Done: To the GovernorMay 19, 2025
8. ✓
   Done: Signed into lawMay 27, 2025

Signed into law What’s a funnel?

Amendments · 3

2 adopted · 0 failed · 1 never voted on. Newest first.

• H-1244Strike everything · filed April 17, 2025 by

  AI summary This amendment replaces the entire bill with new rules for how review organizations handle medical approval requests. It sets specific deadlines for responding to urgent and nonurgent requests, requires organizations to notify doctors when a request is received, and mandates annual reports on approval rates and processing times. It also requires organizations to review and eliminate approval requirements for services that are routinely approved and establishes a process for filing complaints. Its wording →
  Never voted on
• S-3015Strike everything · filed March 4, 2025 by Sen. Mike Klimesh (R)

  AI summary This amendment replaces the entire bill and establishes specific deadlines for medical approval requests, including 48 hours for urgent requests and 10 to 15 days for nonurgent requests. It requires review organizations to submit annual reports to the commissioner regarding their approval and denial rates, as well as their efforts to eliminate unnecessary approval requirements. Additionally, it creates a process for filing complaints about these organizations with the insurance division. Its wording →
  Adopted
  April 16, 2025
• S-3014Strike everything · filed March 4, 2025 by Sen. Mike Klimesh (R)

  AI summary This amendment replaces the entire bill with a new version that sets specific deadlines for insurance organizations to respond to medical requests and requires them to notify doctors when a request is received. It also requires insurance companies to start a pilot program that exempts certain doctors from some prior authorization requirements and to report the results of that program to the state. Its wording →

  Amends this SF 231 to CONFORM to HF 303
  Adopted
  April 16, 2025