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AK SB133
Bill
AI Summary
- Health insurers must respond to standard prior authorization requests within 72 hours and expedited requests within 24 hours for health plans issued or renewed on or after January 1, 2027
- Prior authorizations for chronic conditions are valid for at least 12 months with automatic renewal if the treatment plan remains unchanged; other prior authorizations are valid for at least 90 days
- Insurers must maintain an application programming interface (API) that allows providers to electronically check prior authorization requirements and submit requests from their health records systems
- Step therapy cannot be required for Stage 4 advanced metastatic cancer patients when the drug is FDA-approved and on the insurer's formulary; exceptions to step therapy must be granted if the patient previously tried and failed required drugs under any health plan
- Insurers face civil penalties up to $25,000 per violation, with the Division of Insurance required to conduct compliance examinations at least every two years
Legislative Description
Insurance; Prior Authorizations
Contractors
Last Action
EFFECTIVE DATE(S) OF LAW SEE CHAPTER
7/30/2025
Committee Referrals
Rules5/16/2025
Labor & Commerce5/13/2025
Labor & Commerce3/17/2025
Full Bill Text
No bill text available