AR HB1300

Expands the definition of "prior authorization" to include any process or administrative function required before a healthcare service is rendered, including precertification, predetermination, concurrent review, fail first protocols, and prior notification requirements

Requires utilization review entities to publicly disclose lists of services requiring prior authorization in both subscriber-friendly and machine-readable formats, including billing codes, effective dates, and clinical criteria for services subject to medical necessity review

Mandates that prior authorizations be issued for the entire course of treatment with sufficient units, visits, or administrations, though entities may limit duration to one year if the treatment period exceeds one year

Creates the Prior Authorization Transparency Act Trust Fund to collect fines and fund education for healthcare providers and subscribers, as well as improve the State Insurance Department's enforcement capabilities

Establishes enforcement mechanisms including fines up to $1,000 per violation ($5,000 if knowing), automatic approval of healthcare services when utilization review entities fail to comply, and civil fines up to $5,000 per day of noncompliance for general business practice violations