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AZ HB2726

Bill

Status

Introduced

2/5/2024

Primary Sponsor

Julie Willoughby

Click for details

Origin

House of Representatives

Fifty-sixth Legislature - Second Regular Session (2024)

AI Summary

  • New health care insurers must honor prior authorizations granted by previous insurers for the first 90 days of coverage, though the new insurer may conduct a review during this period.

  • Health care insurers, pharmacy benefit managers, and utilization review agents must post all prior authorization requirements and clinical criteria on their publicly accessible websites in understandable language.

  • New or amended prior authorization requirements must be posted on the insurer's website and enrollees must receive 60 days' notice before implementation.

  • Prior authorizations for chronic or long-term care conditions remain valid for at least one year and cannot require renewal for the same health care service, regardless of dosage changes.

  • All other prior authorizations remain valid for at least six months from approval and remain in effect despite any changes in prescription dosage.

Legislative Description

Utilization review; prior authorization; requirements

Requirements

Last Action

House read second time

2/6/2024

Committee Referrals

Rules2/5/2024
Health and Human Services2/5/2024

Full Bill Text

No bill text available