FL S1846

Requires health insurers and pharmacy benefit managers to establish a secure, interactive online electronic prior authorization process by January 1, 2022, that allows uploading of required documentation and prohibits facsimile transmissions.

Mandates that all prior authorization requests from health care providers for medical procedures, surgical procedures, prescription drugs, and other medical services be submitted through the online electronic process beginning January 1, 2022.

Establishes timeframes for insurers and pharmacy benefit managers to authorize or deny prior authorization requests: 3 calendar days for nonurgent care and 24 hours for urgent care situations after receiving all necessary information.

Prohibits insurers and pharmacy benefit managers from requiring unnecessary information in prior authorization requests, and requires they post all current prior authorization requirements and restrictions on their websites.

Prohibits health insurers and health maintenance organizations from imposing additional prior authorization requirements for surgical or invasive procedures, or items furnished during the perioperative period, if prior authorization was already granted for another procedure during that same period.