FL H1533

Requires utilization review entities to establish secure, interactive online electronic prior authorization processes by January 1, 2024, allowing users to upload required documentation.

Prohibits prior authorization requirements for prehospital transportation, emergency health care services, and medications for opioid use disorder.

Mandates that nonurgent prior authorization decisions be made within 2 business days and urgent decisions within 1 business day after receiving all necessary information.

Prevents revocation, limitation, or restriction of prior authorizations for services provided within 45 business days of authorization receipt, with limited exceptions for fraud, coverage changes, or eligibility issues.

Requires utilization review entities to publicly disclose all prior authorization requirements, clinical criteria, and approval/denial statistics; prohibits new requirements unless posted 60 days in advance with written notice to affected parties.