MN HF3334

Requires reviewing physicians for utilization review organizations to directly contact the attending health care professional before issuing an adverse determination on prior authorization requests, eliminating the option to merely attempt contact

Creates a new cause of action allowing enrollees injured by prior authorization denials to sue utilization review organizations when the denial deviates from accepted medical norms, contradicts the attending physician's recommendation, and causes injury

Permits enrollees to bring medical malpractice claims against the specific physician who reviewed and recommended denial of the prior authorization request

Limits liability to cases where documentation shows the utilization review organization or reviewing physician disregarded the attending physician's judgment and relevant supporting information

Grants the Minnesota Attorney General authority to investigate and bring enforcement actions against utilization review organizations under section 8.31, while providing immunity from civil liability for attending health care professionals