UT SB0319

Insurers must disclose on their website and to enrollees, providers, and the Insurance Department whether they use artificial intelligence (including generative AI) in reviewing authorization requests

Standard authorization decisions must be made within 7 calendar days; urgent care requests require decisions within 72 hours after receiving all necessary information

Authorization validity periods for chronic or long-term care conditions must be at least 12 months for drugs/devices and at least 6 months for outpatient services

Individuals reviewing adverse preauthorization determinations must exercise independent medical judgment and cannot rely solely on recommendations from any other source, including AI

Insurers must provide enhanced denial notices that include approved and denied billing codes on the first page, and must report additional statistics to the Insurance Department including average/median decision times and prescription drug data (effective January 1, 2027)