As introduced: - Decreases the time for a health carrier to respond to an expedited prior authorization request from 72 to 24 hours and a standard request from seven to five calendar days. - Requires a health carrier to establish a program to exempt providers with high prior authorization approval rates from requirements for routine services. - Prohibits a health carrier from downcoding a claim for services that have received prior authorization. - Requires a health carrier to disclose to the provider and the enrollee if an artificial intelligence tool was used to deny a prior authorization request. - Prohibits a dental plan from denying a claim for failure to obtain prior authorization if the provider was unable to reach the plan or was on hold for more than 15 minutes when attempting to obtain it.
| Date | Chamber | Action |
|---|---|---|
Jan 26, 2026 | S | S-Commerce and Labor committee amendment offered |
Jan 26, 2026 | S | Passed by indefinitely in S-Commerce and Labor committee (9‑Y 6‑N) |
Jan 26, 2026 | S | Hearing Scheduled - Commerce and Labor |
Jan 13, 2026 | S | Prefiled and ordered printed; Offered 01‑14‑2026 26105340D |
Jan 13, 2026 | S | Referred to Committee on S-Commerce and Labor |
| Last Action | Jan 26, 2026 |
|---|---|
| Year | 2026 |
| Bill Type | Bill |
| Created | Mar 21, 2026 |
| Updated | Jan 27, 2026 |