SSB 3118

As introduced: - Prohibits a utilization review organization from using an artificial intelligence algorithm as the sole basis for denying, delaying, or downgrading a prior authorization request for medical necessity. - Requires that denials of prior authorization requests be made by a qualified reviewer or clinical peer in a similar specialty and establishes requirements for provider notifications, consultations, and appeals. - Prohibits health carriers from requiring prior authorization for cancer-related screenings and preventative services that follow national comprehensive cancer network guidelines. - Establishes timelines for utilization review organizations to conduct prepayment audits and automatically approves claims if those timelines are not met.