On May 15, OKL LEG enacted bill on prior authorization processes.
OKL LEG issued Bill HB 3190 to establish guidelines for prior authorization processes.
Titled Ensuring Transparency in Prior Authorization Act; added section to OKL INS 36.
Bill Provisions
Established requirements for transparency in insurance prior authorization processes.
Mandated disclosure, review of prior authorizations, set requirements for certain personnel to make adverse determinations, imposed criteria for reviewing physicians.
Addressed requirements for health benefit plans, established prior authorization application programming interface (API), provided for emergencies, chronic conditions.
Legislative History
On Feb. 5, 2024, bill was introduced in House; on May 9, 2024, bill passed House.
On Mar. 18, 2024, bill introduced in Senate; on Apr. 25, 2024, bill passed Senate.
On May 13, 2024, bill delivered to governor; on May 15, 2024, bill signed by governor.
Effectiveness
Ensuring Transparency in Prior Authorization Act becomes effective on Jan. 1, 2025.