OKL LEG Prior Authorization Process


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.

Regulators OKL LEG
Entity Types Ins
Reference Bill HB3190, 5/15/2024; Citation: OKL INS 36;
Functions Claims/Accelerated Benefits; Compliance; Legal; Operations; Product Administration; Underwriting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 5/15/2024
Effective Date 1/1/2025
Rule Id 211842
Linked to N/A
Reg. Last Update 5/15/2024
Report Section US Insurance

Last substantive update on 05/16/2024