HB 1526

Health insurance; prior authorization; required contract provisions; work group. Requires any provider contract between a carrier and a participating health care provider or its contracting agent to contain specific provisions that (i) require a carrier to establish and maintain a prior authorization application program interface for processing prior authorization requests and (ii) require a participating health care provider to ensure that any electronic health record or health information technology system owned by or contracted for the provider to maintain the health record of an enrollee has the ability to access such application program interface. The bill amends requirements for the existing work group on electronic prior authorization.