On March 18, 2025, the Connecticut State Legislature introduced House Bill 6771, a significant piece of legislation aimed at reforming health insurance practices related to prior authorization processes. The bill seeks to enhance transparency and efficiency in the approval of medical services, addressing long-standing concerns from patients and healthcare providers regarding delays in care.

The primary provisions of House Bill 6771 mandate that health insurance entities must establish clear processes for patients and providers to appeal adverse utilization review determinations. These entities are required to publicly post these processes on their websites, ensuring that all stakeholders have access to the necessary information. Furthermore, the bill stipulates strict timelines for prior authorization requests: non-urgent requests must be approved or denied within seven days, while urgent requests must receive a decision within 72 hours, as determined by the patient's healthcare provider.

A notable aspect of the bill is its provision for ongoing evaluation. The Insurance Commissioner, in collaboration with the Commissioner of Public Health, is tasked with conducting a study on the impacts of the new regulations on the insurance industry and healthcare services. This study will begin in 2026, with annual reports to the General Assembly until 2031, allowing for continuous assessment and potential adjustments to the legislation.

While the bill has garnered joint favorable support, it has not been without debate. Critics have raised concerns about the potential administrative burden on insurance companies and the feasibility of meeting the proposed timelines. Proponents argue that the bill is essential for improving patient access to timely medical care and reducing unnecessary delays that can lead to adverse health outcomes.

The implications of House Bill 6771 are significant, as it aims to strike a balance between regulatory oversight and the operational realities of the insurance industry. If enacted, it could lead to more streamlined healthcare delivery in Connecticut, potentially serving as a model for other states grappling with similar issues in health insurance practices.

As the legislative process continues, stakeholders from various sectors will be closely monitoring the developments surrounding House Bill 6771, which promises to reshape the landscape of health insurance in Connecticut.