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Committee approves SB 319 requiring insurer transparency, timelines and AI disclosure for prior authorizations
Summary
SB 319 was adopted in substitute form and passed out of committee; the bill requires insurers to publish authorization criteria, disclose AI use, meet firm timelines (7 calendar days for standard, 72 hours for urgent), require human clinical judgment and provide 12‑month continuity for chronic care authorizations.
The House Health & Human Services Committee adopted a substitute and then favorably recommended Senate Bill 319, a prior‑authorization reform bill that sponsors say will reduce delays in care by requiring transparency, timelines, human clinical review and public reporting.
Senator Johnson, the sponsor, said the bill establishes six core provisions: public posting of insurers' authorization criteria in plain language; disclosure when artificial intelligence is used in reviews; firm timelines (7 calendar days for standard requests and 72 hours for urgent requests); a requirement that clinical denials be…
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