An Act relating to prior authorization requests for medical care covered by a health care insurer; relating to a prior authorization application programming interface; relating to step therapy; and providing for an effective date.

HB 144 sets new time limits for health insurance companies to process prior authorization requests for medical care and prescription drugs. It requires insurers to respond within 72 hours for standard requests (or 24 hours for urgent requests) and automatically approve requests if they miss these deadlines. The bill also mandates that insurers confirm receipt of requests and specify needed information if more details are required. These changes directly affect health insurance companies and healthcare providers by reducing delays in approving necessary treatments. The law applies to health plans issued or renewed after January 1, 2027.