Private Review Agents; health insurers to implement and maintain a program that allows for the selective application of reductions in prior authorization requirements; provide

Removed provisions related to Medicare supplement policies for individuals under 65, annual prostate cancer screening requirements, and other general insurance provisions that were present in the original version.

Removed the requirement for major medical coverage for annual prostate cancer screenings for certain men.

Changed the committee offering the substitute from House Committee on Insurance to House Committee on Rules.

Retained and maintained requirements for insurers to implement programs allowing selective reduction of prior authorization requirements based on healthcare provider performance.

Retained requirements for coverage of PANDAS and PANS healthcare services in accordance with nationally recognized clinical practice guidelines.

Maintained the July 1, 2026 deadline for prior authorization program filings and July 1, 2025 effective date for PANDAS/PANS coverage requirements.

Added Title 45 to the bill's scope, expanding applicability to public officers and employees in addition to insurance matters.

Added mandatory coverage requirements for pediatric autoimmune neuropsychiatric disorders (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS) following nationally recognized clinical guidelines.

Added requirement for major medical coverage of annual prostate cancer screenings for certain men.

Added provisions requiring Medicare supplement policies to be issued and renewed for individuals under 65 who are eligible due to disability or end stage renal disease, prohibiting higher premiums for these individuals.

Added new definitions for 'Health benefit policy' and 'Nationally recognized clinical practice guidelines' to support the new coverage requirements.

Reorganized bill structure from a single section to a multi-part format with Part I and Part II, adding new section numbering.

Added formal Senate passage designation and bill title formatting to indicate the bill has been approved by the Senate chamber.