A bill for an act relating to prior authorizations and exemptions by health benefit plans and utilization review organizations.

This bill sets strict time limits for health insurance companies (health benefit plans) and their review organizations to process prior authorization requests: 48 hours for urgent cases and 10 days for routine requests, with a 15-day extension allowed for complex situations. It requires annual reviews of services needing prior authorization, eliminating the requirement if requests are routinely approved without improving care quality or reducing costs. The bill also creates a pilot program requiring health insurers to exempt primary care providers from certain prior authorization rules starting in 2026, with detailed public reporting on program costs, savings, and provider feedback due by 2027. These changes directly affect health insurers, healthcare providers, and patients seeking timely care approvals.