Revises provisions relating to health insurance. (BDR 57-238)
AB 295 shortens health insurers' response times for prior authorization requests: 5 days for non-urgent care and 48 hours for urgent care. It requires insurers to clearly explain denials to patients and providers, extends approval validity to 12 months for chronic conditions, and mandates transparency about AI use in decisions (including physician review for denials). Insurers must also submit annual reports on prior authorization requests to state agencies, which will publish the data online. The bill applies to all health insurers, including Medicaid and CHIP programs, and imposes penalties for noncompliance.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 25, 2025
Last action Apr 12, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
1
Committee
1
Feb 26, 2025
Lower · Passed
From printer. To committee.
lower
2 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Rebecca Edgeworth
RRepublican
P
Toby Yurek
RRepublican
Co
Tracy Brown-May
DDemocratic
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