Requires providers to share electronic health records with plans for purposes of improving patient care and reducing administrative delays

S 5456 requires hospitals to share complete electronic health records (EHRs) electronically with health plan reviewers (utilization review agents) to verify medical necessity for individual patient care decisions, directly affecting hospitals, health plans, and patients. Key provisions mandate that shared records cannot be used for billing audits or historical pattern analysis, must include full medical history without excluding admission/discharge details, and prevent health plans from requesting redundant information already in the EHR. The bill also updates rules to limit unnecessary data requests during reviews and requires health plans to prioritize data security, including pursuing HITRUST certification for privacy compliance. These changes aim to streamline coverage determinations while protecting patient privacy and reducing administrative delays.