Insurance; chronic conditions; validity period; prior authorization; inpatient; non-inpatient; timeframe; effective date.

Header formatting changed from 'ENROLLED HOUSE BILL' to 'HOUSE OF REPRESENTATIVES - FLOOR VERSION' with updated session information

Line numbering and spacing were added throughout the document to reflect floor version formatting

Committee report information was added at the end of the document

Some text spacing and indentation was adjusted for floor version presentation

Header changed from 'ENGROSSED HOUSE' to 'ENROLLED HOUSE' indicating final legislative approval status

Added 'SUBJECT: Insurance' line for formal classification

Page numbering and layout formatting adjusted to reflect enrolled bill standards

Added signature blocks for House and Senate presiding officers, Governor approval, and Secretary of State receipt

Extended prior authorization validity for non-inpatient chronic condition treatments to at least six months from the date of approval

Extended prior authorization validity for inpatient chronic condition treatments to at least fourteen calendar days from the date of approval

Added provisions requiring utilization review entities to use the same criteria for evaluating continued inpatient care as they used for initial authorization requests

Established that health benefit plans must continue compensating providers at contracted rates if utilization review entities fail to respond to timely continuation requests

Added requirement that plans must continue compensating providers during appeals of adverse inpatient care determinations

Added provision stating that coverage exclusions cannot be used to deny medically necessary care for chronic conditions

Clarified that timely requests for inpatient care continuation must be submitted at least twenty-four hours before termination of previously approved authorization

Set effective date of the act to November 1, 2025