Prior Authorization Accountability Act

The Prior Authorization Accountability Act requires health insurance plans and issuers to publicly report detailed data on their prior authorization processes starting in 2027. This includes submitting information on approval and denial rates, appeal outcomes, processing times, and the specific use of artificial intelligence or other automated technologies in making coverage decisions. The bill mandates that these reports be available on public websites for both individual and group coverage, allowing consumers to compare how different plans handle requests for medical services. Additionally, the legislation updates the Affordable Care Act to ensure that health plans sold through insurance exchanges display this new transparency data to help shoppers make informed choices.