SB 274 Utah Senate · 2025 General Session

Health Insurance Preauthorization Revisions

SB 274 requires Utah health insurers to report detailed preauthorization data - including approval and denial rates for both non-urgent and urgent services - to the Department of Insurance, while also mandating that insurers share this information directly with patients and healthcare providers. The bill establishes a 30-day notice requirement for insurers before changing a drug formulary for patients on active treatment and prohibits revoking preauthorization without valid reasons, such as a patient’s unchanged medical condition. These provisions apply to all health insurers operating in Utah and directly affect patients, healthcare providers, and the Department of Insurance by increasing transparency and streamlining coverage decisions.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

Mar 2025

Senate Passage

Mar 2025

House Passage

Feb 2025

Signed into Law

Mar 2025

Introduced Feb 14, 2025 Signed Mar 27, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

Substitute #2 → Enrolled · 4 edits · Mar 27, 2025

MODERATE

This bill finalizes the text of SB 274 by removing formatting artifacts and adding specific repeal dates for certain reporting requirements. It establishes a sunset date of July 1, 2029, for the requirement that insurers report preauthorization approval and denial statistics, while extending the deadline for this reporting to March 1, 2026. The bill also clarifies that adverse preauthorization determinations regarding drugs must be reviewed by either a physician or a pharmacist.

TIMELINE

Added a repeal date of July 1, 2029, for the requirement that insurers report the number of preauthorizations approved and denied.

Added a repeal date of July 1, 2029, for the rulemaking authority related to the preauthorization reporting requirement.

Extended the reporting deadline for preauthorization statistics from April 1 to March 1 of each year, with the requirement ending on July 1, 2029.

TECHNICAL

Removed internal legislative markup symbols (e.g., 1[...]1) and timestamp differences between the substitute and enrolled versions.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Mar 27, 2025

Signed into law

Governor Signed

executive

Mar 6, 2025

Legislature · Passed

Senate/ signed by President/ sent for enrolling

legislature

Mar 6, 2025

Upper · Passed

House/ signed by Speaker/ returned to Senate

upper

Mar 6, 2025

Lower · Passed

Senate/ concurs with House amendment

lower

Mar 6, 2025

Upper · Passed

House/ passed 3rd reading

upper

Mar 5, 2025

Lower · Passed

House/ committee report favorable

lower

Mar 4, 2025

Lower · Passed

House Comm - Favorable Recommendation

lower

Mar 3, 2025

Committee

House/ to standing committee

lower

Feb 28, 2025

Introduced

House/ 1st reading (Introduced)

lower

Feb 28, 2025

Lower · Passed

Senate/ passed 3rd reading

lower

Feb 19, 2025

Upper · Passed

Senate/ committee report favorable

upper

Feb 19, 2025

Upper · Passed

Senate Comm - Favorable Recommendation

upper

Feb 18, 2025

Committee

Senate/ to standing committee

upper

Feb 14, 2025

Introduced

Senate/ 1st reading (Introduced)

upper

1 primary · 1 co-sponsor