H0611

Idaho Prior Authorization Reform Act establishes rules for prior authorizations in health insurance.

The Idaho Prior Authorization Reform Act aims to protect the health care provider-patient relationship, prevent prior authorization programs from hindering medical judgment, and ensure transparency in the prior authorization process. It mandates that health insurance issuers make prior authorization requirements and clinical review criteria readily accessible on their websites. The act requires health insurance issuers to use standardized electronic prior authorization request transactions and respond to prior authorization requests within specific timeframes.