Minnesota HF3867 modifies standards for utilization review performance, creates a cause of action for wrongful denials of prior authorizations, and.

Minnesota HF3867 amends the state's statutes to modify standards for utilization review performance by utilization review organizations. The bill creates a cause of action for enrollees injured by wrongful denials of prior authorizations. It provides for attorney general enforcement and authorizes the commissioner of commerce to impose fines on organizations with high rates of reversed adverse determinations. Health-related licensing boards must enforce professional conduct standards for utilization review.

Minnesota HF3867 modifies standards for utilization review performance, creates a cause of action for wrongful denials of prior authorizations, and.

Minnesota HF3867 amends the state's statutes to modify standards for utilization review performance by utilization review organizations. The bill creates a cause of action for enrollees injured by wrongful denials of prior authorizations. It provides for attorney general enforcement and authorizes the commissioner of commerce to impose fines on organizations with high rates of reversed adverse determinations. Health-related licensing boards must enforce professional conduct standards for utilization review.