HB4462

Directs insurers to exempt certain network providers from obtaining prior authorization for covered health care services.

Directs insurers to exempt certain network providers from obtaining prior authorization for a health care service covered under a health benefit plan when specific requirements are met. Specifies that the exemption does not apply to experimental health care services. Requires utilization review organizations to make their process for appealing an adverse determination on a request for prior authorization readily accessible on their website to their network providers and enrollees.