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Bills / S.B. 319

S.B. 319 Health Insurance Preauthorization Amendments

Became lawWritten by Sen. John D. Johnson · carried in the House by Rep. Katy Hall

  1. Introduced
  2. Senate committee
  3. Senate vote
  4. House committee
  5. House vote
  6. Signed into law

What this bill does

The bill would require health insurers to publicly post their prior authorization criteria in plain language and to disclose to patients, providers, and the state insurance department when artificial intelligence is used to review authorization requests. The bill also sets decision timelines, requires a human reviewer before a clinical denial, and adds continuity-of-care, reporting, and related provisions, while keeping prior authorization in place.

Plain-English summary written by AI from the sponsor’s presentation in committee and on the floor. Check the official text below.

Official description
  • requires an insurer to post certain information regarding preauthorizations and preauthorization requirements on the insurer's website
  • requires an insurer to disclose whether the insurer uses artificial intelligence in the process of reviewing a request for authorization
  • defines a maximum time in which an insurer is required to make an authorization or adverse preauthorization determination
  • provides minimum periods that an authorization must be valid for health care services to treat chronic or long-term care conditions
  • amends requirements for reporting to the Insurance Department related to preauthorization statistics, including information related to prescription drugs
  • requires an individual reviewing an adverse preauthorization determination to use independent medical judgment and not rely solely on recommendations from any other source
  • requires an insurer to provide certain information in a notice regarding an adverse preauthorization determination
  • defines terms
  • makes technical and conforming changes
Full text and history on le.utah.gov →
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What it costs you

From the bill's latest official fiscal note, counting the state's tax funds (General, Income Tax, Education, Uniform School, and Transportation) in the first full budget year after the session. Some bills take effect partway through that year, so later years can be larger; the note shows each year. Household count: U.S. Census Bureau. An average is a starting point, not your bill.

Your legislators on this bill

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Every vote

Hearings and debates