Bill > LB467

This bill requires health carriers and utilization review agents to implement and maintain a prior authorization application programming interface (API) by January 1, 2028, in compliance with a specific federal regulation (45 C.F.R. 156.223(b)). A prior authorization API is a digital tool that allows healthcare providers to electronically submit and receive decisions about requests for medical services or treatments that require pre-approval from an insurance company. The bill specifically excludes drug-related prior authorization requests from this requirement, defining "drug" according to another federal regulation. The legislation amends the Utilization Review Act to include this new requirement and provides a clear timeline for implementation. By mandating this technology, the bill aims to streamline and potentially expedite the process of obtaining insurance approvals for medical services, which can currently be time-consuming and bureaucratic.

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https://nebraskalegislature.gov/bills/view_bill.php?DocumentID=59048