Bill > HB3782

This bill amends the Prior Authorization Reform Act by refining the definition and handling of prior authorization for chronic health conditions. It defines a chronic health condition as a condition expected to last one year or more that either requires ongoing medical attention to manage effectively or prevent adverse health events, or limits one or more activities of daily living. The bill changes language from "chronic or long-term condition" to "chronic health condition" and establishes that when a health insurance issuer requires prior authorization for a recurring healthcare service or maintenance medication for a chronic health condition, the approval will remain valid for the entire duration of the condition or treatment length, as determined by the patient's healthcare professional. This provision is significant because it provides more stability and continuity of care for patients with ongoing health conditions, ensuring they do not need to repeatedly seek prior authorization as long as their treatment remains consistent and the standard of care has not changed.

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3782&GAID=18&DocTypeID=HB&SessionID=114&GA=104