This bill requires private health insurance plans to use secure electronic systems for prior authorization requests for prescription drugs, starting January 1, 2027. Prior authorization is the process where doctors must get approval from insurance companies before prescribing certain medications. Currently, many insurers accept requests by fax or through proprietary online portals, which can slow down patient access to needed drugs. The legislation affects all group and individual health plans offered by private insurers. The bill does not specify funding amounts, but it directs the Department of Health and Human Services to work with other federal agencies, industry standards organizations, and stakeholders to establish common technical standards that all insurers must follow for these electronic transmissions. The goal is to streamline the prior authorization process and reduce delays in patients receiving prescribed medications.
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