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HB 5510 – Illinois
Status: Inactive / DeadYear Introduced: 2020
Link: http://www.ilga.gov/legislation/BillStatus.asp?DocNum=5510&GAID=15&DocTypeID=HB&SessionID=108&GA=101
PRIOR AUTHORIZATION REFORM ACT. Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review program, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review program’s obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review program shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review program fails to comply with the requirements of the Act.
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