Relating To The Patients' Bill Of Rights.
Establishes patient rights with respect to timely access to specialists and referrals and prior authorization determination timelines. Establishes certain requirements for health carriers for prior authorization determinations. Establishes certain requirements for the use of automated decision support tools for claims determinations and utilization review. Requires health carriers to establish certain safeguards for protected health information. Establishes certain reporting requirements for network adequacy. Establishes certain provider protections. Expands the Insurance Commissioner's enforcement authority.
Prior Authorization
Reporting Requirements
Artificial Intelligence
Utilization Review
Insurance Commissioner
Patients' Bill of Rights and Responsibilities
Automated Decision Support Tools
Protected Health Information
Data Protection
Offshoring
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{# E23 (Nick, ruling section 1 answer 10): quoting a bill or a court opinion works
the way quoting a news article works. Select a passage above and the same panel
opens: the passage goes to the official you choose, with this document's own
address as its source and its own type. #}