SB00006: An Act Concerning Utilization Review And Health Care Contracts, Health Insurance Coverage For Newborns And Step Therapy.

Legislative Summary

To: (1) Establish a utilization review exemption standard for certain participating providers; (2) require that each health carrier process utilization review requests more efficiently; (3) require that each health carrier develop an electronic prior authorization process; (4) extend the time period within which an insured shall provide notice of the birth of a newborn and pay any required premium or subscription fee to continue the newborn's coverage beyond such period; (5) prohibit health carriers from requiring the use of step therapy for drugs prescribed to treat behavioral health conditions or chronic, disabling or life-threatening conditions or diseases; and (6) to prohibit health carriers from requiring utilization review of a health care service or prescription drug after it has been certified through utilization review.