Health insurers and independent review organizations must complete medical necessity determinations within revised timeframes.
AN ACT relating to the insurance code; amending the number of days a health insurer has to determine the medical necessity of a health care service; amending the number of days an independent review organization has to make an external review determination regarding medical necessity of a health care service; and providing for an effective date.
Sponsor:
Co-sponsors: Representative(s) Erickson, Senator(s) Brennan
Reduces the timeline for health insurers and independent review organizations to make medical necessity determinations from 45 days to 21 days.
Effective: July 1, 2026
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3/3/2026(House)
H:Died in Committee Returned Bill Pursuant to HR 5-4
3/3/2026(House)
H No report prior to CoW Cutoff
2/23/2026(House)
H Introduced and Referred to H10 - Labor
2/20/2026(House)
H Received for Introduction
2/20/2026(Senate)
2/19/2026(Senate)
S 2nd Reading:Passed
2/18/2026(Senate)
S COW:Passed
2/16/2026(Senate)
S Placed on General File
2/16/2026(Senate)
S10 - Labor:Recommend Do Pass 5-0-0-0-0
2/13/2026(Senate)
S Introduced and Referred to S10 - Labor 30-1-0-0-0
2/11/2026(Senate)
S Received for Introduction
2/11/2026(LSO)
Bill Number Assigned
S 3rd Reading:Passed 29-2-0-0-0
Key VotePassedYea: Anderson, Boner, Brennan, Cooper, Crago, Crum, Dockstader, Driskill, French, Hutchings, Gierau, Hicks, Ide, Jones, Landen, Kolb, Laursen, Love, McKeown, Nethercott, Olsen, Pappas, Pearson, Rothfuss, Salazar, Schuler, Scott, Steinmetz, Biteman
Nay: Barlow, Case
S10 - Labor:Recommend Do Pass 5-0-0-0-0
RecommendedYea: CRUM, HUTCHINGS, SCOTT, STEINMETZ, BRENNAN
S Introduced and Referred to S10 - Labor 30-1-0-0-0
UnknownYea: Anderson, Barlow, Boner, Brennan, Cooper, Crago, Crum, Dockstader, Driskill, French, Gierau, Hutchings, Hicks, Ide, Jones, Kolb, Laursen, Landen, Love, McKeown, Olsen, Nethercott, Pearson, Pappas, Rothfuss, Schuler, Salazar, Scott, Steinmetz, Biteman
Nay: Case