relative to prior authorizations for health care.

This bill establishes new definitions and rules for prior authorization processes used by health insurance carriers and utilization review entities in New Hampshire. It requires these organizations to create written clinical review criteria based on current medical standards and to update them at least every two years with input from practicing providers. The law mandates that prior authorization requirements be clearly published on carrier websites in plain language and that providers receive at least 60 days' notice before any new restrictions take effect. Additionally, the bill ensures that medical necessity decisions are made by qualified health care providers under the direction of a licensed medical director.