Relating to: prior authorization for coverage of physical therapy, occupational therapy, speech therapy, chiropractic services, and other services under health plans.

AB 368 prevents health insurance plans from requiring prior authorization for the first 12 visits of physical therapy, occupational therapy, speech therapy, or chiropractic care per treatment episode. It also eliminates prior authorization for non-drug pain management (like therapy) for chronic pain patients during the first 90 days of treatment (up to twice weekly). Health plans must explain coverage denials in plain language, apply similar copays for these therapies as for primary care, and decide on reauthorization requests within 3 business days. This bill directly affects patients seeking these services, healthcare providers, and all health benefit plans or self-insured employer health plans in the state.