Prior authorization regulations.

Wyoming's HB 14, the "Ensuring Transparency in Prior Authorization Act," requires health insurers and contracted utilization review entities (like HMOs and PPOs) to make prior authorization requirements clearly accessible online and provide written notice 60 days before changes. It mandates that insurers disclose these requirements to healthcare providers within 24 hours of request and prohibits new restrictions without updating their website first. The bill defines key terms like "urgent health care service" (including mental health care) and "adverse determination" to clarify when coverage is denied based on medical necessity. This directly affects patients, healthcare providers, and insurers by standardizing how prior authorization decisions are communicated and implemented.