A health insurance issuer shall periodically review its prior authorization requirements and consider removal of prior authorization requirements: (1) where a medication or procedure prescribed is customary and properly indicated or is a treatment for the clinical indication as supported by peer-reviewed medical publications; or (2) for patients currently managed with an established treatment regimen.
215 ILCS 200/50
Review of prior authorization requirements
Known as the Prior Authorization Reform Act
The act spans §§ 215-200-1 to 215-200-999 (23 sections).
P.A. 102-409, eff. 1-1-22.
Official source: Illinois General Assembly. Reproduced from public-domain Illinois statutes; confirm against the official source for the current text. Not legal advice.