LB77-The Ensuring Transparency in Prior Authorization Act Sec. (7) (1)

(1) Prior to January 1, 2028, if a utilization review agent requires prior authorization of a health care service, the utilization review agent shall make a decision on the prior authorization request and provide notice of its decision to the enrollee and the enrollee’s health care provider in accordance with the following timeframes:

(a) For a prior authorization request for urgent health care services, within seventy-two hours after obtaining all necessary
information to make a decision; or

(b) For a prior authorization request for nonurgent health care services, within seven days after obtaining all necessary information to make a decision.