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SB27 Alabama 2022 Session

Updated Feb 26, 2026
Notable

Summary

Primary Sponsor
Tom Butler
Tom ButlerSenator
Republican
Session
Regular Session 2022
Title
Health care, require health insurer to act on prior authorization request or supplementation to prior authorization request within 72 hours of receipt with regard to prescriptions
Summary

SB27 would require health insurers to notify prescribing professionals within three business days of a prescription drug prior authorization decision, and again within three days after any required supplementation.

What This Bill Does

If passed, the bill sets a strict three-day deadline for insurers to tell prescribers whether a prior authorization for a prescription drug is approved, denied, or needs more information. If additional information is requested (supplementation), the insurer must respond within three days after receiving it. The bill also defines key terms and allows communication by electronic means, phone, or fax. It becomes law on the first day of the third month after it is passed and the governor signs it.

Who It Affects
  • Prescribers (doctors and other professionals who prescribe drugs) would receive faster, clearer updates about coverage decisions, helping them manage patient care.
  • Health insurers and their staff would need to implement the 3-day communication timelines for initial decisions and for responses after supplementation.
Key Provisions
  • Within three business days of receipt of a fully completed prior authorization request, the insurer must tell the prescriber if the request is approved, denied, or requires supplementation.
  • Within three business days of receiving properly completed supplementation, the insurer must tell the prescriber whether the request is approved or denied.
  • Definitions for health insurer, prescriber, prior authorization, and supplementation are provided to guide implementation.
  • Communication may occur electronically, by telephone, or by facsimile.
  • The act becomes effective on the first day of the third month after passage and governor approval.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Health Care

Bill Actions

S

Read for the first time and referred to the Senate committee on Banking and Insurance

Bill Text

Documents

Source: Alabama Legislature