"Urgent health care service"

Sec. 8.1. As used in this chapter, "urgent health care service" means a health care service in which the application of the time period for making a nonexpedited prior authorization, in the opinion of a physician with knowledge of the covered individual's medical condition, could: (1) seriously jeopardize: (A) the life or health of the covered individual; or (B) the covered individual's ability to regain maximum function; or (2) subject the covered individual to severe pain that cannot be adequately managed without the health care service. The term includes a mental and behavioral health care service. As added by P.L.144-2025, SEC.16.