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. (1) seriously jeopardize:

   1. (A) the life or health of the covered individual; or
   2. (B) the covered individual's ability to regain maximum function; or

2. (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.