Bill > A00562

This bill amends the insurance law and public health law to shorten the time frame during which an insurer must determine whether a pre-authorization request is medically necessary, from three business days to three days. This change applies to utilization review determinations involving health care services that require pre-authorization. The bill also includes provisions related to notifying the insured or enrollee and their healthcare provider about the determination, including whether the services are in-network or out-of-network, whether the insured will be held harmless for the services, and information on anticipated out-of-pocket costs for out-of-network services.

Business and Industry

https://www.nysenate.gov/legislation/bills/2021/A562