Bill
Bill > S04838
NY S04838
NY S04838Shortens time frames during which an insurer has to determine whether a pre-authorization request is medically necessary from three business days to three days.
summary
Introduced
02/16/2021
02/16/2021
In Committee
01/05/2022
01/05/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
2021-2022 General Assembly
Bill Summary
AN ACT to amend the insurance law and the public health law, in relation to shortening time frames during which an insurer has to determine whether a pre-authorization request is medically necessary
AI Summary
This bill amends the insurance law and the 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 specifies the information that must be included in the notification provided to the insured or enrollee and their health care provider regarding the determination.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
REFERRED TO INSURANCE (on 01/05/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.nysenate.gov/legislation/bills/2021/S4838 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=S04838&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#S04838 |
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