Bill
Bill > S00586
NY S00586
NY S00586Establishes a mandated window of five business days for both Medicaid and private insurers to respond to pre-authorization claims for testing and/or treatments made by physicians on behalf of oncology patients.
summary
Introduced
01/08/2025
01/08/2025
In Committee
01/07/2026
01/07/2026
Crossed Over
Passed
Dead
Introduced Session
2025-2026 General Assembly
Bill Summary
AN ACT to amend the insurance law, in relation to establishing a mandated window of five business days for both Medicaid and private insurers to respond to pre-authorization claims for testing and/or treatments made by physicians on behalf of oncology patients
AI Summary
This bill establishes a mandatory five-business-day response window for both Medicaid and private insurers when physicians submit pre-authorization claims for oncology patients' testing or treatments. Specifically, if an insurer does not respond to a pre-authorization claim within five business days, the physician is automatically authorized to proceed with the recommended lifesaving testing, treatment, or procedure, and the insurer will be required to cover the cost of care. The bill aims to expedite critical medical care for cancer patients by creating a clear timeline for insurers to review and approve physicians' proposed treatments, reducing potential delays that could negatively impact patient health. The legislation would amend the New York insurance law to add this new requirement, and it is set to take effect immediately upon enactment.
Committee Categories
Business and Industry
Sponsors (3)
Last Action
REFERRED TO INSURANCE (on 01/07/2026)
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/2025/S586 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=S00586&term=2025&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#S00586 |
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