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Bill > S01225


NY S01225

NY S01225
Requires periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or medical evidence.


summary

Introduced
01/08/2025
In Committee
03/05/2026
Crossed Over
03/05/2026
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the social services law, in relation to requiring periodic reviews of pending applications for material change in the coverage status of certain matters relative to new health technology assessment or medical evidence

AI Summary

This bill amends the social services law to establish a more structured and transparent process for reviewing pending applications related to health technology and medical services. Specifically, the commissioner of health must now conduct periodic reviews of applications for material changes in coverage status, with several key requirements: the department must notify applicants within 30 days if an application is incomplete, publish application receipts on their website within 7 days, and schedule reviews with public notice. After reviewing an application, the commissioner must issue a report within 30 days detailing the application date, review date, and a determination of whether the evidence is sufficient to warrant further committee deliberation. If the evidence is deemed sufficient, the committee must provide a recommendation within 6 months; if insufficient, the applicant can address deficiencies and resubmit. The bill also mandates that the committee consider public input, allow interested parties to make presentations, and ensure that systematic, evidence-based assessments of health technologies or services are conducted and made publicly available. The goal appears to be increasing transparency and thoroughness in evaluating potential changes to health technology and medical service coverage.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

referred to health (on 03/05/2026)

bill text


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