Bill > A01936

This bill amends the Public Health Law to improve the prior authorization and payment processes for the Medical Indemnity Fund (MIF), which provides financial support for medical expenses related to certain healthcare claims. The bill requires regulations that mandate prior authorization to establish a direct submission mechanism for healthcare providers to submit requests to the fund, ensuring a more streamlined process. Additionally, the bill mandates that the fund administrator must notify qualified plaintiffs about which healthcare costs are eligible for payment from the fund and which are not, and do so within a reasonably prompt timeframe. The bill also includes provisions for ongoing financial management of the fund, such as requiring quarterly actuarial calculations to be publicly posted and ensuring the fund maintains sufficient assets to cover its liabilities. The changes are designed to increase transparency, efficiency, and communication in the fund's operations, with most provisions taking effect 90 days after the bill becomes law. The bill aims to improve the process for healthcare providers and plaintiffs who rely on the Medical Indemnity Fund for covering qualifying medical expenses.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A1936