Bill

Bill > A03127


NY A03127

NY A03127
Allows for treatment costing less than $1,500 to be done without prior approval, and more clearly defines the list of "pre-authorized procedures" as a floor on treatment as opposed to its current status as a ceiling; allows non-network providers of testing to be compensated at the provider network rate negotiated by the carrier.


summary

Introduced
01/23/2025
In Committee
01/23/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 General Assembly

Bill Summary

AN ACT to amend the workers' compensation law, in relation to workers' access to treatment

AI Summary

This bill modifies the workers' compensation law to make two key changes: First, it increases the threshold for treatment requiring prior authorization from $1,000 to $1,500, meaning medical procedures or tests costing less than $1,500 can be performed without explicit pre-approval from the employer or workers' compensation board. Second, the bill clarifies the status of the board's "pre-authorized procedures" list, specifying that it should be seen as a minimum set of approved treatments rather than a restrictive ceiling. Additionally, the bill introduces a provision that non-network providers performing diagnostic tests costing over $1,500 (such as MRI or x-ray examinations) will be compensated at the same rate as network providers. These changes aim to streamline medical treatment for injured workers by reducing bureaucratic barriers and ensuring fair compensation for medical providers, while maintaining provisions that allow for varied treatment when medically necessary.

Committee Categories

Labor and Employment

Sponsors (16)

Last Action

referred to labor (on 01/23/2025)

bill text


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