Bill > S04163

This bill enacts the "Health Insurance Preauthorization Disclosure Act", which requires health insurance companies and health care plans to provide participating physicians and healthcare providers with a comprehensive, regularly updated list of medical treatments and services that require preauthorization (also known as precertification). The bill mandates that these lists must be developed through consultation with medical specialty organizations and local physicians, ensuring that the requirements are medically sound and regionally appropriate. The lists must be updated at least annually, and any new services added to the preauthorization list must be communicated to providers with a minimum of 90 days' notice. Importantly, the bill stipulates that only services specifically included on these official lists can be subject to preauthorization, which aims to create more transparency and predictability in the healthcare insurance process. The act will take effect 60 days after becoming law, and the superintendent of financial services is authorized to develop necessary regulations to implement the bill's requirements. By creating clear guidelines and communication protocols, the bill seeks to streamline the preauthorization process and reduce administrative burdens for healthcare providers.

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https://www.nysenate.gov/legislation/bills/2025/S4163