Bill > S05710

This bill modifies the public health law to improve the administration of the medical indemnity fund, which is a fund designed to help manage healthcare costs for qualified plaintiffs. The bill requires any regulation that mandates prior authorization (a process where healthcare providers must get approval before certain medical services or treatments are covered) to establish a direct submission mechanism for healthcare providers to submit prior authorization requests to the fund. Additionally, the bill mandates that the medical indemnity fund administrator must notify qualified plaintiffs about which healthcare costs will be paid from the fund and which will not, and do so within a reasonably prompt timeframe. The bill also includes provisions for ongoing financial monitoring of the fund, including quarterly actuarial calculations that will be publicly posted, and stipulates that if the fund's liabilities reach 80% of its assets, new enrollments will be suspended. The changes are intended to increase transparency, efficiency, and financial sustainability of the medical indemnity fund. The bill will take effect immediately, with sections one and two becoming effective 90 days after becoming law.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S5710