Bill > A06278

This bill amends existing insurance laws to require health insurance providers, including traditional insurers, corporation health plans, and health maintenance organizations (HMOs), to allow insured individuals to request electronic notifications within thirty days when a prescription requires prior authorization. Prior authorization is a process where healthcare providers must obtain approval from an insurance company before a specific medication can be prescribed or covered. The bill modifies sections of New York's insurance law and public health law to add this requirement, specifically inserting language that mandates insurers provide an option for electronic notification to patients when a prescribed medication needs additional approval from the insurance company before it can be filled. This change aims to improve patient communication and transparency by ensuring individuals are promptly informed about potential obstacles to obtaining their prescribed medications. The new provision applies across different types of health insurance plans and will take effect immediately upon passage.

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https://www.nysenate.gov/legislation/bills/2025/A6278