Bill > S06217

This bill amends 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, it clarifies the status of the "pre-authorized procedures" list, specifying that this list should be used to expedite treatment authorization and should not be a barrier to varied or alternative treatments not specifically included on the list. Additionally, the bill mandates that non-network providers performing diagnostic tests, x-ray examinations, or imaging studies costing more than $1,500 must be compensated at the same rate as in-network providers, ensuring fair payment for medical services rendered to injured workers. These changes aim to streamline the workers' compensation treatment process, provide more flexibility for medical providers, and ensure timely and appropriate medical care for workers who have been injured on the job.

Labor and Employment

https://www.nysenate.gov/legislation/bills/2025/S6217