Bill > A09103

This bill establishes the "Health Insurance Preauthorization Disclosure Act," which requires health insurance companies and health care plans to provide participating healthcare providers with a comprehensive list of medical treatments and services that require preauthorization (prior approval before the service is performed). The bill mandates that these lists must be developed through consultation with medical specialty organizations and regional physicians, ensuring that the lists reflect current medical practices. Insurance companies and health care plans must update these lists annually, and they can only require preauthorization for services specifically included on the list. Additionally, if the insurance company or health plan wants to add a new service to the preauthorization list, they must provide at least 90 days' notice to participating healthcare providers. The act aims to increase transparency in the healthcare authorization process and provide clearer guidelines for both healthcare providers and insurance companies. The bill will take effect 60 days after becoming law, and the superintendent of financial services is authorized to implement necessary regulations to support the act's requirements.

Business and Industry

https://www.nysenate.gov/legislation/bills/2025/A9103