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NY A00842
Bill
Status
1/11/2023
Primary Sponsor
Latoya Joyner
Click for details
AI Summary
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Requires health insurance companies and health care plans to provide participating physicians and health care providers with an updated list of services requiring preauthorization or precertification.
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Mandates that preauthorization lists be developed in consultation with relevant medical specialty organizations and appropriately trained physicians practicing in the region served by the insurer or plan.
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Restricts preauthorization requirements to only those services appearing on the official list; prohibits insurers from requiring preauthorization for services not listed.
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Requires health insurance companies and plans to update preauthorization lists annually or more frequently as appropriate and provide a minimum of 90 days notice before adding any new services to the list.
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Takes effect 60 days after enactment; authorizes the superintendent of financial services to promulgate rules and regulations for implementation.
Legislative Description
Enacts the "health insurance preauthorization disclosure act"; requires health insurance companies to provide participating health care providers with a list of health care treatments and services that require preauthorization from the health insurance company.
Last Action
enacting clause stricken
1/10/2024