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NY A10250
Bill
Status
5/15/2024
Primary Sponsor
Michael Durso
Click for details
AI Summary
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Amends workers' compensation law to clarify that a board-maintained list of pre-authorized procedures is for expediting treatment authorization only and cannot be used to deny treatments not on the list.
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Removes the requirement that treating providers demonstrate appropriateness and medical necessity when requesting varied treatment not on the pre-authorized procedures list.
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Requires requests for varied treatment to comply only with the standard authorization procedures in the subdivision, including the 30-day deemed approval timeline and emergency treatment exceptions.
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Maintains existing authorization requirements for specialist consultations, surgical operations, therapy procedures, and diagnostic tests costing over $1,000, unless denied based on a conflicting second opinion from a board-authorized physician.
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Takes effect immediately upon enactment.
Legislative Description
Simplifies the procedure by which injured workers obtain treatment for injuries covered by the workers' compensation law; provides that the list of pre-authorized procedures is to be used only as a list of treatment that does not require insurance carrier approval.
Last Action
referred to labor
5/15/2024