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NY A10679

Bill

Status

Introduced

8/28/2024

Primary Sponsor

Pamela Hunter

Click for details

Origin

Assembly

2023-2024 General Assembly

AI Summary

  • Amends Insurance Law Section 3238(a) to require Medicaid and private insurers to respond to pre-authorization claims for oncology patients within five business days of filing
  • Physicians may proceed with lifesaving testing, treatment, or procedures if insurers fail to render a decision and notify the physician within the five business day window
  • Insurers become liable for payment of the prescribed method of care if they fail to respond within the mandated timeframe
  • Takes effect immediately upon enactment

Legislative Description

Establishes a mandated window of five business days for both Medicaid and private insurers to respond to pre-authorization claims for testing and/or treatments made by physicians on behalf of oncology patients.

Last Action

referred to insurance

8/28/2024

Committee Referrals

Insurance8/28/2024

Full Bill Text

No bill text available