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NY S03402
Bill
Status
1/31/2023
Primary Sponsor
Neil Breslin
Click for details
AI Summary
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Changes Public Health Law Section 4903(7) to deem failure by a utilization review agent to make a timely determination an automatic approval of health care services, rather than an adverse determination subject to appeal
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Changes Insurance Law Section 4903(g) with the same automatic approval provision for utilization review agent failures to meet determination deadlines
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Maintains that failure to meet time periods for step therapy protocol determinations or overrides shall still be deemed an override of the step therapy protocol
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Takes effect 30 days after becoming law
Legislative Description
Provides that the failure by the utilization review agent to make a determination within certain time periods shall be deemed to be an approval of the health care services.
Last Action
COMMITTED TO RULES
6/7/2024