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NY S04792
Bill
Status
Engrossed
6/5/2024
Primary Sponsor
Gustavo Rivera
Click for details
AI Summary
- Adds nursing home care following inpatient hospital admission to utilization review requirements in both Public Health Law and Insurance Law
- Requires utilization review agents to make determinations on nursing home care requests within 24 hours when submitted at least 24 hours prior to discharge from inpatient admission
- Prohibits denial of nursing home care coverage based on medical necessity or lack of prior authorization while a utilization review determination is pending, if the request was submitted at least 24 hours before discharge
- Applies same expedited review timeline and coverage protections to nursing home care as currently exist for inpatient substance use disorder treatment
- Takes effect 90 days after becoming law
Legislative Description
Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request.
Last Action
referred to health
6/5/2024
Committee Referrals
Health6/5/2024
Health2/14/2023
Full Bill Text
No bill text available