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NY S09858
Bill
Status
6/6/2024
Primary Sponsor
Roxanne Persaud
Click for details
AI Summary
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Establishes a five business day response deadline for private insurers and Medicaid to make decisions on pre-authorization claims for oncology patients submitted by physicians.
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Authorizes treating physicians to proceed with lifesaving testing, treatment, or procedures if insurers fail to respond within the five business day window.
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Makes insurers liable for payment of prescribed treatments if decisions are not rendered and communicated to the physician within the mandated five business day period.
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Amends Section 3238(a) of New York Insurance Law by adding a new paragraph 7 to establish these requirements.
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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 RULES
6/6/2024