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NY A01462
Bill
Status
1/9/2025
Primary Sponsor
Pamela Hunter
Click for details
AI Summary
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Requires private insurers and Medicaid to respond to pre-authorization claims for oncology patients within 5 business days
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Applies specifically to pre-authorization requests filed by physicians for testing, treatments, or procedures for cancer patients
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Authorizes physicians to proceed with lifesaving testing, treatment, or procedures if insurers fail to respond within the 5-day window
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Makes insurers liable for payment covering the prescribed care when they fail to meet the response deadline
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Takes effect immediately upon passage
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
1/7/2026