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NY A01936

Bill

Status

Introduced

1/14/2025

Primary Sponsor

Amy Paulin

Click for details

Origin

Assembly

2025-2026 General Assembly

AI Summary

  • Requires regulations to establish a mechanism for health care providers to submit prior authorization requests directly to the medical indemnity fund

  • Mandates the fund administrator notify qualified plaintiffs which costs qualify for payment from the fund and which do not within a reasonably prompt timeframe

  • Beginning April 1, 2026, requires deposits to the fund equal to the funding level necessary to ensure liabilities do not reach or exceed 80% of the fund's assets

  • Requires actuarial calculations within 60 days of annual deposits and quarterly thereafter, with results posted publicly on the department's website within 30 days of completion

  • Requires 60 days' public website notice before suspending new enrollments, and mandates the fund continue accepting new enrollments through the fiscal year ending March 31, 2026

Legislative Description

Requires any regulation that mandates prior authorization to establish a mechanism for submission of requests for prior authorization by health care providers directly to the medical indemnity fund; requires the medical indemnity fund administrator to notify qualified plaintiffs which costs are qualifying health care costs to be paid from the fund and which are not within a reasonably prompt period of time.

Last Action

referred to health

1/7/2026

Committee Referrals

Health1/14/2025

Full Bill Text

No bill text available