NY A05703

Requires the Commissioner of Health to authorize all fiscal intermediaries that submit timely authorization requests before January 1, 2026, replacing the previous competitive contract procurement process

Prohibits any entity from providing fiscal intermediary services without receiving authorization from the commissioner or having a pending authorization under review

Mandates detailed application requirements including organization history, officer/director information, policies and procedures, consumer input plans, and disclosure of pending litigation or fraud convictions

Requires the commissioner to approve all applications demonstrating the ability to provide fiscal intermediary services, with denied applicants receiving a written explanation and 60 days to submit additional information for reconsideration

Redefines "statewide fiscal intermediary" to include entities with contracts through local social services departments, Article 44 licensed organizations, accountable care organizations, or integrated delivery systems