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NY A06205
Bill
Status
Introduced
2/27/2025
Primary Sponsor
Michael Durso
Click for details
AI Summary
- Clarifies that the list of pre-authorized workers' compensation procedures exists "solely" to expedite treatment authorization for injured workers
- Prohibits employers and insurers from using the pre-authorized procedures list as a basis to deny treatments not included on the list
- Removes the requirement that treating providers must demonstrate "appropriateness and medical necessity" for varied treatments outside the pre-authorized list
- Requires requests for varied treatment to only comply with existing authorization procedures, including the 30-day response deadline and emergency exceptions
- Maintains the $1,000 threshold for specialist consultations, surgeries, therapy, x-rays, and diagnostic tests requiring employer or board authorization
Legislative Description
Simplifies the procedure by which injured workers obtain treatment for injuries covered by the workers' compensation law; provides that the list of pre-authorized procedures is to be used only as a list of treatment that does not require insurance carrier approval.
Last Action
referred to labor
1/7/2026
Committee Referrals
Labor2/27/2025
Full Bill Text
No bill text available