| Date of Action |
Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|---|---|
| May 14, 2014 |
referred to health |
Senate Bill S7369
2013-2014 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - In Senate Committee Health Committee
Actions
2013-S7369 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A9765
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4903, Pub Health L; amd §4903, Ins L
- Versions Introduced in 2015-2016 Legislative Session:
-
S4721, A6983
2013-S7369 (ACTIVE) - Sponsor Memo
BILL NUMBER:S7369
TITLE OF BILL: An act to amend the public health law and the insurance
law, in relation to a standard prior authorization request form for a
utilization review of prescription drug coverage
PURPOSE:
To reduce the administrative burden on health care providers by requir-
ing greater standardization among insurance companies for the purposes
of making prior authorization requests for needed patient treatments.
SUMMARY OF PROVISIONS:
Section 1 of the bill would amend section 4903 of the Public Health Law
to require the New York State Department of Health and the New York
State Department of Financial Services to develop a standardized form
for requesting prior authorization for prescription medications. Once
developed, health insurers would be required to accept this form from
health care providers seeking prior authorization for necessary
prescription medications for their patients.
Section 2 would make corresponding changes to Section 4903 of the Insur-
ance law
JUSTIFICATION:
2013-S7369 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K
________________________________________________________________________
7369
I N S E N A T E
May 14, 2014
___________
Introduced by Sen. HANNON -- read twice and ordered printed, and when
printed to be committed to the Committee on Health
AN ACT to amend the public health law and the insurance law, in relation
to a standard prior authorization request form for a utilization
review of prescription drug coverage
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. Section 4903 of the public health law is amended by adding
a new subdivision 8 to read as follows:
8. THE COMMISSIONER, IN CONJUNCTION WITH THE SUPERINTENDENT OF FINAN-
CIAL SERVICES, SHALL DEVELOP A STANDARD PRIOR AUTHORIZATION REQUEST FORM
TO BE UTILIZED BY ALL HEALTH CARE PLANS FOR THE PURPOSES OF SUBMITTING A
REQUEST FOR A UTILIZATION REVIEW DETERMINATION FOR COVERAGE OF
PRESCRIPTION DRUG BENEFITS UNDER THIS ARTICLE. THE FORM SHALL BE IDENTI-
CAL TO THAT DEVELOPED PURSUANT TO SECTION FOUR THOUSAND NINE HUNDRED
THREE OF THE INSURANCE LAW. EACH HEALTH CARE PLAN SHALL MAKE THE STAND-
ARD PRIOR AUTHORIZATION REQUEST FORM AVAILABLE TO, AND SHALL ACCEPT IT
FROM, PRESCRIBING PROVIDERS IN PAPER AND ELECTRONIC FORM. THE DEPARTMENT
AND THE DEPARTMENT OF FINANCIAL SERVICES, IN DEVELOPMENT OF THE STAND-
ARDIZED FORM, SHALL TAKE INTO CONSIDERATION EXISTING PRIOR AUTHORIZATION
FORMS ESTABLISHED BY THE DEPARTMENT PURSUANT TO SECTION THREE HUNDRED
SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW.
S 2. Section 4903 of the insurance law is amended by adding a new
subsection (h) to read as follows:
(H) THE SUPERINTENDENT, IN CONJUNCTION WITH THE COMMISSIONER OF
HEALTH, SHALL DEVELOP A STANDARD PRIOR AUTHORIZATION REQUEST FORM TO BE
UTILIZED BY ALL HEALTH CARE PLANS FOR THE PURPOSES OF SUBMITTING A
REQUEST FOR A UTILIZATION REVIEW DETERMINATION FOR COVERAGE OF
PRESCRIPTION DRUG BENEFITS UNDER THIS ARTICLE. THE FORM SHALL BE IDENTI-
CAL TO THAT DEVELOPED PURSUANT TO SECTION FORTY-NINE HUNDRED THREE OF
THE PUBLIC HEALTH LAW. EACH HEALTH CARE PLAN SHALL MAKE THE STANDARD
PRIOR AUTHORIZATION REQUEST FORM AVAILABLE TO, AND SHALL ACCEPT IT FROM,
PRESCRIBING PROVIDERS IN PAPER AND ELECTRONIC FORM. THE DEPARTMENT AND
THE DEPARTMENT OF HEALTH, IN DEVELOPMENT OF THE STANDARDIZED FORM, SHALL
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
Comments
Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.
Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.
Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.