Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Nov 14, 2016 |
signed chap.427 |
Nov 02, 2016 |
delivered to governor |
Mar 30, 2016 |
returned to senate passed assembly ordered to third reading cal.350 substituted for a6983a |
Mar 29, 2016 |
referred to health delivered to assembly passed senate |
Feb 25, 2016 |
advanced to third reading |
Feb 24, 2016 |
2nd report cal. |
Feb 09, 2016 |
1st report cal.181 |
Jan 06, 2016 |
referred to health returned to senate died in assembly |
Jun 17, 2015 |
referred to health delivered to assembly passed senate |
Jun 02, 2015 |
advanced to third reading |
Jun 01, 2015 |
2nd report cal. amended (t) 4721a |
May 28, 2015 |
1st report cal.1059 |
Apr 10, 2015 |
referred to health |
Senate Bill S4721A
Signed By Governor2015-2016 Legislative Session
Sponsored By
(R, C, IP) Senate District
Archive: Last Bill Status - Signed by Governor
- Introduced
-
- In Committee Assembly
- In Committee Senate
-
- On Floor Calendar Assembly
- On Floor Calendar Senate
-
- Passed Assembly
- Passed Senate
- Delivered to Governor
- Signed By Governor
Actions
Votes
Bill Amendments
co-Sponsors
(R, C) Senate District
2015-S4721 - Details
2015-S4721 - Sponsor Memo
BILL NUMBER:S4721 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 requiring 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 Insurance law.
2015-S4721 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4721 2015-2016 Regular Sessions I N S E N A T E April 10, 2015 ___________ 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 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04038-01-5
co-Sponsors
(R, C) Senate District
(R, C, IP) Senate District
2015-S4721A (ACTIVE) - Details
2015-S4721A (ACTIVE) - Sponsor Memo
BILL NUMBER:S4721A TITLE OF BILL: An act to amend the public health law and the insurance law, in relation to standards for prior authorization requests for a utilization review of prescription drug coverage PURPOSE: To reduce the administrative burden on health care providers by requiring 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 standards, taking into consideration existing electronic prior authorization standards including the National Council for Prescription Drug Programs (NCPDP), for requesting prior authorization for prescription medications. Once developed, health insurers would be required to follow these standards for the purpose of submitting a request for utilization review determination for coverage of prescription drug benefits. Section 2 would make corresponding changes to Section 4903 of the Insurance law.
2015-S4721A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4721--A Cal. No. 1059 2015-2016 Regular Sessions I N S E N A T E April 10, 2015 ___________ Introduced by Sens. HANNON, LARKIN -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- reported favorably from said committee, ordered to first report, amended on first report, ordered to a second report and ordered reprinted, retaining its place in the order of second report AN ACT to amend the public health law and the insurance law, in relation to standards for prior authorization requests 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 STANDARDS FOR PRIOR AUTHORIZATION REQUESTS 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 DEPARTMENT AND THE DEPARTMENT OF FINANCIAL SERVICES, IN DEVELOPMENT OF THE STANDARDS, SHALL TAKE INTO CONSIDERATION EXISTING ELECTRONIC PRIOR AUTHORIZATION STAND- ARDS INCLUDING NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS (NCPDP) ELECTRONIC PRIOR AUTHORIZATION STANDARD TRANSACTIONS. 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 STANDARDS FOR PRIOR AUTHORIZATION REQUESTS 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 DEPARTMENT AND THE DEPARTMENT OF HEALTH, IN DEVELOPMENT OF THE STANDARDS, SHALL TAKE INTO CONSIDERATION EXISTING ELECTRONIC PRIOR AUTHORIZATION STANDARDS INCLUD- ING NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS (NCPDP) ELECTRONIC PRIOR AUTHORIZATION STANDARD TRANSACTIONS. S 3. This act shall take effect immediately.
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