Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 22, 2024 |
print number 2680a |
Jan 22, 2024 |
amend (t) and recommit to insurance |
Jan 03, 2024 |
referred to insurance |
Jun 10, 2023 |
committed to rules |
May 24, 2023 |
advanced to third reading |
May 23, 2023 |
2nd report cal. |
May 22, 2023 |
1st report cal.1181 |
Jan 24, 2023 |
referred to insurance |
Senate Bill S2680A
2023-2024 Legislative Session
Sponsored By
(D, WF) 46th Senate District
Current Bill Status - In Senate Committee Insurance Committee
- 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
(D) 30th Senate District
(D, WF) 56th Senate District
(R, C) 60th Senate District
(D) 42nd Senate District
2023-S2680 - Details
- See Assembly Version of this Bill:
- A859
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §4902, Ins L; amd §4902, Pub Health L
- Versions Introduced in 2021-2022 Legislative Session:
-
S8299, A9908
2023-S2680 - Sponsor Memo
BILL NUMBER: S2680 SPONSOR: BRESLIN TITLE OF BILL: An act to amend the insurance law and the public health law, in relation to exempting health care professionals from preauthorization require- ments in certain circumstances PURPOSE: To establish an exemption from preauthorization requirements for health care professionals when their requests are regularly approved by health insurers. SUMMARY OF PROVISIONS: Amends Subsection (a) of section 4902 of the insurance law by adding a new paragraph 14 to establish an exemption from preauthorization requirements for health care professionals for a particular health care service if in the most recent 6-month evaluation period, the insurer has approved not less than 90% of the preauthorization requests submitted by
2023-S2680 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2680 2023-2024 Regular Sessions I N S E N A T E January 24, 2023 ___________ Introduced by Sens. BRESLIN, CLEARE, GALLIVAN, SKOUFIS -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance AN ACT to amend the insurance law and the public health law, in relation to exempting health care professionals from preauthorization require- ments in certain circumstances THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (a) of section 4902 of the insurance law is amended by adding a new paragraph 14 to read as follows: (14) ESTABLISHMENT OF AN EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR HEALTH CARE PROFESSIONALS PROVIDING HEALTH CARE SERVICES WHICH SHALL INCLUDE THAT: (I) AN INSURER THAT USES A PREAUTHORIZATION PROCESS FOR HEALTH CARE SERVICES SHALL NOT REQUIRE A HEALTH CARE PROFESSIONAL TO OBTAIN PREAU- THORIZATION FOR A PARTICULAR HEALTH CARE SERVICE IF, IN THE MOST RECENT SIX-MONTH EVALUATION PERIOD, THE INSURER HAS APPROVED NOT LESS THAN NINETY PERCENT OF THE PREAUTHORIZATION REQUESTS SUBMITTED BY SUCH HEALTH CARE PROFESSIONAL FOR THE PARTICULAR HEALTH CARE SERVICE; (II) THE INSURER SHALL EVALUATE WHETHER A HEALTH CARE PROFESSIONAL QUALIFIES FOR AN EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS UNDER SUBPARAGRAPH (I) OF THIS PARAGRAPH ONCE EVERY SIX MONTHS; (III) THE INSURER MAY CONTINUE AN EXEMPTION UNDER SUBPARAGRAPH (I) OF THIS PARAGRAPH WITHOUT EVALUATING WHETHER THE HEALTH CARE PROFESSIONAL QUALIFIES FOR THE EXEMPTION FOR A PARTICULAR EVALUATION PERIOD; (IV) A HEALTH CARE PROFESSIONAL SHALL NOT BE REQUIRED TO REQUEST AN EXEMPTION TO QUALIFY FOR THE EXEMPTION; (V) A HEALTH CARE PROFESSIONAL'S EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS UNDER SUBPARAGRAPH (I) OF THIS PARAGRAPH SHALL REMAIN IN EFFECT UNTIL: (A) THE THIRTIETH DAY AFTER THE DATE THE INSURER NOTIFIES THE HEALTH CARE PROFESSIONAL OF THE INSURER'S DETERMINATION TO RESCIND THE EXEMPTION PURSUANT TO SUBPARAGRAPH (VII) OF THIS PARAGRAPH IF THE HEALTH CARE PROFESSIONAL DOES NOT APPEAL SUCH DETERMINATION; OR
co-Sponsors
(D) 30th Senate District
(D, WF) 56th Senate District
(R, C) 60th Senate District
(D, WF) 33rd Senate District
2023-S2680A (ACTIVE) - Details
- See Assembly Version of this Bill:
- A859
- Current Committee:
- Senate Insurance
- Law Section:
- Insurance Law
- Laws Affected:
- Amd §4902, Ins L; amd §4902, Pub Health L
- Versions Introduced in 2021-2022 Legislative Session:
-
S8299, A9908
2023-S2680A (ACTIVE) - Sponsor Memo
BILL NUMBER: S2680A SPONSOR: BRESLIN TITLE OF BILL: An act to amend the insurance law and the public health law, in relation to requiring insurers and health plans to grant automatic preauthori- zation approvals to eligible health care professionals in certain circumstances PURPOSE: To remove unnecessary administrative requirements that impede timely patient access to medically necessary care, delay continuity of care, and divert health care professionals' time from delivering needed health care, by requiring insurers and health plans to grant automatic preau- thorization approvals to eligible health care professionals from preau- thorization requirements under certain circumstances SUMMARY OF PROVISIONS: Amends Subsection (a) of section 4902 of the insurance law by adding a
2023-S2680A (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2680--A 2023-2024 Regular Sessions I N S E N A T E January 24, 2023 ___________ Introduced by Sens. BRESLIN, CLEARE, COONEY, GALLIVAN, SKOUFIS -- read twice and ordered printed, and when printed to be committed to the Committee on Insurance -- recommitted to the Committee on Insurance in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said commit- tee AN ACT to amend the insurance law and the public health law, in relation to requiring insurers and health plans to grant automatic preauthori- zation approvals to eligible health care professionals in certain circumstances THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (a) of section 4902 of the insurance law is amended by adding a new paragraph 15 to read as follows: (15) ESTABLISHMENT OF AUTOMATIC PREAUTHORIZATION APPROVAL REQUIREMENTS FOR INSURERS TO PROVIDE TO HEALTH CARE PROFESSIONALS PROVIDING HEALTH CARE SERVICES WHICH SHALL INCLUDE THAT: (I) AN INSURER THAT USES A PREAUTHORIZATION PROCESS FOR HEALTH CARE SERVICES SHALL PROVIDE AN AUTOMATIC PREAUTHORIZATION APPROVAL TO A HEALTH CARE PROFESSIONAL FOR A PARTICULAR HEALTH CARE SERVICE, AS DEFINED UNDER THIS TITLE INCLUDING BUT NOT LIMITED TO HEALTH CARE PROCE- DURES, TREATMENTS, SERVICES, PHARMACEUTICAL PRODUCTS, SERVICES OR DURA- BLE MEDICAL EQUIPMENT IF, IN THE MOST RECENT SIX-MONTH EVALUATION PERI- OD, THE INSURER HAS APPROVED NOT LESS THAN NINETY PERCENT OF THE PREAUTHORIZATION REQUESTS SUBMITTED BY SUCH HEALTH CARE PROFESSIONAL FOR THE PARTICULAR HEALTH CARE SERVICE. FOR THE PURPOSES OF THIS REQUIRE- MENT, A PREAUTHORIZATION REQUEST SUBMITTED DURING THE EVALUATION PERIOD SHALL BE CONSIDERED AND COUNTED AS A SINGLE REQUEST AND SINGLE APPROVAL IF THE REQUEST WAS APPROVED AT ANY POINT BETWEEN THE DATE THE REQUEST WAS SUBMITTED BY THE HEALTH CARE PROFESSIONAL AND THE FINAL DETERMI- NATION BY THE INSURER, INCLUDING ANY RE-REVIEW OR APPEAL PROCESS. EACH EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02507-07-4
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