Assembly Bill A10301A

2023-2024 Legislative Session

Relates to prior authorization and payments from the medical indemnity fund

download bill text pdf

Sponsored By

Current Bill Status - In Assembly 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

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Bill Amendments

co-Sponsors

2023-A10301 - Details

See Senate Version of this Bill:
S7049
Current Committee:
Assembly Ways And Means
Law Section:
Public Health Law
Laws Affected:
Amd §§2999-j & 2999-i, Pub Health L

2023-A10301 - Summary

Requires any regulation that mandates prior authorization to establish a mechanism for submission of requests for prior authorization by health care providers directly to the medical indemnity fund; requires the medical indemnity fund administrator to notify qualified plaintiffs which costs are qualifying health care costs to be paid from the fund and which are not within a reasonably prompt period of time.

2023-A10301 - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   10301
 
                           I N  A S S E M B L Y
 
                               May 17, 2024
                                ___________
 
 Introduced  by  COMMITTEE ON RULES -- (at request of M. of A. Paulin) --
   read once and referred to the Committee on Health
 
 AN ACT to amend the public health law, in  relation  to  prior  authori-
   zation and payments from the medical indemnity fund
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Paragraph (b) of subdivision 2 of  section  2999-j  of  the
 public  health  law,  as amended by section 3 of part K of chapter 57 of
 the laws of 2019, is amended and a new paragraph (b-1) is added to  read
 as follows:
   (b)  if  any  prior  authorization is required by such regulation, the
 regulation shall require that requests for prior authorization be  proc-
 essed  within  a  reasonably  prompt period of time and shall identify a
 process for prompt administrative review of any denial of a request  for
 prior authorization; [and]
   (B-1)  IF  ANY PRIOR AUTHORIZATION IS REQUIRED BY SUCH REGULATION, THE
 REGULATION SHALL REQUIRE ESTABLISHING  A  MECHANISM  FOR  SUBMISSION  OF
 REQUESTS  FOR  PRIOR  AUTHORIZATION BY HEALTH CARE PROVIDERS DIRECTLY TO
 THE FUND; AND
   § 2. Paragraph (b) of subdivision 8 of section 2999-j  of  the  public
 health  law,  as added by section 52 of part H of chapter 59 of the laws
 of 2011, is amended and a new paragraph (c) is added to read as follows:
   (b) thereupon certify to the  commissioner  of  taxation  and  finance
 those costs that have been determined to be qualifying health care costs
 to be paid from the fund[.]; AND
   (C)  NOTIFY THE QUALIFIED PLAINTIFF WHICH OF SUCH COSTS ARE QUALIFYING
 HEALTH CARE COSTS TO BE PAID FROM THE FUND  ALONG  WITH  WHICH  OF  SUCH
 COSTS ARE NOT QUALIFYING HEALTH CARE COSTS TO BE PAID FROM THE FUND IN A
 REASONABLY PROMPT PERIOD OF TIME.
   §  3.  Subdivision  5  and  paragraph  (a) of subdivision 6 of section
 2999-i of the public health law, as amended by section 2 of  part  K  of
 chapter 57 of the laws of 2019, are amended to read as follows:
   5. For the state fiscal year beginning April first, two thousand elev-
 en  and ending March thirty-first, two thousand twelve, the state fiscal
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

co-Sponsors

2023-A10301A (ACTIVE) - Details

See Senate Version of this Bill:
S7049
Current Committee:
Assembly Ways And Means
Law Section:
Public Health Law
Laws Affected:
Amd §§2999-j & 2999-i, Pub Health L

2023-A10301A (ACTIVE) - Summary

Requires any regulation that mandates prior authorization to establish a mechanism for submission of requests for prior authorization by health care providers directly to the medical indemnity fund; requires the medical indemnity fund administrator to notify qualified plaintiffs which costs are qualifying health care costs to be paid from the fund and which are not within a reasonably prompt period of time.

2023-A10301A (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                 10301--A
 
                           I N  A S S E M B L Y
 
                               May 17, 2024
                                ___________
 
 Introduced  by  COMMITTEE  ON  RULES  -- (at request of M. of A. Paulin,
   Sayegh) -- read once and  referred  to  the  Committee  on  Health  --
   reported  and referred to the Committee on Ways and Means -- committee
   discharged, bill amended, ordered reprinted as amended and recommitted
   to said committee
 
 AN ACT to amend the public health law, in  relation  to  prior  authori-
   zation and payments from the medical indemnity fund
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraph (b) of subdivision 2 of  section  2999-j  of  the
 public  health  law,  as amended by section 3 of part K of chapter 57 of
 the laws of 2019, is amended and a new paragraph (b-1) is added to  read
 as follows:
   (b)  if  any  prior  authorization is required by such regulation, the
 regulation shall require that requests for prior authorization be  proc-
 essed  within  a  reasonably  prompt period of time and shall identify a
 process for prompt administrative review of any denial of a request  for
 prior authorization; [and]
   (B-1)  IF  ANY PRIOR AUTHORIZATION IS REQUIRED BY SUCH REGULATION, THE
 REGULATION SHALL REQUIRE ESTABLISHING  A  MECHANISM  FOR  SUBMISSION  OF
 REQUESTS  FOR  PRIOR  AUTHORIZATION BY HEALTH CARE PROVIDERS DIRECTLY TO
 THE FUND; AND
   § 2. Paragraph (b) of subdivision 8 of section 2999-j  of  the  public
 health  law,  as added by section 52 of part H of chapter 59 of the laws
 of 2011, is amended and a new paragraph (c) is added to read as follows:
   (b) thereupon certify to the  commissioner  of  taxation  and  finance
 those costs that have been determined to be qualifying health care costs
 to be paid from the fund[.]; AND
   (C)  NOTIFY THE QUALIFIED PLAINTIFF WHICH OF SUCH COSTS ARE QUALIFYING
 HEALTH CARE COSTS TO BE PAID FROM THE FUND  ALONG  WITH  WHICH  OF  SUCH
 COSTS ARE NOT QUALIFYING HEALTH CARE COSTS TO BE PAID FROM THE FUND IN A
 REASONABLY PROMPT PERIOD OF TIME.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11112-04-4
 A. 10301--A                         2
              

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