A 2352 New York Assembly · 2025 Regular Session

Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstance

This bill requires health insurers to automatically approve preauthorization requests for specific medical services when healthcare professionals (like doctors or nurses) have received approval for at least 90% of similar requests in the past six months. It directly affects healthcare providers who work with participating insurers and ensures insurers must pay for covered services without delay or reduction once automatic approval is granted. Key provisions include annual reviews (by November 15th) to maintain approval status, a 30-day notice period before rescinding approvals, and a guarantee that insurers cannot deny payment for services covered under the automatic approval. The law aims to reduce administrative delays for providers while maintaining insurer oversight through retrospective reviews.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 16, 2025 Last action Jan 7, 2026