S 5353 New York Senate · 2025 Regular Session

Enacts the "Automobile Insurance Fraud Prevention Act of 2025"

This bill requires auto insurers to pay claims within 30 days of receiving proof of loss or deny them within that timeframe, with late payments accruing 2% monthly interest. It mandates that medical necessity denials must be reviewed by licensed healthcare providers and requires insurers to share all related reports with claimants and their providers within 30 business days. The law establishes an arbitration process for disputes over claim payments, including expedited hearings for eligibility issues, and creates evidentiary presumptions for valid claim documents like medical records and payment proofs. These changes directly affect auto accident claimants, insurers, and healthcare providers by streamlining claims handling and reducing fraud-related delays.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 20, 2025 Last action Jan 7, 2026