NY A06937 | 2023-2024 | General Assembly
Status
Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on May 9 2023 - 25% progression
Action: 2024-01-03 - referred to insurance
Pending: Assembly Insurance Committee
Text: Latest bill text (Introduced) [HTML]
Status: Introduced on May 9 2023 - 25% progression
Action: 2024-01-03 - referred to insurance
Pending: Assembly Insurance Committee
Text: Latest bill text (Introduced) [HTML]
Summary
Ensures the decision to downcode an insurance claim is recognized as an adverse determination; prohibits health plans from reversing or altering medical necessity determinations made by a utilization review agent or external appeals agent as a result of an audit of claims.
Title
Ensures the decision to downcode an insurance claim is recognized as an adverse determination; prohibits health plans from reversing or altering medical necessity determinations made by a utilization review agent or external appeals agent as a result of an audit of claims.
Sponsors
History
| Date | Chamber | Action |
|---|---|---|
| 2024-01-03 | Assembly | referred to insurance |
| 2023-05-09 | Assembly | referred to insurance |
