New York bills · 2025 Regular Session
New York A 3707
Relates to downcoding on initial review and audits reversing or altering medical necessity determinations
- Introduced
- In committee
- Passed House
- Passed Senate
- To Governor
- Became law
Sponsors
- David Weprin (Democratic)
Cosponsors (3)
- Rebecca Kassay (Democratic)
- Angelo Santabarbara (Democratic)
- MaryJane Shimsky (Democratic/Working Families)
Summary
Official abstract published by the New York legislature
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.
Text versions
Roll-call votes
No recorded votes on this bill.
Actions
- Jan 7, 2026 · House
REFERRED TO INSURANCE - Jan 30, 2025 · House
REFERRED TO INSURANCE