New York legislation · 2025-2026 General Assembly
New York A3789: Relates to utilization review program standards and pre-authorization for certain health care services
Status: In committee, May 20, 2026
Relates to utilization review program standards; requires use of evidence-based and peer reviewed clinical review criteria; relates to prescription drug formulary changes and pre-authorization for certain health care services.
What the bill says
An act to amend the public health law and the insurance law, in relation to utilization review program standards and pre-authorization of health care services.
From the amended text, June 9, 2025:
AN ACT to amend the public health law and the insurance law, in relation to utilization review program standards and pre-authorization of health care services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (c) of subdivision 1 of section 4902 of the public health law, as added by chapter 705 of the laws of 1996, is amended to read as follows: (c) Utilization of written clinical review criteria developed pursuant to a utilization review plan. SUCH CLINICAL REVIEW CRITERIA SHALL UTILIZE RECOGNIZED EVIDENCE-BASED AND PEER REVIEWED CLINICAL REVIEW CRITERIA THAT TAKE INTO ACCOUNT THE NEEDS OF A TYPICAL PATIENT POPULATIONS AND DIAGNOSES; § 2. Paragraph (a) of subdivision 2 of section 4903 of the public health law, as separately amended by section 13 of part YY and section 3 of part KKK of chapter 56 of the laws of 2020, is amended to read as follows: (a) A utilization review agent shall make a utilization review determination involving health care services which require pre-authorization and provide notice of a determination to the enrollee or enrollee's designee and the enrollee's health care provider by telephone and in EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07503-02-5 A. 3789--A 2 writing …
Sponsors
- David Weprin (D, 24) · primary sponsor
- Carrie Woerner (D, 113)
- Alfred Taylor (D, 71)
- Angelo Santabarbara (D, 111)
- William Colton (D, 47)
- Donna Lupardo (D, 123)
- Albert Stirpe (D, 127)
- Harvey Epstein (D, 74)
- Amy Paulin (D, 88)
- Rebecca Seawright (D, 76)
- Jo Simon (D, 52)
- Charles Lavine (D, 13)
Latest actions
- : REPORTED REFERRED TO RULES
- : AMEND BY RESTORING TO ORIGINAL PRINT 3789
- : REFERRED TO INSURANCE
- : AMEND AND RECOMMIT TO RULES 3789A
- : REPORTED REFERRED TO RULES
- : REFERRED TO INSURANCE
Votes
- Assembly Insurance Committee: Favorable refer to committee Rules (May 20, 2026): 20 yea, 2 nay, passed
Subjects: Public Health Law
Common questions
- What is A3789?
- A3789 is a bill in the New York Legislature (2025-2026 General Assembly): Relates to utilization review program standards and pre-authorization for certain health care services.
- What does A3789 do?
- In its own words: An act to amend the public health law and the insurance law, in relation to utilization review program standards and pre-authorization of health care services.
- What is the status of A3789?
- In committee as of May 20, 2026. Latest action: REPORTED REFERRED TO RULES (May 20, 2026).
- Who sponsored A3789?
- David Weprin (D, 24), with 11 co-sponsors.
- Where is the official record for A3789?
- On the New York Legislature website: https://www.nysenate.gov/legislation/bills/2025/A3789
Source: official New York record. Tracked by Delilah, AI for legislation across all 50 states and Congress.