New York legislation · 2025-2026 General Assembly
New York A11623: Requires standards for an electronic prior authorization program for the utilization review of health care services
Status: In committee, July 29, 2026
Requires the commissioner of health and the superintendent of insurance to develop standards for an electronic prior authorization program for the utilization review of health care services.
What the bill says
An act to amend the public health law and the insurance law, in relation to an electronic prior authorization program for the utilization review of health care services.
From the introduced text, July 29, 2026:
AN ACT to amend the public health law and the insurance law, in relation to an electronic prior authorization program for the utilization review of health care services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS: Section 1. Section 4903 of the public health law is amended by adding a new subdivision 10 to read as follows: 10. THE COMMISSIONER, IN CONJUNCTION WITH THE SUPERINTENDENT OF FINANCIAL SERVICES, SHALL DEVELOP STANDARDS FOR PRIOR AUTHORIZATION REQUESTS TO BE UTILIZED BY ALL HEALTH CARE PLANS FOR THE PURPOSE OF SUBMITTING A REQUEST FOR A UTILIZATION REVIEW DETERMINATION FOR COVERAGE OF HEALTH CARE SERVICES UNDER THIS CHAPTER. THE DEPARTMENT AND THE DEPARTMENT OF FINANCIAL SERVICES, IN DEVELOPMENT OF THE STANDARDS, SHALL REQUIRE AN ELECTRONIC PRIOR AUTHORIZATION PROGRAM AND SHALL TAKE INTO CONSIDERATION EXISTING ELECTRONIC PRIOR AUTHORIZATION STANDARDS. § 2. Section 4903 of the insurance law is amended by adding a new subsection (j) to read as follows: (J) THE SUPERINTENDENT, IN CONJUNCTION WITH THE COMMISSIONER OF HEALTH, SHALL DEVELOP STANDARDS FOR PRIOR AUTHORIZATION REQUESTS TO BE UTILIZED BY ALL HEALTH CARE PLANS FOR THE PURPOSE OF SUBMITTING A REQUEST FOR A UTILIZATION REVIEW DETERMINATION FOR COVERAGE OF HEALTH CARE SERVICES UNDER THIS CHAPTER. THE DEPARTMENT AND THE DEPARTMENT OF HEALTH, IN DEVELOPMENT OF THE …
Sponsors
- Kalman Yeger (D, 41) · primary sponsor
Latest actions
- : REFERRED TO HEALTH
Subjects: Public Health Law
Common questions
- What is A11623?
- A11623 is a bill in the New York Legislature (2025-2026 General Assembly): Requires standards for an electronic prior authorization program for the utilization review of health care services.
- What does A11623 do?
- In its own words: An act to amend the public health law and the insurance law, in relation to an electronic prior authorization program for the utilization review of health care services.
- What is the status of A11623?
- In committee as of July 29, 2026. Latest action: REFERRED TO HEALTH (July 29, 2026).
- Who sponsored A11623?
- Kalman Yeger (D, 41).
- Where is the official record for A11623?
- On the New York Legislature website: https://www.nysenate.gov/legislation/bills/2025/A11623
Source: official New York record. Tracked by Delilah, AI for legislation across all 50 states and Congress.