A 3789 New York Assembly · 2025 Regular Session

Relates to utilization review program standards and pre-authorization for certain health care services

Summary

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.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 30, 2025 Last action May 20, 2026

Maddy AI version diff · 1 comparison

What changed between versions

A3789 → A3789A · 4 edits

MODERATE

The bill was amended to reflect its progression through the legislative process, including the addition of new sponsors and committee referrals. Substantive policy changes were made to clarify timeframes for pre-authorization notices, distinguishing between standard requests (72 hours) and urgent cases involving serious medical jeopardy (24 hours). The text was also updated to consistently use the term 'enrollee' instead of 'insured' in specific sections.

Scope change

The bill's scope remains focused on utilization review program standards and pre-authorization requirements, but the applicability of response times was clarified to differentiate between routine and emergency situations.

REQUIREMENT

Response timeframes for pre-authorization notices were clarified to require action within 72 hours for standard requests and within 24 hours for urgent cases involving serious medical jeopardy.

DEFINITION

The term 'enrollee' was substituted for 'insured' in several sections to align terminology across the bill.

TECHNICAL

New sponsors (Barrett, Brabenec, Kassay, Magnarelli, Buttenshon, Kay, Blankenbush, Wieder, Cruz) were added to the list of bill sponsors.

The bill was referred to the Committee on Rules after being reported from the Committee on Insurance, indicating it has been amended and is ready for final review.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 20, 2026

Committee

REPORTED REFERRED TO RULES

lower

Feb 10, 2026

Introduced

AMEND BY RESTORING TO ORIGINAL PRINT 3789

lower

Jan 7, 2026

Committee

REFERRED TO INSURANCE

lower

Jun 9, 2025

Lower · Passed

AMEND AND RECOMMIT TO RULES 3789A

lower

May 28, 2025

Committee

REPORTED REFERRED TO RULES

lower

Jan 30, 2025

Committee

REFERRED TO INSURANCE

lower

1 primary · 53 co-sponsors