WeVote
Log In

Bill

Bill

A 6205

Provides that the list of pre-authoized procedures is to be used only as a list of treatment that does not require insurance carrier approval

2025 Regular Session Introduced by Joe DeStefano and 2 co-sponsors

Designates the preauthorized procedures list as not requiring insurer prior authorization; listed procedures proceed without carrier approval; non-listed still require it.

REFERRED TO LABOR
0
WeVote Research Nonpartisan
Bill Summary · A 6205

Summary of Assembly Bill A 6205

Overview

  • Bill Number: A 6205
  • Title: Provides that the list of preauthorized procedures is to be used only as a list of treatments that does not require insurance carrier approval
  • Status: Referred to Labor Committee
  • Introduced: February 27, 2025
  • Classification: Assembly bill

Purpose and intent

  • The bill seeks to clarify how the current “list of preauthorized procedures” should be interpreted. Specifically, it would designate the list to function as a reference for treatments that do not require insurance carrier approval. In other words, procedures on this list would not be subject to prior authorization by insurers.
  • Implicitly, procedures not on the list would continue to be subject to the insurer’s prior authorization process, absent any other statutory change.

Key provisions

  • The list of preauthorized procedures would be governed as a list of treatments that do not require prior authorization from an insurance carrier.
  • The bill would define, or reaffirm, the relationship between the list and the insurer-approval process, signaling that inclusion on the list removes the need for carrier approval for those listed procedures.
  • No other substantive changes to coverage, benefits, or reimbursement terms are stated in the provided text.

Who would be affected

  • Patients/consumers: Potentially faster or simpler access to procedures on the list due to no required insurer prior authorization.
  • Healthcare providers: May experience changes in administrative workflow for procedures on the list (reduced prior authorization steps).
  • Insurance carriers and health plans: Would adjust operations to align with the interpretation that listed procedures do not require prior authorization; non-listed procedures would remain subject to existing prior authorization requirements.
  • Employers and plan sponsors: Indirectly affected through plan administration processes and potential changes in utilization patterns.

Procedural and timeline aspects

  • Committee action: Referred to the Labor Committee (Assembly). No further timeline details are provided in the available information.
  • Legislative steps: The bill has related companion measures in other houses (see Related Bills), indicating cross-chamber consideration is anticipated if it advances.

Sponsors and related bills

  • Primary sponsor: Michael Durso
  • Cosponsors: Joe DeStefano, David McDonough
  • Related bills/companions:
    • A 10250 (prior-session)
    • S 304 (companion)

Notes

  • The language provided does not include the full statutory text, so interpretations are based on the bill’s summary title and description.
  • If you need, I can compare this bill to its Senate companion and prior-session related bill to highlight any differences in scope or approach.

Compiled from official sources — confirm details with the bill’s official record.

Sign in to ask a question.