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Bill

A 6648

Relates to utilization review determinations

2025 Regular Session Introduced by Harry Bronson and 9 co-sponsors

A 6648 would set standards and processes for utilization review determinations by insurers, impacting how denials, appeals, and transparency are handled.

REFERRED TO INSURANCE
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Bill Summary · A 6648

Summary of Bill A 6648 — Relates to utilization review determinations

Overview

Bill A 6648 is a New York bill introduced on March 6, 2025, titled “Relates to utilization review determinations.” The current status shows the measure has been referred to the Insurance Committee. The available information does not include the bill’s full text or explicit statutory changes.

Purpose and intent

  • The bill’s title indicates it would relate to utilization review determinations within the health insurance or medical review framework.
  • The exact objectives, definitions, and reforms (e.g., standards, timelines, or appeal rights) are not provided in the available materials.

Key provisions (availability of provisions not provided)

  • A detailed set of provisions is not included in the provided information.
  • In bills of this general subject, common areas of reform might include:
    • Standards for how utilization review determinations are made (criteria, evidence requirements).
    • Timelines for decision-making and notification to providers or enrollees.
    • Procedures for appeals and external or independent reviews.
    • Transparency requirements (e.g., disclosure of criteria or rationales for denials).
    • Roles and responsibilities of insurers, utilization review organizations, and providers.
  • Because the bill text is not included, the above are potential areas of focus rather than definitive provisions of A 6648.

Affected parties

  • Enrollees/patients and insured individuals who are subject to utilization review decisions.
  • Health insurers and any utilization review organizations or contractors involved in prior authorization and denial/rulemaking processes.
  • Healthcare providers who submit authorization requests and appeals.

Procedural history and timeline

  • Introduced: March 6, 2025.
  • Status: Referred to the Insurance Committee (noted as “REFERRED TO INSURANCE” on the date of introduction; the record shows this action appears twice in the provided data).
  • Related actions or floor votes are not listed in the provided materials.

Related legislation

  • Companion bill: S 5241 (listed as the companion in both references; the duplicate entry simply reiterates the companion relationship).

Next steps for readers

  • For a detailed understanding of A 6648’s substantive changes, review the full bill text and any committee commentary or fiscal notes.
  • Track any subsequent actions in the Insurance Committee (e.g., hearings, amendments) and any floor votes.
  • If interested, compare with S 5241 to understand how the companion bill aligns or differs.

If you’d like, I can fetch the bill text or summarize amendments once the language is available.

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

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