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Bill

S 7470

Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstance

2025 Regular Session Introduced by Cordell Cleare and 7 co-sponsors

Insurers and health plans must grant automatic preauthorization approvals to eligible health care professionals in defined circumstances, cutting delays for patients and providers.

REFERRED TO INSURANCE
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Bill Summary · S 7470

Summary of Bill S 7470

Bill at a glance

  • Bill number: S 7470
  • Title: Requires insurers and health plans to grant automatic preauthorization approvals to eligible health care professionals in certain circumstances
  • Status: Referred to Insurance
  • Introduced: April 17, 2025
  • Primary sponsor: Brad Hoylman-Sigal
  • Cosponsors: Gustavo Rivera, Patrick M. Gallivan, Jeremy Cooney, Lea Webb, James Skoufis, John Liu, Cordell Cleare

What the bill would do

  • The bill would require insurers and health plans to grant automatic preauthorization approvals to certain eligible health care professionals in specified circumstances.
  • The text provided does not spell out the exact definitions of “automatic preauthorization,” “eligible health care professionals,” or the specific “circumstances” under which automatic approvals would apply. Those details would be contained in the full bill language.

Who would be affected

  • Insurers and health plans would be obligated to implement automatic preauthorization approvals.
  • Eligible health care professionals would be the recipients of these automatic approvals, assuming they meet the bill’s criteria (definitions not provided in the summary).
  • Patients and providers could experience changes in the prior-authorization process, potentially reducing administrative delays for approved services.

Key provisions (as indicated by the title)

  • Mandatory automatic preauthorization approvals for eligible professionals in certain circumstances.
  • The bill would impose duties on insurers and health plans to apply these automatic approvals when conditions are met.
  • Specific operational details (e.g., eligibility criteria, criteria for the “certain circumstances,” timelines, appeals, oversight) are not included in the provided information and would be found in the full text.

Procedural and timeline aspects

  • Introduced on April 17, 2025 and referred to the Insurance committee.
  • The version notes show the same action repeated (likely the standard committee referral).
  • Next steps typically include committee hearings, potential amendments, and floor consideration if advanced by the committee.

Related legislation

  • Related bills in prior sessions: S 8299 and S 2680. These may represent earlier or related proposals addressing preauthorization or administrative processes in health care.

Questions and considerations (open until full text is available)

  • How will “eligible health care professionals” be defined (e.g., credentialing, license status, practice type)?
  • What specific “circumstances” trigger automatic preauthorization (e.g., particular services, payer types, timeframes)?
  • Are there safeguards to prevent misuse or over-expansion of preauthorizations?
  • What are the cost or budgetary implications for insurers and health plans?
  • What are the timelines for processing automatic approvals and any required post-approval steps?
  • How would this interact with existing prior-authorization workflows and appeal rights?

This summary provides the essential information available from the bill’s introductory material. For a complete understanding, the full text and fiscal notes (if any) should be reviewed once released.

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

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