Governor Cuomo this week signed into law two bills supported by MSSNY designed to reduce some of the administrative burdens on physicians in their dealings with health insurers.

  • The first bill (A.501-E, Cusick/S.2545-D, Lanza) would reduce from 90 to 60 days the time within which a health insurer must complete its review of the application of a physician to participate in the network of a health insurer, as well as reducing from 90 to 60 days the time within which a physician in some situations can become “provisionally credentialed” if the plan does not complete its review.   The bill also eliminates some ambiguous statutory language that currently gives discretion to a health insurer to delay a decision on a physician’s application after these deadlines have passed.   The new law applies to credentialing applications received by health insurers on or after April 1, 2017.

  • The second bill (A.6983-A, McDonald/S.4721-A, Hannon) would direct the Commissioner of Health and Department of Financial Services to create standards to provide greater uniformity among health insurers of the processes to be followed when physicians request insurers to cover their patients’ needed prescription medications.  MSSNY worked closely with the New York Chapter of the American College of Physicians in advocating for this legislation. The law takes effect immediately.