New York S 10232: Relates to not requiring prior authorization for certain cancer treatments

Bill Text

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S10232 Summary:

BILL NOS10232 

&nbsp

SAME ASSAME AS A09407

&nbsp

SPONSORHARCKHAM

&nbsp

COSPNSR

&nbsp

MLTSPNSR

&nbsp

Amd §§3217-b & 4325, Ins L; amd §4406-c, Pub Health L; amd §364-j, Soc Serv L

&nbsp

Relates to not requiring a prior authorization determination for certain categories of cancer treatments based on National Comprehensive Cancer Network Guidelines.

Go to top S10232 Actions:

BILL NOS10232 

&nbsp

05/07/2026REFERRED TO INSURANCE

Go to topS10232 Committee&nbspVotes:

Go to topS10232 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS10232 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 10232

 IN SENATE

 May 7, 2026
 ___________

 Introduced by Sen. HARCKHAM -- read twice and ordered printed, and when
 printed to be committed to the Committee on Insurance

 AN ACT to amend the insurance law, the public health law and the social
 services law, in relation to not requiring prior authorization for
 certain cancer treatments

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. Section 3217-b of the insurance law is amended by adding a
 2 new subsection (p) to read as follows:
 3 (p) No insurer subject to this article shall require a prior authori-
 4 zation determination for cancer treatment meeting category one or cate-
 5 gory two-A of the National Comprehensive Cancer Network's Categories of
 6 Evidence and Consensus, provided that such insurer may require a health
 7 care provider to certify that the course of treatment for the oncology
 8 patient meets National Comprehensive Cancer Network Guidelines. Nothing
 9 in this subsection shall prohibit an insurer from denying a claim for
 10 such services if the services are subsequently determined not medically
 11 necessary.
 12 § 2. Section 4325 of the insurance law is amended by adding a new
 13 subsection (p) to read as follows:
 14 (p) No corporation organized under this article shall require a prior
 15 authorization determination for cancer treatment meeting category one or
 16 category two-A of the National Comprehensive Cancer Network's Categories
 17 of Evidence and Consensus, provided that such corporation may require a
 18 health care provider to certify that the course of treatment for the
 19 oncology patient meets National Comprehensive Cancer Network Guidelines.
 20 Nothing in this subsection shall prohibit a corporation from denying a
 21 claim for such services if the services are subsequently determined not
 22 medically necessary.
 23 § 3. Section 4406-c of the public health law is amended by adding a
 24 new subdivision 14 to read as follows:
 25 14. No health care plan shall require a prior authorization determi-
 26 nation for cancer treatment meeting category one or category two-A of
 27 the National Comprehensive Cancer Network's Categories of Evidence and

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD14275-01-5

 S. 10232 2

 1 Consensus, provided that such health care plan may require a health care
 2 provider to certify that the course of treatment for the oncology
 3 patient meets National Comprehensive Cancer Network Guidelines. Nothing
 4 in this subdivision shall prohibit a health care plan from denying a
 5 claim for such services if the services are subsequently determined not
 6 medically necessary.
 7 § 4. Section 364-j of the social services law is amended by adding a
 8 new subdivision 26-d to read as follows:
 9 26-d. Managed care providers shall not require a prior authorization
 10 determination for cancer treatment meeting category one or category
 11 two-A of the National Comprehensive Cancer Network's Categories of
 12 Evidence and Consensus, provided that the managed care plan may require
 13 a health care provider to certify that the course of treatment for the
 14 oncology patient meets National Comprehensive Cancer Network Guidelines.
 15 Nothing in this subdivision shall prohibit a managed care plan from
 16 denying a claim for such services if the services are subsequently
 17 determined not medically necessary.
 18 § 5. This act shall take effect on the one hundred eightieth day after
 19 it shall have be