Help MSSNY Show Governor Hochul Importance of Having Appropriately Trained Reviewers Determine Best Treatments for Patients

Important patient protection legislation (A.879-Gottfried/S.8113-Cleare) passed the state Assembly and Senate at the end of the 2022 legislative session that establishes necessary qualifications for a person with whom a health plan must consult before deciding to deny coverage for a treatment or prescription medication for a patient.
The legislation would ensure that a health plan may not deny a request for needed patient care unless the reviewing physician is board-certified or board-eligible in the same or similar specialty as the physician recommending the patient treatment. It would also require that such a physician have a New York license to practice medicine. Please take action today and urge Governor Hochul to sign this important bill into law!
To help us paint an accurate picture for Governor Hochul and her staff, please take a minute to answer and submit this quick survey, which will help us find first-hand examples from physicians about the impact on patients who have care denied.

Question Title

* 1. Have you had a pre-authorization request or claim submission denied by an insurer based on the review by a health care provider that doesn’t specialize in the same specialty as you?

Yes