New York 2025 Session Status: Introduced

S5241 — Relates to utilization review determinations

Last action — In Senate Committee

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  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the Senate. Introduced February 20, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Not enough signal yet

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

This bill aims to align utilization review determinations with medical evidence for certain services.

The bill proposes that utilization review determinations must be consistent with medical and scientific evidence, including for mental health and substance use disorder services. The full text of the bill is not available for review.

What this means for you
  • Healthcare: This may affect how healthcare providers conduct reviews for services related to mental health and substance use.

Summary

Provides that certain utilization review determinations shall be made consistent with medical and scientific evidence; includes services for mental health and substance use disorders as part of emergency services.

Bill Text

Action History

  1. REPORTED AND COMMITTED TO FINANCE

  2. REFERRED TO INSURANCE

  3. REFERRED TO INSURANCE

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 218 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (218)

218 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does S5241 do?
Provides that certain utilization review determinations shall be made consistent with medical and scientific evidence; includes services for mental health and substance use disorders as part of emergency services.
Who sponsors S5241?
S5241 is sponsored by Nathalia Fernandez.
What is the current status of S5241?
This bill has been introduced in the Senate. Introduced February 20, 2025. It must pass committee before a floor vote.
Where can I track S5241?
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Last checked for changes 4 months ago · updated continuously

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