New York · 2025 Regular Session · Bill
A 3707: Relates to downcoding on initial review and audits reversing or altering medical necessity determinations
In committee Official data
- Introduced
- In committee
- Passed one chamber
- Passed both chambers
- Enacted
Last official action: ·Record last updated:
Plain-language summary
A 3707 is a bill introduced in the New York House on January 30, 2025. According to its official title, it concerns: Relates to downcoding on initial review and audits reversing or altering medical necessity determinations. Primary sponsor: David Weprin (Democratic). It lists 3 additional sponsors. Most recent recorded action (January 7, 2026): REFERRED TO INSURANCE.
Generated automatically from the official title, sponsor list, and status record only. It does not characterize the bill’s purpose or effects. How summaries are written
Official summary
Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.
Ensures the decision to downcode an insurance claim is recognized as an adverse determination; prohibits health plans from reversing or altering medical necessity determinations made by a utilization review agent or external appeals agent as a result of an audit of claims.
Sponsors
Sponsors by party (alphabetical): Democratic 3 · Democratic/Working Families 1
| Name | Role | Party | Chamber | District |
|---|---|---|---|---|
| David Weprin | Primary sponsor | Democratic | House | 24 |
| Rebecca Kassay | Co-sponsor | Democratic | House | 4 |
| Angelo Santabarbara | Co-sponsor | Democratic | House | 111 |
| MaryJane Shimsky | Co-sponsor | Democratic/Working Families | House | 92 |
“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.
Recent official actions
- REFERRED TO INSURANCE
- REFERRED TO INSURANCE