Bill Would Raise Preauthorization Limit to $1,500

New York lawmakers are proposing to increase the threshold for determining whether certain medical procedures require prior approval and to prohibit using the list of pre-approved procedures to deny treatment. Senate Bill 6929 and companion Assembly Bill 6832 would increase to $1,500 from $1,000 the threshold requiring preapproval for specialist consultations, surgical operations, physiotherapeutic or occupational therapy procedures, X-rays or special diagnostic lab tests. The bill would also clarify that the list of preauthorized procedures the Workers’ Compensation Board is required ...