Relates to utilization review program standards; requires use of evidence-based and peer reviewed clinical review criteria; relates to prescription drug formulary changes and pre-authorization for certain health care services.

Statutes affected:
A3789: 4902 public health law, 4902(1) public health law, 4902 insurance law, 4902(a) insurance law
A3789A: 4902 public health law, 4902(1) public health law, 4902 insurance law, 4902(a) insurance law