---
type: "Bill"
title: "Requires notice of adverse step therapy determinations"
description: "Requires written notice of an adverse determination made by a utilization review agent in relation to a step therapy protocol override determination."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2023-2024"
identifier: "A 463"
citation: "New York A 463 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["John T. McDonald III"]
version_count: 2
action_count: 16
vote_count: 2
first_action: "2023-01-09"
last_action: "2023-12-22"
source: "openstates"
source_identifier: "ocd-bill/f4a6fe29-efa2-42cd-b735-b95f7c6b1940"
source_url: "http://www.nysenate.gov/legislation/bills/2023/A463"
source_hash: "e834bc0047bf7b2bf8f726f3771f893f2f455da316a29568ad7edf5c5f1cd946"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ny"]
---

# New York A 463 (2023-2024) — Requires notice of adverse step therapy determinations

Requires written notice of an adverse determination made by a utilization review agent in relation to a step therapy protocol override determination.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **A463** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=A463&term=2023&Text=Y)
2. **A463A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2023/A463A)

## Votes

- Floor Vote - Version: A — **61–0** (pass) · upper
- Assembly Vote — **145–0** (pass) · lower

## Sponsors

- John T. McDonald III — primary (person)
- Aileen Gunther — cosponsor (person)
- Albert A. Stirpe — cosponsor (person)
- David Weprin — cosponsor (person)
- Keith Brown — cosponsor (person)
- Phil Steck — cosponsor (person)
- Scott H. Bendett — cosponsor (person)
- William Colton — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-01-09** REFERRED TO INSURANCE `referral-committee`
- **2023-05-17** REPORTED REFERRED TO RULES `referral-committee`
- **2023-05-25** AMEND AND RECOMMIT TO RULES 463A `amendment-passage, referral-committee`
- **2023-06-05** REPORTED
- **2023-06-05** RULES REPORT CAL.483
- **2023-06-05** ORDERED TO THIRD READING RULES CAL.483
- **2023-06-05** PASSED ASSEMBLY `passage`
- **2023-06-05** DELIVERED TO SENATE
- **2023-06-05** REFERRED TO RULES `referral-committee`
- **2023-06-07** SUBSTITUTED FOR S2677A
- **2023-06-07** 3RD READING CAL.1179
- **2023-06-07** PASSED SENATE `passage`
- **2023-06-07** RETURNED TO ASSEMBLY
- **2023-12-12** DELIVERED TO GOVERNOR `executive-receipt`
- **2023-12-22** SIGNED CHAP.735 `executive-signature`
- **2023-12-22** APPROVAL MEMO.61

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f4a6fe29-efa2-42cd-b735-b95f7c6b1940`. Confidence: reported (aggregated from official New York legislature records).