---
type: "Bill"
title: "Requires a utilization review agent to follow certain rules when establishing a step therapy protocol"
description: "Requires a utilization review agent to follow certain rules when establishing a step therapy protocol; requires that the protocol accepts any attestation submitted by the insured's health care professional stating that a required drug has failed as prima facie evidence that the required drug has failed."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2023-2024"
identifier: "S 1267"
citation: "New York S 1267 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Neil D. Breslin"]
version_count: 2
action_count: 29
vote_count: 7
first_action: "2023-01-11"
last_action: "2024-12-21"
source: "openstates"
source_identifier: "ocd-bill/05cbdf44-2819-48e4-b7d9-9f560d89180d"
source_url: "http://www.nysenate.gov/legislation/bills/2023/S1267"
source_hash: "f8d9b132db13e922297eeed3eec3b29163225f7fe7b3a33fcdd32bdeff59c764"
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 S 1267 (2023-2024) — Requires a utilization review agent to follow certain rules when establishing a step therapy protocol

Requires a utilization review agent to follow certain rules when establishing a step therapy protocol; requires that the protocol accepts any attestation submitted by the insured's health care professional stating that a required drug has failed as prima facie evidence that the required drug has failed.

## Version chain

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

1. **S1267** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=S1267&term=2023&Text=Y)
2. **S1267A** (committee substitute) — [source](http://legislation.nysenate.gov/pdf/bills/2023/S1267A)

## Votes

- Floor Vote - Version: A — **59–2** (pass) · upper
- Rules Vote — **20–0** (pass) · upper
- Assembly Vote — **145–0** (pass) · lower
- Insurance Vote — **11–0** (pass) · upper
- Insurance Vote — **11–0** (pass) · upper
- Floor Vote — **59–3** (pass) · upper
- Floor Vote — **60–2** (pass) · upper

## Sponsors

- Neil D. Breslin — primary (person)
- James Skoufis — cosponsor (person)
- Joseph P. Addabbo Jr. — cosponsor (person)
- Nathalia Fernandez — cosponsor (person)
- Rachel May — cosponsor (person)

## Timeline

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

- **2023-01-11** REFERRED TO INSURANCE `referral-committee`
- **2023-01-17** REPORTED AND COMMITTED TO RULES `referral-committee`
- **2023-01-17** ORDERED TO THIRD READING CAL.85
- **2023-01-17** PASSED SENATE `passage`
- **2023-01-17** DELIVERED TO ASSEMBLY
- **2023-01-17** REFERRED TO INSURANCE `referral-committee`
- **2024-01-03** DIED IN ASSEMBLY
- **2024-01-03** RETURNED TO SENATE
- **2024-01-03** REFERRED TO INSURANCE `referral-committee`
- **2024-01-08** 1ST REPORT CAL.92
- **2024-01-09** 2ND REPORT CAL.
- **2024-01-16** ADVANCED TO THIRD READING
- **2024-01-30** PASSED SENATE `passage`
- **2024-01-30** DELIVERED TO ASSEMBLY
- **2024-01-30** REFERRED TO INSURANCE `referral-committee`
- **2024-05-15** RECALLED FROM ASSEMBLY
- **2024-05-15** RETURNED TO SENATE
- **2024-05-15** VOTE RECONSIDERED - RESTORED TO THIRD READING
- **2024-05-15** AMENDED ON THIRD READING 1267A `amendment-passage`
- **2024-05-21** REPASSED SENATE `passage`
- **2024-05-21** RETURNED TO ASSEMBLY
- **2024-05-21** REFERRED TO INSURANCE `referral-committee`
- **2024-06-03** SUBSTITUTED FOR A901A
- **2024-06-03** ORDERED TO THIRD READING RULES CAL.299
- **2024-06-05** PASSED ASSEMBLY `passage`
- **2024-06-05** RETURNED TO SENATE
- **2024-12-12** DELIVERED TO GOVERNOR `executive-receipt`
- **2024-12-21** SIGNED CHAP.641 `executive-signature`
- **2024-12-21** APPROVAL MEMO.72

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/05cbdf44-2819-48e4-b7d9-9f560d89180d`. Confidence: reported (aggregated from official New York legislature records).