---
type: "Bill"
title: "Relates to clinical standards for utilization review of care for medically fragile children; repealer"
description: "Creates clinical standards and special consideration and processes for utilization review related to care for medically fragile children; makes changes to the effectiveness thereof."
jurisdiction: "us/states/ny"
legislature: "New York Legislature"
session: "2023-2024"
identifier: "S 1319"
citation: "New York S 1319 (2023-2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Gustavo Rivera"]
version_count: 1
action_count: 11
vote_count: 3
first_action: "2023-01-11"
last_action: "2023-06-30"
source: "openstates"
source_identifier: "ocd-bill/0201d8e4-c966-4e8d-b958-da2b92ba4975"
source_url: "http://www.nysenate.gov/legislation/bills/2023/S1319"
source_hash: "9cf4e25b6bdae542f4e506194a4e8e3198e5990da07b5c6c1d934cbbcc8072b9"
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 1319 (2023-2024) — Relates to clinical standards for utilization review of care for medically fragile children; repealer

Creates clinical standards and special consideration and processes for utilization review related to care for medically fragile children; makes changes to the effectiveness thereof.

## Version chain

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

1. **S1319** (committee substitute) — [source](http://assembly.state.ny.us/leg/?sh=printbill&bn=S1319&term=2023&Text=Y)

## Votes

- Assembly Vote — **142–0** (pass) · lower
- Rules Vote — **20–1** (pass) · upper
- Floor Vote — **56–5** (pass) · upper

## Sponsors

- Gustavo Rivera — primary (person)

## Timeline

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

- **2023-01-11** REFERRED TO RULES `referral-committee`
- **2023-03-28** ORDERED TO THIRD READING CAL.570
- **2023-04-26** PASSED SENATE `passage`
- **2023-04-26** DELIVERED TO ASSEMBLY
- **2023-04-26** REFERRED TO WAYS AND MEANS `referral-committee`
- **2023-05-24** SUBSTITUTED FOR A4135
- **2023-05-24** ORDERED TO THIRD READING RULES CAL.222
- **2023-05-24** PASSED ASSEMBLY `passage`
- **2023-05-24** RETURNED TO SENATE
- **2023-06-26** DELIVERED TO GOVERNOR `executive-receipt`
- **2023-06-30** SIGNED CHAP.170 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0201d8e4-c966-4e8d-b958-da2b92ba4975`. Confidence: reported (aggregated from official New York legislature records).