S T A T E O F N E W Y O R K
2011-2012 Regular Sessions
I N S E N A T E
January 10, 2011
Introduced by Sen. SAMPSON -- read twice and ordered printed, and when
printed to be committed to the Committee on Social Services
AN ACT to amend the social services law, in relation to authorizing a
pilot program for enhanced prior approval of high cost diagnostic
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
Section 1. The social services law is amended by adding a new section
369-gg to read as follows:
S 369-GG. PILOT PROGRAM FOR ENHANCED PRIOR APPROVAL OF HIGH COST DIAG-
NOSTIC RADIOLOGY SERVICES. 1. PURSUANT TO SECTION ONE HUNDRED
SIXTY-THREE OF THE STATE FINANCE LAW, THE COMMISSIONER OF HEALTH SHALL,
WITHIN THE FISCAL YEAR OF TWO THOUSAND ELEVEN--TWO THOUSAND TWELVE,
CONTRACT WITH QUALIFIED BIDDERS TO PERFORM PILOT PROJECTS TO ASSESS THE
FEASIBILITY OF REDUCING MEDICALLY UNNECESSARY HIGH COST RADIOLOGICAL
PROCEDURES AND GENERALIZING COST SAVINGS TO THE STATE THROUGH ENHANCED
MEDICAL MANAGEMENT AND PRIOR REVIEW OF ORDERS FOR DIAGNOSTIC IMAGING.
2. THE COMMISSIONER OF HEALTH SHALL SELECT AN ENTITY TO PERFORM SUCH
PILOT PROJECT UTILIZING THE FOLLOWING SELECTION CRITERIA:
(A) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY UTILIZING LICENSED PROFESSIONALS TO CONDUCT INTAKE OF
(B) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY UTILIZING ONLY LICENSED RADIOLOGISTS TO MAKE PRIOR REVIEW
(C) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY UTILIZING LICENSED RADIOLOGISTS TO REQUEST ADDITIONAL INFORMA-
TION, AS NECESSARY, FROM THE TREATING PROVIDER;
(D) THE ENTITY SHALL BE BASED IN NEW YORK AND AT LEAST FIFTY PERCENT
OF THE ENTITY'S EMPLOYEES SHALL RESIDE IN NEW YORK.
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
S. 1550 2
S 2. If any clause, sentence, paragraph, section or part of this act
shall be adjudged by any court of competent jurisdiction to be invalid,
such judgment shall not affect, impair, or invalidate the remainder
thereof, but shall be confined in its operation to the clause, sentence,
paragraph, section, or part thereof directly involved in the controversy
in which such judgment shall have been rendered.
S 3. This act shall take effect immediately.