Senate Bill S5764

2009-2010 Legislative Session

Authorizes a pilot program for enhanced prior approval of high cost diagnostic radiology services

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Health Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2009-S5764 (ACTIVE) - Details

See Assembly Version of this Bill:
A8792
Current Committee:
Senate Health
Law Section:
Social Services Law
Laws Affected:
Add ยง369-gg, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2011-2012: S1550, A3080
2013-2014: S132
2015-2016: S4070

2009-S5764 (ACTIVE) - Summary

Authorizes the commissioner of health, within fiscal year 2009-2010, to contract with high 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.

2009-S5764 (ACTIVE) - Sponsor Memo

2009-S5764 (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  5764

                       2009-2010 Regular Sessions

                            I N  S E N A T E

                              June 3, 2009
                               ___________

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
  radiology services

  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 NINE-TWO THOUSAND  TEN,  CONTRACT
WITH QUALIFIED BIDDERS TO PERFORM PILOT PROJECTS TO ASSESS THE FEASIBIL-
ITY  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
PATIENTS;
  (B) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY  UTILIZING  ONLY  LICENSED  RADIOLOGISTS  TO MAKE PRIOR REVIEW
DETERMINATIONS;
  (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.
                                                           LBD14172-02-9

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