Assembly Bill A8792

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 Assembly 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-A8792 (ACTIVE) - Details

See Senate Version of this Bill:
S5764
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Add §369-gg, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2011-2012: A3080, S1550
2013-2014: S132
2015-2016: S4070

2009-A8792 (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-A8792 (ACTIVE) - Sponsor Memo

2009-A8792 (ACTIVE) - Bill Text download pdf 

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

                                  8792

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                              June 9, 2009
                               ___________

Introduced by M. of A. LENTOL -- read once and referred to the Committee
  on Health

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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