senate Bill S5476

2011-2012 Legislative Session

Relates to pre-authorized procedures

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Sponsored By

Archive: Last Bill Status -


  • Introduced
  • In Committee
  • On Floor Calendar
    • Passed Senate
    • Passed Assembly
  • Delivered to Governor
  • Signed/Vetoed by Governor

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Actions

view actions (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 04, 2012 referred to labor
May 25, 2011 referred to labor

S5476 - Details

See Assembly Version of this Bill:
A7934
Law Section:
Workers' Compensation Law
Laws Affected:
Amd ยง13-a, Work Comp L

S5476 - Summary

Amends the worker's compensation law, in relation to pre-authorized procedures.

S5476 - Sponsor Memo

S5476 - Bill Text download pdf

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

    S. 5476                                                  A. 7934

                       2011-2012 Regular Sessions

                      S E N A T E - A S S E M B L Y

                              May 25, 2011
                               ___________

IN SENATE -- Introduced by Sen. RITCHIE -- read twice and ordered print-
  ed, and when printed to be committed to the Committee on Labor

IN  ASSEMBLY  -- Introduced by M. of A. TENNEY -- read once and referred
  to the Committee on Labor

AN ACT to amend the workers' compensation law, in  relation  to  pre-au-
  thorized procedures

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subdivision 5 of section 13-a of the workers'  compensation
law,  as amended by chapter 6 of the laws of 2007, is amended to read as
follows:
  (5)  No  claim  for  specialist  consultations,  surgical  operations,
physiotherapeutic or occupational therapy procedures, x-ray examinations
or  special  diagnostic  laboratory tests costing more than one thousand
dollars shall be valid and enforceable, as against such employer, unless
such special services shall have been authorized by the employer  or  by
the  board, or unless such authorization has been unreasonably withheld,
or withheld for a period of more than thirty calendar days from  receipt
of  a  request  for  authorization,  or unless such special services are
required in an emergency, provided, however, that the basis for a denial
of such authorization by the employer must be  based  on  a  conflicting
second  opinion  rendered  by  a  physician authorized by the board. The
board, with the approval of the superintendent of insurance, shall issue
and maintain a list of pre-authorized  procedures  under  this  section.
SUCH  LIST  OF  PRE-AUTHORIZED PROCEDURES SHALL BE ISSUED AND MAINTAINED
FOR THE SOLE PURPOSE OF EXPEDITING AUTHORIZATION OF  PATIENT  TREATMENT.
SUCH  LIST OF PRE-AUTHORIZED PROCEDURES SHALL NOT BE UTILIZED AS MEDICAL
GUIDELINES OR TO DIRECT PATIENT CARE IN ANY WAY NOR  SHALL  ANY  PRE-AU-
THORIZED  PROCEDURE  BE  GIVEN  PREFERENCE  OVER  AN ALTERNATIVE FORM OF
TREATMENT THAT HAS NOT BEEN  PLACED  ON  THE  PRE-AUTHORIZED  PROCEDURES
LIST.
  S 2. This act shall take effect immediately.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets

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