Assembly Bill A2673A

2013-2014 Legislative Session

Relates to certain application and referral forms for health care plans

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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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Bill Amendments

co-Sponsors

multi-Sponsors

2013-A2673 - Details

Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §4406-d, Pub Health L; amd §4803, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A764
2011-2012: A575
2015-2016: A443
2017-2018: A2389
2019-2020: A3077

2013-A2673 - Summary

Relates to certain application and referral forms for health care plans by authorizing the commissioner and superintendent of financial services to adopt regulations for the renewal of credentialing and re-credentialing of newly licensed health care professionals.

2013-A2673 - Bill Text download pdf

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

                                  2673

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            January 17, 2013
                               ___________

Introduced  by M. of A. GOTTFRIED, CAHILL, ENGLEBRIGHT, GALEF, ROBINSON,
  JAFFEE -- Multi-Sponsored by --  M.  of  A.  ABBATE,  AUBRY,  BRENNAN,
  CLARK,  COLTON,  COOK, CYMBROWITZ, DINOWITZ, HEASTIE, JACOBS, KELLNER,
  MILLMAN, ORTIZ, PAULIN, PERRY, PRETLOW, RAMOS, RIVERA, TITUS,  WEISEN-
  BERG -- read once and referred to the Committee on Health

AN ACT to amend the public health law and the insurance law, in relation
  to certain application and referral forms for health care plans

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

  Section 1. Subdivision 1 of section 4406-d of the public  health  law,
as  amended  by  chapter  237 of the laws of 2009, is amended to read as
follows:
  1. (a) A health care plan shall,  upon  request,  make  available  and
disclose to health care professionals written application procedures and
minimum qualification requirements which a health care professional must
meet  in  order to be considered by the health care plan. The plan shall
consult with appropriately qualified health care professionals in devel-
oping its qualification requirements. A health care plan shall  complete
review  of  the health care professional's UNIVERSAL HEALTH CARE PROFES-
SIONAL application [to participate] FOR PARTICIPATION in the  in-network
portion  of the health care plan's network and shall, within ninety days
of receiving a health care professional's completed  UNIVERSAL  applica-
tion to participate in the health care plan's network, notify the health
care  professional as to: (i) whether he or she is credentialed; or (ii)
whether additional time is necessary to make a determination in spite of
the health care plan's best efforts or because of a failure of  a  third
party  to  provide  necessary  documentation,  or non-routine or unusual
circumstances require additional time  for  review.  In  such  instances
where  additional  time  is  necessary  because  of  a lack of necessary
documentation, a health plan shall make  every  effort  to  obtain  such
information as soon as possible.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD01443-01-3
              

co-Sponsors

multi-Sponsors

2013-A2673A (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §4406-d, Pub Health L; amd §4803, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A764
2011-2012: A575
2015-2016: A443
2017-2018: A2389
2019-2020: A3077

2013-A2673A (ACTIVE) - Summary

Relates to certain application and referral forms for health care plans by authorizing the commissioner and superintendent of financial services to adopt regulations for the renewal of credentialing and re-credentialing of newly licensed health care professionals.

2013-A2673A (ACTIVE) - Bill Text download pdf

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

                                 2673--A
                                                         Cal. No. 12

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                            January 17, 2013
                               ___________

Introduced  by M. of A. GOTTFRIED, CAHILL, ENGLEBRIGHT, GALEF, ROBINSON,
  JAFFEE, CASTRO -- Multi-Sponsored by -- M. of A. ABBATE, AUBRY,  BREN-
  NAN, CLARK, COLTON, COOK, CYMBROWITZ, DINOWITZ, HEASTIE, JACOBS, KELL-
  NER,  MILLMAN,  ORTIZ,  PAULIN,  PERRY, PRETLOW, RAMOS, RIVERA, TITUS,
  WEISENBERG -- read once and referred to the  Committee  on  Health  --
  reported  from  committee,  advanced  to  a third reading, amended and
  ordered reprinted, retaining its place on the order of third reading

AN ACT to amend the public health law and the insurance law, in relation
  to certain application and referral forms for health care plans

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

  Section  1.  Subdivision 1 of section 4406-d of the public health law,
as amended by chapter 237 of the laws of 2009, is  amended  to  read  as
follows:
  1.  (a)  A  health  care  plan shall, upon request, make available and
disclose to health care professionals written application procedures and
minimum qualification requirements which a health care professional must
meet in order to be considered by the health care plan. The  plan  shall
consult with appropriately qualified health care professionals in devel-
oping  its qualification requirements. A health care plan shall complete
review of the health care professional's UNIVERSAL HEALTH  CARE  PROFES-
SIONAL  application [to participate] FOR PARTICIPATION in the in-network
portion of the health care plan's network and shall, within ninety  days
of  receiving  a health care professional's completed UNIVERSAL applica-
tion to participate in the health care plan's network, notify the health
care professional as to: (i) whether he or she is credentialed; or  (ii)
whether additional time is necessary to make a determination in spite of
the  health  care plan's best efforts or because of a failure of a third
party to provide necessary  documentation,  or  non-routine  or  unusual
circumstances  require  additional  time  for  review. In such instances
where additional time is  necessary  because  of  a  lack  of  necessary

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
              

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