Assembly Bill A6498

2013-2014 Legislative Session

Relates to health care professional applications and terminations

download bill text pdf

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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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2013-A6498 (ACTIVE) - Details

See Senate Version of this Bill:
S5762
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:
2015-2016: A1212, S4751
2017-2018: A2704, S3943
2019-2020: A2835, S3463
2021-2022: A4177, S2528
2023-2024: A1777, S3282

2013-A6498 (ACTIVE) - Summary

Relates to health care professional applications and terminations.

2013-A6498 (ACTIVE) - Bill Text download pdf

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

                                  6498

                       2013-2014 Regular Sessions

                          I N  A S S E M B L Y

                              April 4, 2013
                               ___________

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

AN ACT to amend the public health law and the insurance law, in relation
  to health care professional applications and terminations

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

  Section 1. Section 4406-d of the public health law, as added by  chap-
ter  705 of the laws of 1996, subdivision 1 as amended by chapter 237 of
the laws of 2009, is amended to read as follows;
  S 4406-d. Health care professional applications and terminations.   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 developing its
qualification requirements. A health care plan shall complete review  of
the health care professional's application to participate in the in-net-
work  portion of the health care plan's network and shall, within ninety
days of receiving a health care professional's completed application  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.
  (b) If the completed  application  of  a  newly-licensed  health  care
professional or a health care professional who has recently relocated to
this  state  from another state and has not previously practiced in this

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10089-01-3
              

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