senate Bill S5272

2013-2014 Legislative Session

Provides for the external utilization review of services provided pursuant to the fully integrated dual advantage program

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Sponsored By

Archive: Last Bill Status - In Senate Committee


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

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Actions

view actions (6)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to health
Jun 21, 2013 committed to rules
Jun 10, 2013 advanced to third reading
Jun 05, 2013 2nd report cal.
Jun 04, 2013 1st report cal.1127
May 15, 2013 referred to health

Votes

view votes

Jun 4, 2013 - Health committee Vote

S5272
15
0
committee
15
Aye
0
Nay
2
Aye with Reservations
0
Absent
0
Excused
0
Abstained
show Health committee vote details

Co-Sponsors

S5272 - Details

Current Committee:
Law Section:
Public Health Law
Laws Affected:
Amd §4910, Pub Health L; amd §4910, Ins L

S5272 - Summary

Provides for the external utilization review of services provided pursuant to the fully integrated dual advantage program.

S5272 - Sponsor Memo

S5272 - Bill Text download pdf

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

                                  5272

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                              May 15, 2013
                               ___________

Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
  printed to be committed to the Committee on Health

AN ACT to amend the public health law and the insurance law, in relation
  to the right to external review of services provided pursuant  to  the
  fully integrated dual advantage program

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

  Section 1. Section 4910 of the public health law is amended by  adding
a new subdivision 5 to read as follows:
  5.  SUBJECT  TO  APPROVAL  BY  THE  CENTERS  FOR MEDICARE AND MEDICAID
SERVICES, THE PROVISIONS OF THIS TITLE ARE APPLICABLE TO ADVERSE  DETER-
MINATIONS MADE WITH RESPECT TO HEALTH CARE SERVICES PROVIDED TO INDIVID-
UALS  ENROLLED  IN  THE  FULLY  INTEGRATED DUAL ADVANTAGE (FIDA) PROGRAM
ESTABLISHED  PURSUANT  TO  SUBDIVISION  TWENTY-SEVEN  OF  SECTION  THREE
HUNDRED  SIXTY-FOUR-J  OF  THE  SOCIAL SERVICES LAW, AS ADDED BY SECTION
SEVENTY-TWO OF PART A OF CHAPTER FIFTY-SIX OF THE LAWS OF  TWO  THOUSAND
THIRTEEN.
  S  2.  Section  4910  of  the insurance law is amended by adding a new
subsection (e) to read as follows:
  (E) SUBJECT TO APPROVAL BY  THE  CENTERS  FOR  MEDICARE  AND  MEDICAID
SERVICES,  THE PROVISIONS OF THIS TITLE ARE APPLICABLE TO ADVERSE DETER-
MINATIONS MADE WITH RESPECT TO HEALTH CARE SERVICES PROVIDED TO INDIVID-
UALS ENROLLED IN THE FULLY  INTEGRATED  DUAL  ADVANTAGE  (FIDA)  PROGRAM
ESTABLISHED  PURSUANT  TO  SUBDIVISION  TWENTY-SEVEN  OF  SECTION  THREE
HUNDRED SIXTY-FOUR-J OF THE SOCIAL SERVICES LAW,  AS  ADDED  BY  SECTION
SEVENTY-TWO  OF  PART A OF CHAPTER FIFTY-SIX OF THE LAWS OF TWO THOUSAND
THIRTEEN.
  S 3. This act shall take effect immediately.


 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD10991-01-3

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