senate Bill S903A

2013-2014 Legislative Session

Authorizes health insurance reimbursement for certified registered nurse anesthetists providing anesthesia services

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Archive: Last Bill Status - In Committee


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

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Actions

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Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 08, 2014 referred to insurance
Dec 18, 2013 print number 903a
amend and recommit to insurance
Jan 09, 2013 referred to insurance

Bill Amendments

Original
A (Active)
Original
A (Active)

Co-Sponsors

S903 - Bill Details

Current Committee:
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2011-2012 Legislative Session:
S6168A

S903 - Bill Texts

view summary

Authorizes health insurance reimbursement for certified registered nurse anesthetists providing anesthesia services.

view sponsor memo
BILL NUMBER:S903

TITLE OF BILL:
An act
to amend the insurance law, in relation to authorizing health insurance
reimbursement for certified registered nurse anesthetists providing
anesthesia services

PURPOSE:
Allows for certified registered nurse anesthetists (CRNAS)
to be eligible for reimbursement under any policy which provides
coverage for anesthesia services at the discretion of the insurer.

SUMMARY OF SPECIFIC PROVISIONS:
Section 1 amends the insurance
law allows that at the discretion of the insurance company anesthesia
services provided b a CRNAS may be eligible for reimbursement under
any policy which provides for coverage for anesthesia services.
Section also defines CRNAS.

Section 2 amends the insurance law allows that at the discretion of
the insurance company anesthesia services provided b a CRNAS may be
eligible for reimbursement under any policy which provides for
coverage for anesthesia services. Section also defines CRNAS.

Section 3 amends the insurance law allows that at the discretion of
the insurance company anesthesia services provided by CRNAS may be
eligible for reimbursement under any policy which provides for
coverage for anesthesia services. Section also defines CRNAS.

Section 4 is the effective date.

JUSTIFICATION:
Certified Registered Nurse Anesthetists (CRNAS) are masters
prepared nurses who are required to undergo a rigorous educational
program, including clinical experience and training and pass a
national exam in order to obtain certification. CRNAs provide safe
and cost effective anesthesia services to patients. However, without
the ability to apply for health insurance coverage, CRNAs are not
assured reimbursement for these services.
In rural and underserved healthcare areas, CRNAs are often the main
providers of anesthesia services, rendering this nursing specialty
absolutely critical to ensuring patient access to affordable, quality
care. Under the current law, a patient's health insurance is not
required to cover anesthesia services provided by a certified
registered nurse anesthetist, even if the service would otherwise be
covered. This imposes an extreme financial inequity and disincentive
on the profession. It is only exacerbated in rural and poor economic
areas. This bill seeks to address that by giving insurance companies
the opportunity include coverage for anesthesia services provided by
certified registered nurse anesthetists.
CRNAs provide the safest level of patient care at the lowest cost to
the patient and the system. A 2010 study published in Nursing
Economics found that there is no difference in patient outcome when
care is provided by CRNAs as compared with anesthesiologists, and
revealed that CRNA independent delivery is not only the least costly


method of providing anesthesia, but that it also generates the
greatest net revenue.

PRIOR LEGISLATIVE HISTORY:
S.6168A of 2011-2012

FISCAL IMPLICATIONS:
None.

EFFECTIVE DATE:
This act shall take effect January 1, 2014 and shall
apply to policies and contracts issues, renewed, modified, altered
or amended on or after such effective date.

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

                                   903

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

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

AN ACT to amend the insurance law, in  relation  to  authorizing  health
  insurance  reimbursement  for  certified registered nurse anesthetists
  providing anesthesia services

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

  Section  1.  Paragraphs 27 and 28 of subsection (i) of section 3216 of
the insurance law, paragraph 27 as added by chapter 536 of the  laws  of
2010  and  paragraph 28 as added by chapter 589 of the laws of 2011, are
renumbered paragraphs 30 and 31 respectively and a new paragraph  32  is
added to read as follows:
  (32) AT THE DISCRETION OF THE INSURER, ANESTHESIA SERVICES PROVIDED BY
A  CERTIFIED REGISTERED NURSE ANESTHETIST MAY BE ELIGIBLE FOR REIMBURSE-
MENT UNDER  ANY  POLICY  WHICH  PROVIDES  FOR  COVERAGE  FOR  ANESTHESIA
SERVICES.    PROVIDED  HOWEVER,  THAT  NOTHING CONTAINED HEREIN SHALL BE
CONSTRUED TO REQUIRE AN INSURER TO REIMBURSE  BOTH  A  PHYSICIAN  AND  A
CERTIFIED  REGISTERED  NURSE ANESTHETIST FOR PROVIDING THE SAME ANESTHE-
SIOLOGY SERVICES.  THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST"  AS
USED  IN  THIS  PARAGRAPH  SHALL  MEAN  A  PERSON WHO HAS SATISFACTORILY
COMPLETED EDUCATIONAL PREPARATION FOR PROVISION OF THESE SERVICES  IN  A
PROGRAM  REGISTERED  BY  THE  DEPARTMENT  OF  EDUCATION  OR IN A PROGRAM
ACCREDITED BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OF  EDUCATION
OR  DETERMINED  BY THE DEPARTMENT OF EDUCATION TO BE THE EQUIVALENT; AND
SUBMIT  EVIDENCE  OF  CURRENT  CERTIFICATION  OR  RECERTIFICATION  BY  A
NATIONAL CERTIFYING BODY, RECOGNIZED BY THE DEPARTMENT OF EDUCATION.
  S 2. Subsection (1) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:
  (19) AT THE DISCRETION OF THE INSURER, ANESTHESIA SERVICES PROVIDED BY
A  CERTIFIED REGISTERED NURSE ANESTHETIST MAY BE ELIGIBLE FOR REIMBURSE-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04745-01-3

S. 903                              2

MENT UNDER  ANY  POLICY  WHICH  PROVIDES  FOR  COVERAGE  FOR  ANESTHESIA
SERVICES.    PROVIDED  HOWEVER,  THAT  NOTHING CONTAINED HEREIN SHALL BE
CONSTRUED TO REQUIRE AN INSURER TO REIMBURSE  BOTH  A  PHYSICIAN  AND  A
CERTIFIED  REGISTERED  NURSE ANESTHETIST FOR PROVIDING THE SAME ANESTHE-
SIOLOGY SERVICES.  THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST"  AS
USED  IN  THIS  PARAGRAPH  SHALL  MEAN  A  PERSON WHO HAS SATISFACTORILY
COMPLETED EDUCATIONAL PREPARATION FOR PROVISION OF THESE SERVICES  IN  A
PROGRAM  REGISTERED  BY  THE  DEPARTMENT  OF  EDUCATION  OR IN A PROGRAM
ACCREDITED BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OF  EDUCATION
OR  DETERMINED  BY THE DEPARTMENT OF EDUCATION TO BE THE EQUIVALENT; AND
SUBMIT  EVIDENCE  OF  CURRENT  CERTIFICATION  OR  RECERTIFICATION  BY  A
NATIONAL CERTIFYING BODY, RECOGNIZED BY THE DEPARTMENT OF EDUCATION.
  S  3.  Subsections (gg) and (hh) of section 4303 of the insurance law,
subsection (gg) as added  by  chapter  536  of  the  laws  of  2010  and
subsection  (hh) as added by chapter 589 of the laws of 2011, are renum-
bered subsections (jj) and (kk) respectively and a new  subsection  (ll)
is added to read as follows:
  (LL) AT THE DISCRETION OF THE INSURER, ANESTHESIA SERVICES PROVIDED BY
A  CERTIFIED REGISTERED NURSE ANESTHETIST MAY BE ELIGIBLE FOR REIMBURSE-
MENT UNDER  ANY  POLICY  WHICH  PROVIDES  FOR  COVERAGE  FOR  ANESTHESIA
SERVICES.    PROVIDED  HOWEVER,  THAT  NOTHING CONTAINED HEREIN SHALL BE
CONSTRUED TO REQUIRE AN INSURER TO REIMBURSE  BOTH  A  PHYSICIAN  AND  A
CERTIFIED  REGISTERED  NURSE ANESTHETIST FOR PROVIDING THE SAME ANESTHE-
SIOLOGY SERVICES.  THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST"  AS
USED  IN  THIS  SUBSECTION  SHALL  MEAN  A PERSON WHO HAS SATISFACTORILY
COMPLETED EDUCATIONAL PREPARATION FOR PROVISION OF THESE SERVICES  IN  A
PROGRAM  REGISTERED  BY  THE  DEPARTMENT  OF  EDUCATION  OR IN A PROGRAM
ACCREDITED BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OF  EDUCATION
OR  DETERMINED  BY THE DEPARTMENT OF EDUCATION TO BE THE EQUIVALENT; AND
SUBMIT  EVIDENCE  OF  CURRENT  CERTIFICATION  OR  RECERTIFICATION  BY  A
NATIONAL CERTIFYING BODY, RECOGNIZED BY THE DEPARTMENT OF EDUCATION.
  S  4.  This  act  shall take effect January 1, 2014 and shall apply to
policies and contracts issued, renewed, modified, altered or amended  on
or after such effective date.

Co-Sponsors

S903A (ACTIVE) - Bill Details

Current Committee:
Law Section:
Insurance Law
Laws Affected:
Amd §§3216, 3221 & 4303, Ins L
Versions Introduced in 2011-2012 Legislative Session:
S6168A

S903A (ACTIVE) - Bill Texts

view summary

Authorizes health insurance reimbursement for certified registered nurse anesthetists providing anesthesia services.

view sponsor memo
BILL NUMBER:S903A

TITLE OF BILL: An act to amend the insurance law, in relation to
authorizing health insurance reimbursement for certified registered
nurse anesthetists providing anesthesia services

PURPOSE:

Allows for certified registered nurse anesthetists (CRNAS) to be
eligible for reimbursement under any policy which provides coverage
for anesthesia services at the discretion of the insurer.

SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends the insurance law allows that at the discretion of
the insurance company anesthesia services provided by a CRNAS may be
eligible for reimbursement under any policy which provides for
coverage for anesthesia services. Section also defines CRNAS.

Section 2 amends the insurance law allows that at the discretion of
the insurance company anesthesia services provided by a CRNAS may be
eligible for reimbursement under any policy which provides for
coverage for anesthesia services. Section also defines CRNAS.

Section 3 amends the insurance law allows that at the discretion of
the insurance company anesthesia services provided by CRNAS may be
eligible for reimbursement under any policy which provides for
coverage for anesthesia services. Section also defines CRNAS.

Section 4 is the effective date.

JUSTIFICATION:

Certified Registered Nurse Anesthetists (CRNAS) are masters prepared
nurses who are required to undergo a rigorous educational program,
including clinical experience and training and pass a national exam in
order to obtain certification. CRNAs provide safe and cost effective
anesthesia services to patients. However, without the ability to apply
for health insurance coverage, CRNAs are not assured reimbursement for
these services. In rural and underserved healthcare areas, CRNAs are
often the main providers of anesthesia services, rendering this
nursing specialty absolutely critical to ensuring patient access to
affordable, quality care. Under the current law, a patient's health
insurance is not required to cover anesthesia services provided by a
certified registered nurse anesthetist, even if the service would
otherwise be covered. This imposes an extreme financial inequity and
disincentive on the profession. It is only exacerbated in rural and
poor economic areas. This bill seeks to address that by giving
insurance companies the opportunity include coverage for anesthesia
services provided by certified registered nurse anesthetists. CRNAs
provide the safest level of patient care at the lowest cost to the
patient and the system. A 2010 study published in Nursing Economics
found that there is no difference in patient outcome when care is
provided by CRNAs as compared with anesthesiologists, and revealed
that CRNA independent delivery is not only the least costly method of
providing anesthesia, but that it also generates the greatest net
revenue.


PRIOR LEGISLATIVE HISTORY:

S.6168A of 2011-2012

FISCAL IMPLICATIONS:

None.

EFFECTIVE DATE:

This act shall take effect January 1, 2015 and shall apply to policies
and contracts issues, renewed, modified, altered or amended on or
after such effective date.

view full text
download pdf
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                 903--A

                       2013-2014 Regular Sessions

                            I N  S E N A T E

                               (PREFILED)

                             January 9, 2013
                               ___________

Introduced by Sens. GRISANTI, LATIMER -- read twice and ordered printed,
  and  when  printed  to  be  committed to the Committee on Insurance --
  committee discharged, bill amended, ordered reprinted as  amended  and
  recommitted to said committee

AN  ACT  to  amend  the insurance law, in relation to authorizing health
  insurance reimbursement for certified  registered  nurse  anesthetists
  providing anesthesia services

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

  Section 1.  Paragraphs 27 and 28 of subsection (i) of section 3216  of
the  insurance  law, paragraph 27 as added by chapter 536 of the laws of
2010 and paragraph 28 as added by chapter 589 of the laws of  2011,  are
renumbered  paragraphs  30 and 31 respectively and a new paragraph 32 is
added to read as follows:
  (32) AT THE DISCRETION OF THE INSURER, ANESTHESIA SERVICES PROVIDED BY
A CERTIFIED REGISTERED NURSE ANESTHETIST MAY BE ELIGIBLE FOR  REIMBURSE-
MENT  UNDER  ANY  POLICY  WHICH  PROVIDES  FOR  COVERAGE  FOR ANESTHESIA
SERVICES.   PROVIDED HOWEVER, THAT NOTHING  CONTAINED  HEREIN  SHALL  BE
CONSTRUED  TO  REQUIRE  AN  INSURER  TO REIMBURSE BOTH A PHYSICIAN AND A
CERTIFIED REGISTERED NURSE ANESTHETIST FOR PROVIDING THE  SAME  ANESTHE-
SIOLOGY  SERVICES.  THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST" AS
USED IN THIS PARAGRAPH  SHALL  MEAN  A  PERSON  WHO  HAS  SATISFACTORILY
COMPLETED  EDUCATIONAL  PREPARATION FOR PROVISION OF THESE SERVICES IN A
PROGRAM REGISTERED BY THE  DEPARTMENT  OF  EDUCATION  OR  IN  A  PROGRAM
ACCREDITED  BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OF EDUCATION
OR DETERMINED BY THE DEPARTMENT OF EDUCATION TO BE THE  EQUIVALENT;  AND
SUBMIT  EVIDENCE  OF  CURRENT  CERTIFICATION  OR  RECERTIFICATION  BY  A
NATIONAL CERTIFYING BODY, RECOGNIZED BY THE DEPARTMENT OF EDUCATION.
  S 2. Subsection (1) of section 3221 of the insurance law is amended by
adding a new paragraph 19 to read as follows:

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD04745-02-3

S. 903--A                           2

  (19) AT THE DISCRETION OF THE INSURER, ANESTHESIA SERVICES PROVIDED BY
A CERTIFIED REGISTERED NURSE ANESTHETIST MAY BE ELIGIBLE FOR  REIMBURSE-
MENT  UNDER  ANY  POLICY  WHICH  PROVIDES  FOR  COVERAGE  FOR ANESTHESIA
SERVICES.   PROVIDED HOWEVER, THAT NOTHING  CONTAINED  HEREIN  SHALL  BE
CONSTRUED  TO  REQUIRE  AN  INSURER  TO REIMBURSE BOTH A PHYSICIAN AND A
CERTIFIED REGISTERED NURSE ANESTHETIST FOR PROVIDING THE  SAME  ANESTHE-
SIOLOGY  SERVICES.  THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST" AS
USED IN THIS PARAGRAPH  SHALL  MEAN  A  PERSON  WHO  HAS  SATISFACTORILY
COMPLETED  EDUCATIONAL  PREPARATION FOR PROVISION OF THESE SERVICES IN A
PROGRAM REGISTERED BY THE  DEPARTMENT  OF  EDUCATION  OR  IN  A  PROGRAM
ACCREDITED  BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OF EDUCATION
OR DETERMINED BY THE DEPARTMENT OF EDUCATION TO BE THE  EQUIVALENT;  AND
SUBMIT  EVIDENCE  OF  CURRENT  CERTIFICATION  OR  RECERTIFICATION  BY  A
NATIONAL CERTIFYING BODY, RECOGNIZED BY THE DEPARTMENT OF EDUCATION.
  S 3. Section 4303 of the insurance law is  amended  by  adding  a  new
subsection (oo) to read as follows:
  (OO) AT THE DISCRETION OF THE INSURER, ANESTHESIA SERVICES PROVIDED BY
A  CERTIFIED REGISTERED NURSE ANESTHETIST MAY BE ELIGIBLE FOR REIMBURSE-
MENT UNDER  ANY  POLICY  WHICH  PROVIDES  FOR  COVERAGE  FOR  ANESTHESIA
SERVICES.    PROVIDED  HOWEVER,  THAT  NOTHING CONTAINED HEREIN SHALL BE
CONSTRUED TO REQUIRE AN INSURER TO REIMBURSE  BOTH  A  PHYSICIAN  AND  A
CERTIFIED  REGISTERED  NURSE ANESTHETIST FOR PROVIDING THE SAME ANESTHE-
SIOLOGY SERVICES.  THE TERM "CERTIFIED REGISTERED NURSE ANESTHETIST"  AS
USED  IN  THIS  SUBSECTION  SHALL  MEAN  A PERSON WHO HAS SATISFACTORILY
COMPLETED EDUCATIONAL PREPARATION FOR PROVISION OF THESE SERVICES  IN  A
PROGRAM  REGISTERED  BY  THE  DEPARTMENT  OF  EDUCATION  OR IN A PROGRAM
ACCREDITED BY A NATIONAL BODY RECOGNIZED BY THE DEPARTMENT OF  EDUCATION
OR  DETERMINED  BY THE DEPARTMENT OF EDUCATION TO BE THE EQUIVALENT; AND
SUBMIT  EVIDENCE  OF  CURRENT  CERTIFICATION  OR  RECERTIFICATION  BY  A
NATIONAL CERTIFYING BODY, RECOGNIZED BY THE DEPARTMENT OF EDUCATION.
  S  4.  This  act  shall take effect January 1, 2015 and shall apply to
policies and contracts issued, renewed, modified, altered or amended  on
or after such effective date.

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