Senate Bill S6997

2013-2014 Legislative Session

Requires the medical advisory committee to establish the use of comprehensive nationally recognized treatment guidelines for all body parts or conditions

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Archive: Last Bill Status - In Senate Committee Rules 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-S6997 (ACTIVE) - Details

See Assembly Version of this Bill:
A9068
Current Committee:
Senate Rules
Law Section:
Workers' Compensation Law
Laws Affected:
Amd §13-a, Work Comp L
Versions Introduced in Other Legislative Sessions:
2015-2016: S4332, A5530
2017-2018: A5526

2013-S6997 (ACTIVE) - Summary

Requires the medical advisory committee to establish the use of comprehensive nationally recognized treatment guidelines for all body parts or conditions which have no recommendations by such advisory committee.

2013-S6997 (ACTIVE) - Sponsor Memo

2013-S6997 (ACTIVE) - Bill Text download pdf

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

                                  6997

                            I N  S E N A T E

                             April 11, 2014
                               ___________

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

AN ACT to amend the workers' compensation law, in relation to  requiring
  the  medical  advisory committee to establish the use of comprehensive
  nationally recognized treatment  guidelines  for  all  body  parts  or
  conditions which have no recommendations by such advisory committee

  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 and as further amended
by section 104 of part A of chapter 62 of the laws of 2011,  is  amended
to read as follows:
  (5)  (A)  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 financial services,
shall issue and maintain a list of pre-authorized procedures under  this
section.
  (B)(I)  THE  MEDICAL  ADVISORY COMMITTEE SHALL RECOMMEND AND THE BOARD
SHALL ADOPT THE TEMPORARY USE  OF  COMPREHENSIVE  NATIONALLY  RECOGNIZED
TREATMENT  GUIDELINES  FOR BODY PARTS OR CONDITIONS WHERE NO AGREED UPON
WORKERS' COMPENSATION TREATMENT GUIDELINE EXISTS.  UNTIL SUCH TIME  THAT
THE MEDICAL ADVISORY COMMITTEE MAKES A RECOMMENDATION FOR A BODY PART OR
A  PARTICULAR  CONDITION  AND  THE BOARD ADOPTS GUIDELINES FOR SAID BODY
PART OR CONDITION, A QUALIFYING NATIONALLY RECOGNIZED  TREATMENT  GUIDE-

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD13521-03-4
              

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