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Assembly Bill A8188A

2015-2016 Legislative Session

Authorizes accredited office-based surgery practices to seek payment from health care plans for the use of the surgery location or setting of such practice, in addition to payment for services performed

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Archive: Last Bill Status - In Assembly Committee

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Bill Amendments

2015-A8188 - Details

See Senate Version of this Bill:
S5810
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd §230-d, Pub Health L

2015-A8188 - Summary

Authorizes accredited office-based surgery practices, in existence prior to the effective date of this act to seek payment from health care plans for the use of the surgery location or setting of such practice, in addition to payment for services performed.

2015-A8188 - Bill Text download pdf 

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

                                  8188

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                              June 11, 2015
                               ___________

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

AN  ACT  to  amend  the  public  health  law, in relation to authorizing
  office-based surgery practices to seek payment for the  use  of  their
  facilities

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

  Section 1. Section 230-d of the public health law is amended by adding
a new subdivision 6 to read as follows:
  6. EVERY OFFICE-BASED SURGERY PRACTICE  WITH  FULL  ACCREDITED  STATUS
SHALL  BE  ELIGIBLE TO SEEK PAYMENT FROM A HEALTH PLAN FOR COSTS RELATED
TO THE USE OF THE SURGERY LOCATION OR SETTING OF SUCH  PRACTICE.    SUCH
FEE  SHALL  BE  IN  ADDITION  TO THE FEE CHARGED BY THE LICENSEE FOR THE
PERFORMANCE OF THE COVERED OFFICE-BASED SURGERY INVOLVING AN INSURED  OR
A  HEALTH  PLAN  ENROLLEE; PROVIDED THAT THE HEALTH PLAN ALSO REIMBURSES
FOR COSTS RELATED TO THE USE OF A SURGERY LOCATION OR SETTING CHARGED IN
CONNECTION WITH THE SAME COVERED PROCEDURE PERFORMED AT  A  HOSPITAL  OR
AMBULATORY  SURGERY CENTER ORGANIZED PURSUANT TO ARTICLE TWENTY-EIGHT OF
THIS CHAPTER. WHEN CALCULATING  THE  APPROPRIATE  RATE  OF  OFFICE-BASED
SURGERY  RELATED REIMBURSEMENT, A HEALTH PLAN MAY ALSO TAKE INTO CONSID-
ERATION CERTAIN COMPARABLE AND NON-COMPARABLE COSTS AND  OBLIGATIONS  OF
AMBULATORY  SURGERY  CENTERS  AND HOSPITALS AND ADJUST RATES ACCORDINGLY
AND IN A REASONABLE MANNER.
  S 2. This act shall take effect immediately.



 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11332-01-5

2015-A8188A (ACTIVE) - Details

See Senate Version of this Bill:
S5810
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Amd §230-d, Pub Health L

2015-A8188A (ACTIVE) - Summary

Authorizes accredited office-based surgery practices, in existence prior to the effective date of this act to seek payment from health care plans for the use of the surgery location or setting of such practice, in addition to payment for services performed.

2015-A8188A (ACTIVE) - Bill Text download pdf 

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

                                 8188--A

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                              June 11, 2015
                               ___________

Introduced by M. of A. LAVINE -- read once and referred to the Committee
  on Health -- recommitted to the Committee on Health in accordance with
  Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered
  reprinted as amended and recommitted to said committee

AN  ACT  to  amend  the  public  health  law, in relation to authorizing
  certain office-based surgery practices to seek payment for the use  of
  their facilities

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

  Section 1. Section 230-d of the public health law is amended by adding
a new subdivision 6 to read as follows:
  6. EVERY OFFICE-BASED SURGERY PRACTICE WITH  FULL  ACCREDITED  STATUS,
WHICH  WAS  ESTABLISHED AND PROVIDING CARE PURSUANT TO THE PROVISIONS OF
THIS SECTION PRIOR TO THE EFFECTIVE DATE OF THIS SUBDIVISION,  SHALL  BE
ELIGIBLE TO SEEK PAYMENT FROM A HEALTH PLAN FOR COSTS RELATED TO THE USE
OF  THE SURGERY LOCATION OR SETTING OF SUCH PRACTICE.  SUCH FEE SHALL BE
IN ADDITION TO THE FEE CHARGED BY THE LICENSEE FOR  THE  PERFORMANCE  OF
THE  COVERED  OFFICE-BASED SURGERY INVOLVING AN INSURED OR A HEALTH PLAN
ENROLLEE; PROVIDED THAT  THE  HEALTH  PLAN  ALSO  REIMBURSES  FOR  COSTS
RELATED  TO  THE  USE  OF  A  SURGERY  LOCATION  OR  SETTING  CHARGED IN
CONNECTION WITH THE SAME COVERED PROCEDURE PERFORMED AT  A  HOSPITAL  OR
AMBULATORY  SURGERY CENTER ORGANIZED PURSUANT TO ARTICLE TWENTY-EIGHT OF
THIS CHAPTER. WHEN CALCULATING  THE  APPROPRIATE  RATE  OF  OFFICE-BASED
SURGERY  RELATED REIMBURSEMENT, A HEALTH PLAN MAY ALSO TAKE INTO CONSID-
ERATION CERTAIN COMPARABLE AND NON-COMPARABLE COSTS AND  OBLIGATIONS  OF
AMBULATORY  SURGERY  CENTERS  AND HOSPITALS AND ADJUST RATES ACCORDINGLY
AND IN A REASONABLE MANNER.
  S 2. This act shall take effect immediately.


 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11332-03-6

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