senate Bill S5927

2015-2016 Legislative Session

Promotes transparency and equity in the utilization review process by ensuring that agents are independent, having no existing relationships with the reviewed entity

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Health 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 (2)
Assembly Actions - Lowercase
Senate Actions - UPPERCASE
Jan 06, 2016 referred to health
Jun 12, 2015 referred to rules

Co-Sponsors

S5927 (ACTIVE) - Details

See Assembly Version of this Bill:
A8145
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §4905, Pub Health L; amd §4905, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: S2663, A3232
2019-2020: A3895

S5927 (ACTIVE) - Summary

Promotes transparency and equity in the utilization review process by ensuring that agents are independent, having no existing relationships with the reviewed entity.

S5927 (ACTIVE) - Sponsor Memo

S5927 (ACTIVE) - Bill Text download pdf

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

                                  5927

                       2015-2016 Regular Sessions

                            I N  S E N A T E

                              June 12, 2015
                               ___________

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

AN ACT to amend the public health law and the insurance law, in relation
  to utilization review agents

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

  Section  1. Section 4905 of the public health law is amended by adding
a new subdivision 16 to read as follows:
  16. A UTILIZATION REVIEW AGENT SHALL NOT CONDUCT A REVIEW OF ANY ENTI-
TY IN WHICH IT HAS "MATERIAL FAMILIAL AFFILIATION", "MATERIAL  FINANCIAL
AFFILIATION" OR "MATERIAL PROFESSIONAL AFFILIATION".
  S  2.  Section  4905  of  the insurance law is amended by adding a new
subsection (p) to read as follows:
  (P) A UTILIZATION REVIEW AGENT SHALL NOT CONDUCT A REVIEW OF ANY ENTI-
TY IN WHICH IT HAS "MATERIAL FAMILIAL AFFILIATION", "MATERIAL  FINANCIAL
AFFILIATION" OR "MATERIAL PROFESSIONAL AFFILIATION".
  S 3. This act shall take effect immediately.





 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD11508-01-5

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