Senate Bill S6492

2015-2016 Legislative Session

Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request

download bill text pdf

Sponsored By

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

Do you support this bill?

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.
Actions
Votes

2015-S6492 (ACTIVE) - Details

See Assembly Version of this Bill:
A9301
Current Committee:
Senate Rules
Law Section:
Public Health Law
Laws Affected:
Amd §4903, Pub Health L; amd §4903, Ins L
Versions Introduced in Other Legislative Sessions:
2017-2018: S7871, A7108
2019-2020: S1810, A3059

2015-S6492 (ACTIVE) - Summary

Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request.

2015-S6492 (ACTIVE) - Sponsor Memo

2015-S6492 (ACTIVE) - Bill Text download pdf

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

                                  6492

                            I N  S E N A T E

                            January 20, 2016
                               ___________

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 utilization review of coverage of nursing home  care  following  an
  inpatient hospital admission

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

  Section 1. Paragraphs (a) and (c) of subdivision 3 of section 4903  of
the  public  health  law,  paragraph (a) as amended and paragraph (c) as
added by chapter 41 of the laws of 2014, are amended to read as follows:
  (a) A utilization review agent shall make  a  determination  involving
continued  or  extended health care services, additional services for an
enrollee undergoing a course of  continued  treatment  prescribed  by  a
health  care  provider, or requests for inpatient substance use disorder
treatment, OR NURSING HOME CARE or home health care  services  following
an inpatient hospital admission, and shall provide notice of such deter-
mination to the enrollee or the enrollee's designee, which may be satis-
fied  by notice to the enrollee's health care provider, by telephone and
in writing within one business day of receipt of the necessary  informa-
tion  except,  with  respect  to  home health care services following an
inpatient hospital admission, within seventy-two hours of receipt of the
necessary information when the day subsequent to the request falls on  a
weekend  or  holiday and except, with respect to inpatient substance use
disorder treatment OR NURSING HOME CARE,  within  twenty-four  hours  of
receipt  of  the  request  for services when the request is submitted at
least twenty-four hours prior to discharge from an inpatient  admission.
Notification  of continued or extended services shall include the number
of extended services approved, the new total of approved  services,  the
date of onset of services and the next review date.
  (c)  Provided that a request for inpatient treatment for substance use
disorder OR NURSING HOME CARE is submitted  to  the  utilization  review
agent  at  least  twenty-four hours prior to discharge from an inpatient
admission pursuant to this subdivision, a utilization review agent shall
not deny, on the basis of medical necessity or lack  of  prior  authori-

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

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.