|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Feb 26, 2015||referred to health|
senate Bill S4070
Archive: Last Bill Status - In Senate Committee Health Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S4070 (ACTIVE) - Details
S4070 (ACTIVE) - Summary
Authorizes the commissioner of health, within fiscal year 2015-2016, to contract with high bidders to perform pilot projects to assess the feasibility of reducing medically unnecessary high cost radiological procedures and generalizing cost savings to the state through enhanced medical management and prior review of orders for diagnostic imaging.
S4070 (ACTIVE) - Sponsor Memo
BILL NUMBER:S4070 TITLE OF BILL: An act to amend the social services law, in relation to authorizing a pilot program for enhanced prior approval of high cost diagnostic radiology services PURPOSE OR GENERAL IDEA OF BILL: Use of Radiology Benefit Management (RBM) services to reduce radiology expenses on Medicaid recipients. The may contract with qualified bidders to access the feasibility of reducing medically unnecessary high cost radiological procedures using selection criteria that includes using entities that utilize and currently utilize only licensed radiologists, and are based in New York. JUSTIFICATION: Redundant high tech imaging, typically classified as MRI, CTs, and Pet scans, pose a significant concern, as there are few strategies to manage it, while the ramifications of repeat radiation exposure, and the high cost to patients is of great concern. RBMs have been successful in reducing and containing rising cost and utilization related to diagnostic imaging. The factors that contribute to the growth of these costs are likely to persist because they include
S4070 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4070 2015-2016 Regular Sessions I N S E N A T E February 26, 2015 ___________ Introduced by Sen. SAMPSON -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law, in relation to authorizing a pilot program for enhanced prior approval of high cost diagnostic radiology services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. The social services law is amended by adding a new section 369-hh to read as follows: S 369-HH. PILOT PROGRAM FOR ENHANCED PRIOR APPROVAL OF HIGH COST DIAG- NOSTIC RADIOLOGY SERVICES. 1. PURSUANT TO SECTION ONE HUNDRED SIXTY-THREE OF THE STATE FINANCE LAW, THE COMMISSIONER OF HEALTH SHALL, WITHIN THE FISCAL YEAR OF TWO THOUSAND FIFTEEN--TWO THOUSAND SIXTEEN, CONTRACT WITH QUALIFIED BIDDERS TO PERFORM PILOT PROJECTS TO ASSESS THE FEASIBILITY OF REDUCING MEDICALLY UNNECESSARY HIGH COST RADIOLOGICAL PROCEDURES AND GENERALIZING COST SAVINGS TO THE STATE THROUGH ENHANCED MEDICAL MANAGEMENT AND PRIOR REVIEW OF ORDERS FOR DIAGNOSTIC IMAGING. 2. THE COMMISSIONER OF HEALTH SHALL SELECT AN ENTITY TO PERFORM SUCH PILOT PROJECT UTILIZING THE FOLLOWING SELECTION CRITERIA: (A) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND CURRENTLY UTILIZING LICENSED PROFESSIONALS TO CONDUCT INTAKE OF PATIENTS; (B) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND CURRENTLY UTILIZING ONLY LICENSED RADIOLOGISTS TO MAKE PRIOR REVIEW DETERMINATIONS; (C) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND CURRENTLY UTILIZING LICENSED RADIOLOGISTS TO REQUEST ADDITIONAL INFORMA- TION, AS NECESSARY, FROM THE TREATING PROVIDER; (D) THE ENTITY SHALL BE BASED IN NEW YORK AND AT LEAST FIFTY PERCENT OF THE ENTITY'S EMPLOYEES SHALL RESIDE IN NEW YORK. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09105-01-5
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