Assembly Bill A3895

2019-2020 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

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Archive: Last Bill Status - In Assembly 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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2019-A3895 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Public Health Law
Laws Affected:
Amd §4905, Pub Health L; amd §4905, Ins L
Versions Introduced in Other Legislative Sessions:
2015-2016: A8145
2017-2018: A3232

2019-A3895 (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.

2019-A3895 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3895
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 31, 2019
                                ___________
 
 Introduced  by  M.  of  A.  DenDEKKER  --  read once and referred to the
   Committee on Insurance
 
 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".
   §  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".
   § 3. This act shall take effect immediately.
 
 
 
 
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD07827-01-9



              

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