Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 06, 2020 |
enacting clause stricken |
Feb 19, 2019 |
referred to insurance |
Assembly Bill A5827
2019-2020 Legislative Session
Sponsored By
TITUS
Archive: Last Bill Status - Stricken
- 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
Actions
co-Sponsors
Phil Steck
2019-A5827 (ACTIVE) - Details
2019-A5827 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 5827 2019-2020 Regular Sessions I N A S S E M B L Y February 19, 2019 ___________ Introduced by M. of A. TITUS, STECK -- 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 206 of the public health law is amended by adding two new subdivisions 31 and 32 to read as follows: 31. THE COMMISSIONER IS HEREBY DIRECTED TO ESTABLISH AND PERIODICALLY UPDATE FROM AVAILABLE APPLICANTS AN INDEPENDENT POOL OF PHYSICIANS AND PROFESSIONAL HEALTH SERVICE PROVIDERS IN EACH MEDICAL AND PROFESSIONAL HEALTH SERVICE SPECIALTY TO SERVE AS INDEPENDENT UTILIZATION REVIEW AGENTS AS DEFINED BY SUBDIVISION NINE OF SECTION FORTY-NINE HUNDRED OF THIS CHAPTER. 32. (A) THE COMMISSIONER SHALL ASSIGN PHYSICIANS OR OTHER PROFESSIONAL HEALTH SERVICE PROVIDERS AUTHORIZED TO EXAMINE OR EVALUATE INJURY OR ILLNESS FROM THE POOL IN THE APPROPRIATE MEDICAL OR PROFESSIONAL HEALTH SERVICE SPECIALTY AND WHO PRACTICES IN THE SAME AREA OR REGION TO CONDUCT PHYSICAL EXAMINATIONS AND REVIEW MEDICAL RECORDS OF COVERED PERSONS EXCLUSIVELY ON A RANDOM, ROTATING BASIS TO ELIMINATE BIAS OR PREFERENCE IN THE SELECTION OF THE INDEPENDENT UTILIZATION REVIEW AGENTS, OR ALTERNATIVELY, THE COMMISSIONER MAY SELECT A NOT-FOR-PROFIT ORGANIZATION TO ASSIGN PROVIDERS FROM THE POOL ON THE SAME BASIS. SUCH ASSIGNMENT MAY BE DONE THROUGH A PROCESS WHEREBY A LIST OF RANDOMLY SELECTED, APPROPRIATE MEDICAL OR PROFESSIONAL HEALTH SERVICE PROVIDERS IS COMPILED BY GEOGRAPHIC REGION THROUGHOUT THE STATE AND PROVIDED TO THE INSURANCE CARRIER AND THE CLAIMANT FOR THE PURPOSES OF PROVIDING BOTH PARTIES EQUAL OPPORTUNITY TO STRIKE AN EQUAL NUMBER OF NAMES OFF SUCH LIST UNTIL ONE UTILIZATION REVIEW AGENT REMAINS TO CONDUCT THE MEDICAL EXAMINATION OR REVIEW OF MEDICAL RECORDS. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD05872-01-9
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