Assembly Bill A3077

2019-2020 Legislative Session

Relates to certain application and referral forms for health care plans

download bill text pdf

Sponsored By

Archive: Last Bill Status - On Floor Calendar


  • 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-A3077 (ACTIVE) - Details

See Senate Version of this Bill:
S4335
Law Section:
Public Health Law
Laws Affected:
Amd §4406-d, Pub Health L; amd §4803, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A764
2011-2012: A575
2013-2014: A2673
2015-2016: A443
2017-2018: A2389

2019-A3077 (ACTIVE) - Summary

Relates to certain application and referral forms for health care plans by authorizing the commissioner and superintendent of financial services to adopt regulations for the renewal of credentialing and re-credentialing of newly licensed health care professionals.

2019-A3077 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3077
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 28, 2019
                                ___________
 
 Introduced  by  M.  of A. GOTTFRIED, CAHILL, ENGLEBRIGHT, GALEF, JAFFEE,
   OTIS, STECK, D'URSO -- Multi-Sponsored by -- M. of A.  ABBATE,  AUBRY,
   CARROLL,  COLTON,  COOK,  CYMBROWITZ,  DINOWITZ, ORTIZ, PAULIN, PERRY,
   PRETLOW, RAMOS, RIVERA, TITUS -- read once and referred to the Commit-
   tee on Health

 AN ACT to amend the public health law and the insurance law, in relation
   to certain application and referral forms for health care plans
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1.  Subdivision 1 of section 4406-d of the public health law,
 as amended by chapter 425 of the laws of 2016, is  amended  to  read  as
 follows:
   1.  (a)  A  health  care  plan shall, upon request, make available and
 disclose to health care professionals written application procedures and
 minimum qualification requirements which a health care professional must
 meet in order to be considered by the health care plan. The  plan  shall
 consult with appropriately qualified health care professionals in devel-
 oping  its qualification requirements. A health care plan shall complete
 review of the health care professional's UNIVERSAL HEALTH  CARE  PROFES-
 SIONAL  application [to participate] FOR PARTICIPATION in the in-network
 portion of the health care plan's network and shall, within  sixty  days
 of  receiving  a health care professional's completed UNIVERSAL applica-
 tion to participate in the health care plan's network, notify the health
 care professional as to: (i) whether he or she is credentialed; or  (ii)
 whether  additional time is necessary to make a determination because of
 a failure of a third party to provide necessary documentation.  In  such
 instances where additional time is necessary because of a lack of neces-
 sary documentation, a health plan shall make every effort to obtain such
 information  as  soon  as  possible and shall make a final determination
 within twenty-one days of receiving the necessary documentation.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD03362-01-9
              

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