|Assembly Actions - Lowercase
Senate Actions - UPPERCASE
|Jan 08, 2020||referred to health|
|Jun 20, 2019||committed to rules|
|May 29, 2019||advanced to third reading|
|May 22, 2019||2nd report cal.|
|May 21, 2019||1st report cal.835|
|Jan 29, 2019||referred to health|
senate Bill S2847
Current Bill Status - In Senate Committee Health Committee
- In Committee
- On Floor Calendar
- Passed Senate
- Passed Assembly
- Delivered to Governor
- Signed/Vetoed by Governor
S2847 (ACTIVE) - Details
S2847 (ACTIVE) - Sponsor Memo
BILL NUMBER: S2847 SPONSOR: BRESLIN TITLE OF BILL: An act to amend the public health law and the insurance law, in relation to utilization review program standards and prescription drug formulary changes during a contract year, and in relation to pre-authorization of health care services PURPOSE: The purpose of this legislation is to reduce administrative requirements of health care practitioners which interfere with efforts to assure patients receive appropriate care. SUMMARY OF PROVISIONS: Section 1 amends paragraph (c) of subdivision 1 of section 4902 of the public health law to add "such clinical review criteria shall utilize recognized evidence-based and peer reviewed clinical review criteria
S2847 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 2847 2019-2020 Regular Sessions I N S E N A T E January 29, 2019 ___________ Introduced by Sens. BRESLIN, AKSHAR, COMRIE, FUNKE, GALLIVAN, HOYLMAN, ORTT, ROBACH, SEPULVEDA -- 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 program standards and prescription drug formu- lary changes during a contract year, and in relation to pre-authoriza- tion of health care services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Paragraph (c) of subdivision 1 of section 4902 of the public health law, as added by chapter 705 of the laws of 1996, is amended to read as follows: (c) Utilization of written clinical review criteria developed pursuant to a utilization review plan. SUCH CLINICAL REVIEW CRITERIA SHALL UTILIZE RECOGNIZED EVIDENCE-BASED AND PEER REVIEWED CLINICAL REVIEW CRITERIA THAT TAKES INTO ACCOUNT THE NEEDS OF A TYPICAL PATIENT POPU- LATIONS AND DIAGNOSES; § 2. Paragraph (a) of subdivision 2 of section 4903 of the public health law, as amended by chapter 371 of the laws of 2015, is amended to read as follows: (a) A utilization review agent shall make a utilization review deter- mination involving health care services which require pre-authorization and provide notice of a determination to the enrollee or enrollee's designee and the enrollee's health care provider by telephone and in writing within [three business days] FORTY-EIGHT HOURS of receipt of the necessary information, OR WITHIN TWENTY-FOUR HOURS OF THE RECEIPT OF NECESSARY INFORMATION IF THE REQUEST IS FOR AN ENROLLEE WITH A MEDICAL CONDITION THAT PLACES THE HEALTH OF THE INSURED IN SERIOUS JEOPARDY WITHOUT THE HEALTH CARE SERVICES RECOMMENDED BY THE ENROLLEE'S HEALTH CARE PROFESSIONAL. To the extent practicable, such written notification to the enrollee's health care provider shall be transmitted electron- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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