Senate Bill S2125

2021-2022 Legislative Session

Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Senate Committee Health 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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2021-S2125 (ACTIVE) - Details

Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §4903, Pub Health L; amd §4903, Ins L
Versions Introduced in Other Legislative Sessions:
2019-2020: S7525
2023-2024: S4792

2021-S2125 (ACTIVE) - Summary

Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request.

2021-S2125 (ACTIVE) - Sponsor Memo

2021-S2125 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2125
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                             January 19, 2021
                                ___________
 
 Introduced  by  Sen.  RIVERA -- 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 of coverage of nursing home  care  following  an
   inpatient hospital admission

   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Paragraphs (a) and (c) of subdivision 3 of section 4903  of
 the  public  health  law,  paragraph (a) as amended and paragraph (c) as
 added by chapter 41 of the laws of 2014, are amended to read as follows:
   (a) A utilization review agent shall make  a  determination  involving
 continued  or  extended health care services, additional services for an
 enrollee undergoing a course of  continued  treatment  prescribed  by  a
 health  care  provider, or requests for inpatient substance use disorder
 treatment, OR NURSING HOME CARE or home health care  services  following
 an inpatient hospital admission, and shall provide notice of such deter-
 mination to the enrollee or the enrollee's designee, which may be satis-
 fied  by notice to the enrollee's health care provider, by telephone and
 in writing within one business day of receipt of the necessary  informa-
 tion  except,  with  respect  to  home health care services following an
 inpatient hospital admission, within seventy-two hours of receipt of the
 necessary information when the day subsequent to the request falls on  a
 weekend  or  holiday and except, with respect to inpatient substance use
 disorder treatment OR NURSING HOME CARE,  within  twenty-four  hours  of
 receipt  of  the  request  for services when the request is submitted at
 least twenty-four hours prior to discharge from an inpatient  admission.
 Notification  of continued or extended services shall include the number
 of extended services approved, the new total of approved  services,  the
 date of onset of services and the next review date.
   (c)  Provided that a request for inpatient treatment for substance use
 disorder OR NURSING HOME CARE is submitted  to  the  utilization  review
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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