Senate Bill S599

2021-2022 Legislative Session

Relates to the definition of a clinical peer reviewer

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-S599 (ACTIVE) - Details

See Assembly Version of this Bill:
A879
Current Committee:
Senate Health
Law Section:
Public Health Law
Laws Affected:
Amd §4900, Pub Health L; amd §4900, Ins L
Versions Introduced in Other Legislative Sessions:
2009-2010: A723
2011-2012: A662
2013-2014: A2693
2015-2016: A445
2017-2018: A2539
2019-2020: S8844, A3076

2021-S599 (ACTIVE) - Summary

Relates to the definition of a clinical peer reviewer by clarifying that such term shall be applicable for the entire utilization review and external appeal article and means either a physician or a health care professional with certain qualifications.

2021-S599 (ACTIVE) - Sponsor Memo

2021-S599 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                    599
 
                        2021-2022 Regular Sessions
 
                             I N  S E N A T E
 
                                (PREFILED)
 
                              January 6, 2021
                                ___________
 
 Introduced  by Sen. BENJAMIN -- 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 the definition of clinical peer reviewer

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section  1. Subdivision 2 of section 4900 of the public health law, as
 amended by chapter 586 of the laws of 1998,  item  (B)  of  subparagraph
 (ii)  of  paragraph (a) as amended by chapter 41 of the laws of 2014 and
 subparagraph (iii) as amended and subparagraph (iv) of paragraph (a)  as
 added by section 42 of subpart A of part BB of chapter 57 of the laws of
 2019, is amended to read as follows:
   2. "Clinical peer reviewer" means:
   (a) [for purposes of title one of this article:
   (i)  a  physician  who  possesses  a  current and valid non-restricted
 license to practice medicine; or
   (ii) a health care professional other than a licensed physician who:
   (A) where applicable, possesses a  current  and  valid  non-restricted
 license,  certificate  or  registration  or,  where  no  provision for a
 license, certificate or registration  exists,  is  credentialed  by  the
 national accrediting body appropriate to the profession; and
   (B)  is  in  the  same profession and same or similar specialty as the
 health care provider who typically  manages  the  medical  condition  or
 disease  or  provides the health care service or treatment under review;
 or
   (iii) for purposes of a determination involving substance use disorder
 treatment:
   (A) a physician who  possesses  a  current  and  valid  non-restricted
 license  to  practice  medicine and who specializes in behavioral health

  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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