Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 03, 2024 |
referred to health |
Feb 14, 2023 |
referred to health |
Senate Bill S4792
2023-2024 Legislative Session
Sponsored By
(D, WF) 33rd Senate District
Current 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
Actions
2023-S4792 (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
2021-2022: S2125
2023-S4792 (ACTIVE) - Sponsor Memo
BILL NUMBER: S4792 SPONSOR: RIVERA TITLE OF BILL: 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 PURPOSE: 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. SUMMARY OF SPECIFIC PROVISIONS: Section 1 amends paragraphs (a) and (c) of subdivision 3 of section 4903 of the public health law as it relates to utilization review. This section adds nursing home care to the list of services where the request for a utilization review must be completed within 24 hours of the request.
2023-S4792 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4792 2023-2024 Regular Sessions I N S E N A T E February 14, 2023 ___________ 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. LBD08060-01-3
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