Assembly Bill A723

2009-2010 Legislative Session

Relates to the definition of a clinical peer reviewer

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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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2009-A723 (ACTIVE) - Details

See Senate Version of this Bill:
S3450
Law Section:
Public Health Law
Laws Affected:
Amd §4900, Pub Health L; amd §4900, Ins L
Versions Introduced in Other Legislative Sessions:
2011-2012: A662
2013-2014: A2693
2015-2016: A445
2017-2018: A2539
2019-2020: A3076
2021-2022: A879

2009-A723 (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.

2009-A723 (ACTIVE) - Bill Text download pdf

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                   723

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                               (PREFILED)

                             January 7, 2009
                               ___________

Introduced  by  M.  of  A.  GOTTFRIED,  JOHN, DINOWITZ, GALEF, KAVANAGH,
  PAULIN, SCHIMEL, FIELDS -- Multi-Sponsored by  --  M.  of  A.  JACOBS,
  KELLNER,  J. MILLER,  TOWNS -- read once and referred 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,  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;
and
  (b) for purposes of title two of this article:
  (i)] a physician who:
  [(A)] (I) possesses a current  and  valid  non-restricted  license  to
practice medicine;
  [(B)]  (II)  where applicable, is board certified or board eligible in
the same or similar specialty as the health care provider who  typically

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

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