Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
May 06, 2014 |
print number 4970b |
May 06, 2014 |
amend and recommit to health |
Feb 21, 2014 |
print number 4970a |
Feb 21, 2014 |
amend and recommit to health |
Jan 08, 2014 |
referred to health |
May 02, 2013 |
referred to health |
Senate Bill S4970
2013-2014 Legislative Session
Sponsored By
(R, C, IP, RFM) 24th Senate District
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
Actions
Bill Amendments
2013-S4970 - Details
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4406-d, Pub Health L; amd §4803, Ins L
- Versions Introduced in 2015-2016 Legislative Session:
-
S2545
2013-S4970 - Summary
Requires health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals; provides that health care professionals who have received credentials and change the address of or add locations to the practice need only notify the health care plan or insurer of such change or addition.
2013-S4970 - Sponsor Memo
BILL NUMBER:S4970 TITLE OF BILL: An act to amend the public health law and the insurance law, in relation to requiring health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals PURPOSE: Requires health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice. SUMMARY OF SPECIFIC PROVISIONS: Section 1 of the bill amends the section 4406-d of the public health law. Section 2 amends section 4803 of the insurance law. Section 3 establishes the effective date. JUSTIFICATION: Currently there is no requirement or incentive for insurance companies
2013-S4970 - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4970 2013-2014 Regular Sessions I N S E N A T E May 2, 2013 ___________ Introduced by Sen. LANZA -- 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 requiring health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 1 of section 4406-d of the public health law, as amended by chapter 237 of the laws of 2009, is amended to read as follows: 1. (a) A health care plan shall, upon request, make available and disclose to health care professionals written application procedures and minimum qualification requirements which a health care professional must meet in order to be considered by the health care plan. The plan shall consult with appropriately qualified health care professionals in devel- oping its qualification requirements. A health care plan shall complete review of the health care professional's application to participate in the in-network portion of the health care plan's network and shall, within ninety days of receiving a health care professional's completed application to participate in the health care plan's network, notify the health care professional as to: (i) whether he or she is credentialed; or (ii) whether additional time is necessary to make a determination in spite of the health care plan's best efforts or because of a failure of a third party to provide necessary documentation, or non-routine or unusual circumstances require additional time for review. In such instances where additional time is necessary because of a lack of neces- sary documentation, a health plan shall make every effort to obtain such information as soon as possible. PROVIDED, HOWEVER, THAT IF THE APPLI- CANT IS A HEALTH CARE PROFESSIONAL WHO IS JOINING A GROUP PRACTICE OF HEALTH CARE PROFESSIONALS, AT LEAST ONE OF WHOM PARTICIPATES IN THE EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09628-01-3
2013-S4970A - Details
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4406-d, Pub Health L; amd §4803, Ins L
- Versions Introduced in 2015-2016 Legislative Session:
-
S2545
2013-S4970A - Summary
Requires health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals; provides that health care professionals who have received credentials and change the address of or add locations to the practice need only notify the health care plan or insurer of such change or addition.
2013-S4970A - Sponsor Memo
BILL NUMBER:S4970A TITLE OF BILL: An act to amend the public health law and the insurance law, in relation to requiring health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals PURPOSE OR GENERAL IDEA OF BILL: Requires health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice. SUMMARY OF SPECIFIC PROVISIONS: Section 1 of the bill amends the section 4406-d of the public health law. Section 2 amends section 4803 of the insurance law. Section 3 establishes the effective date. JUSTIFICATION: Currently there is no requirement or incentive for insurance companies
2013-S4970A - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4970--A 2013-2014 Regular Sessions I N S E N A T E May 2, 2013 ___________ Introduced by Sen. LANZA -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law and the insurance law, in relation to requiring health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 1 of section 4406-d of the public health law, as amended by chapter 237 of the laws of 2009, is amended to read as follows: 1. (a) A health care plan shall, upon request, make available and disclose to health care professionals written application procedures and minimum qualification requirements which a health care professional must meet in order to be considered by the health care plan. The plan shall consult with appropriately qualified health care professionals in devel- oping its qualification requirements. A health care plan shall complete review of the health care professional's application to participate in the in-network portion of the health care plan's network and shall, within ninety days of receiving a health care professional's completed application to participate in the health care plan's network, notify the health care professional as to: (i) whether he or she is credentialed; or (ii) whether additional time is necessary to make a determination in spite of the health care plan's best efforts or because of a failure of a third party to provide necessary documentation, or non-routine or unusual circumstances require additional time for review. In such instances where additional time is necessary because of a lack of neces- sary documentation, a health plan shall make every effort to obtain such EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09628-03-4
2013-S4970B (ACTIVE) - Details
- Current Committee:
- Senate Health
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4406-d, Pub Health L; amd §4803, Ins L
- Versions Introduced in 2015-2016 Legislative Session:
-
S2545
2013-S4970B (ACTIVE) - Summary
Requires health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals; provides that health care professionals who have received credentials and change the address of or add locations to the practice need only notify the health care plan or insurer of such change or addition.
2013-S4970B (ACTIVE) - Sponsor Memo
BILL NUMBER:S4970B TITLE OF BILL: An act to amend the public health law and the insurance law, in relation to requiring health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals PURPOSE OR GENERAL IDEA OF BILL: Requires health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice. SUMMARY OF SPECIFIC PROVISIONS: Section 1 of the bill amends the section 4406-d of the public health law. Section 2 amends section 4803 of the insurance law. Section 3 establishes the effective date. JUSTIFICATION: Currently there is no requirement or incentive for insurance companies
2013-S4970B (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4970--B 2013-2014 Regular Sessions I N S E N A T E May 2, 2013 ___________ Introduced by Sen. LANZA -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the public health law and the insurance law, in relation to requiring health care plans and insurers to provide expedited review of applications of health care professionals who are joining a group practice and grant provisional credentials to such professionals THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subdivision 1 of section 4406-d of the public health law, as amended by chapter 237 of the laws of 2009, is amended to read as follows: 1. (a) A health care plan shall, upon request, make available and disclose to health care professionals written application procedures and minimum qualification requirements which a health care professional must meet in order to be considered by the health care plan. The plan shall consult with appropriately qualified health care professionals in devel- oping its qualification requirements. A health care plan shall complete review of the health care professional's application to participate in the in-network portion of the health care plan's network and shall, within ninety days of receiving a health care professional's completed application to participate in the health care plan's network, notify the health care professional as to: (i) whether he or she is credentialed; or (ii) whether additional time is necessary to make a determination in spite of the health care plan's best efforts or because of a failure of a third party to provide necessary documentation, or non-routine or unusual circumstances require additional time for review. In such instances where additional time is necessary because of a lack of neces- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD09628-05-4
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