Assembly Bill A2539

2017-2018 Legislative Session

Relates to the definition of a clinical peer reviewer

download bill text pdf

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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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2017-A2539 (ACTIVE) - Details

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
2019-2020: A3076
2021-2022: A879

2017-A2539 (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.

2017-A2539 (ACTIVE) - Bill Text download pdf

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2539
 
                        2017-2018 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 20, 2017
                                ___________
 
 Introduced  by  M.  of A. GOTTFRIED, DINOWITZ, GALEF, PAULIN, ROSENTHAL,
   KAVANAGH,  COLTON,  JAFFEE,  ABINANTI,  SEPULVEDA  --  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, item (B) of subparagraph
 (ii) of paragraph (a) as amended and subparagraph (iii) of paragraph (a)
 as added by chapter 41 of the laws  of  2014,  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
 and has experience in the delivery of substance use disorder courses  of
 treatment; or

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

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