Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Dec 28, 2020 |
committed to rules |
Feb 03, 2020 |
advanced to third reading |
Jan 29, 2020 |
2nd report cal. |
Jan 28, 2020 |
1st report cal.307 |
Jan 08, 2020 |
referred to health |
Jun 20, 2019 |
committed to rules |
May 20, 2019 |
advanced to third reading |
May 15, 2019 |
2nd report cal. |
May 14, 2019 |
1st report cal.760 |
Mar 07, 2019 |
referred to health |
Senate Bill S4335
2019-2020 Legislative Session
Sponsored By
(D, WF) 18th Senate District
Archive: Last Bill Status - In Senate Committee Rules 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
Votes
2019-S4335 (ACTIVE) - Details
2019-S4335 (ACTIVE) - Sponsor Memo
BILL NUMBER: S4335 SPONSOR: SALAZAR TITLE OF BILL: An act to amend the public health law and the insur- ance law, in relation to certain application and referral forms for health care plans PURPOSE OR GENERAL IDEA OF BILL: To streamline and simplify the process by which physicians and other health care professionals are credentialed by health care plans and hospitals, as well as to standardize the referral forms that primary care physicians use to facilitate care for a patient by a specialist physician. SUMMARY OF SPECIFIC PROVISIONS: Section 1 of the bill amends section 4406-d, subdivision (1) paragraph(a)of the Public Health Law by adding "universal health care professional" before application, deletes "to participate" and adds "for participation" and creates new paragraphs (c), (d), (e), (f), (g) and
2019-S4335 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4335 2019-2020 Regular Sessions I N S E N A T E March 7, 2019 ___________ Introduced by Sen. SALAZAR -- 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 certain application and referral forms for health care plans 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 425 of the laws of 2016, 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 UNIVERSAL HEALTH CARE PROFES- SIONAL application [to participate] FOR PARTICIPATION in the in-network portion of the health care plan's network and shall, within sixty days of receiving a health care professional's completed UNIVERSAL applica- tion 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 because of a failure of a third party to provide necessary documentation. 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 and shall make a final determination within twenty-one days of receiving the necessary documentation. (b) If the completed application of a newly-licensed health care professional or a health care professional who has recently relocated to this state from another state and has not previously practiced in this state, who joins a group practice of health care professionals each of EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted.
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