Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Dec 28, 2020 |
committed to rules |
Feb 27, 2020 |
advanced to third reading |
Feb 26, 2020 |
2nd report cal. |
Feb 25, 2020 |
1st report cal.486 |
Jan 23, 2020 |
referred to health |
Senate Bill S7525
2019-2020 Legislative Session
Sponsored By
(D, WF) 33rd 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-S7525 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A9086
- Current Committee:
- Senate Rules
- Law Section:
- Public Health Law
- Laws Affected:
- Amd §4903, Pub Health L; amd §4903, Ins L
- Versions Introduced in Other Legislative Sessions:
-
2021-2022:
S2125
2023-2024: S4792
2019-S7525 (ACTIVE) - Sponsor Memo
BILL NUMBER: S7525 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: To decrease delays for post-acute care by adding nursing home care to the types of care for which an insurer must make a determination on authorization within twenty-four hours. SUMMARY OF PROVISIONS: Amends sections § 4903 of the Public Health Law and § 4903 of the Insur- ance Law to require that health care plans make a determination involv- ing continued or extended post-acute nursing home care within twenty four hours of receipt of request for services and to prohibit denial of
2019-S7525 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7525 I N S E N A T E January 23, 2020 ___________ 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 agent at least twenty-four hours prior to discharge from an inpatient admission pursuant to this subdivision, a utilization review agent shall not deny, on the basis of medical necessity or lack of prior authori- EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
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