Bill Text: NY A10188 | 2013-2014 | General Assembly | Introduced

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Bill Title: Prohibits health insurance entities from establishing quality ratings systems for dentists based solely on cost of services.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-09-24 - referred to insurance [A10188 Detail]

Download: New_York-2013-A10188-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         10188
                                 I N  A S S E M B L Y
                                  September 24, 2014
                                      ___________
       Introduced  by  COMMITTEE ON RULES -- (at request of M. of A. Abbate) --
         read once and referred to the Committee on Insurance
       AN ACT to amend the public health law, in relation to prohibiting estab-
         lishing quality ratings for dentists based solely on cost of services
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Section 206 of the public health law is amended by adding a
    2  new subdivision 29 to read as follows:
    3    29.  THE  COMMISSIONER  SHALL  PROMULGATE REGULATIONS, IN CONSULTATION
    4  WITH THE NEW YORK STATE OFFICE OF  THE  ATTORNEY  GENERAL,  TO  PROHIBIT
    5  HEALTH  INSURANCE ENTITIES FROM ESTABLISHING RATING SYSTEMS FOR DENTISTS
    6  BASED SOLELY ON COST OF SERVICES.   A HEALTH  INSURANCE  ENTITY  IS  ANY
    7  ENTITY   THAT   IS   SUBJECT  TO  ARTICLES  FORTY-TWO,  FORTY-THREE  AND
    8  FORTY-EIGHT OF THE INSURANCE LAW OR ARTICLE FORTY-FOUR OF THIS  CHAPTER.
    9  ANY  QUALITY  RATING SYSTEM SHALL ONLY BE BASED ON DATA THAT IS VERIFIED
   10  FOR ACCURACY AND MADE TRANSPARENT, FAIR,  AND  ACCESSIBLE  TO  DENTISTS,
   11  CONSUMERS,  AND  DISCLOSED TO THE PUBLIC. FAIR DATA SHALL MEAN DATA THAT
   12  IS   DERIVED   FROM   NATIONALLY   RECOGNIZED   EVIDENCE-BASED    AND/OR
   13  CONSENSUS-BASED CLINICAL RECOMMENDATIONS OR GUIDELINES; INCLUDES CHARAC-
   14  TERISTICS OF THE DENTIST'S PATIENT POPULATIONS INCLUDING, BUT NOT LIMIT-
   15  ED,  CASE  MIX, SEVERITY OF THE PATIENT'S CONDITION, CO-MORBIDITIES, AND
   16  THE EXTENT TO WHICH PATIENT COMPLIANCE IS A FACTOR IN ACHIEVING A QUALI-
   17  TY OUTCOME; AND IS SUPPORTED BY SUFFICIENT DENTAL RECORD BASED VERIFICA-
   18  TIONS TO ASSURE DATA ACCURACY.
   19    S 2. This act shall take effect immediately.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD15785-01-4