Bill Text: NY A03895 | 2019-2020 | General Assembly | Introduced

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Bill Title: Promotes transparency and equity in the utilization review process by ensuring that agents are independent, having no existing relationships with the reviewed entity.

Spectrum: Slight Partisan Bill (Democrat 2-1)

Status: (Introduced - Dead) 2020-01-08 - referred to insurance [A03895 Detail]

Download: New_York-2019-A03895-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          3895
                               2019-2020 Regular Sessions
                   IN ASSEMBLY
                                    January 31, 2019
                                       ___________
        Introduced  by  M.  of  A.  DenDEKKER  --  read once and referred to the
          Committee on Insurance
        AN ACT to amend the public health law and the insurance law, in relation
          to utilization review agents
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1. Section 4905 of the public health law is amended by adding
     2  a new subdivision 16 to read as follows:
     3    16. A utilization review agent shall not conduct a review of any enti-
     4  ty in which it has "material familial affiliation", "material  financial
     5  affiliation" or "material professional affiliation".
     6    §  2.  Section  4905  of  the insurance law is amended by adding a new
     7  subsection (p) to read as follows:
     8    (p) A utilization review agent shall not conduct a review of any enti-
     9  ty in which it has "material familial affiliation", "material  financial
    10  affiliation" or "material professional affiliation".
    11    § 3. This act shall take effect immediately.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07827-01-9