S T A T E O F N E W Y O R K ________________________________________________________________________ 4302--A 2009-2010 Regular Sessions I N A S S E M B L Y February 3, 2009 ___________ Introduced by M. of A. CANESTRARI, CYMBROWITZ, WEISENBERG, PERRY, CASTRO, GABRYSZAK, SCHROEDER, CAMARA, JAFFEE, LIFTON, KOON, BRODSKY, SCHIMEL, BENEDETTO, FIELDS, COLTON -- Multi-Sponsored by -- M. of A. BARRA, BENJAMIN, DESTITO, ERRIGO, HEVESI, LATIMER, LAVINE, LENTOL, LUPARDO, MARKEY, McDONOUGH, McENENY, PAULIN, PHEFFER, SWEENEY, TITONE, WEINSTEIN, ZEBROWSKI -- read once and referred to the Committee on Labor -- recommitted to the Committee on Labor in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the workers' compensation law, in relation to the estab- lishment of rates of payment and delivery of health care services THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The closing paragraph of subdivision (a) of section 13 of 2 the workers' compensation law, as amended by chapter 6 of the laws of 3 2007, is amended to read as follows: 4 The chair, IN CONSULTATION WITH THE BOARD'S MEDICAL DIRECTOR, shall 5 BIENNIALLY prepare and establish a schedule for the state, or schedules 6 limited to defined localities, of charges and fees for such medical 7 treatment and care, and including all medical, dental, surgical, optome- 8 tric or other attendance or treatment, nurse and hospital service, medi- 9 cine, optometric services, crutches, eye-glasses, false teeth, artifi- 10 cial eyes, orthotics, prosthetic devices, functional assistive and 11 adaptive devices and apparatus in accordance with and to be subject to 12 change pursuant to rules promulgated by the chair. Before preparing such 13 schedule for the state or schedules for limited localities the chair 14 shall request the president of the medical society of the state of New 15 York and the president of the New York state osteopathic medical society 16 to submit to him or her a report on the amount of remuneration deemed by 17 such society to be fair and adequate for the types of medical care to be 18 rendered under this chapter, but consideration shall be given to the EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02665-06-0 A. 4302--A 2 1 view of other interested parties. In the case of physical therapy fees 2 schedules the chair shall request the president of [a recognized profes- 3 sional association representing physical therapists in the state of New 4 York] THE NEW YORK PHYSICAL THERAPY ASSOCIATION to submit to him or her 5 a report on the amount of remuneration deemed by such association to be 6 fair and reasonable for the type of physical therapy services rendered 7 under this chapter, but consideration shall be given to the views of 8 other interested parties. The chair shall also prepare and establish a 9 schedule for the state, or schedules limited to defined localities, of 10 charges and fees for outpatient hospital services not covered under the 11 medical fee schedule previously referred to in this subdivision, to be 12 determined in accordance with and to be subject to change pursuant to 13 rules promulgated by the chair. Before preparing such schedule for the 14 state or schedules for limited localities the chair shall request the 15 president of the hospital association of New York state to submit to him 16 or her a report on the amount of remuneration deemed by such association 17 to be fair and adequate for the types of hospital outpatient care to be 18 rendered under this chapter, but consideration shall be given to the 19 views of other interested parties. In the case of occupational therapy 20 fees schedules the chair shall request the president of a recognized 21 professional association representing occupational therapists in the 22 state of New York to submit to him or her a report on the amount of 23 remuneration deemed by such association to be fair and reasonable for 24 the type of occupational therapy services rendered under this chapter, 25 but consideration shall be given to the views of other interested 26 parties. The amounts payable by the employer for such treatment and 27 services shall be the fees and charges established by such schedule. 28 Nothing in this schedule, however, shall prevent voluntary payment of 29 amounts higher or lower than the fees and charges fixed therein, but no 30 physician rendering medical treatment or care, and no physical or occu- 31 pational therapist rendering their respective physical or occupational 32 therapy services may receive payment in any higher amount unless such 33 increased amount has been authorized by the employer, or by decision as 34 provided in section thirteen-g of this article. Nothing in this section 35 shall be construed as preventing the employment of a duly authorized 36 physician on a salary basis by an authorized compensation medical bureau 37 or laboratory. 38 S 2. Notwithstanding the provisions of section one of this act or of 39 any other law, rule or regulation to the contrary, a revision to the fee 40 schedules established pursuant to section 13 of the workers' compen- 41 sation law existing as of the effective date of this act shall be 42 published by the chair of the workers' compensation board on behalf of 43 such board no later than thirty days following the effective date of 44 this act. Subsequent biennial schedules shall be published in final form 45 on January fifteenth every other year. Nothing in this section shall 46 limit the authority of the chair of the workers' compensation board to 47 make adjustments in the fee schedule other than at the biennial publica- 48 tion. 49 S 3. This act shall take effect immediately.