Bill Text: NY A05438 | 2019-2020 | General Assembly | Introduced
Bill Title: Authorizes the care and treatment of injured employees by licensed or certified acupuncturists under the workers' compensation program.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Introduced - Dead) 2020-01-08 - referred to labor [A05438 Detail]
Download: New_York-2019-A05438-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 5438 2019-2020 Regular Sessions IN ASSEMBLY February 12, 2019 ___________ Introduced by M. of A. BRONSON -- read once and referred to the Commit- tee on Labor AN ACT to amend the workers' compensation law and the education law, in relation to the care and treatment of injured employees by licensed or certified acupuncturists The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The workers' compensation law is amended by adding a new 2 section 13-q to read as follows: 3 § 13-q. Care and treatment of injured employees by licensed or certi- 4 fied acupuncturists. 1. For purposes of this section, the term "acupunc- 5 turist" shall mean a person who is duly licensed and registered as a 6 licensed acupuncturist pursuant to article one hundred sixty of the 7 education law, or who is a certified acupuncturist pursuant to subdivi- 8 sion three of section eighty-two hundred sixteen of the education law; 9 and 10 2. (a) An injured employee, injured under circumstances which make 11 such an injury compensable under this article, may lawfully be treated 12 by an acupuncturist authorized by the chair to render acupuncture care 13 pursuant to this section. Such services shall be within the scope of the 14 profession of acupuncture as defined in subdivision one of section 15 eighty-two hundred eleven of the education law. Acupuncturists author- 16 ized by the chair to provide treatment pursuant to this section, shall 17 not be authorized to perform independent medical examinations. 18 (b) Medical bureaus, medical centers jointly operated by labor and 19 management representatives, hospitals and health maintenance organiza- 20 tions, authorized to provide medical care, may provide acupuncture 21 services when required, provided such care is rendered by an acupunctu- 22 rist as required by this section. 23 (c) An acupuncturist rendering service pursuant to this section shall 24 maintain records of the patient's condition and acupuncture treatment, EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD08450-01-9A. 5438 2 1 and such records or reports shall be submitted to the chair on such 2 forms and at such times as the chair may require. 3 3. (a) An acupuncturist who is desirous of being authorized to render 4 acupuncture services under this section shall file an application for 5 authorization under this section with the acupuncture practice commit- 6 tee. The applicant shall agree to refrain from subsequently treating for 7 remuneration, as a private patient, any person seeking acupuncture 8 services, in connection with, or as a result of, any injury compensable 9 under this chapter, if he or she has been removed from the list of 10 acupuncturists authorized to render services under this chapter. This 11 agreement shall run to the benefit of the injured person so treated, and 12 shall be available as a defense in any action by such acupuncturist for 13 payment for treatment rendered by such acupuncturist after being removed 14 from the list of acupuncturists authorized to render acupuncture 15 services under this section. The acupuncture practice committee if it 16 deems such acupuncturist duly qualified shall recommend to the chair 17 that such person be authorized to render acupuncture services under this 18 section. Such recommendations shall be only advisory to the chair and 19 shall not be binding or conclusive. 20 (b) The chair may prepare and establish a schedule for the state or 21 schedules limited to defined localities of charges and fees for acupunc- 22 ture treatment and care, to be determined in accordance with and be 23 subject to change pursuant to rules promulgated by the chair. Before 24 preparing such schedule for the state or schedules for limited locali- 25 ties the chair shall request the acupuncture practice committee to 26 submit to such chair a report on the amount of remuneration deemed by 27 such committee to be fair and adequate for the types of acupuncture 28 services to be rendered under this chapter, but consideration shall be 29 given to the view of other interested parties. The amounts payable by 30 the employer for such treatment and services shall be the fees and 31 charges established by such schedule. 32 (c) In determining the schedule or schedules as provided in paragraph 33 (b) of this subdivision, the chair shall make a distinction between 34 treatment rendered by a duly licensed and registered acupuncturist 35 subject to the provisions of article one hundred sixty of the education 36 law and a certified acupuncturist subject to the provisions of section 37 eighty-two hundred sixteen of the education law, and the chair shall 38 prepare and establish a schedule or schedules reflecting fees and charg- 39 es appropriate to the nature and scope of the treatment rendered by each 40 type of practitioner, giving due consideration to all relevant factors 41 including, but not limited to, the level of acupuncture education of the 42 practitioner, the type of treatment rendered, whether the acupuncture 43 treatment is being provided as the principal treatment or as an adjunct 44 treatment, and the billing practices entailed, including whether the 45 practitioner submits one comprehensive bill or bills separately for the 46 acupuncture treatment, office visits and other items. 47 4. No claim for acupuncture services shall be valid and enforceable as 48 against the employer or employees unless within forty-eight hours 49 following the first treatment the acupuncturist giving such care or 50 treatment furnishes to the employer and directly to the chair a prelimi- 51 nary notice of such injury and treatment, and within fifteen days there- 52 after a more complete report and subsequent thereto progress reports as 53 requested in writing by the chair, board, employer or insurance carrier, 54 at intervals of not less than three weeks apart or at less frequent 55 intervals if requested on forms prescribed by the chair. The board mayA. 5438 3 1 excuse the failure to give such notices within the designated periods 2 when it finds it to be in the interest of justice to do so. 3 5. Fees for acupuncture services shall be payable only to a duly 4 licensed or certified acupuncturist pursuant to article one hundred 5 sixty of the education law, or to the agent, executor or administrator 6 of the estate of such acupuncturist. No acupuncturist rendering treat- 7 ment to a compensation claimant shall collect or receive a fee from such 8 claimant within this state, but shall have recourse for payment of 9 services rendered only to the employer under the provisions of this 10 section. 11 6. Whenever his or her attendance at a hearing is required, the 12 acupuncturist of the injured employee shall be entitled to receive a fee 13 from the employer in an amount to be fixed by the board, in addition to 14 any fee payable under section eight thousand one of the civil practice 15 law and rules. 16 7. (a) Unless within thirty days after a bill has been rendered to the 17 employer by the acupuncturist who has treated an injured employee, such 18 employer shall have notified the chair and such acupuncturist in writing 19 that such employer demands an impartial examination of the fairness of 20 the amount claimed by such acupuncturist for his or her services, the 21 right to such an impartial examination shall be deemed to be waived and 22 the amount claimed by such acupuncturist shall be deemed to be the fair 23 value of the services rendered. If the parties fail to agree as to the 24 acupuncture care rendered under this chapter to a claimant, such value 25 shall be decided by the acupuncture practice committee and the majority 26 decision of such committee shall be conclusive upon the parties as to 27 the value of the services rendered. The board may make an award for any 28 such bill or part thereof which remains unpaid in the same manner as an 29 award for bills rendered under subdivisions one and three of section 30 thirteen-g of this article, and such award may be collected in like 31 manner as an award of compensation. The chair shall assess the sum of 32 fifty dollars against the employer for each such award made by the 33 board, which sum shall be paid into the state treasury. 34 (b) Where an acupuncturist's bill has been determined to be due and 35 owing in accordance with the provisions of this section, the board may 36 impose a penalty of not more than one and one-half percent interest per 37 month payable to the acupuncturist in accordance with the rules and 38 regulations promulgated by the board. 39 (c) The parties to such proceeding shall each pay to the chair a sum 40 equal to five per centum of the amount payable under the decision of 41 such committee or a minimum of five dollars, whichever is greater. The 42 sums so collected shall be transferred to the state treasury to reim- 43 burse it on account of the expense of administering this section. 44 8. Within the limits prescribed by the education law for acupuncture 45 services, the report or testimony of an authorized acupuncturist 46 concerning the condition of an injured employee and treatment thereof 47 shall be deemed competent evidence and the professional opinion of the 48 acupuncturist as to causal relation and as to required treatment shall 49 be deemed competent but shall not be controlling. Nothing in this 50 section shall be deemed to deprive any employer or insurance carrier of 51 any right to a medical examination or presentation of medical testimony 52 now conferred by law. 53 9. The chair shall promulgate rules governing the procedure to be 54 followed by those rendering acupuncture services under this section, 55 which rules so far as practicable shall conform to the rules presently 56 in effect with reference to medical care furnished to claimants in work-A. 5438 4 1 ers' compensation. In connection with the promulgation of such rules the 2 chair may consult the acupuncture practice committee and may take into 3 consideration the view of other interested parties. 4 10. The chair shall appoint for and with jurisdiction in the entire 5 state of New York a single acupuncture practice committee composed of 6 two licensed acupuncturists, and one duly licensed physician of the 7 state of New York. Each member of such committee shall receive compen- 8 sation either on an annual basis or on a per diem basis to be fixed by 9 the chair within amounts appropriated therefor. One of such licensed 10 acupuncturists shall be designated by the chair as a chair of such 11 acupuncture practice committee. No member of such committee shall render 12 acupuncture services under this section nor be an employer or accept or 13 participate in any fee from any insurance company authorized to write 14 workers' compensation insurance in this state or from any self-insurer, 15 whether such employment or fee relates to a workers' compensation claim 16 or otherwise. The attorney general, upon request, shall advise and 17 assist such committee. 18 11. The acupuncture practice committee shall investigate, hear and 19 make findings with respect to all charges as to professional or other 20 misconduct of any authorized acupuncturists as provided in this section 21 under rules and procedures to be prescribed by the chair and shall 22 report evidence of such misconduct, with their findings and recommenda- 23 tions with respect thereto, to the chair. The findings, decision and 24 recommendation of such acupuncture practice committee shall be advisory 25 to the chair only, and shall not be binding or conclusive upon him or 26 her. The chair shall remove from the list of acupuncturists authorized 27 to render acupuncture services under this chapter the name of any 28 acupuncturist who he or she shall find after reasonable investigation is 29 disqualified because such acupuncturist: 30 (a) has been guilty of professional or other misconduct or incompeten- 31 cy in connection with the rendering of acupuncture services, 32 (b) has exceeded the limits of his or her professional competence in 33 rendering acupuncture services under the law, or has made false state- 34 ments regarding qualifications in the application for authorization, 35 (c) has failed to submit timely, full and truthful acupuncture evalu- 36 ation and treatment reports of all findings to the employer and directly 37 to the chair of the board within the time limits provided in this 38 section, 39 (d) has rendered acupuncture services under this chapter for a fee 40 less than that fixed in the fee schedule, 41 (e) has solicited or has employed another to solicit for himself or 42 herself or for another professional treatment, examination or care of an 43 injured employee with any claim under this chapter, 44 (f) has refused to appear before or answer upon request of the chair, 45 board, acupuncture practice committee or any duly authorized officer of 46 the state, any legal question or produce any relevant book or paper 47 concerning conduct under an authorization granted under law, or 48 (g) has directly or indirectly requested, received or participated in 49 the division, transference, assignment, rebating, splitting or refunding 50 of a fee for, or has directly or indirectly requested, received or prof- 51 ited by means of a credit or otherwise valuable consideration as a 52 commission, discount or gratuity in connection with the treatment of a 53 workers' compensation claimant. 54 12. Any person who violates or attempts to violate, and any person who 55 aids another to violate or attempts to induce him or her to violate theA. 5438 5 1 provisions of paragraph (g) of subdivision eleven of this section shall 2 be guilty of a misdemeanor. 3 13. Nothing in this section shall be construed as limiting in any 4 respect the power or duty of the chair to investigate instances of 5 misconduct, either before or after investigation by the acupuncture 6 practice committee, or to temporarily suspend the authorization of any 7 acupuncturist believed to be guilty of such misconduct. The provisions 8 of subdivision one of section thirteen-d of this article which are not 9 inconsistent with the provisions of this section shall be applicable as 10 if fully set forth in this section. 11 14. Nothing contained in this section shall prohibit acupuncturists 12 who practice as partners, in groups or as a professional corporation 13 from pooling fees and moneys received, either by the partnership, 14 professional corporation or group or by the individual members thereof, 15 for professional services furnished by any individual professional 16 member, or employee of such partnership, corporation or group, nor shall 17 the professionals constituting the partnerships, corporations, or groups 18 be prohibited from sharing, dividing or apportioning the fees and moneys 19 received by them or by the partnership, corporation or group in accord- 20 ance with a partnership or other agreement. 21 § 2. Subdivision 1 of section 8213 of the education law, as added by 22 chapter 772 of the laws of 1990, is amended to read as follows: 23 (1) There is hereby established within the department a state board 24 for acupuncture. The board shall consist of not less than eleven members 25 to be appointed by the board of regents on the recommendation of the 26 commissioner for the purpose of assisting the board of regents and the 27 department on matters of professional licensing and professional conduct 28 in accordance with section sixty-five hundred eight of this [chapter] 29 title, four of whom shall be licensed acupuncturists, four of whom shall 30 be licensed physicians certified to use acupuncture and three of whom 31 shall be public members representing the consumer and community. Of the 32 acupuncturists first appointed to the board, one may be a registered 33 specialist's assistant-acupuncture provided that the term of such regis- 34 tered specialist's assistant-acupuncture shall not be more than four 35 years. Of the members first appointed, three shall be appointed for a 36 one year term, three shall be appointed for a two year term and three 37 shall be appointed for a three year term, and two shall be appointed for 38 a four year term. Thereafter all members shall serve for five year 39 terms. In the event that more than eleven members are appointed, a 40 majority of the additional members shall be licensed acupuncturists. The 41 members of the board shall select one of themselves as [chairman] chair- 42 person to serve for a one year term. 43 § 3. The second undesignated paragraph of subdivision 2 of section 2 44 of the workers' compensation law, as amended by chapter 113 of the laws 45 of 1946, is amended to read as follows: 46 "Chairman" or "chair" means the [chairman] chairperson of the [work-47men's] workers' compensation board of the state of New York; 48 § 4. This act shall take effect immediately.
