Bill Text: NY A09198 | 2015-2016 | General Assembly | Introduced

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Bill Title: Requires reimbursement for surgical first assistant services.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2016-03-28 - substituted by s6392a [A09198 Detail]

Download: New_York-2015-A09198-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          9198
                   IN ASSEMBLY
                                    February 3, 2016
                                       ___________
        Introduced by M. of A. LAVINE -- read once and referred to the Committee
          on Insurance
        AN ACT to amend the insurance law, the social services law and the work-
          ers' compensation law, in relation to reimbursement for surgical first
          assistant services
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Paragraph 32 of subsection  (i)  of  section  3216  of  the
     2  insurance  law,  as  added by a chapter of the laws of 2015 amending the
     3  insurance law, the social services law  and  the  workers'  compensation
     4  law, relating to reimbursement for surgical first assistant services, as
     5  proposed  in legislative bills numbers S.1233-A and A.1241-A, is amended
     6  to read as follows:
     7    (32) [Every] No policy delivered or issued [pursuant to  this  section
     8  which]  for  delivery in this state that provides reimbursement for non-
     9  physician surgical first assistant services when [such] the services are
    10  provided by a non-physician surgical first assistant [who is employed by
    11  a physician and the physician bills for the services] shall  [not  deny]
    12  exclude  such coverage [exclusively] on the basis that the non-physician
    13  surgical first assistant services were performed by a  registered  nurse
    14  first  assistant  [who  is certified in operating room nursing] provided
    15  that: (A) [such] the registered nurse first assistant  is  certified  in
    16  operating  room  nursing; (B) the services are within the scope of prac-
    17  tice of a non-physician surgical first  assistant;  and  [(B)]  (C)  the
    18  terms  and  conditions of the [member contract] policy otherwise provide
    19  for the coverage of [such] the services. Nothing in this paragraph shall
    20  be construed to[:] prevent the medical management or utilization  review
    21  of  [such]  the  services[;]  or  prevent  a  policy from requiring that
    22  services are to be provided through a network of participating providers
    23  who [shall]  meet  certain  requirements  for  participation,  including
    24  provider  credentialing[;  or  prohibit  an  insurer  from,  in its sole
    25  discretion, providing a global  or  capitated  payment  or  electing  to
    26  directly  reimburse  a  non-physician  surgical first assistant for such
    27  services].
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03097-07-6