Bill Text: NY S00406 | 2017-2018 | General Assembly | Amended


Bill Title: Authorizes certain care and treatment to injured employees receiving workers' compensation benefits; relates to massage therapy services.

Spectrum: Slight Partisan Bill (Republican 4-2)

Status: (Introduced - Dead) 2018-01-03 - REFERRED TO LABOR [S00406 Detail]

Download: New_York-2017-S00406-Amended.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                         406--A
                               2017-2018 Regular Sessions
                    IN SENATE
                                       (Prefiled)
                                     January 4, 2017
                                       ___________
        Introduced  by  Sens. ROBACH, LATIMER -- read twice and ordered printed,
          and when printed to be committed to the Committee on Labor --  commit-
          tee  discharged, bill amended, ordered reprinted as amended and recom-
          mitted to said committee
        AN ACT to amend the workers' compensation law, in relation to  authoriz-
          ing certain care and treatment to injured employees
          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 shall prepare and establish a schedule  for  the  state,  or
     5  schedules  limited  to  defined localities, of charges and fees for such
     6  medical treatment and care, and including all medical, dental, surgical,
     7  optometric or other attendance or treatment, nurse and hospital service,
     8  medicine, optometric services, crutches, eye-glasses, false teeth, arti-
     9  ficial eyes, orthotics, prosthetic  devices,  functional  assistive  and
    10  adaptive  devices  and apparatus in accordance with and to be subject to
    11  change pursuant to rules promulgated by the chair. Before preparing such
    12  schedule for the state or schedules for  limited  localities  the  chair
    13  shall  request  the president of the medical society of the state of New
    14  York and the president of the New York state osteopathic medical society
    15  to submit to him or her a report on the amount of remuneration deemed by
    16  such society to be fair and adequate for the types of medical care to be
    17  rendered under this chapter, but consideration shall  be  given  to  the
    18  view  of  other interested parties. In the case of physical therapy fees
    19  schedules the chair shall request the president of a recognized  profes-
    20  sional  association representing physical therapists in the state of New
    21  York to submit to him or her a report  on  the  amount  of  remuneration
    22  deemed  by  such  association  to be fair and reasonable for the type of
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD02920-03-7

        S. 406--A                           2
     1  physical therapy services rendered under this chapter, but consideration
     2  shall be given to the views of other  interested  parties.    The  chair
     3  shall  also prepare and establish a schedule for the state, or schedules
     4  limited to defined localities, of charges and fees for outpatient hospi-
     5  tal  services  not  covered  under  the  medical fee schedule previously
     6  referred to in this subdivision, to be determined in accordance with and
     7  to be subject to change pursuant to  rules  promulgated  by  the  chair.
     8  Before  preparing  such  schedule for the state or schedules for limited
     9  localities the chair shall request the president of the hospital associ-
    10  ation of New York state to submit to him or her a report on  the  amount
    11  of  remuneration  deemed by such association to be fair and adequate for
    12  the types of hospital outpatient care to be rendered under this chapter,
    13  but consideration shall be  given  to  the  views  of  other  interested
    14  parties.  In  the  case of occupational therapy fees schedules the chair
    15  shall request the president of  a  recognized  professional  association
    16  representing  occupational therapists in the state of New York to submit
    17  to him or her a report on the amount  of  remuneration  deemed  by  such
    18  association to be fair and reasonable for the type of occupational ther-
    19  apy  services  rendered  under  this chapter, but consideration shall be
    20  given to the views of other interested parties. In the case  of  massage
    21  therapy  fee schedules the chair shall request the president of a recog-
    22  nized professional association representing licensed massage  therapists
    23  in  the state of New York to submit to him or her a report on the amount
    24  of remuneration deemed by such association to be fair and reasonable for
    25  the type of occupational therapy services rendered under  this  chapter,
    26  but  consideration  shall  be  given  to  the  views of other interested
    27  parties. The amounts payable by the  employer  for  such  treatment  and
    28  services  shall  be  the  fees and charges established by such schedule.
    29  Nothing in this schedule, however, shall prevent  voluntary  payment  of
    30  amounts  higher or lower than the fees and charges fixed therein, but no
    31  physician rendering medical treatment or care, and no physical, licensed
    32  massage or occupational therapist rendering their  respective  physical,
    33  massage  or  occupational  therapy  services  may receive payment in any
    34  higher amount unless such increased amount has been  authorized  by  the
    35  employer, or by decision as provided in section thirteen-g of this arti-
    36  cle.  Nothing  in  this  section  shall  be  construed as preventing the
    37  employment of a duly authorized  physician  on  a  salary  basis  by  an
    38  authorized compensation medical bureau or laboratory.
    39    § 2. Subdivision 1 of section 13-b of the workers' compensation law is
    40  amended by adding a new paragraph (g) to read as follows:
    41    (g)  Upon  the  prescription  or  referral of an authorized physician,
    42  massage therapy care may be rendered by a duly licensed  massage  thera-
    43  pist.  Where  massage therapy care is rendered, records of the patient's
    44  condition and progress, together with records of instruction for  treat-
    45  ment, if any shall be maintained by the message therapist and physician.
    46  Said  records shall be submitted to the chair on forms and at such times
    47  as the chair may require.  A duly licensed massage therapist  shall  not
    48  be authorized to perform independent medical examinations.
    49    §  3.  Subdivision 1 of section 13-g of the workers' compensation law,
    50  as amended by chapter 674 of the laws of 1994, is  amended  to  read  as
    51  follows:
    52    (1)  Within  forty-five  days  after  a  bill has been rendered to the
    53  employer by the hospital, physician or self-employed physical,  licensed
    54  massage or occupational therapist who has rendered treatment pursuant to
    55  a  referral  from the injured employee's authorized physician or author-
    56  ized podiatrist for treatment to the  injured  employee,  such  employer

        S. 406--A                           3
     1  must  pay  the  bill  or notify the hospital, physician or self-employed
     2  physical, licensed massage or occupational therapist in writing that the
     3  bill is not being paid and explain the reasons for non-payment.  In  the
     4  event  that  the  employer fails to make payment or notify the hospital,
     5  physician or self-employed physical, licensed  massage  or  occupational
     6  therapist  within  such  forty-five day period that payment is not being
     7  made, the hospital, physician, self-employed physical therapist or self-
     8  employed licensed massage therapist or self-employed occupational thera-
     9  pist may notify the chair in writing that the bill has not been paid and
    10  request that the board make an award for payment of such bill. The board
    11  or the chair may make an award not in  excess  of  the  established  fee
    12  schedules  for  any such bill or part thereof which remains unpaid after
    13  said forty-five day period or thirty days after all other questions duly
    14  and timely raised in accordance with the  provisions  of  this  chapter,
    15  relating  to  the  employer's  liability for the payment of such amount,
    16  shall have been finally determined adversely to the employer,  whichever
    17  is  later,  in  accordance with rules promulgated by the chair, and such
    18  award may be collected in like manner as an award of  compensation.  The
    19  chair  shall  assess  the  sum of fifty dollars against the employer for
    20  each such award made by the board, which sum  shall  be  paid  into  the
    21  state treasury.
    22    In  the event that the employer has provided an explanation in writing
    23  why the bill has not been paid, in part or in full, within the aforesaid
    24  time period, and the parties can not agree as to the  value  of  medical
    25  aid  rendered  under  this chapter, such value shall be decided by arbi-
    26  tration if requested by the hospital, physician or  self-employed  phys-
    27  ical, licensed massage or occupational therapist, in accordance with the
    28  provisions  of  subdivision two or subdivision three of this section, as
    29  appropriate, and rules and regulations promulgated by the chair.
    30    Where a physician, physical, licensed massage or  occupational  thera-
    31  pist bill has been determined to be due and owing in accordance with the
    32  provisions  of this section the board shall include in the amount of the
    33  award interest of not more than one and one-half per cent (1  1/2%)  per
    34  month  payable  to  the physician, physical, licensed massage or occupa-
    35  tional therapist, in accordance with the rules and  regulations  promul-
    36  gated  by  the  board. Interest shall be calculated from the forty-fifth
    37  day after the bill was rendered or from  the  thirtieth  day  after  all
    38  other questions duly and timely raised in accordance with the provisions
    39  of this chapter, relating to the employer's liability for the payment of
    40  such amount, shall have been finally determined adversely to the employ-
    41  er,  whichever  is  later,  in  accordance with rules promulgated by the
    42  chair.
    43    § 4. This act shall take effect immediately.
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