Bill Text: NY S05344 | 2017-2018 | General Assembly | Amended


Bill Title: Relates to incorporating additional information in the physician profile, and streamlining reporting requirements.

Spectrum: Slight Partisan Bill (Republican 2-1)

Status: (Introduced - Dead) 2018-01-03 - REFERRED TO HEALTH [S05344 Detail]

Download: New_York-2017-S05344-Amended.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                         5344--A
                               2017-2018 Regular Sessions
                    IN SENATE
                                     March 22, 2017
                                       ___________
        Introduced  by Sens. HANNON, AVELLA, BOYLE -- (at request of the Depart-
          ment of Health) -- read twice and ordered printed, and when printed to
          be committed to the Committee on Health -- committee discharged,  bill
          amended,  ordered reprinted as amended and recommitted to said commit-
          tee
        AN ACT to amend the public health  law,  in  relation  to  incorporating
          additional  information  in  the  physician  profile  and streamlining
          reporting requirements
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section  1.  Subdivision 1 of section 2995-a of the public health law,
     2  as added by chapter 542 of the laws of 2000, paragraph (h) as amended by
     3  section 1 of part A of chapter 57 of the laws of  2015,  is  amended  to
     4  read as follows:
     5    1.  The  department shall collect the following information and create
     6  individual profiles on licensees subject to the authority of the  office
     7  of professional medical conduct, in a format that shall be available for
     8  dissemination to the public:
     9    (a)  a  statement  of  any criminal convictions (as defined by section
    10  1.20 of the criminal procedure law) within the most  recent  ten  years,
    11  under the laws of New York state or any other jurisdiction, for offenses
    12  specified by regulations of the department;
    13    (b)  a  statement  of  any  action  (other than an action that remains
    14  confidential) taken against the licensee pursuant to section two hundred
    15  thirty of this chapter or any similar action taken by any other state or
    16  licensing entity, within the most recent ten years;
    17    (c) a statement of any current limitation of the licensee to a  speci-
    18  fied area, type, scope or condition of practice;
    19    (d)  a  statement  of  any loss or involuntary restriction of hospital
    20  privileges or a failure to renew professional  privileges  at  hospitals
    21  within the last ten years, for reasons related to the quality of patient
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD10164-03-7

        S. 5344--A                          2
     1  care  delivered or to be delivered by the physician where procedural due
     2  process has been afforded, exhausted, or waived, or the resignation from
     3  or removal of medical staff membership or restriction of privileges at a
     4  hospital  taken  in  lieu  of a pending disciplinary case related to the
     5  quality of patient care delivered or to be delivered  by  the  physician
     6  (notwithstanding  paragraph  (a) of subdivision three of section twenty-
     7  eight hundred three-e of this chapter, as added by chapter eight hundred
     8  sixty-six of the laws of nineteen hundred eighty);
     9    (e) (i) a statement indicating the number of medical malpractice court
    10  judgments and arbitration awards within the most  recent  ten  years  in
    11  which  a  payment  is  awarded  to  a complaining party (notwithstanding
    12  subsection (f) of section three hundred fifteen of the  insurance  law);
    13  and
    14    (ii)  a  statement  indicating  all malpractice settlements within the
    15  most recent ten years in which payment is awarded to a complaining party
    16  (notwithstanding subsection (f) of section three hundred fifteen of  the
    17  insurance law),
    18    (A) if the total number of settlements exceeds two; or
    19    (B)  if the commissioner determines any such settlement could be rele-
    20  vant to patient  decisionmaking  concerning  health  care  quality.  The
    21  statement  shall include the following: "Settlement payments will appear
    22  in this profile only if the total number of settlements made within  the
    23  past  ten years exceeds two, or if the commissioner of health determines
    24  a settlement to be relevant to patient decisionmaking. Settlement  of  a
    25  claim  may  occur  for  a  variety  of reasons, which do not necessarily
    26  reflect negatively on the professional  competence  or  conduct  of  the
    27  physician.  A  payment  in settlement of a medical malpractice action or
    28  claim  does  not  necessarily  mean  that  a  medical  malpractice   has
    29  occurred."  The  commissioner  may  supplement  such statement as may be
    30  appropriate.
    31    (iii) judgments, awards and settlements shall be reported in graduated
    32  categories indicating the level of significance, date and place  of  the
    33  judgment,  award  or settlement. Information concerning medical malprac-
    34  tice judgments, awards and  settlements  shall  be  put  in  context  by
    35  comparing  an  individual  licensee's medical malpractice settlements to
    36  the experience of other physicians in New York  state  within  the  same
    37  board  specialty.  Pending  malpractice claims shall not be disclosed to
    38  the public under this section. Nothing  herein  shall  be  construed  to
    39  prevent  the  board from investigating or disciplining a licensee on the
    40  basis of medical malpractice claims that are pending;
    41    (f) name of medical schools attended and date of graduations;
    42    (g) graduate medical education;
    43    (h) current specialty board certification and date of certification;
    44    (i) dates admitted to practice in New York state;
    45    (j) names of hospitals where the licensee has practice privileges;
    46    (k) appointments to medical school  faculties  and  indication  as  to
    47  whether  a licensee has had a responsibility for graduate medical educa-
    48  tion within the most recent ten years;
    49    (l) information regarding publications in peer reviewed medical liter-
    50  ature within the most recent ten years;
    51    (m) information regarding professional or community service activities
    52  or awards;
    53    (n) (i) the location of the licensee's primary practice setting  iden-
    54  tified as such; [and]
    55    (ii)  [the  names  of  any  licensed physicians with whom the licensee
    56  shares a group practice, as defined in subdivision five of  section  two

        S. 5344--A                          3

     1  hundred  thirty-eight  of  this  chapter]  hours  of  operation  of  the
     2  licensee's primary practice setting;
     3    (iii)  availability  of assistive technology at the licensee's primary
     4  practice setting; and
     5    (iv) whether the licensee is accepting new patients;
     6    (o) the identification of any translating services that may be  avail-
     7  able at the licensee's primary practice location;
     8    (p)  whether  the  licensee  participates  in the medicaid or medicare
     9  program or any  other  state  or  federally  financed  health  insurance
    10  program; [and]
    11    (q)  health  care plans with which the licensee has contracts, employ-
    12  ment, or other affiliation[.] provided that the reporting of such infor-
    13  mation shall not be the responsibility of the physician,  but  shall  be
    14  included  and  updated  by  the  department  utilizing  provider network
    15  participation information, or  other  reliable  sources  of  information
    16  submitted by health care plans;
    17    (r) physician's website and social media accounts;
    18    (s) the names of any licensed physicians with whom the licensee shares
    19  a  group practice, as defined in subdivision five of section two hundred
    20  thirty-eight of this chapter; and
    21    (t) workforce research and planning information as determined  by  the
    22  commissioner.
    23    §  2.  Section  2995-a of the public health law is amended by adding a
    24  new subdivision 1-b to read as follows:
    25    1-b. (a) For the purposes of this section, a  physician  licensed  and
    26  registered  to practice in this state may authorize a designee to regis-
    27  ter, transmit, enter  or  update  information  on  his  or  her  behalf,
    28  provided that:
    29    (i)  the  designee  so  authorized is employed by the physician or the
    30  same professional practice or is under contract with such practice;
    31    (ii) the physician takes reasonable steps to ensure that such designee
    32  is sufficiently competent in the profile requirements;
    33    (iii) the physician remains responsible for ensuring the  accuracy  of
    34  the  information provided and for any failure to provide accurate infor-
    35  mation; and
    36    (iv) the physician shall notify the department  upon  terminating  the
    37  authorization of any designee, in a manner determined by the department.
    38    (b) The commissioner shall grant access to the profile in a reasonably
    39  prompt  manner  to  designees  authorized  by physicians and establish a
    40  mechanism to prevent designees terminated pursuant to subparagraph  (iv)
    41  of  paragraph  (a)  of  this subdivision from accessing the profile in a
    42  reasonably prompt manner following notification of termination.
    43    § 3. Subdivision 4 of section 2995-a of  the  public  health  law,  as
    44  amended  by  section  3  of part A of chapter 57 of the laws of 2015, is
    45  amended to read as follows:
    46    4. Each physician shall periodically report to the department on forms
    47  and in the time and manner required by the commissioner any other infor-
    48  mation as is required by the department for the development of  profiles
    49  under  this  section  which  is  not otherwise reasonably obtainable. In
    50  addition to such periodic reports and providing  the  same  information,
    51  each  physician  shall  update his or her profile information within the
    52  six months prior to [the expiration date of such  physician's  registra-
    53  tion  period] submission of the re-registration application, as a condi-
    54  tion of registration renewal  [under  article  one  hundred  thirty-one]
    55  pursuant to section sixty-five hundred twenty-four of the education law.
    56  Except  for optional information provided and information required under

        S. 5344--A                          4
     1  paragraph (t) of subdivision one of this section, physicians shall noti-
     2  fy the department of any change in the profile information within thirty
     3  days of such change.
     4    §  4.  Subdivision  6  of  section 2995-a of the public health law, as
     5  added by chapter 542 of the laws of 2000, is amended to read as follows:
     6    6. A physician may elect to have  his  or  her  profile  omit  certain
     7  information provided pursuant to paragraphs (k), (l), (m), [(n) and (q)]
     8  (r),  and  (s)  of subdivision one of this section. Information provided
     9  pursuant to paragraph (t) of subdivision one of this  section  shall  be
    10  omitted  from  a physician's profile. In collecting information for such
    11  profiles and disseminating the same, the department shall inform  physi-
    12  cians  that  they  may  choose  not to provide such information required
    13  pursuant to paragraphs (k), (l), (m), [(n) and  (q)]  (r),  and  (s)  of
    14  subdivision one of this section.
    15    § 5. This act shall take effect on the one hundred eightieth day after
    16  it shall have become a law.
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