Bill Text: NY S05764 | 2009-2010 | General Assembly | Introduced

New York Senate Bill 5764 (Prior Session Legislation)

Introduced

Bill Title: Authorizes the commissioner of health, within fiscal year 2009-2010, to contract with high bidders to perform pilot projects to assess the feasibility of reducing medically unnecessary high cost radiological procedures and generalizing cost savings to the state through enhanced medical management and prior review of orders for diagnostic imaging.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Engrossed - Dead) 2010-03-04 - COMMITTEE DISCHARGED AND COMMITTED TO HEALTH [S05764 Detail]

Download: New_York-2009-S05764-Introduced.html

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5764
                              2009-2010 Regular Sessions
                                   I N  S E N A T E
                                     June 3, 2009
                                      ___________
       Introduced  by  Sen. SAMPSON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Social Services
       AN ACT to amend the social services law, in relation  to  authorizing  a
         pilot  program  for  enhanced  prior  approval of high cost diagnostic
         radiology services
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1. The social services law is amended by adding a new section
    2  369-gg to read as follows:
    3    S 369-GG. PILOT PROGRAM FOR ENHANCED PRIOR APPROVAL OF HIGH COST DIAG-
    4  NOSTIC  RADIOLOGY  SERVICES.  1.  PURSUANT  TO   SECTION   ONE   HUNDRED
    5  SIXTY-THREE  OF THE STATE FINANCE LAW, THE COMMISSIONER OF HEALTH SHALL,
    6  WITHIN THE FISCAL YEAR OF TWO THOUSAND NINE-TWO THOUSAND  TEN,  CONTRACT
    7  WITH QUALIFIED BIDDERS TO PERFORM PILOT PROJECTS TO ASSESS THE FEASIBIL-
    8  ITY  OF REDUCING MEDICALLY UNNECESSARY HIGH COST RADIOLOGICAL PROCEDURES
    9  AND GENERALIZING COST SAVINGS TO  THE  STATE  THROUGH  ENHANCED  MEDICAL
   10  MANAGEMENT AND PRIOR REVIEW OF ORDERS FOR DIAGNOSTIC IMAGING.
   11    2.  THE  COMMISSIONER OF HEALTH SHALL SELECT AN ENTITY TO PERFORM SUCH
   12  PILOT PROJECT UTILIZING THE FOLLOWING SELECTION CRITERIA:
   13    (A) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
   14  CURRENTLY  UTILIZING  LICENSED  PROFESSIONALS  TO  CONDUCT   INTAKE   OF
   15  PATIENTS;
   16    (B) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
   17  CURRENTLY  UTILIZING  ONLY  LICENSED  RADIOLOGISTS  TO MAKE PRIOR REVIEW
   18  DETERMINATIONS;
   19    (C) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
   20  CURRENTLY UTILIZING LICENSED RADIOLOGISTS TO REQUEST ADDITIONAL INFORMA-
   21  TION, AS NECESSARY, FROM THE TREATING PROVIDER;
   22    (D) THE ENTITY SHALL BE BASED IN NEW YORK AND AT LEAST  FIFTY  PERCENT
   23  OF THE ENTITY'S EMPLOYEES SHALL RESIDE IN NEW YORK.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD14172-02-9
       S. 5764                             2
    1    S  2.  If any clause, sentence, paragraph, section or part of this act
    2  shall be adjudged by any court of competent jurisdiction to be  invalid,
    3  such  judgment  shall  not  affect,  impair, or invalidate the remainder
    4  thereof, but shall be confined in its operation to the clause, sentence,
    5  paragraph, section, or part thereof directly involved in the controversy
    6  in which such judgment shall have been rendered.
    7    S 3. This act shall take effect immediately.