Bill Text: NY S06392 | 2015-2016 | General Assembly | Amended

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Bill Title: Requires reimbursement for surgical first assistant services.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Passed) 2016-04-08 - SIGNED CHAP.23 [S06392 Detail]

Download: New_York-2015-S06392-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         6392--A
            Cal. No. 23
                    IN SENATE
                                     January 8, 2016
                                       ___________
        Introduced  by  Sen.  LITTLE -- read twice and ordered printed, and when
          printed to be committed to the Committee on Rules -- reported  favora-
          bly  from said committee, ordered to a third reading, passed by Senate
          and delivered to the Assembly, recalled, vote  reconsidered,  restored
          to  third  reading, amended and ordered reprinted, retaining its place
          in the order of third reading
        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
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03097-08-6