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

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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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-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          6392
                    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
        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 chapter 536 of the laws of 2015,  is  amended
     3  to read as follows:
     4    (32)  [Every]  No policy delivered or issued [pursuant to this section
     5  which] for delivery in this state that provides reimbursement  for  non-
     6  physician surgical first assistant services when [such] the services are
     7  provided by a non-physician surgical first assistant [who is employed by
     8  a  physician  and the physician bills for the services] shall [not deny]
     9  exclude such coverage [exclusively] on the basis that the  non-physician
    10  surgical  first  assistant services were performed by a registered nurse
    11  first assistant [who is certified in operating  room  nursing]  provided
    12  that:  (A)  [such]  the registered nurse first assistant is certified in
    13  operating room nursing; (B) the services are within the scope  of  prac-
    14  tice  of  a  non-physician  surgical  first assistant; and [(B)] (C) the
    15  terms and conditions of the [member contract] policy  otherwise  provide
    16  for the coverage of [such] the services. Nothing in this paragraph shall
    17  be  construed to[:] prevent the medical management or utilization review
    18  of [such] the services[;]  or  prevent  a  policy  from  requiring  that
    19  services are to be provided through a network of participating providers
    20  who  [shall]  meet  certain  requirements  for  participation, including
    21  provider credentialing[; or  prohibit  an  insurer  from,  in  its  sole
    22  discretion,  providing  a  global  or  capitated  payment or electing to
    23  directly reimburse a non-physician surgical  first  assistant  for  such
    24  services].
    25    §  2.  Paragraph 20 of subsection (k) of section 3221 of the insurance
    26  law, as added by chapter 536 of the laws of 2015, is amended to read  as
    27  follows:
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03097-05-6