Assembly Bill A3080

2011-2012 Legislative Session

Authorizes a pilot program for enhanced prior approval of high cost diagnostic radiology services

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Archive: Last Bill Status - In Assembly Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2011-A3080 (ACTIVE) - Details

See Senate Version of this Bill:
S1550
Current Committee:
Assembly Health
Law Section:
Social Services Law
Laws Affected:
Add §369-gg, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2009-2010: A8792, S5764
2013-2014: S132
2015-2016: S4070

2011-A3080 (ACTIVE) - Summary

Authorizes the commissioner of health, within fiscal year 2011-2012, 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.

2011-A3080 (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  3080

                       2011-2012 Regular Sessions

                          I N  A S S E M B L Y

                            January 24, 2011
                               ___________

Introduced by M. of A. LENTOL -- read once and referred to the Committee
  on Health

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:

  Section 1. The social services law is amended by adding a new  section
369-gg to read as follows:
  S 369-GG. PILOT PROGRAM FOR ENHANCED PRIOR APPROVAL OF HIGH COST DIAG-
NOSTIC   RADIOLOGY   SERVICES.   1.  PURSUANT  TO  SECTION  ONE  HUNDRED
SIXTY-THREE OF THE STATE FINANCE LAW, THE COMMISSIONER OF HEALTH  SHALL,
WITHIN  THE  FISCAL  YEAR  OF  TWO THOUSAND ELEVEN--TWO THOUSAND TWELVE,
CONTRACT WITH QUALIFIED 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.
  2.  THE  COMMISSIONER OF HEALTH SHALL SELECT AN ENTITY TO PERFORM SUCH
PILOT PROJECT UTILIZING THE FOLLOWING SELECTION CRITERIA:
  (A) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY  UTILIZING  LICENSED  PROFESSIONALS  TO  CONDUCT   INTAKE   OF
PATIENTS;
  (B) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY  UTILIZING  ONLY  LICENSED  RADIOLOGISTS  TO MAKE PRIOR REVIEW
DETERMINATIONS;
  (C) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
CURRENTLY UTILIZING LICENSED RADIOLOGISTS TO REQUEST ADDITIONAL INFORMA-
TION, AS NECESSARY, FROM THE TREATING PROVIDER;
  (D) THE ENTITY SHALL BE BASED IN NEW YORK AND AT LEAST  FIFTY  PERCENT
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.
                                                           LBD06119-01-1

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