Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 08, 2014 |
referred to insurance |
May 23, 2013 |
referred to insurance |
Assembly Bill A7569
2013-2014 Legislative Session
Sponsored By
RUSSELL
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
Actions
co-Sponsors
Sam Roberts
Michael Montesano
Gary Finch
multi-Sponsors
Vivian Cook
Dennis H. Gabryszak
Jose Rivera
Luis R. Sepúlveda
2013-A7569 (ACTIVE) - Details
2013-A7569 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 7569 2013-2014 Regular Sessions I N A S S E M B L Y May 23, 2013 ___________ Introduced by M. of A. RUSSELL -- read once and referred to the Commit- tee on Insurance AN ACT to amend the insurance law and the public health law, in relation to provider credentialing THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Subsection (a) of section 4803 of the insurance law is amended by adding a new paragraph 3 to read as follows: (3) A NEWLY-LICENSED PHYSICIAN, A PHYSICIAN WHO HAS RECENTLY RELOCATED TO THIS STATE FROM ANOTHER STATE AND HAS NOT PREVIOUSLY PRACTICED IN THIS STATE, OR A PHYSICIAN WHO HAS CHANGED HIS OR HER CORPORATE RELATIONSHIP SUCH THAT IT RESULTS IN THE ISSUANCE OF A NEW TAX IDENTIFI- CATION NUMBER UNDER WHICH SUCH PHYSICIAN'S SERVICES ARE BILLED FOR, WHO IS EMPLOYED BY A GENERAL HOSPITAL LICENSED PURSUANT TO ARTICLE TWENTY-EIGHT OF THE PUBLIC HEALTH LAW, AND WHOSE OTHER EMPLOYED PHYSI- CIANS PARTICIPATE IN THE IN-NETWORK PORTION OF AN INSURER'S NETWORK, SHALL BE DEEMED "PROVISIONALLY CREDENTIALED" AND MAY PARTICIPATE IN THE IN-NETWORK PORTION OF AN INSURER'S NETWORK UPON : (I) THE INSURER'S RECEIPT OF THE HOSPITAL AND PHYSICIAN'S COMPLETED SECTIONS OF THE INSUR- ER'S CREDENTIALING APPLICATION; AND (II) THE INSURER BEING NOTIFIED IN WRITING THAT THE HEALTH CARE PROFESSIONAL HAS BEEN GRANTED HOSPITAL PRIVILEGES PURSUANT TO THEIR REQUIREMENTS OF SECTION TWENTY-EIGHT HUNDRED FIVE-K OF THE PUBLIC HEALTH LAW. HOWEVER, A PROVISIONALLY CREDENTIALED PHYSICIAN SHALL NOT BE DESIGNATED AS AN INSURED'S PRIMARY CARE PHYSICIAN UNTIL SUCH TIME AS THE PHYSICIAN HAS BEEN FULLY CREDEN- TIALED BY THE INSURER. AN INSURER SHALL NOT BE REQUIRED TO MAKE ANY PAYMENTS TO THE LICENSED GENERAL HOSPITAL FOR SERVICES PROVIDED BY A PROVISIONALLY CREDENTIALED PHYSICIAN, UNTIL AND UNLESS THE PHYSICIAN IS FULLY CREDENTIALED BY THE INSURER, PROVIDED, HOWEVER, THAT UPON BEING FULLY CREDENTIALED, THE LICENSED GENERAL HOSPITAL SHALL BE PAID FOR ALL SERVICES THAT THE CREDENTIALED PHYSICIAN PROVIDED TO THE INSURER'S EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD10913-01-3
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