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History
- Referred to health
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Authorizes a pilot program for enhanced prior approval of high cost diagnostic radiology services
In Senate Committee · Health · Sponsor John L. Sampson
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:A8792
Title of bill
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
Purpose or general idea of bill
Use of Radiology Benefit Management (RBM) services to reduce radiology expenses on Medicaid recipients.
The Commissioner of Health may contract with qualified bidders to access the feasibility of reducing medically unnecessary high cost radiological procedures using selection criteria that includes using entities that utilize and currently utilize only licensed radiologists, and are based in New York.
Justification
Redundant high tech imaging, typically classified as MRI, CTs, and Pet scans, pose a significant concern, as there are few strategies to manage it, while the ramifications of repeat radiation exposure, and the high cost to patients is of great concern.
RBMs have been successful in reducing and containing rising cost and utilization related to diagnostic imaging. The factors that contribute to the growth of these costs are likely to persist because they include an aging population, and advances in diagnostic imaging technology.
Prior legislative history
New Bill.
Fiscal implications for state and local governments
Projected 2009-2010 savings $2.3 million. Projected 2010-2011 savings $5.8 million.
Effective date
This act shall take effect immediately.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.