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Who cares
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Sponsors
No co-sponsors yet.
History
- Referred to insurance
Full text
The text isn't available here yet. Check nysenate.gov.
Sponsor's memo
BILL NUMBER:S6281 REVISED MEMO 01/10/14
Title of bill
An act to amend the insurance law and the public health law, in relation to the definitions of "clinical peer reviewer" for the purposes of utilization review and external appeal
Purpose
This bill requires clinical peer reviewers to be licensed, registered or certified in this state.
Summary of provisions
Section 1 - Amends subsection (b) of section 4900 of the insurance law, as amended by chapter 586 of the laws of 1998.
Section 2 Amends subdivision 2 of section 4900 of the public health law, as amended by chapter 586 of the laws of 1998.
Section 3 - Effective date.
Justification
Clinical peer reviewers of insurance claims are in a position to second guess and deny insurance claims regarding a medical condition or treatment ordered by a patient's physician or other authorized health care provider. This bill would require all clinical peer reviewers conducting utilization review and external appeals for New York patients to be licensed, registered or certified in New York State.
Legislative history
New bill
Fiscal implications
None
Effective date
This act shall take effect on the one hundred twentieth day after it shall have become a law.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.