What's happening
This bill allows health insurers to reimburse certified registered nurse anesthetists for anesthesia services at the insurer's discretion.
Why it matters
Could expand patient access to anesthesia care. by allowing Certified Registered Nurse Anesthetists (CRNAs) to be reimbursed directly by insurers, which might improve availability of anesthesia services, especially in underserved or rural areas.
May influence healthcare costs and provider choices,. as insurers can choose whether or not to reimburse CRNAs, potentially impacting the cost structure and utilization of physician versus nurse anesthetist services.
Clarifies professional qualifications for reimbursement,. requiring CRNAs to meet specific educational and certification standards, which helps ensure that only highly trained professionals can receive payment for anesthesia services.
Avoids double billing for the same service,. specifying that insurers are not required to pay both a physician and a CRNA for the same anesthesia procedure, which could help control unnecessary costs and prevent billing disputes.
Albany, before your first meeting.
Every bill that moved yesterday, summarized in a sentence and ranked by impact. The Albany Scorecard follows on Sundays.
Free. Unsubscribe in one click. Want alerts on specific bills? Create an account.
Who cares
Headline styles
Insure Nurse Anesthetist Reimbursement
Plain English, a few words. Used as the page title.
Sponsors
History
- Referred to insurance
- Referred to insurance
Full text
2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
176
2019-2020 Regular Sessions
IN ASSEMBLY (Prefiled)
January 9, 2019
Introduced by M. of A. CAHILL, FAHY, STECK, WOERNER -- read once and referred to the Committee on Insurance
AN ACT to amend the insurance law, in relation to authorizing health insurance reimbursement for certified registered nurse anesthetists providing anesthesia services
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Paragraphs 27 and 28 of subsection (i) of section 3216 of the insurance law, paragraph 27 as added by chapter 536 of the laws of 2010 and paragraph 28 as added by chapter 589 of the laws of 2011, are renumbered paragraphs 35 and 36 respectively and a new paragraph 37 is added to read as follows:
(37) At the discretion of the insurer, anesthesia services provided by a certified registered nurse anesthetist may be eligible for reimbursement under any policy which provides for coverage for anesthesia services. Provided however, that nothing contained herein shall be construed to require an insurer to reimburse both a physician and a certified registered nurse anesthetist for providing the same anesthesiology services. The term "certified registered nurse anesthetist" as used in this paragraph shall mean a person who has satisfactorily completed educational preparation for provision of these services in a program registered by the department of education or in a program accredited by a national body recognized by the department of education or determined by the department of education to be the equivalent; and submit evidence of current certification or recertification by a national certifying body, recognized by the department of education.
§ 2. Subsection (1) of section 3221 of the insurance law is amended by adding a new paragraph 21 to read as follows:
(21) At the discretion of the insurer, anesthesia services provided by a certified registered nurse anesthetist may be eligible for reimburse-
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD01926-01-9
A. 176 2
ment under any policy which provides for coverage for anesthesia services. Provided however, that nothing contained herein shall be construed to require an insurer to reimburse both a physician and a certified registered nurse anesthetist for providing the same anesthesiology services. The term "certified registered nurse anesthetist" as used in this paragraph shall mean a person who has satisfactorily completed educational preparation for provision of these services in a program registered by the department of education or in a program accredited by a national body recognized by the department of education or determined by the department of education to be the equivalent; and submit evidence of current certification or recertification by a national certifying body, recognized by the department of education.
§ 3. Section 4303 of the insurance law is amended by adding a new subsection (ss) to read as follows:
(ss) At the discretion of the insurer, anesthesia services provided by a certified registered nurse anesthetist may be eligible for reimbursement under any policy which provides for coverage for anesthesia services. Provided however, that nothing contained herein shall be construed to require an insurer to reimburse both a physician and a certified registered nurse anesthetist for providing the same anesthesiology services. The term "certified registered nurse anesthetist" as used in this subsection shall mean a person who has satisfactorily completed educational preparation for provision of these services in a program registered by the department of education or in a program accredited by a national body recognized by the department of education or determined by the department of education to be the equivalent; and submit evidence of current certification or recertification by a national certifying body, recognized by the department of education.
§ 4. This act shall take effect January 1, 2021 and shall apply to policies and contracts issued, renewed, modified, altered or amended on or after such effective date.
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.