Bill Text: NY S01550 | 2011-2012 | General Assembly | Introduced

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Bill Title: 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.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2012-01-04 - REFERRED TO SOCIAL SERVICES [S01550 Detail]

Download: New_York-2011-S01550-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1550
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 10, 2011
                                      ___________
       Introduced  by  Sen. SAMPSON -- read twice and ordered printed, and when
         printed to be committed to the Committee on Social Services
       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:
    1    Section  1. The social services law is amended by adding a new section
    2  369-gg to read as follows:
    3    S 369-GG. PILOT PROGRAM FOR ENHANCED PRIOR APPROVAL OF HIGH COST DIAG-
    4  NOSTIC  RADIOLOGY  SERVICES.  1.  PURSUANT  TO   SECTION   ONE   HUNDRED
    5  SIXTY-THREE  OF THE STATE FINANCE LAW, THE COMMISSIONER OF HEALTH SHALL,
    6  WITHIN THE FISCAL YEAR OF  TWO  THOUSAND  ELEVEN--TWO  THOUSAND  TWELVE,
    7  CONTRACT  WITH QUALIFIED BIDDERS TO PERFORM PILOT PROJECTS TO ASSESS THE
    8  FEASIBILITY OF REDUCING MEDICALLY  UNNECESSARY  HIGH  COST  RADIOLOGICAL
    9  PROCEDURES  AND  GENERALIZING COST SAVINGS TO THE STATE THROUGH ENHANCED
   10  MEDICAL MANAGEMENT AND PRIOR REVIEW OF ORDERS FOR DIAGNOSTIC IMAGING.
   11    2. THE COMMISSIONER OF HEALTH SHALL SELECT AN ENTITY TO  PERFORM  SUCH
   12  PILOT PROJECT UTILIZING THE FOLLOWING SELECTION CRITERIA:
   13    (A) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
   14  CURRENTLY   UTILIZING   LICENSED  PROFESSIONALS  TO  CONDUCT  INTAKE  OF
   15  PATIENTS;
   16    (B) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
   17  CURRENTLY UTILIZING ONLY LICENSED  RADIOLOGISTS  TO  MAKE  PRIOR  REVIEW
   18  DETERMINATIONS;
   19    (C) THE ENTITY SHALL HAVE AT LEAST ONE YEAR'S EXPERIENCE UTILIZING AND
   20  CURRENTLY UTILIZING LICENSED RADIOLOGISTS TO REQUEST ADDITIONAL INFORMA-
   21  TION, AS NECESSARY, FROM THE TREATING PROVIDER;
   22    (D)  THE  ENTITY SHALL BE BASED IN NEW YORK AND AT LEAST FIFTY PERCENT
   23  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
       S. 1550                             2
    1    S 2. If any clause, sentence, paragraph, section or part of  this  act
    2  shall  be adjudged by any court of competent jurisdiction to be invalid,
    3  such judgment shall not affect,  impair,  or  invalidate  the  remainder
    4  thereof, but shall be confined in its operation to the clause, sentence,
    5  paragraph, section, or part thereof directly involved in the controversy
    6  in which such judgment shall have been rendered.
    7    S 3. This act shall take effect immediately.