Bill Text: NY S05810 | 2015-2016 | General Assembly | Amended

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Bill Title: Authorizes accredited office-based surgery practices, in existence prior to the effective date of this act to seek payment from health care plans for the use of the surgery location or setting of such practice, in addition to payment for services performed.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2016-06-17 - COMMITTED TO RULES [S05810 Detail]

Download: New_York-2015-S05810-Amended.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                         5810--A
            Cal. No. 782
                               2015-2016 Regular Sessions
                    IN SENATE
                                      June 4, 2015
                                       ___________
        Introduced  by  Sen.  HANNON -- read twice and ordered printed, and when
          printed to be committed to the Committee on Health --  recommitted  to
          the  Committee  on  Health in accordance with Senate Rule 6, sec. 8 --
          reported favorably from said committee, ordered to  first  and  second
          report,  ordered  to  a  third reading, amended and ordered reprinted,
          retaining its place in the order of third reading
        AN ACT to amend the  public  health  law,  in  relation  to  authorizing
          certain  office-based surgery practices to seek payment for the use of
          their facilities
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
     1    Section 1. Section 230-d of the public health law is amended by adding
     2  a new subdivision 6 to read as follows:
     3    6.  Every  office-based  surgery practice with full accredited status,
     4  which was established and providing care pursuant to the  provisions  of
     5  this  section  prior to the effective date of this subdivision, shall be
     6  eligible to seek payment from a health plan for costs related to the use
     7  of the surgery location or setting of such practice.  Such fee shall  be
     8  in  addition  to  the fee charged by the licensee for the performance of
     9  the covered office-based surgery involving an insured or a  health  plan
    10  enrollee;  provided  that  the  health  plan  also  reimburses for costs
    11  related to  the  use  of  a  surgery  location  or  setting  charged  in
    12  connection  with  the  same covered procedure performed at a hospital or
    13  ambulatory surgery center organized pursuant to article twenty-eight  of
    14  this  chapter.  When  calculating  the  appropriate rate of office-based
    15  surgery related reimbursement, a health plan may also take into  consid-
    16  eration  certain  comparable and non-comparable costs and obligations of
    17  ambulatory surgery centers and hospitals and  adjust  rates  accordingly
    18  and in a reasonable manner.
    19    § 2. This act shall take effect immediately.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD11332-02-6