Bill Text: NY A00543 | 2019-2020 | General Assembly | Introduced

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Bill Title: Convenes an office-based surgery workgroup to make recommendations regarding appropriate reforms or policy changes necessary and in the best interest of the public.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2020-01-08 - referred to health [A00543 Detail]

Download: New_York-2019-A00543-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                           543
                               2019-2020 Regular Sessions
                   IN ASSEMBLY
                                       (Prefiled)
                                     January 9, 2019
                                       ___________
        Introduced by M. of A. CAHILL -- read once and referred to the Committee
          on Health
        AN  ACT  to  amend  the  public  health law, in relation to convening an
          office-based  surgery  workgroup  to  make  recommendations  regarding
          appropriate reforms or policy changes necessary and in the best inter-
          est of the public
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. The public health law is amended by adding  a  new  section
     2  230-e to read as follows:
     3    §  230-e.  Office-based  surgery workgroup. 1. An office-based surgery
     4  workgroup shall be convened and shall consist of nine members  appointed
     5  by the governor. Two members shall be appointed on the recommendation of
     6  the  speaker  of  the assembly and two members shall be appointed on the
     7  recommendation of the  temporary  president  of  the  senate  and  shall
     8  consist of two representatives of the office-based surgery industry, one
     9  representative  of health plans, one representative of the accreditation
    10  agencies, one representative of a statewide society representing  physi-
    11  cians and two consumers and shall be co-chaired by the superintendent of
    12  financial  services  and  the  commissioner. Such representatives of the
    13  workgroup must represent different regions of  the  state.  The  members
    14  shall  receive  no  compensation for their services but shall be allowed
    15  their actual and necessary expenses incurred in the performance of their
    16  duties.
    17    2. The workgroup shall review  the  history  of  office-based  surgery
    18  since  enactment  of accreditation requirements for office-based surgery
    19  entities pursuant to section two hundred thirty-d of this title and  any
    20  impacts  including  trends, upwards or downwards, in size, specialty and
    21  geographic distribution of office-based surgery  practices  and  compar-
    22  isons  with  other  out-patient  surgical settings especially related to
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03126-01-9
        A. 543                              2
     1  patient access, safety and rates of reimbursement paid by health  plans.
     2  Based  on this review, such workgroup shall make recommendations regard-
     3  ing appropriate reforms or policy changes  necessary  and  in  the  best
     4  interest of the public and considering the following factors:
     5    (a)  current scientific or medical research directly examining office-
     6  based surgery and patient outcomes;
     7    (b) trends in access to out-patient surgical care;
     8    (c) trends in reimbursement rates for out-patient surgical care across
     9  all settings and the actual costs of out-patient surgical care;
    10    (d) regional differences regarding access and costs;
    11    (e) the impact rates of reimbursement across settings have on  consum-
    12  ers who access out-patient surgery services;
    13    (f)  the  impact rates of reimbursement across settings have on health
    14  plan premium costs;
    15    (g) patient claims data from all health plans both public and  private
    16  as  well  as charge data from medical professionals and hospitals avail-
    17  able through the all payer database  and  office-based  surgery  related
    18  data  required  pursuant  to section two hundred thirty-d of this title;
    19  and
    20    (h) other issues deemed appropriate by members of  the  workgroup  and
    21  either the superintendent of financial services or the commissioner.
    22    3.  The workgroup shall review the availability of out-patient surgery
    23  services in terms of patient access and cost by region of the state  and
    24  make recommendations taking into consideration the following factors:
    25    (a)  the  extent  to  which  office-based surgery is available in each
    26  region in this state;
    27    (b) the extent to which and diversity of specialties  in  office-based
    28  surgery  is  available in every region in this state, including the most
    29  common specialties and subspecialty services; and
    30    (c) other issues deemed appropriate by the members  of  the  workgroup
    31  and either the superintendent of financial services or the commissioner.
    32    4.  The  workgroup  shall report its findings and make recommendations
    33  for legislation and regulations to the  governor,  the  speaker  of  the
    34  assembly,  the  senate  majority leader, the chairs of the insurance and
    35  health committees in both the assembly and the senate,  and  the  super-
    36  intendent  of financial services no later than April first, two thousand
    37  twenty.
    38    § 2. This act shall take effect immediately.