Bill Text: NY A07901 | 2013-2014 | General Assembly | Introduced


Bill Title: Relates to the establishment of a fee schedule covering the costs of ambulance services provided to injured employees.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-01-08 - referred to labor [A07901 Detail]

Download: New_York-2013-A07901-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         7901
                              2013-2014 Regular Sessions
                                 I N  A S S E M B L Y
                                     June 7, 2013
                                      ___________
       Introduced by M. of A. KIM -- read once and referred to the Committee on
         Labor
       AN ACT to amend the workers' compensation law, in relation to the estab-
         lishment  of  a  fee schedule covering the costs of ambulance services
         provided to injured employees
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1. Subdivision (a) of section 13 of the workers' compensation
    2  law, as amended by chapter 6 of the laws of 2007, is amended to read  as
    3  follows:
    4    (a)  The  employer shall promptly provide for an injured employee such
    5  medical, dental, surgical, optometric or other attendance or  treatment,
    6  AMBULANCE  SERVICES,  nurse  and  hospital service, medicine, optometric
    7  services, crutches, eye-glasses, false teeth, artificial  eyes,  orthot-
    8  ics,  prosthetic  devices, functional assistive and adaptive devices and
    9  apparatus for such period as the nature of the injury or the process  of
   10  recovery  may  require.  The employer shall be liable for the payment of
   11  the expenses of medical, dental, surgical, optometric or  other  attend-
   12  ance or treatment, AMBULANCE SERVICES, nurse and hospital service, medi-
   13  cine,  optometric  services, crutches, eye-glasses, false teeth, artifi-
   14  cial eyes,  orthotics,  prosthetic  devices,  functional  assistive  and
   15  adaptive  devices  and  apparatus,  as well as artificial members of the
   16  body or other devices or appliances necessary in the first  instance  to
   17  replace, support or relieve a portion or part of the body resulting from
   18  and  necessitated  by  the injury of an employee, for such period as the
   19  nature of the injury or the process of recovery  may  require,  and  the
   20  employer  shall also be liable for replacements or repairs of such arti-
   21  ficial members of the body or such  other  devices,  eye-glasses,  false
   22  teeth, artificial eyes, orthotics, prosthetic devices, functional assis-
   23  tive and adaptive devices or appliances necessitated by ordinary wear or
   24  loss  or  damage  to  a prosthesis, with or without bodily injury to the
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11369-01-3
       A. 7901                             2
    1  employee. Damage to or loss of a prosthetic device shall  be  deemed  an
    2  injury  except that no disability benefits shall be payable with respect
    3  to such injury under section fifteen of this article. Such a replacement
    4  or  repair of artificial members of the body or such other devices, eye-
    5  glasses, false teeth, artificial eyes,  orthotics,  prosthetic  devices,
    6  functional assistive and adaptive devices or appliances or the providing
    7  of medical treatment and care as defined herein shall not constitute the
    8  payment of compensation under section twenty-five-a of this article. All
    9  fees  and other charges for such treatment and services shall be limited
   10  to such charges as prevail in the same community for  similar  treatment
   11  of injured persons of a like standard of living.
   12    The  chair  shall  prepare  and establish a schedule for the state, or
   13  schedules limited to defined localities, of charges and  fees  for  such
   14  medical treatment and care, and including all medical, dental, surgical,
   15  optometric or other attendance or treatment, nurse and hospital service,
   16  medicine, optometric services, crutches, eye-glasses, false teeth, arti-
   17  ficial  eyes,  orthotics,  prosthetic  devices, functional assistive and
   18  adaptive devices and apparatus AND AMBULANCE  SERVICES  WHICH  SHALL  BE
   19  APPLICABLE TO FEES FOR ALL SUCH SERVICES EXCEPT AIR TRANSPORTATION BY AN
   20  AIR  CARRIER  TO  THE EXTENT PREEMPTED BY FEDERAL LAW in accordance with
   21  and to be subject to change pursuant to rules promulgated by the  chair.
   22  Before  preparing  such  schedule for the state or schedules for limited
   23  localities the chair shall request the president of the medical  society
   24  of  the state of New York and the president of the New York state osteo-
   25  pathic medical society to submit to him or her a report on the amount of
   26  remuneration deemed by such society to be  fair  and  adequate  for  the
   27  types  of  medical care to be rendered under this chapter, but consider-
   28  ation shall be given to the view of other  interested  parties.  In  the
   29  case  of  physical  therapy  fees  schedules the chair shall request the
   30  president of a recognized professional association representing physical
   31  therapists in the state of New York to submit to him or her a report  on
   32  the  amount  of  remuneration  deemed by such association to be fair and
   33  reasonable for the type of physical therapy services rendered under this
   34  chapter, but consideration shall be given to the views of  other  inter-
   35  ested  parties.    The chair shall also prepare and establish a schedule
   36  for the state, or schedules limited to defined  localities,  of  charges
   37  and  fees for outpatient hospital services not covered under the medical
   38  fee schedule previously referred to in this subdivision,  to  be  deter-
   39  mined  in  accordance with and to be subject to change pursuant to rules
   40  promulgated by the chair. Before preparing such schedule for  the  state
   41  or  schedules  for limited localities the chair shall request the presi-
   42  dent of the hospital association of New York state to submit to  him  or
   43  her a report on the amount of remuneration deemed by such association to
   44  be  fair  and  adequate  for the types of hospital outpatient care to be
   45  rendered under this chapter, but consideration shall  be  given  to  the
   46  views  of  other interested parties. In the case of occupational therapy
   47  fees schedules the chair shall request the  president  of  a  recognized
   48  professional  association  representing  occupational  therapists in the
   49  state of New York to submit to him or her a  report  on  the  amount  of
   50  remuneration  deemed  by  such association to be fair and reasonable for
   51  the type of occupational therapy services rendered under  this  chapter,
   52  but  consideration  shall  be  given  to  the  views of other interested
   53  parties. The amounts payable by the  employer  for  such  treatment  and
   54  services  shall  be  the  fees and charges established by such schedule.
   55  Nothing in this schedule, however, shall prevent  voluntary  payment  of
   56  amounts  higher or lower than the fees and charges fixed therein, but no
       A. 7901                             3
    1  physician rendering medical treatment or care, and no physical or  occu-
    2  pational  therapist  rendering their respective physical or occupational
    3  therapy services may receive payment in any higher  amount  unless  such
    4  increased  amount has been authorized by the employer, or by decision as
    5  provided in section thirteen-g of this article. Nothing in this  section
    6  shall  be  construed  as  preventing the employment of a duly authorized
    7  physician on a salary basis by an authorized compensation medical bureau
    8  or laboratory.
    9    S 2. This act shall take effect on the one hundred eightieth day after
   10  it shall have become a law.
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