Bill Text: NY A08145 | 2015-2016 | General Assembly | Introduced

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Bill Title: Promotes transparency and equity in the utilization review process by ensuring that agents are independent, having no existing relationships with the reviewed entity.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2016-01-06 - referred to insurance [A08145 Detail]

Download: New_York-2015-A08145-Introduced.html

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                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         8145
                              2015-2016 Regular Sessions
                                 I N  A S S E M B L Y
                                     June 10, 2015
                                      ___________
       Introduced  by  M.  of  A.  DenDEKKER  --  read once and referred to the
         Committee on Insurance
       AN ACT to amend the public health law and the insurance law, in relation
         to utilization review agents
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1. Section 4905 of the public health law is amended by adding
    2  a new subdivision 16 to read as follows:
    3    16. A UTILIZATION REVIEW AGENT SHALL NOT CONDUCT A REVIEW OF ANY ENTI-
    4  TY IN WHICH IT HAS "MATERIAL FAMILIAL AFFILIATION", "MATERIAL  FINANCIAL
    5  AFFILIATION" OR "MATERIAL PROFESSIONAL AFFILIATION".
    6    S  2.  Section  4905  of  the insurance law is amended by adding a new
    7  subsection (p) to read as follows:
    8    (P) A UTILIZATION REVIEW AGENT SHALL NOT CONDUCT A REVIEW OF ANY ENTI-
    9  TY IN WHICH IT HAS "MATERIAL FAMILIAL AFFILIATION", "MATERIAL  FINANCIAL
   10  AFFILIATION" OR "MATERIAL PROFESSIONAL AFFILIATION".
   11    S 3. This act shall take effect immediately.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11508-01-5