Bill Text: NY S05479 | 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 [S05479 Detail]

Download: New_York-2019-S05479-Introduced.html

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                STATE OF NEW YORK
        ________________________________________________________________________
                                          5479
                               2019-2020 Regular Sessions
                    IN SENATE
                                       May 2, 2019
                                       ___________
        Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
          printed to be committed 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
    23  patient  access, safety and rates of reimbursement paid by health plans.
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03126-01-9
        S. 5479                             2
     1  Based on this review, such workgroup shall make recommendations  regard-
     2  ing  appropriate  reforms  or  policy  changes necessary and in the best
     3  interest of the public and considering the following factors:
     4    (a)  current scientific or medical research directly examining office-
     5  based surgery and patient outcomes;
     6    (b) trends in access to out-patient surgical care;
     7    (c) trends in reimbursement rates for out-patient surgical care across
     8  all settings and the actual costs of out-patient surgical care;
     9    (d) regional differences regarding access and costs;
    10    (e) the impact rates of reimbursement across settings have on  consum-
    11  ers who access out-patient surgery services;
    12    (f)  the  impact rates of reimbursement across settings have on health
    13  plan premium costs;
    14    (g) patient claims data from all health plans both public and  private
    15  as  well  as charge data from medical professionals and hospitals avail-
    16  able through the all payer database  and  office-based  surgery  related
    17  data  required  pursuant  to section two hundred thirty-d of this title;
    18  and
    19    (h) other issues deemed appropriate by members of  the  workgroup  and
    20  either the superintendent of financial services or the commissioner.
    21    3.  The workgroup shall review the availability of out-patient surgery
    22  services in terms of patient access and cost by region of the state  and
    23  make recommendations taking into consideration the following factors:
    24    (a)  the  extent  to  which  office-based surgery is available in each
    25  region in this state;
    26    (b) the extent to which and diversity of specialties  in  office-based
    27  surgery  is  available in every region in this state, including the most
    28  common specialties and subspecialty services; and
    29    (c) other issues deemed appropriate by the members  of  the  workgroup
    30  and either the superintendent of financial services or the commissioner.
    31    4.  The  workgroup  shall report its findings and make recommendations
    32  for legislation and regulations to the  governor,  the  speaker  of  the
    33  assembly,  the  senate  majority leader, the chairs of the insurance and
    34  health committees in both the assembly and the senate,  and  the  super-
    35  intendent  of financial services no later than April first, two thousand
    36  twenty.
    37    § 2. This act shall take effect immediately.