- Summary
- Actions
- Committee Votes
- Floor Votes
- Memo
- Text
- LFIN
- Chamber Video/Transcript
A07108 Summary:
BILL NO | A07108 |
  | |
SAME AS | SAME AS S07871 |
  | |
SPONSOR | Gottfried |
  | |
COSPNSR | |
  | |
MLTSPNSR | |
  | |
Amd §4903, Pub Health L; amd §4903, Ins L | |
  | |
Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request. |
A07108 Actions:
BILL NO | A07108 | |||||||||||||||||||||||||||||||||||||||||||||||||
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04/10/2017 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
01/03/2018 | referred to insurance | |||||||||||||||||||||||||||||||||||||||||||||||||
02/28/2018 | reported | |||||||||||||||||||||||||||||||||||||||||||||||||
03/01/2018 | advanced to third reading cal.695 | |||||||||||||||||||||||||||||||||||||||||||||||||
03/05/2018 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
03/05/2018 | delivered to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
03/05/2018 | REFERRED TO HEALTH | |||||||||||||||||||||||||||||||||||||||||||||||||
06/12/2018 | SUBSTITUTED FOR S7871 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/12/2018 | 3RD READING CAL.982 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/20/2018 | SUBSTITUTION RECONSIDERED | |||||||||||||||||||||||||||||||||||||||||||||||||
06/20/2018 | COMMITTED TO RULES |
A07108 Committee Votes:
Cahill | Aye | Barclay | Nay | ||||||
Cook | Aye | Butler | Nay | ||||||
Pretlow | Aye | Hawley | Aye | ||||||
Rivera | Aye | Blankenbush | Nay | ||||||
Cymbrowitz | Aye | Curran | Aye | ||||||
Lavine | Aye | Walter | Aye | ||||||
Hevesi | Excused | Garbarino | Aye | ||||||
Skoufis | Aye | ||||||||
Steck | Aye | ||||||||
Crespo | Aye | ||||||||
Joyner | Aye | ||||||||
Dilan | Aye | ||||||||
Hunter | Aye | ||||||||
Simotas | Aye | ||||||||
Walker | Aye | ||||||||
Niou | Aye | ||||||||
Rosenthal | Aye | ||||||||
Go to top
A07108 Floor Votes:
Yes
Abbate
Yes
Crouch
ER
Gunther
Yes
Mayer
Yes
Pichardo
Yes
Taylor
Yes
Abinanti
Yes
Curran
ER
Harris
Yes
McDonald
Yes
Pretlow
Yes
Thiele
Yes
Arroyo
Yes
Cusick
Yes
Hawley
ER
McDonough
Yes
Quart
Yes
Titone
Yes
Aubry
Yes
Cymbrowitz
Yes
Hevesi
Yes
Miller B
Yes
Ra
Yes
Titus
Yes
Barclay
Yes
Davila
Yes
Hikind
Yes
Miller MG
Yes
Raia
Yes
Vanel
Yes
Barnwell
Yes
De La Rosa
Yes
Hooper
Yes
Miller ML
Yes
Ramos
Yes
Walker
Yes
Barrett
Yes
DenDekker
Yes
Hunter
Yes
Montesano
ER
Richardson
Yes
Wallace
Yes
Barron
Yes
Dickens
Yes
Hyndman
Yes
Morelle
Yes
Rivera
Yes
Walsh
Yes
Benedetto
Yes
Dilan
Yes
Jaffee
Yes
Morinello
Yes
Rodriguez
Yes
Walter
Yes
Bichotte
Yes
Dinowitz
Yes
Jean-Pierre
ER
Mosley
Yes
Rosenthal D
Yes
Weinstein
Yes
Blake
Yes
DiPietro
Yes
Jenne
Yes
Murray
Yes
Rosenthal L
Yes
Weprin
Yes
Blankenbush
Yes
D'Urso
Yes
Johns
Yes
Niou
Yes
Rozic
Yes
Williams
Yes
Brabenec
Yes
Englebright
Yes
Jones
ER
Nolan
Yes
Ryan
Yes
Woerner
Yes
Braunstein
Yes
Errigo
Yes
Joyner
Yes
Norris
Yes
Santabarbara
Yes
Wright
Yes
Brindisi
Yes
Fahy
Yes
Kim
Yes
Oaks
Yes
Schimminger
Yes
Zebrowski
Yes
Bronson
Yes
Finch
Yes
Kolb
Yes
O'Donnell
Yes
Seawright
Yes
Mr. Speaker
Yes
Buchwald
Yes
Fitzpatrick
Yes
Lalor
Yes
Ortiz
Yes
Sepulveda
Yes
Butler
Yes
Friend
Yes
Lavine
Yes
Otis
Yes
Simon
Yes
Byrne
Yes
Galef
Yes
Lawrence
Yes
Palmesano
Yes
Simotas
Yes
Cahill
ER
Gantt
Yes
Lentol
Yes
Palumbo
ER
Skartados
Yes
Carroll
Yes
Garbarino
Yes
Lifton
Yes
Paulin
Yes
Skoufis
Yes
Castorina
Yes
Giglio
Yes
Lupardo
Yes
Pellegrino
Yes
Solages
Yes
Colton
Yes
Glick
Yes
Magee
Yes
Peoples-Stokes
Yes
Stec
Yes
Cook
Yes
Goodell
Yes
Magnarelli
Yes
Perry
Yes
Steck
Yes
Crespo
Yes
Gottfried
Yes
Malliotakis
Yes
Pheffer Amato
Yes
Stirpe
‡ Indicates voting via videoconference
A07108 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 7108 2017-2018 Regular Sessions IN ASSEMBLY April 10, 2017 ___________ Introduced by M. of A. GOTTFRIED -- 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 of coverage of nursing home care following an inpatient hospital admission The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraphs (a) and (c) of subdivision 3 of section 4903 of 2 the public health law, paragraph (a) as amended and paragraph (c) as 3 added by chapter 41 of the laws of 2014, are amended to read as follows: 4 (a) A utilization review agent shall make a determination involving 5 continued or extended health care services, additional services for an 6 enrollee undergoing a course of continued treatment prescribed by a 7 health care provider, or requests for inpatient substance use disorder 8 treatment, or nursing home care or home health care services following 9 an inpatient hospital admission, and shall provide notice of such deter- 10 mination to the enrollee or the enrollee's designee, which may be satis- 11 fied by notice to the enrollee's health care provider, by telephone and 12 in writing within one business day of receipt of the necessary informa- 13 tion except, with respect to home health care services following an 14 inpatient hospital admission, within seventy-two hours of receipt of the 15 necessary information when the day subsequent to the request falls on a 16 weekend or holiday and except, with respect to inpatient substance use 17 disorder treatment or nursing home care, within twenty-four hours of 18 receipt of the request for services when the request is submitted at 19 least twenty-four hours prior to discharge from an inpatient admission. 20 Notification of continued or extended services shall include the number 21 of extended services approved, the new total of approved services, the 22 date of onset of services and the next review date. 23 (c) Provided that a request for inpatient treatment for substance use 24 disorder or nursing home care is submitted to the utilization review EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD02606-01-7A. 7108 2 1 agent at least twenty-four hours prior to discharge from an inpatient 2 admission pursuant to this subdivision, a utilization review agent shall 3 not deny, on the basis of medical necessity or lack of prior authori- 4 zation, coverage for the inpatient substance use disorder treatment or 5 nursing home care while a determination by the utilization review agent 6 is pending. 7 § 2. Paragraphs 1 and 3 of subsection (c) of section 4903 of the 8 insurance law, paragraph 1 as amended and paragraph 3 as added by chap- 9 ter 41 of the laws of 2014, are amended to read as follows: 10 (1) A utilization review agent shall make a determination involving 11 continued or extended health care services, additional services for an 12 insured undergoing a course of continued treatment prescribed by a 13 health care provider, or requests for inpatient substance use disorder 14 treatment, or nursing home care or home health care services following 15 an inpatient hospital admission, and shall provide notice of such deter- 16 mination to the insured or the insured's designee, which may be satis- 17 fied by notice to the insured's health care provider, by telephone and 18 in writing within one business day of receipt of the necessary informa- 19 tion except, with respect to home health care services following an 20 inpatient hospital admission, within seventy-two hours of receipt of the 21 necessary information when the day subsequent to the request falls on a 22 weekend or holiday and except, with respect to inpatient substance use 23 disorder treatment or nursing home care, within twenty-four hours of 24 receipt of the request for services when the request is submitted at 25 least twenty-four hours prior to discharge from an inpatient admission. 26 Notification of continued or extended services shall include the number 27 of extended services approved, the new total of approved services, the 28 date of onset of services and the next review date. 29 (3) Provided that a request for inpatient treatment for substance use 30 disorder or nursing home care is submitted to the utilization review 31 agent at least twenty-four hours prior to discharge from an inpatient 32 admission pursuant to this subsection, a utilization review agent shall 33 not deny, on the basis of medical necessity or lack of prior authori- 34 zation, coverage for the inpatient substance use disorder treatment or 35 nursing home care while a determination by the utilization review agent 36 is pending. 37 § 3. This act shall take effect on the ninetieth day after it shall 38 have become a law.