STATE OF NEW YORK
________________________________________________________________________
10188
IN ASSEMBLY
September 24, 2014
___________
Introduced by COMMITTEE ON RULES -- (at request of M. of A. Abbate) --
read once and referred to the Committee on Insurance
AN ACT to amend the public health law, in relation to prohibiting estab-
lishing quality ratings for dentists based solely on cost of services
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 206 of the public health law is amended by adding a
2 new subdivision 29 to read as follows:
3 29. The commissioner shall promulgate regulations, in consultation
4 with the New York state office of the attorney general, to prohibit
5 health insurance entities from establishing rating systems for dentists
6 based solely on cost of services. A health insurance entity is any
7 entity that is subject to articles forty-two, forty-three and forty-
8 eight of the insurance law or article forty-four of this chapter. Any
9 quality rating system shall only be based on data that is verified for
10 accuracy and made transparent, fair, and accessible to dentists, consum-
11 ers, and disclosed to the public. Fair data shall mean data that is
12 derived from nationally recognized evidence-based and/or consensus-based
13 clinical recommendations or guidelines; includes characteristics of the
14 dentist's patient populations including, but not limited, case mix,
15 severity of the patient's condition, co-morbidities, and the extent to
16 which patient compliance is a factor in achieving a quality outcome; and
17 is supported by sufficient dental record based verifications to assure
18 data accuracy.
19 § 2. This act shall take effect immediately.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD15785-01-4
