Authorizes the commissioner of health, within fiscal year 2011-2012, to contract with high bidders to perform pilot projects to assess the feasibility of reducing medically unnecessary high cost radiological procedures and generalizing cost savings to the state through enhanced medical management and prior review of orders for diagnostic imaging.
STATE OF NEW YORK
________________________________________________________________________
1550
2011-2012 Regular Sessions
IN SENATE
January 10, 2011
___________
Introduced by Sen. SAMPSON -- read twice and ordered printed, and when
printed to be committed to the Committee on Social Services
AN ACT to amend the social services law, in relation to authorizing a
pilot program for enhanced prior approval of high cost diagnostic
radiology services
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. The social services law is amended by adding a new section
2 369-gg to read as follows:
3 § 369-gg. Pilot program for enhanced prior approval of high cost diag-
4 nostic radiology services. 1. Pursuant to section one hundred sixty-
5 three of the state finance law, the commissioner of health shall, within
6 the fiscal year of two thousand eleven--two thousand twelve, contract
7 with qualified bidders to perform pilot projects to assess the feasibil-
8 ity of reducing medically unnecessary high cost radiological procedures
9 and generalizing cost savings to the state through enhanced medical
10 management and prior review of orders for diagnostic imaging.
11 2. The commissioner of health shall select an entity to perform such
12 pilot project utilizing the following selection criteria:
13 (a) The entity shall have at least one year's experience utilizing and
14 currently utilizing licensed professionals to conduct intake of
15 patients;
16 (b) The entity shall have at least one year's experience utilizing and
17 currently utilizing only licensed radiologists to make prior review
18 determinations;
19 (c) The entity shall have at least one year's experience utilizing and
20 currently utilizing licensed radiologists to request additional informa-
21 tion, as necessary, from the treating provider;
22 (d) The entity shall be based in New York and at least fifty percent
23 of the entity's employees shall reside in New York.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD06119-01-1
S. 1550 2
1 § 2. If any clause, sentence, paragraph, section or part of this act
2 shall be adjudged by any court of competent jurisdiction to be invalid,
3 such judgment shall not affect, impair, or invalidate the remainder
4 thereof, but shall be confined in its operation to the clause, sentence,
5 paragraph, section, or part thereof directly involved in the controversy
6 in which such judgment shall have been rendered.
7 § 3. This act shall take effect immediately.
