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NY A03450

Bill

Status

Engrossed

5/11/2015

Primary Sponsor

Keith Wright

Click for details

Origin

Assembly

2015-2016 General Assembly

AI Summary

  • Requires health care practitioners who issue disability opinions differing from an applicant's treating practitioner to provide explicit written determinations explaining their disagreement and supporting evidence.

  • Establishes that a treating health care practitioner's disability opinion is generally controlling when it differs from a referred practitioner's opinion.

  • Identifies four factors to consider when evaluating differing practitioner opinions: length and frequency of treatment, consistency with medical records, degree of supporting evidence, and the practitioner's specialty.

  • Amends Section 332-b of the Social Services Law to add new subdivisions 4-a and 4-b governing these disability determination procedures.

  • Takes effect 90 days after the bill becomes law.

Legislative Description

Provides factors to be considered when a health care practitioner's opinion differs from that of referral's treating health care practitioner as to a disability; requires such health care practitioner to provide an explicit written determination and to present evidence when such practitioner's diagnosis differs from that of the treating health care practitioner who referred the patient.

Last Action

REFERRED TO SOCIAL SERVICES

5/16/2016

Committee Referrals

Social Services5/16/2016
Social Services1/20/2016
Social Services5/11/2015
Social Services1/22/2015

Full Bill Text

No bill text available