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NY A07108
Bill
Status
Engrossed
3/5/2018
Primary Sponsor
Richard Gottfried
Click for details
AI Summary
- Amends Public Health Law and Insurance Law to include nursing home care following inpatient hospital admission under utilization review requirements
- Requires utilization review agents to make determinations on nursing home care requests within twenty-four hours of receipt when submitted at least twenty-four hours prior to discharge
- Prohibits denial of nursing home care coverage based on medical necessity or lack of prior authorization while a utilization review determination is pending, provided the request was submitted at least twenty-four hours before discharge
- Applies same expedited review and coverage protections to nursing home care as currently exist for inpatient substance use disorder treatment
- Takes effect ninety days after becoming law
Legislative Description
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.
Last Action
COMMITTED TO RULES
6/20/2018
Committee Referrals
Rules6/20/2018
Health3/5/2018
Insurance4/10/2017
Full Bill Text
No bill text available