Clarifies provisions regarding health care professional applications and terminations.
Impact
The bill is designed to enhance the protections afforded to health care professionals by ensuring they have clear rights when it comes to contract termination or non-renewal. It requires that health care plans provide a timeline for hearings and decisions which protects health professionals from immediate removal without due process. This could significantly influence the operational procedures of health care plans and their contractual relationships with providers by mandating more transparency and fairness in the contractual process.
Summary
S01911 is a legislative bill introduced in the New York Senate which aims to amend the public health law and insurance law concerning the applications and terminations of health care professionals. This bill specifically addresses the conditions under which health care plans can terminate or refuse to renew contracts with healthcare professionals, emphasizing a structured process for review and appeal. It mandates that a health care plan cannot terminate a contract without providing a written explanation to the health care professional and allows them to request a hearing for further review of the termination decision.
Contention
Notable points of contention surrounding S01911 include concerns from health care plans about the potential for increased administrative burdens and costs associated with the required processes. Advocates for health care professionals argue that these provisions are essential for safeguarding the rights of providers against arbitrary dismissals, while some industry stakeholders may view the regulations as excessive or unnecessarily complicated. Additionally, the exceptions for cases involving imminent harm or fraud are crucial as they balance patient safety with professional rights.