Chapter
277
2007 -- S 0633 SUBSTITUTE A AS AMENDED
Enacted 07/06/07
A N A C T
RELATING
TO HEALTH AND SAFETY - INSURANCE - HEALTH INSURANCE POLICY COVERAGE
Introduced
By: Senator C Levesque
Date
Introduced: February 15, 2007
It is enacted by the General Assembly as
follows:
SECTION 1. Section
23-17-51 of the General Laws in Chapter 23-17 entitled "Licensing
of Health Care Facilities" is hereby
amended to read as follows:
23-17-51.
Magnetic resonance imaging -- Quality assurance standards. -- (a)
Except
as otherwise provided in subsection (b) of this
section, a magnetic resonance imaging
examination eligible for reimbursement under the
provisions of any individual or group health
insurance contract, plan or policy delivered in
this state shall be reimbursed only if the facility at
which the examination has been conducted and
processed is accredited by either the American
College of Radiology (ACR), the Intersoceital
Accreditation Commission (IAC), or an alternate
nationally recognized accrediting organization
whose accreditation standards are substantially
similar to and no less stringent than current or
subsequent ACR or IAC standards and have been
reviewed and deemed adequate by the department of
health. All accreditation standards under this
section, whether promulgated by the ACR, IAC,
or an alternate nationally recognized accrediting
organization, shall include, but shall not be
limited to, provisions for establishing the
qualifications of the physician, standards for
quality control and routine performance monitoring
by a medical physicist, qualifications of the
technologist including minimum standards of
supervised clinical experience, personnel and
patient safety guidelines, and standards for initial
and ongoing quality control using clinical image
review and quantitative testing.
(b) Any facility
conducting and processing magnetic resonance imaging examinations
which, as of June 30, 2006, is receiving
reimbursement for such services by a health insurer,
health maintenance organization or health plan,
but is not accredited pursuant to subsection (a),
shall file its application for accreditation
within eighteen (18) months of the effective date of this
section. Such accreditation shall be obtained
not later than June 30, 2008. twelve (12) months
after submission of its application. A facility which begins
conducting and processing of
magnetic resonance imaging examinations after
June 30, 2006 shall file its application for
accreditation within twelve (12) months of the
date of initiation of the magnetic resonance
imaging examinations. Such accreditation shall
be obtained not later than June 30, 2008. twelve
(12) months after submission of its application. After such accreditation
is obtained, a facility
conducting and processing magnetic resonance
imaging examinations shall, at all times, maintain
accreditation with the appropriate accrediting
body. Notwithstanding anything herein to the
contrary, any facility which has filed for
accreditation pursuant to this subsection (b) and which
has not been refused accreditation or withdrawn
its application, will be deemed provisionally
accredited for the twelve (12) month period
dating from the application filing date. Provided,
further, that notwithstanding any provision of
the general laws or public laws to the contrary, any
facility conducting and processing magnetic
resonance imaging examinations shall conform to
the standards of the appropriate accrediting
body at all times, including during the accreditation
process and shall certify said conformance to
any reimbursing health insurer, health maintenance
organization or health plan.
SECTION 2. Section
27-18-53 of the General Laws in Chapter 27-18 entitled "Accident
and Sickness Insurance Policies" is hereby
amended to read as follows:
27-18-53.
Magnetic resonance imaging -- Quality assurance standards. -- (a)
Except
as otherwise provided in subsection (b) of this
section, a magnetic resonance imaging
examination eligible for reimbursement under the
provisions of any individual or group health
insurance contract, plan or policy delivered in
this state shall be reimbursed only if the facility at
which the examination has been conducted and
processed is accredited by either the American
College of Radiology (ACR), the Intersocietal
Accreditation Commission (IAC) or an alternate
nationally recognized accrediting organization
whose accreditation standards are substantially
similar and no less stringent than current or
subsequent ACR or IAC standards and have been
reviewed and deemed adequate by the department
of health. All accreditation standards under this
section, whether promulgated by the ACR, IAC,
or an alternate nationally recognized accrediting
organization, shall include, but shall not be
limited to, provisions for establishing the
qualifications of the physician, standards for
quality control and routine performance monitoring
by a medical physicist, qualifications of the
technologist including minimum standards of
supervised clinical experience, personnel and
patient safety guidelines, and standards for initial
and ongoing quality control using clinical image
review and quantitative testing.
(b) Any facility
conducting and processing magnetic resonance imaging examinations
which, as of June 30, 2006, is receiving
reimbursement for such services by a health insurer,
health maintenance organization or health plan,
but is not accredited pursuant to subsection (a),
shall file its application for accreditation
within eighteen (18) months of the effective date of this
section. Such accreditation shall be obtained
not later than June 30, 2008. twelve (12) months
after submission of its application. A facility which begins
conducting and processing, magnetic
resonance imaging examinations after June 30,
2006 shall file its application for accreditation
within twelve (12) months of the date of
initiation of the magnetic resonance imaging
examinations. Such accreditation shall be
obtained not later than June 30, 2008. twelve (12)
months after submission of its application. After such
accreditation is obtained, a facility
conducting and processing, magnetic resonance
imaging examinations shall, at all times, maintain
accreditation with the appropriate accrediting
body. Notwithstanding anything herein to the
contrary, any facility which has filed for
accreditation pursuant to this subsection (b) and has not
been refused accreditation or withdrawn its
application, will be deemed provisionally accredited
for the twelve (12) month period dating from the
application filing date. Provided, further, that
notwithstanding any provision of the general or
public laws to the contrary, any facility
conducting and processing magnetic resonance
imaging examinations shall conform to the
standards of the appropriate accrediting body at
all times, including during said accreditation
process and shall certify said conformance to
any reimbursing health insurer, health maintenance
organization, or health plan.
SECTION 3. Section
27-19-46 of the General Laws in Chapter 27-19 entitled "Nonprofit
Hospital Service Corporations" is hereby
amended to read as follows:
27-19-46.
Magnetic resonance imaging -- Quality assurance standards. -- (a)
Except
as otherwise provided in subsection (b) of this
section, a magnetic resonance imaging
examination eligible for reimbursement under the
provisions of any individual or group health
insurance contract, plan or policy delivered in
this state shall be reimbursed only if the facility at
which the examination has been conducted and
processed is accredited by either the American
College of Radiology (ACR), the Intersocietal
Accreditation Commission (IAC) or an alternate
nationally recognized accrediting organization
whose accreditation standards are substantially
similar to and no less stringent than current or
subsequent ACR or IAC standards and have been
reviewed and deemed adequate by the department
of health. All accreditation standards under this
section, whether promulgated by the ACR, IAC,
or an alternate nationally recognized accrediting
organization, shall include, but shall not be
limited to, provisions for establishing the
qualifications of the physician, standards for quality
control and routine performance monitoring
by a medical physicist, qualifications of the
technologist including minimum standards of
supervised clinical experience, personnel and
patient safety guidelines, and standards for initial
and ongoing quality control using clinical image
review and quantitative testing.
(b) Any facility
conducting and processing magnetic resonance imaging examinations
which, as of June 30, 2006 is receiving
reimbursement for such services by a health insurer,
health maintenance organization or health plan,
but is not accredited pursuant to subsection (a),
shall file its application for accreditation
within eighteen (18) months of the effective date of this
section [January 1, 2006]. Such
accreditation shall be obtained not later than June 30, 2008.
twelve (12) months after submission of its
application.
A facility which begins conducting and
processing, of magnetic resonance imaging
examinations after June 30, 2006 shall file its
application for accreditation within twelve (12)
months of the date of initiation of the magnetic
resonance imaging examinations. Such
accreditation shall be obtained not later than June 30,
2008. twelve (12) months after submission of its
application. After such accreditation is obtained,
a facility conducting and processing, of
magnetic resonance imaging examinations shall, at all
times, maintain accreditation with the
appropriate accrediting body. Notwithstanding anything
herein to the contrary, any facility which has
filed for accreditation pursuant to this subsection (b)
and which has not been refused accreditation or
withdrawn its application, will be deemed
provisionally accredited for the twelve (12)
month period dating from the application filing date.
Provided, further, that notwithstanding any
provisions of the general or public laws to the
contrary, any facility conducting and processing
magnetic resonance imaging examinations shall
conform to the standards of the appropriate
accrediting body at all times, including during the
accreditation process and shall certify said
conformance to any reimbursing health insurer, health
maintenance organization or health plan.
SECTION 4. Section
27-20-41 of the General Laws in Chapter 27-20 entitled "Nonprofit
Medical Service Corporations" is hereby
amended to read as follows:
27-20-41.
Magnetic resonance imaging -- Quality assurance standards. -- (a)
Except
as otherwise provided in subsection (b) of this
section, a magnetic resonance imaging
examination eligible for reimbursement under the
provisions of any individual or group health
insurance contract, plan or policy delivered in
this state shall be reimbursed only if the facility at
which the examination has been conducted and
processed is accredited by either the American
College of Radiology (ACR), the Intersocietal
Accreditation Commission (IAC) or an alternate
nationally recognized accrediting organization
whose accreditation standards are substantially
similar to and no less stringent than current or
subsequent ACR or IAC standards and have been
reviewed and deemed adequate by the department
of health. All accreditation standards under this
section, whether promulgated by the ACR, IAC,
or an alternate nationally recognized accrediting
organization, shall include, but shall not be
limited to, provisions for establishing the
qualifications of the physician, standards for
quality control and routine performance monitoring
by a medical physicist, qualifications of the
technologist including minimum standards of
supervised clinical experience, personnel and
patient safety guidelines, and standards for initial
and ongoing quality control using clinical image
review and quantitative testing.
(b) Any facility
conducting and processing magnetic resonance imaging examinations
which, as of June 30, 2006 is receiving
reimbursement for such services by a health insurer,
health maintenance organization or health plan,
but is not accredited pursuant to subsection (a),
shall file its application for accreditation
within eighteen (18) months of the effective date of this
section [January 1, 2006]. Such
accreditation shall be obtained not later than June 30, 2008.
twelve (12) months after submission of its
application.
A facility which begins conducting and
processing, of magnetic resonance imaging
examinations after June 30, 2006 shall file its
application for accreditation within twelve (12)
months of the date of initiation of the magnetic
resonance imaging examinations. Such accreditation
shall be obtained not later than June 30,
2008. twelve (12) months after submission of its
application. After such accreditation is obtained,
a facility conducting and processing, magnetic
resonance imaging examinations shall, at all times,
maintain accreditation with the appropriate
accrediting body. Notwithstanding anything herein to
the contrary, any facility which has filed for
accreditation pursuant to this subsection (b) and
which has not been refused accreditation or
withdrawn its application, will be deemed
provisionally accredited for the twelve (12)
month period dating from the application filing date.
Provided, further, that notwithstanding any
provisions of the general or public laws to the
contrary, any facility conducting and processing
magnetic resonance imaging examinations shall
conform to the standards of the appropriate
accrediting body at all times, including during the
accreditation process and shall certify said
conformance to any reimbursing health insurer, health
maintenance organization or health plan.
SECTION 5. Section
27-41-56 of the General Laws in Chapter 27-41 entitled "Health
Maintenance Organizations" is hereby
amended to read as follows:
27-41-56.
Magnetic resonance imaging -- Quality assurance standards. -- (a)
Except
as otherwise provided in subsection (b) of this
section, a magnetic resonance imaging
examination eligible for reimbursement under the
provisions of any individual or group health
insurance contract, plan or policy delivered in
this state shall be reimbursed only if the facility at
which the examination has been conducted and
processed is accredited by either the American
College of Radiology (ACR), the Intersocietal
Accreditation Commission (IAC) or an alternate
nationally recognized accrediting organization
whose accreditation standards are substantially
similar to and no less stringent than current or
subsequent ACR or IAC standards and have been
reviewed and deemed adequate by the department
of health. All accreditation standards under this
section, whether promulgated by the ACR, IAC,
or an alternate nationally recognized accrediting
organization, shall include, but shall not be
limited to, provisions for establishing the
qualifications of the physician, standards for
quality control and routine performance monitoring
by a medical physicist, qualifications of the
technologist including minimum standards of
supervised clinical experience, personnel and
patient safety guidelines, and standards for initial
and ongoing quality control using clinical image
review and quantitative testing.
(b) Any facility
conducting and processing magnetic resonance imaging examinations
which, as of June 30, 2006 is receiving
reimbursement for such services by a health insurer,
health maintenance organization or health plan,
but is not accredited pursuant to subsection (a),
shall file its application for accreditation
within eighteen (18) months of the effective date of this
section [January 1, 2006]. Such
accreditation shall be obtained not later than June 30, 2008.
twelve (12) months after submission of its
application.
A facility which begins conducting and
processing, of magnetic resonance imaging examinations
after June 30, 2006 shall file its
application for accreditation within twelve (12)
months of the date of initiation of the magnetic
resonance imaging examinations. Such
accreditation shall be obtained not later than June 30,
2008. twelve (12) months after submission of its
application.
After such accreditation is obtained,
a facility conducting and processing, magnetic
resonance imaging examinations shall, at all times,
maintain accreditation with the appropriate
accrediting body. Notwithstanding anything herein to
the contrary, any facility which has filed for
accreditation pursuant to this subsection (b) and
which has not been refused accreditation or
withdrawn its application, will be deemed
provisionally accredited for the twelve (12)
month period dating from the application filing date.
Provided, further, that notwithstanding any
provisions of the general or public laws to the
contrary, any facility conducting and processing
magnetic resonance imaging examinations shall
conform to the standards of the appropriate
accrediting body at all times, including during the
accreditation process and shall certify said
conformance to any reimbursing health insurer, health
maintenance organization or health plan.
SECTION 6. This
act shall take effect upon passage.
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LC01759/SUB
A
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