265.918           Payment for Urgent and Emergent Health Care Services:

That MSSNY seek public policy, regulation or legislation that would require health care payers in New York to pay for all reasonable urgent and emergent medical services for their covered patients, that the definition of reasonable urgent medical services should carry the prudent layperson standard similar to what is already in effect for emergent medical services, and that health care payers reimburse out of network physicians for care provided on urgent or emergency basis at a level which the physician believes fairly reflects the costs of providing a service and the value of their professional judgment.  (Council 1/26/06; Reaffirmed HOD 2017; Reaffirmed HOD 2018-57)