New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
Military's Chiropractic Demonstration Project Underway
The three-year Chiropractic Health Care Demonstration project, created by the 1995 National Defense Authorization Act, is in full swing at 10 military treatment facilities. Three other military sites not offering chiropractic are being used to compare outcomes. Chiropractic care is being put to the test for treatment and cost effectiveness.
Active duty members, active duty family members, retired members, and retired family members participating in the demonstration project go through a screening process to determine if their conditions are neuromusculoskeletal. It they are, they have the option of receiving chiropractic or traditional medical care. Patients under 17 and those who are pregnant are excluded from receiving chiropractic.